Hypertension in the elderly: Change of, or new implications within the existing, paradigm?
Publication date: Available online 2 June 2017 Source:European Geriatric Medicine Author(s): J. Gąsowski, K. Piotrowicz Hypertension is the leading cause of morbidity and mortality among the older adults worldwide. Pathophysiology of hypertension in old age has been linked to the large arterial remodelling and stiffness. This is followed by concentric hypertrophy of the arterioles and baroreceptor dysfunction. The process leads to increase of systolic (SBP) and, after 5th decade, decrease of diastolic (DBP) blood pressure, with the bulk of the hypertension-related risk associated with SBP rather than DBP. However, the...
Source: European Geriatric Medicine - June 3, 2017 Category: Geriatrics Source Type: research
Consensus document on the detection and diagnosis of urinary incontinence in older people
Publication date: Available online 2 June 2017 Source:European Geriatric Medicine Author(s): L. Aharony, J. De Cock, M.S. Nuotio, C. Pedone, J. Rifel, N. Vande Walle, A. Velghe, A. Vella, C. Verdejo-Bravo Urinary incontinence (UI), one of the Geriatric Giants, is a very common problem in the older person. It especially affects those with comorbidities, polypharmacy and functional impairment, physical as well cognitive, in whom the prevalence could be as high as 70–80%. Despite its very negative effects on quality of life (QOL), UI is still largely undetected and undertreated, due to many different reasons. UI ...
Source: European Geriatric Medicine - June 3, 2017 Category: Geriatrics Source Type: research
Screening of neuropsychiatric symptoms in patients with Parkinson's disease in a UK general practice
Publication date: Available online 1 June 2017 Source:European Geriatric Medicine Author(s): T. Cronin (Source: European Geriatric Medicine)
Source: European Geriatric Medicine - June 2, 2017 Category: Geriatrics Source Type: research
Percutaneous cholecystostomy for acute cholecystitis in elderly patients with comorbidities: Long-term outcomes after successful treatment and the risk factors for recurrence
Conclusion Patients with AC were promptly relieved from their symptoms following PC. The one-year recurrence rate was relatively low after successful PC. Predictors for recurrence included the severity of initial AC and subsequently provided treatments. (Source: European Geriatric Medicine)
Source: European Geriatric Medicine - May 31, 2017 Category: Geriatrics Source Type: research
The cut-off point of short physical performance battery score for sarcopenia in older cardiac inpatients
Conclusions The SPPB score was significantly associated with sarcopenia. Additionally, the cut-off point of SPPB score for determining sarcopenia was 9/10 in older cardiac inpatients. (Source: European Geriatric Medicine)
Source: European Geriatric Medicine - May 31, 2017 Category: Geriatrics Source Type: research
Does desmopressin produce more cognitive problems and delirious symptoms in independent geriatric outpatients with nocturnal polyuria (NP)?
Conclusion In this 10-day, clinical trial desmopressin was not significantly correlated with more delirious symptoms and forgetfulness in independent geriatric outpatients. NP and the disturbance of sleep were not correlated with delirium or cognitive decline. (Source: European Geriatric Medicine)
Source: European Geriatric Medicine - May 29, 2017 Category: Geriatrics Source Type: research
Escaping most common lethal diseases in old age: Morbidity profiles of Portuguese centenarians
Conclusions Findings reinforce the great variability of age-related pathologies and overall health status in centenarians, but that a great majority had the ability to evade the most lethal conditions. Management of patients with multimorbidity in very advanced ages has become a major healthcare challenge and our findings provide further evidence for policies and targeted interventions for this population. (Source: European Geriatric Medicine)
Source: European Geriatric Medicine - May 26, 2017 Category: Geriatrics Source Type: research
Characteristics of patients receiving district-nursing assistance for anticoagulant therapy: A descriptive cohort study
Conclusion Danish patients in anticoagulant therapy who receive district-nursing assistance related to the therapy are characterized by physical and mental frailty, polypharmacy, multiple readmissions, multiple sector shifts, and multiple health professionals involved in single patient pathways. (Source: European Geriatric Medicine)
Source: European Geriatric Medicine - May 25, 2017 Category: Geriatrics Source Type: research
Solid oral supplementation: Economic assessment. Economic impact of the introduction of a solid oral nutritional supplement adapted to malnourished older adults with poor dental health
Conclusion The additional cost generated by this new solid ONS in the usual care was compensated with savings generated thanks to the improvement of the nutritional status of the residents. (Source: European Geriatric Medicine)
Source: European Geriatric Medicine - May 24, 2017 Category: Geriatrics Source Type: research
Long-term survival of a cohort of patients with heart failure: Perspective from the real world
Conclusion Mortality due to HF was high (82.4%), although there are hardly any references in the literature that allow us to make such long-term comparisons (15years). Reduced ejection fraction is a powerful predictor of long-term mortality, especially after the 6th year. (Source: European Geriatric Medicine)
Source: European Geriatric Medicine - May 24, 2017 Category: Geriatrics Source Type: research
Swallowing difficulty and nutrient intakes among residents in assisted living facilities in Helsinki
Conclusion Although malnutrition was more common among those with SWD than those without, the daily intakes of energy, protein and micronutrients were similar in these groups, highlighting that the risk of malnutrition and low nutrient intakes commonly occurred in both groups of residents in assisted living facilities. (Source: European Geriatric Medicine)
Source: European Geriatric Medicine - May 11, 2017 Category: Geriatrics Source Type: research
Muscle strength and cognition in ageing men and women: The DR's EXTRA study
Publication date: Available online 11 May 2017 Source:European Geriatric Medicine Author(s): H. Pentikäinen, K. Savonen, P. Komulainen, V. Kiviniemi, T. Paajanen, M. Kivipelto, H. Soininen, R. Rauramaa (Source: European Geriatric Medicine)
Source: European Geriatric Medicine - May 11, 2017 Category: Geriatrics Source Type: research
Consensus document on the management of urinary incontinence in older people
Publication date: Available online 11 May 2017 Source:European Geriatric Medicine Author(s): L. Aharony, J. De Cock, M.S. Nuotio, C. Pedone, J. Rifel, N. Vande Walle, A. Velghe, A. Vella, C. Verdejo-Bravo Urinary incontinence (UI), one of the geriatric giants, is a very common problem in the older person. It especially affects those with comorbidities, polypharmacy and functional impairment, physical as well cognitive, in whom the prevalence could be as high as 70–80%. Despite its very negative effects on quality of life (QOL), UI is still largely undetected and undertreated, due to different, but incomprehens...
Source: European Geriatric Medicine - May 11, 2017 Category: Geriatrics Source Type: research
Feasibility and baseline findings of a Finnish cognitive training (FINCOG) intervention in a randomised controlled trial among community-dwelling persons with dementia
Conclusions We successfully randomised 147 persons with mild-to-moderate dementia in the FINCOG trial. The feedback from participants in cognitive intervention was favourable. The trial will provide important information on the effects of CT in patients with dementia. Trial registration ACTRN12614000976684. (Source: European Geriatric Medicine)
Source: European Geriatric Medicine - May 10, 2017 Category: Geriatrics Source Type: research
A unique cause of unilateral hip swelling: Iliotibial band herniation
Publication date: Available online 8 May 2017 Source:European Geriatric Medicine Author(s): T. Bekci (Source: European Geriatric Medicine)
Source: European Geriatric Medicine - May 9, 2017 Category: Geriatrics Source Type: research
