Geriatrics

Statins vs usual care for primary cardiovascular prevention in older adults

Statins vs usual care for primary cardiovascular prevention in older adults

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The ALLHAT-LLT trial showed that statin therapy for primary cardiovascular prevention may not benefit adults older than 65 years of age.

Patients treated by older physicians have higher mortality than those cared for by younger physicians

Patients treated by older physicians have higher mortality than those cared for by younger physicians

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Researchers found that patients treated by older physicians had higher 30-day mortality than those cared for by younger physicians, despite similar patient characteristics.

Risk of hip fracture increases after new prescription for sleeping pills

Risk of hip fracture increases after new prescription for sleeping pills

Older patients taking sleeping pills have a fracture rate 2.5 times greater compared with patients who are not taking these medications.

Marathon races linked to delayed emergency care and higher mortality in nonparticipants

Marathon races linked to delayed emergency care and higher mortality in nonparticipants

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Road closures may create delays in emergency care for nonparticipants with acute medical conditions who live close to marathon routes.

Managing elderly patients with COPD through empowerment

Managing elderly patients with COPD through empowerment

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Use of the empowerment approach is necessary for health promotion in older patients with COPD, but little attention has been paid to the dimensions of empowerment in COPD management.

Colorectal cancer characteristics different, outcomes worse among octogenarians

Colorectal cancer characteristics different, outcomes worse among octogenarians

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Octogenarians with colorectal cancer have several differences in clinical and tumor characteristics, compared with younger patients with the disease.

Life expectancy for some may exceed 90 years by 2030

Life expectancy for some may exceed 90 years by 2030

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Researchers report that women and men in the United States will have lower life expectancy gains, compared with those in other countries.

Nurse practitioners could meet the need for house calls to elderly

Nurse practitioners could meet the need for house calls to elderly

Nurse practitioners made more than 1.3 million home visits nationwide in 2013.

Death rate high in elderly within 7 days of discharge from emergency department

Death rate high in elderly within 7 days of discharge from emergency department

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More than 10,000 Medicare beneficiaries die each year within 7 days of being discharged from emergency departments.

Palliative care: a guide for clinicians

Palliative care: a guide for clinicians

By initiating a conversation, primary care providers can identify specific end-of-life needs and goals, manage symptoms, and coordinate care.

Statins may reduce risk of Alzheimer's disease

Statins may reduce risk of Alzheimer's disease

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Depending on race, sex, and ethnicity, the right statin type may lower the risk of Alzheimer disease.

Quality improvement intervention helps pain management for seniors in the ER

Quality improvement intervention helps pain management for seniors in the ER

Researchers conducted an examination in patients over 65 years with moderate-to-severe pain in an academic emergency department.

High-dose vitamin D may decrease acute respiratory infections in elderly

High-dose vitamin D may decrease acute respiratory infections in elderly

Vitamin D supplementation may be associated with reduced ARIs among long-term care facility residents.

Warfarin may be linked to reduced thromboembolism in nonvalvular atrial fibrillation

Warfarin may be linked to reduced thromboembolism in nonvalvular atrial fibrillation

The reduction in thromboembolism was attenuated after accounting for competing death events.

New plaster cast may help seniors avoid surgery for ankle fractures

New plaster cast may help seniors avoid surgery for ankle fractures

Close contact casting may help older adults avoid surgery after an ankle fracture.

Using an evidence-based approach to diagnose IPF

Using an evidence-based approach to diagnose IPF

The importance of ruling out conditions other than idiopathic pulmonary fibrosis is highlighted in this case of a 62-year-old female.

Appendicitis an important differential diagnosis in the elderly

Appendicitis an important differential diagnosis in the elderly

Older adults presenting with abdominal pain should be screened for appendicitis.

Consuming fiber from bread, cereal, fruits may improve aging process

Consuming fiber from bread, cereal, fruits may improve aging process

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Consuming dietary fiber from bread, cereal, and fruit may increase the likelihood of successful aging over 10 years.

Hypertension interventions are beneficial in older adults

Hypertension interventions are beneficial in older adults

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Even those who are in overall poor health and medically frail could benefit from hypertension interventions.

PCPs not addressing psychosocial issues in geriatric care

PCPs not addressing psychosocial issues in geriatric care

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Many geriatric patients expressed dissatisfaction with patient/provider discussions regarding psychosocial issues.

Adherence and hypertension in the geriatric patient

Adherence and hypertension in the geriatric patient

Addressing factors that lead to lack of adherence to antihypertensive 
therapy in elderly patients is crucial to improving outcomes.

The bravery of people with dementia

The bravery of people with dementia

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Facing dementia with strength and courage can inspire and comfort patients' families.

Understanding age-related macular degeneration

Understanding age-related macular degeneration

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Clinicians should be able to diagnose age-related macular degeneration and distinguish between dry and wet presentations.

Use of potentially lethal drug combinations increases in the elderly

Use of potentially lethal drug combinations increases in the elderly

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The rates of dangerous drug combinations, supplement use, and polypharmacy are increasing among older adult patients.

USPSTF: evidence insufficient for visual acuity screening in older adults

USPSTF: evidence insufficient for visual acuity screening in older adults

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The USPSTF has released a recommendation statement regarding screening for impaired visual acuity in older adults.

Keep the care in care coordination

Keep the care in care coordination

In a patient-centric model of care, the effort focuses on the patient's wishes.

Minimal benzodiazepine use associated with slightly higher risk of dementia

Minimal benzodiazepine use associated with slightly higher risk of dementia

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Patients administered low doses of benzodiazepines have an elevated risk of dementia and Alzheimer's disease compared with patients who received higher doses.

Increasing weight loss linked to mild cognitive impairment in older adults

Increasing weight loss linked to mild cognitive impairment in older adults

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People who lose greater amounts of weight per decade later in life have an increased risk of mild cognitive impairment.

Shingles increases stroke, MI risk in elderly

Shingles increases stroke, MI risk in elderly

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Risk of stroke and myocardial infarction may be more than double in the first week following a shingles diagnosis in elderly patients.

High vitamin D doses may increase fall risk in elderly

High vitamin D doses may increase fall risk in elderly

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High monthly doses of vitamin D do not improve lower extremity function and may increase fall risk in the elderly.

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