Tag: geriatrics

With an increasing prevalence of dementia in the elderly population and treatment strategies limited to improving symptoms, there is a need to identify at-risk patients. Hearing loss (HL) has been identified as a risk factor for dementia, contributing to social isolation, depression and lower quality of life. In this...
1. In this prospective cohort study, patients with midlife hypertension and either late-life hypertension or hypotension had higher risks of dementia than mid-life normotensive participants. 2. Midlife hypertension and late-life hypotension were also associated with greater risk of mild cognitive impairment. Evidence Rating Level: 2 (Good) Study Rundown: Though midlife hypertension has...
While numerous studies have previously examined associations between physical activity and mortality, cardiovascular disease and certain cancers, the majority of this evidence has been cross-sectional, single-timepoint data, or has relied on a single baseline physical activity assessment for correlation. Few studies have examined physical activity trajectories over time, and...
It is estimated that by the year 2050, 1 in 5 individuals will be 65 years or older. In addition to the growing number of seniors in North America, the rate of suicide has also risen considerably, particularly in this patient population. As such, there is a need to...
1. In this prospective cohort study, poor olfaction was associated with mortality in older adults 2. Poor olfaction was an independent predictor of mortality, separate from neurodegenerative disease, poor baseline health, and weight loss. Evidence Rating Level: 1 (Excellent) Study Rundown: It is well established that sense of smell decreases as humans...
1. Increased collaboration between emergency medical services (EMS) and primary care physicians could decrease frequency of unnecessary transportation to the emergency department (ED) for fallen residents of assisted living facilities. 2. For study participants, the protocol recommended non-transport for over half of the seniors’ falls. Evidence Rating Level: 2 (Good) Study Rundown:...
1. High-cost frail elderly persons account for almost half of the potentially preventable Medicare spending. 2. The greatest amount of spending related to admissions for urinary tract infections, dehydration, heart failure, and bacterial pneumonia was directed towards frail elderly patients. Evidence Rating Level: 2 (Good) Study Rundown: There are few studies regarding...
1. Almost half of elderly patients received an antibiotic prescription for a non-bacterial acute upper respiratory infection (AURI. 2. Patients were more likely to receive prescriptions for non-bacterial AURI from physicians in mid- to late-stages of their careers, as well as those trained outside of Canada or the United States. Evidence...
1. In adults ≥60 years of age with a chronic systolic blood pressure (SBP) ≥150 mm Hg who are otherwise healthy, treatment to current BP guidelines (<150/90 mm Hg) greatly reduces mortality, stroke, and cardiac events. 2. Lower BP targets were linked to syncope, hypotension, and greater medication burden, but...
1. In this propensity-matched retrospective cohort study, elderly nursing home residents who used beta-blockers after an acute myocardial infarction, especially those with underlying cognitive or functional impairment, were more likely to have a decrease in function compared with those not using beta-blockers. 2. However, use of beta-blockers post-myocardial infarction had...