Comprehensive Geriatric Assessment
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Synopsis of the KDIGO 2017 Clinical Practice Guideline Update | Annals of Internal Medicine | American College of Physicians

Synopsis of the KDIGO 2017 Clinical Practice Guideline Update | Annals of Internal Medicine | American College of Physicians | Comprehensive Geriatric Assessment | Scoop.it
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Prevalence and Preventability of Drug-Related Hospital Readmissions: A Systematic Review - El Morabet - 2018 - Journal of the American Geriatrics Society - Wiley Online Library

Prevalence and Preventability of Drug-Related Hospital Readmissions: A Systematic Review - El Morabet - 2018 - Journal of the American Geriatrics Society - Wiley Online Library | Comprehensive Geriatric Assessment | Scoop.it
To summarize the evidence on the prevalence and preventability of drug‐related hospital readmissions.A systematic review was performed of studies that examined drug‐related hospital readmissions
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Delirium—A Framework to Improve Acute Care for Older Persons - Inouye - 2018 - Journal of the American Geriatrics Society - Wiley Online Library

Delirium—A Framework to Improve Acute Care for Older Persons - Inouye - 2018 - Journal of the American Geriatrics Society - Wiley Online Library | Comprehensive Geriatric Assessment | Scoop.it
This article is based on the M. Powell Lawton Award Lecture that I delivered at the 2016 Gerontological Society of America Annual Meeting. I provide an overview of my journey in geriatric medicin
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Tumour boards in geriatric oncology | Age and Ageing | Oxford Academic

Tumour boards in geriatric oncology | Age and Ageing | Oxford Academic | Comprehensive Geriatric Assessment | Scoop.it
Abstract. Multidisciplinary tumour board is an integral part of cancer treatment planning. Although no definite survival benefits have yet been shown by mostly
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The future of the NHS: no longer the envy of the world?

The future of the NHS: no longer the envy of the world? | Comprehensive Geriatric Assessment | Scoop.it
Even if the funding gap is met and efficiency gains are realized...
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Frailty as an Outcome in Geriatrics Research | Annals of Internal Medicine | American College of Physicians

Frailty as an Outcome in Geriatrics Research | Annals of Internal Medicine | American College of Physicians | Comprehensive Geriatric Assessment | Scoop.it
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Clinical characteristics associated with the onset of delirium among long-term nursing home residents | BMC Geriatrics | Full Text

Clinical characteristics associated with the onset of delirium among long-term nursing home residents | BMC Geriatrics | Full Text | Comprehensive Geriatric Assessment | Scoop.it
Nursing home residents are frail, have multiple medical comorbidities, and are at high risk for delirium. Most of the existing evidence base on delirium is derived from studies in the acute in-patient population. We examine the association between clinical characteristics and medication use with the incidence of delirium during the nursing home stay. This is a retrospective cohort study of 1571 residents from 12 nursing homes operated by a single care provider in Ontario, Canada. Residents were over the age of 55 and admitted between February 2010 and December 2015 with no baseline delirium and a minimum stay of 180 days. Residents with moderate or worse cognitive impairment at baseline were excluded. The baseline and follow-up characteristics of residents were collected from the Resident Assessment Instrument-Minimal Data Set 2.0 completed at admission and repeated quarterly until death or discharge. Multivariate logistic regression was used to identify characteristics and medication use associated with the onset of delirium. The incidence of delirium was 40.4% over the nursing home stay (mean LOS: 32 months). A diagnosis of dementia (OR: 2.54, p < .001), the presence of pain (OR: 1.64, p < .001), and the use of antipsychotics (OR: 1.87, p < .001) were significantly associated with the onset of delirium. Compared to residents who did not develop delirium, residents who developed a delirium had a greater increase in the use of antipsychotics and antidepressants over the nursing home stay. Dementia, the presence of pain, and the use of antipsychotics were associated with the onset of delirium. Pain monitoring and treatment may be important to decrease delirium in nursing homes. Future studies are necessary to examine the prescribing patterns in nursing homes and their association with delirium.
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Edoxaban for the Treatment of Cancer-Associated Venous Thromboembolism | NEJM

Edoxaban for the Treatment of Cancer-Associated Venous Thromboembolism | NEJM | Comprehensive Geriatric Assessment | Scoop.it
Original Article from The New England Journal of Medicine — Edoxaban for the Treatment of Cancer-Associated Venous Thromboembolism
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Vitamin D supplementation to prevent acute respiratory tract infections: systematic review and meta-analysis of individual participant data

Vitamin D supplementation to prevent acute respiratory tract infections: systematic review and meta-analysis of individual participant data | Comprehensive Geriatric Assessment | Scoop.it
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Review: Procalcitonin-guided starting and stopping of antibiotics in acute respiratory infections reduces mortality | Annals of Internal Medicine | American College of Physicians

Review: Procalcitonin-guided starting and stopping of antibiotics in acute respiratory infections reduces mortality | Annals of Internal Medicine | American College of Physicians | Comprehensive Geriatric Assessment | Scoop.it
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Effect of Haloperidol on Survival Among Critically Ill Adults at High Risk of Delirium | Critical Care Medicine | JAMA | The JAMA Network

