Comprehensive Geriatric Assessment
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February 19, 2023 1:49 PM
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Development of telehealth principles and guidelines for older adults: A modified Delphi approach - Wardlow - 2023 - Journal of the American Geriatrics Society - Wiley Online Library

.- Clinicians are increasingly providing telehealth care to older adults despite a lack of comprehensive guidance on age-friendly implementation and practice.

.- The reach of telehealth for older adults remains limited due to several factors, including existing or perceived challenges around physical and cognitive limitations, and a lack of comprehensive guidance on older-adult- focused implementation.

.- This is the first comprehensive set of provider- focused telehealth principles and guidelines, developed by aging and telehealth experts, to address the specific needs of an aging population.

Sergio Ariño Blasco's curator insight, February 22, 4:56 AM

Telemonitorización dirigida a personas confinados al hogar, sin acceso a transporte, problemas de movilidad, ubicacion geográfica remota...

 

Las recomendaciones del The Collaborative for Telehealth and Aging (C4TA) constituido por proveedores, expertos en geriatria, telemedicina y organizaciones defensoras de ancianos; se orienta a una atención centrada en el paciente, equitativas, accesibles, integradas y coordinadas entre personas y sistemas. .

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Scooped by Sergio Ariño Blasco
October 9, 8:06 AM
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Brexpiprazole for Agitation Associated With Dementia Due to Alzheimer's Disease

Alzheimer's disease (AD) is a prevalent neurodegenerative disease characterized by
progressive cognitive and functional decline. Nearly all patients with AD develop
neuropsychiatric symptoms (NPSs). Agitation is one of the most distressing and challenging
NPS. Brexpiprazole is an oral antipsychotic and is the first approved pharmacologic
agent in the United States for the treatment of agitation associated with dementia
due to AD. Its effect is thought to be from its partial serotonin 5-HT1A and dopamine
D2 receptor agonist activity and serotonin 5-HT2A receptor antagonism.
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October 9, 7:56 AM
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Facing the Next “Geriatric Giant”—A Systematic Literature Review and Meta-Analysis of Interventions Tackling Loneliness and Social Isolation Among Older Adults

Loneliness and social isolation are associated with adverse health outcomes, especially
within the older adult population, underlining the need for effective interventions.
This systematic review and meta-analysis aims to summarize all available evidence
regarding the effectiveness of interventions for loneliness and social isolation,
to map out their working mechanisms, and to give implications for policy and practice.
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October 9, 7:48 AM
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Why the UK is vaccinating its older adult population against RSV—what geriatricians should know | Age and Ageing | Oxford Academic

Why the UK is vaccinating its older adult population against RSV—what geriatricians should know | Age and Ageing | Oxford Academic | Comprehensive Geriatric Assessment | Scoop.it
Abstract. The UK is launching a new free vaccination programme against respiratory syncytial virus (RSV) in adults aged 75 or over. This follows the develo
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October 9, 7:25 AM
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Sepiapterin: a potential new therapy for phenylketonuria

PAH deficiency, although a rare inborn disorder of metabolism, is among the most common
disorders detected through newborn screening, with a global prevalence of approximately
1:24 000 livebirths1 and an estimated half a million individuals affected worldwide.
PAH deficiency is also colloquially known as phenylketonuria because of its association
with urinary phenylpyruvate excretion, a detectable phenotype that was used clinically
for diagnosis before the advent of amino acid analysis and measurement of blood L-Phe.
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July 1, 7:34 AM
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Cardiovascular Disease Risk Scores and Incident Dementia and Cognitive Decline in Older Men and Women | Gerontology

Cardiovascular Disease Risk Scores and Incident Dementia and Cognitive Decline in Older Men and Women | Gerontology | Comprehensive Geriatric Assessment | Scoop.it

In this longitudinal cohort study of participants who were predominantly aged 70 years and above, without a prior CVD event or major cognitive impairments, ASCVDRS and SCORE2-OP were associated with an increased risk of dementia and cognitive decline among both men and women. The FRS, however, was not associated with the risk of dementia, but was associated with an increased risk of cognitive decline for women only. Our study demonstrated clear differences in the associations depending on the risk score examined and, in particular, a lack of evidence that FRS was associated with risk of dementia

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July 1, 7:19 AM
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The link between the early surgery‐induced inflammatory response and postoperative cognitive dysfunction in older patients - Brattinga - 2024 - Journal of the American Geriatrics Society - Wiley On...

This prospective study of 248 patients ≥65 years with cancer in need for surgery shows that out one of six patients developed postoperative cognitive dysfunction (POCD) 3 months after surgery. Age >75, preoperative Mini-Mental State Examination (MMSE) score ≤26 and major surgery were independent significant predictors for POCD. No significant relations were found between the early inflammatory response for the markers C-reactive protein (CRP), interleukin-1 beta (IL-1β), IL-6, IL-10, and Neutrophil gelatinase-associated lipocalin (NGAL) and the development of POCD. This study contributes in unraveling the complex and multifactorial etiology of the development of POCD.

