Comprehensive Geriatric Assessment
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“ Older adults remain the highest utilization group with unplanned visits to emergency departments and hospital admissions. Many have considered what leads to this high utilization and the answers provided have depended upon the independent measures available in the datasets used. This project was designed to further understanding of the reasons for older adult ED visits and admissions to acute care hospitals.”
Servicio de Geriatría's insight:
Author's conclusion: The interRAI Hospitalization-ED Risk Index offers an effective approach to predicting hospitalization utilization among community dwelling older adults 
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“Project ECHORD++ will hold 2 market consultation days about its Pre-Commercial Procurement Pilots on Nov 20th in Barcelona and on 3rd Dec in Munich.”
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In this study, NH staff rated the majority (76%) of transfersfor which they submitted retrospective QI reviews as notavoidable.
Servicio de Geriatría's insight:
"La falacia de las derivaciones evitables"
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Servicio de Geriatría's insight:
El abordaje de la BGS es Different tools will be better for different circumstances
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Research from JAMA Surgery — Multidimensional Frailty Score for the Prediction of Postoperative Mortality RiskConclusions and Relevance The multidimensional frailty score based on comprehensive geriatric assessment is more useful than conventional methods for predicting outcomes in geriatric patients undergoing surgery.
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Clinical Review from Annals of Internal Medicine
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Results Of 1 530 824 patients discharged, 357 752 (23.3%; 99% CI, 23.3%-23.5%) were readmitted or died within 30 days; 72 472 died within 30 days (4.7%; 99% CI, 4.7%-4.8%), and 321 709 were readmitted (21.0%; 99% CI, 20.9%-21.1%).
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El estudio concluye...Los indicadores de desempeño estudiados (ratio de profesionales, fallos en inspecciones, prevalencia de delirium, dolor moderado-severo o empeoramiento de UPP) no existe una asociación consistente con diferencia en reingreso o mortalidad.
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The Global AgeWatch Index ranks countries by how well their older populations are faring
Servicio de Geriatría's insight:
Hoy, 1 de Octubre, día internacional de las Personas Mayores, HelpAge International lanza el Global AgeWatch Index que mide el nivel de calidad de vida y de bienestar de sus personas mayores, entre 96 países a nivel mundial. España ocupa el lugar 21 en el ranking global con un destacado 3 puesto en el ámbito de salud.
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Servicio de Geriatría's insight:
Deadline for abstracts to be announced
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Servicio de Geriatría's insight:
Deadline for abstracts April 2015
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Servicio de Geriatría's insight:
Gerontology 2014, Vol. 60, No. 5 -
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Review from JAMA — Evaluation and Treatment of Older Patients With Hypercholesterolemia — A Clinical Review
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Journal of the American Medical Directors Association Trials in this field remain small, and most are undertaken in oncology patients. Much research has focused on appetite stimulation (mostly using megestrol acetate), anti- inflammatory pathways, and anabolics. Ghrelin has shown some potential in clinical trials as has enobosarm. Results of the POWER trial with enobosarm, one of the few large-scale trials to improve muscle mass and function in patients with advanced cancer, are eagerly awaited. In addition, results of the ACT-ONE trial using the anabolic/catabolic transforming agent espindolol have shown promising results.
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Journal of the American Medical Directors AssociationVolume 15, Issue 12, Pages 866–872, December 2014
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Servicio de Geriatría's insight:
comprehensive updated review
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Journal of the American Medical Directors Association
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Resident centered care
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Daniel E. Forman This issue of Progress in Cardiovascular Disease focuses on some of the many issues pertaining to the important challenge of improving cardiovascular (CV) healthcare for the older adult population.
Servicio de Geriatría's insight:
Numero dedicado a Cardiología Geriátrica en "Progress in Cardiovascular Diseases" a must read.
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“ It is well-known physical exercise programs can reduce falls in older people. Recently, several studies have evaluated interactive cognitive-motor training that combines cognitive and gross motor physical exercise components. The aim of this systematic review was to determine the effects of these interactive cognitive-motor interventions on fall risk in older people.”
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IDF
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Opinion from JAMA — The PCORI Perspective on Patient-Centered Outcomes Research
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Resultados de investigación centrados en el paciente perspectiva de JAMA para añadir a la presentación del IL3
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Servicio de Geriatría
September 23, 2014 3:49 PM
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A controlled evaluation of comprehensive geriatri..
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Servicio de Geriatría
September 23, 2014 12:10 PM
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Servicio de Geriatría's insight:
Deadline for abstracts 31st June 2015
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Servicio de Geriatría
September 22, 2014 7:21 AM
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Servicio de Geriatría's insight:
Deadline 15 October 2014
Luces y sombras en el debate de la medicalización de la muerte.