This randomized clinical trial compares the effects of prophylactic haloperidol on 28-day survival in patients in the intensive care unit at high risk of developing delirium


Conclusions and Relevance Among critically ill adults at high risk of delirium, the use of prophylactic haloperidol compared with placebo did not improve survival at 28 days. These findings do not support the use of prophylactic haloperidol for reducing mortality in critically ill adults

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Cellulitis and Soft Tissue Infections | Annals of Internal Medicine | American College of Physicians

Cellulitis and Soft Tissue Infections | Annals of Internal Medicine | American College of Physicians | Comprehensive Geriatric Assessment | Scoop.it
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Let’s bring “e-patient” to geriatrics | e-Patients.net

Let’s bring “e-patient” to geriatrics | e-Patients.net | Comprehensive Geriatric Assessment | Scoop.it
“At the extraordinary Stanford Medicine X conference I connected with SPM member Leslie Kernisan (Twitter @GeriTechBlog), a geriatrician who's deeply interested (Let’s bring “e-patient” to geriatrics”
Via Lionel Reichardt / le Pharmageek
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Battling against the odds: what does the latest NHS staff survey tell us? | 

Battling against the odds: what does the latest NHS staff survey tell us? |  | Comprehensive Geriatric Assessment | Scoop.it
With the latest NHS staff survey results revealed last week, Candace Imison looks in more detail at some of the findings, the bigger picture the results paint, and what the response should be.
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Geriatric Emergency Department Innovations: Transitional Care Nurses and Hospital Use - Hwang - 2018 - Journal of the American Geriatrics Society - Wiley Online Library

Geriatric Emergency Department Innovations: Transitional Care Nurses and Hospital Use - Hwang - 2018 - Journal of the American Geriatrics Society - Wiley Online Library | Comprehensive Geriatric Assessment | Scoop.it
To examine the effect of an emergency department (ED)‐based transitional care nurse (TCN) on hospital use.Prospective observational cohort.Three U.S. (NY, IL, NJ) EDs from January 1, 2013, to Jun
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Frailty index as a predictor of mortality: a systematic review and meta-analysis | Age and Ageing | Oxford Academic

Frailty index as a predictor of mortality: a systematic review and meta-analysis | Age and Ageing | Oxford Academic | Comprehensive Geriatric Assessment | Scoop.it
AbstractBackground. two popular operational definitions of frailty, the frailty phenotype and Frailty index (FI), are based on different theories. Although FI
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Pulmonary arterial hypertension: pathogenesis and clinical management

Pulmonary arterial hypertension: pathogenesis and clinical management | Comprehensive Geriatric Assessment | Scoop.it
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Treatment of Osteoporosis | Geriatrics | JAMA | JAMA Network

This JAMA Clinical Guidelines Synopsis summarizes the 2017 American College of Physicians’ guideline on treatment of osteoporosis.
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Effect of Physical Activity on Frailty | Annals of Internal Medicine | American College of Physicians

Effect of Physical Activity on Frailty | Annals of Internal Medicine | American College of Physicians | Comprehensive Geriatric Assessment | Scoop.it
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Screening in the community to reduce fractures in older women (SCOOP): a randomised controlled trial

Screening in the community to reduce fractures in older women (SCOOP): a randomised controlled trial | Comprehensive Geriatric Assessment | Scoop.it

Systematic, community-based screening programme of fracture risk in older women in the UK is feasible, and could be effective in reducing hip fractures.


Despite no overall reduction in fractures, findings from this trial show that community screen ing, based on the FRAX probability of hip fracture, leads to a significant reduction in hip fractures in older women, though this finding needs to be interpreted with caution.


The absolute size of the decrease in hip fracture rates was 0·9%, which would require 111 individuals to be screened to avert one hip fracture.



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Aspirin or Rivaroxaban for VTE Prophylaxis after Hip or Knee Arthroplasty | NEJM

Aspirin or Rivaroxaban for VTE Prophylaxis after Hip or Knee Arthroplasty | NEJM | Comprehensive Geriatric Assessment | Scoop.it
Original Article from The New England Journal of Medicine — Aspirin or Rivaroxaban for VTE Prophylaxis after Hip or Knee Arthroplasty
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Inpatient Notes: Cardiovascular Risk Assessment and Reduction Strategies | Annals of Internal Medicine | American College of Physicians

Inpatient Notes: Cardiovascular Risk Assessment and Reduction Strategies | Annals of Internal Medicine | American College of Physicians | Comprehensive Geriatric Assessment | Scoop.it
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Changing How We Do Pay for Performance | Annals of Internal Medicine | American College of Physicians

Changing How We Do Pay for Performance | Annals of Internal Medicine | American College of Physicians | Comprehensive Geriatric Assessment | Scoop.it
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Administrative Data for Research: An Increasingly Powerful Tool, but Still With Caveats

Administrative Data for Research: An Increasingly Powerful Tool, but Still With Caveats | Comprehensive Geriatric Assessment | Scoop.it
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