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June 23, 11:21 AM
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The Promise of a Longer Lifetime | JAMA | JAMA Network

The Promise of a Longer Lifetime | JAMA | JAMA Network | Comprehensive Geriatric Assessment | Scoop.it
Modern hygiene has been described as the reaction against the old fatalistic creed that deaths inevitably occur at a constant rate. The study of vital statistics shows that there is no “iron law of mortality.” According to a report1 prepared for the National Conservation Commission fiftee
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April 25, 3:44 AM
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Long-Term Effect of Randomization to Calcium and Vitamin D Supplementation on Health in Older Women: Postintervention Follow-up of a Randomized Clinical Trial: Annals of Internal Medicine: Vol 177,...

Background: Although calcium and vitamin D (CaD) supplementation may affect chronic disease in older women, evidence of long-term effects on health outcomes is limited. Objective: To evaluate long-term health outcomes among postmenopausal women in the Women’s Health Initiative CaD trial. Design: Post hoc analysis of long-term postintervention follow-up of the 7-year randomized intervention trial of CaD. (ClinicalTrials.gov: NCT00000611) Setting: A multicenter (n = 40) trial across the United States. Participants: 36 282 postmenopausal women with no history of breast or colorectal cancer. Intervention: Random 1:1 assignment to 1000 mg of calcium carbonate (400 mg of elemental calcium) with 400 IU of vitamin D3 daily or placebo. Measurements: Incidence of colorectal, invasive breast, and total cancer; disease-specific and all-cause mortality; total cardiovascular disease (CVD); and hip fracture by randomization assignment (through December 2020). Analyses were stratified on personal supplement use. Results: For women randomly assigned to CaD versus placebo, a 7% reduction in cancer mortality was observed after a median cumulative follow-up of 22.3 years (1817 vs. 1943 deaths; hazard ratio [HR], 0.93 [95% CI, 0.87 to 0.99]), along with a 6% increase in CVD mortality (2621 vs. 2420 deaths; HR, 1.06 [CI, 1.01 to 1.12]). There was no overall effect on other measures, including all-cause mortality (7834 vs. 7748 deaths; HR, 1.00 [CI, 0.97 to 1.03]). Estimates for cancer incidence varied widely when stratified by whether participants reported supplement use before randomization, whereas estimates on mortality did not vary, except for CVD mortality. Limitation: Hip fracture and CVD outcomes were available on only a subset of participants, and effects of calcium versus vitamin D versus joint supplementation could not be disentangled. Conclusion: Calcium and vitamin D supplements seemed to reduce cancer mortality and increase CVD mortality after more than 20 years of follow-up among postmenopausal women, with no effect on all-cause mortality. Primary Funding Source: National Heart, Lung, and Blood Institute of the National Institutes of Health.
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April 25, 3:03 AM
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COVID-19 Infection Tied to Slight Cognitive Deficits | Coronavirus (COVID-19) | JAMA | JAMA Network

COVID-19 Infection Tied to Slight Cognitive Deficits | Coronavirus (COVID-19) | JAMA | JAMA Network | Comprehensive Geriatric Assessment | Scoop.it
People who were infected with SARS-CoV-2 tended to score slightly worse on cognitive assessments—particularly in memory, reasoning, and tasks that require executive function—than those who were not infected, according to data from about 113 000 participants in England. The score was th
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April 10, 2:25 AM
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Non-acute heart failure management in primary care | The BMJ

Non-acute heart failure management in primary care | The BMJ | Comprehensive Geriatric Assessment | Scoop.it
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April 5, 2:58 AM
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Dry eye disease management | The BMJ

Dry eye disease management | The BMJ | Comprehensive Geriatric Assessment | Scoop.it
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April 4, 8:12 AM
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Biomarker Changes Can Begin 18 Years Before Alzheimer Disease Diagnosis | Dementia and Cognitive Impairment | JAMA | JAMA Network

Biomarker Changes Can Begin 18 Years Before Alzheimer Disease Diagnosis | Dementia and Cognitive Impairment | JAMA | JAMA Network | Comprehensive Geriatric Assessment | Scoop.it
Variations in several biomarkers, including proteins found in cerebrospinal fluid (CSF), might appear 6 to 18 years before a person develops Alzheimer disease, according to a prospective cohort study that included more than 600 participants in China with no family history of the condition.
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April 4, 8:01 AM
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Progress for Parkinson’s?: ITT Episode 28: New England Journal of Medicine: Vol 390, No 13

Progress for Parkinson’s?: ITT Episode 28: New England Journal of Medicine: Vol 390, No 13 | Comprehensive Geriatric Assessment | Scoop.it
This podcast episode explores the fastest-growing neurologic condition in the world, Parkinson’s disease. What have we learned in recent years, and where are the greatest hopes for the future?
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October 9, 8:05 AM
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Optimizing Orthogeriatric Hip Fracture Care: Why Fracture Type Matters

Hip fractures significantly impact morbidity and mortality among frail older adults,
posing ongoing challenges in orthogeriatric care despite significant advancements.
Established in the 1960s by Devas and Irvine, this field integrates orthopedics, trauma
services, and geriatric medicine to address the complex needs of this population comprehensively.
A critical and underexplored aspect is the precise identification and tailored treatment
of various fracture types, each linked to unique clinical challenges and outcomes.
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October 9, 7:52 AM
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Systematic Review and Meta-Analysis of Diagnostic and Predictive Accuracy of the Clinical Frailty Scale in Older Adults in Emergency Department | Age and Ageing | Oxford Academic

