Geriatrics

Exercise with interval therapy reduces fall risk

Exercise with interval therapy reduces fall risk

Exercise and various combinations of interventions were associated with lower risk of injurious falls compared with usual care.

Certain medication use associated with dry mouth in older adults

Certain medication use associated with dry mouth in older adults

Medication use is significantly associated with xerostomia and salivary gland dysfunction in older adults.

USPSTF: Exercise recommended to prevent falls in seniors

USPSTF: Exercise recommended to prevent falls in seniors

Multifactorial intervention should be offered selectively by clinicians based on an individual patient's circumstances.

Cardiovascular and cerebrovascular risk may decrease with LABA/LAMA in COPD

Cardiovascular and cerebrovascular risk may decrease with LABA/LAMA in COPD

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LABA/LAMA is associated with a similar or lower risk of cardiovascular and cerebrovascular adverse events compared to treatment with LABA/inhaled corticosteroid.

Chlorhexidine oral rinse solution ineffective for aspiration pneumonia

Chlorhexidine oral rinse solution ineffective for aspiration pneumonia

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Study findings suggest that nursing home residents should receive more guidance in using strategies to prevent aspiration during eating and drinking.

Physical activity may not reduce the risk of dementia

Physical activity may not reduce the risk of dementia

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Results from a 27-year follow-up study found no association between physical activity and a lower risk of dementia.

Hospital revisits after discharge from observation increase among elderly

Hospital revisits after discharge from observation increase among elderly

Increases were observed in repeat observation stays and any hospital revisit for seniors between 2006 and 2011.

CDC: Legionnaires' disease widespread in healthcare facilities

CDC: Legionnaires' disease widespread in healthcare facilities

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About 76% of US jurisdictions reported healthcare-associated cases of Legionnaires' disease.

Drug-resistant bacteria found in over 25% of nursing-home residents

Drug-resistant bacteria found in over 25% of nursing-home residents

Researchers found that multidrug-resistant gram-negative bacteria colonization prevalence ranged from 11.2% of residents to 59.1%.

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.

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