Climate Change Ups Heat Deaths, Especially Among Elderly

More people vulnerable to heat exposure, potentially causing heat stress, heart and kidney disease.

Pharmacist-Led Effort Cuts Inappropriate Prescriptions in Older Adults

Intervention included educational deprescribing information to patients, physicians.

Incident Contrast Sensitivity Common in Middle-Aged Adults

Factors linked to elevated risk include cadmium level in highest quintile, older age, more plaque sites.

ASPREE Trial: Aspirin Associated With Higher Mortality, Hemorrhage Risk in Older Adults

The use of aspirin in healthy elderly patients as a preventative strategy was associated with no prolongation of long-term disability-free survival compared with placebo.

Cardiac Profiles Up With Exercise, Less Sitting in Early Old Age

Greater light, moderate-to-vigorous intensity activity tied to more favorable profile in adults age 60 to 64.

Effect of Mediterranean Diet Plus Vitamin D3 on Bone Density in Osteoporosis

Investigators examined the effect of consuming a Mediterranean-style diet for 1 year on inflammatory response and bone health in the elderly.

PCPs Often Not Meeting Needs of Seniors With Chronic Conditions

Eight-six percent of PCPs feel unable to adequately address needs of patients with multiple chronic conditions

Hearing Loss Linked to CVD Risks in Elderly

Elderly patients aged 80 years and older have an increased risk of developing cardiovascular disease (CVD) with worse hearing as well as hearing deterioration.

Elder Abuse Not Associated With Risk of Chronic Pain

Findings based on two-year follow-up of a large, community-dwelling cohort in Malaysia

Newly Proposed Definition of Alzheimer's Disease Focuses on Biologic Criteria

The NIA-AA has proposed updates to the 2011 guidelines for symptomatic stages of Alzheimer's disease to include the idea that certain imaging and cerebrospinal fluid biomarkers are valid proxies for neuropathologic changes of AD.

Provider-demanded flu testing less likely in elderly patients

Younger adults are more likely to have provider-ordered flu testing than older adults.

Dementia risk linked to apathy, depression in older adults

Apathy and depressive symptoms are independently associated with incident dementia in community-dwelling older people.

Air pollution increases mortality risk in older adults

Exposure to surrounding air pollutants and warm season ozone are linked to increased risk of death.

Pet ownership not linked to aging biomarkers in the elderly

Pet ownership is not linked to decreased aging in the elderly.

Vitamin D, calcium supplements do not reduce fracture risk in older adults

Findings do not support routine vitamin D and calcium supplementation in community-dwelling older adults for lowering the incidence of osteoporosis-related fractures.

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

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

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

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

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

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

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

CDC: Legionnaires' disease widespread in healthcare facilities

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

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

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

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

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

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

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

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

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 made more than 1.3 million home visits nationwide in 2013.

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

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

Statins may reduce risk of Alzheimer's disease

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

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

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

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

New plaster cast may help seniors avoid surgery for ankle fractures

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

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

Hypertension interventions are beneficial in older adults

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

PCPs not addressing psychosocial issues in geriatric care

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

Use of potentially lethal drug combinations increases in the elderly

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

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

Minimal benzodiazepine use associated with slightly higher risk of dementia

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

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

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

Prostate cancer treatment linked to Alzheimer's risk

Patients treated with androgen deprivation therapy had a 1.88-times increased rate of developing Alzheimer's disease.

FDA approves adjuvant flu vaccine for use in the elderly

The FDA has approved Fluad, a trivalent flu vaccine with the adjuvant MF59, for use in patients aged 65 and older.

Modifiable risk factors for Alzheimer's disease

Research reveals that focus on diet, mental health, and lifestyle may help lower the number of new cases of Alzheimer's disease.

Calcium intake may not affect fracture risk

Two studies found no evidence that calcium intake is associated with fracture risk.

USPSTF aspirin recommendations vary by age group

The USPSTF recommends low-dose aspirin for certain adults aged 50 to 69 years.

Vitamin D in postmenopausal women

Vitamin D did not improve bone and muscle outcomes in postmenopausal women.

Alternative medicine use common among geriatric oncology patients

Over 25% of geriatric oncology patients reported using complementary and alternative medications.

Diabetes is poorly controlled in a majority of elderly people

The majority of older adults with diabetes do not meet the ADA's criteria for good management of their condition.

Nursing home residents should receive annual flu vaccine

A new study provides evidence that yearly influenza vaccination benefited residents of nursing homes.

One-quarter of elderly women have osteoporosis, per CDC

The CDC found that 24.8% of women and 5.6% of men aged 65 years and older had osteoporosis.

Cholinesterase inhibitors may lead to weight loss in elderly adults with dementia

Older adults with dementia who took cholinesterase inhibitors had an increased risk of weight loss.

Moderate coffee intake may reduce cognitive impairment

Older adults who consumed a moderate amount of coffee had a lower risk of mild cognitive impairment.

Older adults with healthy lifestyle have lower heart failure risk

Older adults who exercise, drink moderately, don't smoke, and have a healthy weight have a lower risk of heart failure.

Mediterranean diet improves cognitive function in adults with CVD risk

Mediterranean diet is associated with improved cognitive function in older adults with high 
cardiovascular risk.

Decrease in mortality, hospitalization rates among elderly

Yearly mortality, hospital stays, and inpatient costs have decreased in Medicare patients.