Systematic Review and Meta-Analysis of Diagnostic and Predictive Accuracy of the Clinical Frailty Scale in Older Adults in Emergency Department | Age and Ageing | Oxford Academic | Comprehensive Geriatric Assessment | Scoop.it
AbstractBackground. Older adults attending the Emergency Department (ED) should be assessed using a frailty screening tool as older adults living with frai
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October 9, 7:46 AM
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Geriatric medicine and Olympic elite sports—parallels and philosophies | Age and Ageing | Oxford Academic

Geriatric medicine and Olympic elite sports—parallels and philosophies | Age and Ageing | Oxford Academic | Comprehensive Geriatric Assessment | Scoop.it
Abstract. The 30th Olympiad took place in July 2024. At first glance, sports science and training of elite athletes may appear to be of little relevance to
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July 1, 8:36 AM
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Rapid reviews methods series: Guidance on assessing the certainty of evidence | BMJ Evidence-Based Medicine

If time or other resources do not permit the full implementation of GRADE, the following recommendations can be considered:

(1) limit rating COE to the main intervention and comparator and limit the number of outcomes to critical benefits and harms;

(2) if a literature review or a Delphi approach to rate the importance of outcomes is not feasible, rely on informal judgements of knowledge users, topic experts or team members; (3) replace independent rating of the COE by two reviewers with single-reviewer rating and verification by a second reviewer and

(4) if effect estimates of a well-conducted systematic review are incorporated into an RR, use existing COE grades from such a review. We advise against changing the definition of COE or the domains considered part of the GRADE approach for RRs.

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July 1, 7:22 AM
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Development of the geriatric risk assessment in the ED (GRAED) tool to predict decline after emergency department (ED) visit - Cinkowski - 2024 - Journal of the American Geriatrics Society - Wiley ...

This study developed and internally validated a screening tool using diverse data sources to predict adverse outcomes in older adults 6 months post-ED visit. The model's accuracy was moderate, and compared to existing tools performs favorably, surpassing two commonly cited ED screening tools: ISAR and TRST.

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July 1, 3:50 AM
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Bridging Hospital and Nursing Home: Collaboration for Smoother Transitions and Reduced Hospitalizations

The exigencies of managing acutely ill residents within nursing homes have led to an increase in ambulance conveyances to the emergency department. This is further compounded by a shortage of adequately trained nursing staff and on-site physicians
available around the clock. An acute regional hospital, strategically located in the epicenter of nursing home facilities in Singapore, encountered this challenge on its inception in 2018 within the northeast region. In response, the institution initiated a collaboration, EAGLEcareACT (Enhancing Advance Care Planning, Geriatrics, and End-of-Life Care Acute Care Team), aimed at rectifying the prevailing care disparities between neighboring nursing homes and the hospital.

 

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May 25, 3:44 AM
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NHS England » Same day emergency care

NHS England » Same day emergency care | Comprehensive Geriatric Assessment | Scoop.it

SDEC NHS

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April 25, 3:26 AM
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Predicting the outcomes of chronic kidney disease in older adults | The BMJ

Predicting the outcomes of chronic kidney disease in older adults | The BMJ | Comprehensive Geriatric Assessment | Scoop.it
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April 10, 2:45 AM
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Understanding How Older Adults Use the U.S. Health Care System: From Measurement to Meaning

In their article, Ganguli and colleagues characterized a new measure of health care utilization—“health care contact days.” The editorialists find the measure a promising new way to understand ho
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April 5, 3:06 AM
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Whooping cough rises sharply in UK and Europe | The BMJ

Whooping cough rises sharply in UK and Europe | The BMJ | Comprehensive Geriatric Assessment | Scoop.it
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April 5, 2:55 AM
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The future of the NHS depends on its workforce | The BMJ

The future of the NHS depends on its workforce | The BMJ | Comprehensive Geriatric Assessment | Scoop.it

A vision for the future NHS workforce

  • NHS workforce stewardship is regarded as a key priority and important responsibility at all levels

  • Staff are respected for their rich diversity and feel valued and proud to work in the NHS

  • Roles and competencies are appropriately configured, with sufficient people in those roles to deliver high quality, safe care

  • Working environments support all staff to thrive

  • NHS careers in all roles are seen as attractive and interesting, are capable of enabling progression, and are suitably financially rewarded

  • Regulation is designed and functions well to protect patients and secure the confidence of staff

  • Career pathways are well designed, supported, and resourced, offering a positive experience in all roles

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April 4, 8:12 AM
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Common Oral Conditions: A Review | Dental Medicine | JAMA | JAMA Network

Common Oral Conditions: A Review | Dental Medicine | JAMA | JAMA Network | Comprehensive Geriatric Assessment | Scoop.it
This review discusses diagnosis and first-line treatment options for dry mouth, oral candidiasis, and recurrent aphthous ulcers.
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