Mediterranean diet and cognition

Adhering to a Mediterranean diet may help fight against cognitive decline in older adults.

Novel learning can benefit cognitive function in older adults

People who remain active as they age improve cognitive skills in executive function, attention, behavior, and spatial relationships.

Primary care bundle aims to reduce ED, hospital readmissions

Health 360 is designed to be applied by an interprofessional collaborative care team and facilitated by nurse practitioners.

Factors leading to frailty in elderly and its complications identified

NPs should be aware of signs that may be related to frailty when evaluating elderly patients.

Eating less fruits and veggies may increase hip fracture risk

Patients who ate five servings of fruits and vegetables had a lower rate of hip fracture.

Metformin may lower open-angle glaucoma risk

Patients taking the highest amount of metformin had a 25% reduced risk of developing OAG compared with those not taking the medication.

Exercise may help older men live longer

Study links activity in older men to longer lives.

Grip strength may indicate increased heart disease, mortality risk

Every 11-pound drop in grip strength was also associated with a 9% increased risk of stroke and a 7% higher risk of myocardial infarction.

Chronic obstructive pulmonary disease may increase sudden cardiac death risk

The risk was found to be even higher at 5 years after diagnosis

Hyperglycemic crisis episodes up mortality risk in seniors

Independent mortality predictors included older age, male sex, renal disease, stroke, cancer, COPD, and congestive heart failure.

Colorectal cancer screening for seniors often inappropriate

Colorectal cancer screening was higher in 2010 than in 2008 (58.9% versus 53.7%) and correlated with longer life expectancy and younger age.

Stroke patients at higher risk for suicide

During follow-up, 1,217 suicides attempts were reported; 260 were fatal.

Anticoagulant use for atrial fibrillation

Anticoagulants are associated with an increased risk for bleeding, but for most patients, the benefits outweigh the bleeding risk.

Hypertension-related deaths spike in the United States

A spike in hypertension-related death was seen in both genders and was most marked among those aged 45 to 64 years and those aged over 85 years.

Diet soda linked to greater obesity in seniors

The mean interval in waist-circumference change in patients who drank diet soda was triple that compared with patients who did not drink diet soda.

Anticholinergic drugs and

Research findings suggest the link between dementia risk and anticholinergic medications may persist and may not be reversible years after people stop taking these drugs.

Short-term hormone replacement therapy linked to ovarian cancer

Women who used hormone replacement therapy (HRT) for five years were approximately 40% more likely to develop ovarian cancer than were women who had never been on HRT.

Elderly at risk one year post-hospitalization

Within one year of being discharged from the hospital for heart failure, 67.4% of patients enrolled in the study were readmitted to the hospital and 35.8% died.

Abdominal obesity may up hip fracture risk

Particularly in men, the risk of hip fracture was increased considerably with lower body mass index combined with abdominal obesity.

Aspirin resistance linked to increased stroke risk

Patients who are resistant to aspirin may be at risk for larger, more severe strokes.

Duration, not intensity, reduces geriatric coronary heart disease risk

The predicted risk of heart attack or death increased 1% for every 25 to 30 minutes that a patient was sedentary.

Diets high in meat, acid up kidney failure risk in CKD patients

Those who consumed high-acid diets appeared to face triple the risk of kidney failure compared with those who consumed low-acid diets.

Experts call for new name, criteria for chronic fatigue syndrome

IOM committee proposes name change to 'systemic exertion intolerance disease'.

Flu vaccine rates low among nursing home workers

More education is needed to increase influenza vaccination rates among nursing home workers.

Depression: An early sign of dementia?

Depression and other behavioral changes may precede Alzheimer disease and dementia.

Treating older adults with diabetes

Many older adults with diabetes and comorbid medical problems may be over treated.

Does political affiliation affect life span?

When it came to political ideologies, 30% of conservatives and moderates died compared with 25% of liberals.

Selenium, vitamin E supplements do not reduce cataract risk in men

Long-term selenium and vitamin E supplementation did not reduce apparently healthy male patients' risks of developing age-related cataracts.

High fiber intake may lower kidney stone risk in postmenopausal women

There were no significant protective effects noted for fiber, fruit, or vegetable intake on the risk of kidney stone recurrence in women with a history of stones.

High-dose flu vaccine better for seniors in nursing homes

Stronger improvement in the immune response was seen in frail senior patients living in nursing homes who received a high-dose flu vaccine.

Low-dose aspirin risks negate benefits in women

Although women who took low-dose aspirin saw a small reduction of CVD and colorectal cancer risk, the risk of gastrointestinal bleeding increased.

Running may lower Alzheimer-related mortality risk

Patients who ran more than 15.3 miles per week had a 40% reduced risk of dying from Alzheimer disease.

Patients may be dismissing cancer symptoms

More than 50% of survey respondents reported cancer warning signs, but only 2% considered cancer as a possible cause.

Blood pressure of 150 adequate for older adults

Maintaining systolic blood pressure at less than 150 mmHG is adequate for preventing hypertension in older adults.

Jogging effective for combating physical decline in seniors

Senior patients who jogged at least 30 minutes three times a week were less likely to have age-related physical decline.

Many seniors qualify for statin treatment under new guidelines

Statin therapy for patients with cardiovascular disease, diabetes, or high cholesterol levels is recommended.

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