455 prospective evaluation of frailty in individuals with knee pain in malaysian elders longitudinal research (melor) study
ConclusionKnee pain was associated with an increased risk of frailty with 5-years follow-up in an urban population in Kuala Lumpur. More detailed evaluation using imaging and clinical diagnosis of osteoarthritis is now indicated. Future studies should also seek to identify modifiable risk factors for the development of frailty in individuals with knee OA and develop strategies to prevent frailty. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
450 educational programmes for frail older people, their families, carers, and health-care professionals: a systematic review
ConclusionIt is evident that educational programmes and initiatives are vital for the prevention and management of frailty. To be truly effective, such programmes must include a combination of health promotion, empowerment and self-care and be accessible to all target populations. Further work is needed to look at effective, accessible, sustainable delivery systems, including that of online digital platforms. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
488 grip strength from midlife as an indicator of later-life cognition and brain health: evidence from a british birth cohort
ConclusionThis study provides preliminary evidence that tests of maximum grip strength may have value in predicting brain health. Future work should assess how these observed differences relate to later-life negative health outcomes, and whether changes in grip strength reflect concurrent changes in brain structure and connectivity. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
546 quality improvement project: improving content in discharge summaries for coding
ConclusionThe role of the physician cannot increase indefinitely, and there is a wealth of knowledge and experience to be gained from our colleagues in the coding department. This collaboration in assiduously improving the service that our patients receive brings the possibility of large financial gains as well as more accurate health care records. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
464 escalation during covid-19
ConclusionIntroduction of clinical frailty scoring and an area specifically to document escalation discussions resulted in a marked improvement. Heightened awareness of rapid deterioration of patients during the first surge almost certainly played a role in this. Unfortunately this was not sustained once staff discontinued the use of COVID-19 admission document. Moving forward we will incorporate these sections into the medical and surgical admissions pathways in the hope it produces similar results. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
511 do oral nutritional supplements improve quality of life in the frail elderly- a systematic review
DiscussionQuality of life has been a neglected area of study when assessing the impact of ONS on frail elderly patients. When used in conjunction with physical exercise it seems to have a positive effect. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
502 outcomes of hospitalised patients with covid-19 six months after index admission
ConclusionsCovid-19 has a high mortality rate in those admitted to hospital. Patients receiving level 1 care in hospital and surviving to discharge have a high risk of readmission or death in the following six-months. For those requiring increased support on discharge, the majority do not return to their pre-admission residential status. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
536 negotiating individually tailored urgent care plans for older people in ambulatory emergency care
ConclusionThis tailored approach allowed the flexible delivery of AEC to meet the patients ’ needs. It is hoped that by characterising the work of AEC clinician that this study will aid the development of medical training curricula, interdisciplinary working and health service design. Further research is needed on team-based decision-making for individually tailored care in urgent care settings. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
534 advanced communication skills: teaching during a pandemic
ConclusionThis project has highlighted a lack of confidence across all skill levels when it comes to BBN. This confidence is easily improved by a short, cost-effective teaching course. It remains to be seen if this improved confidence translates to better communication with relatives. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
436 postoperative systolic hypotension in fractured neck of femur patients
ConclusionsPostoperative hypotension was common in our sample. In our analysis, the highest incidence was on the ward during the first 24 hours postoperatively. However, 41% of patients still had hypotension 5 days postoperatively. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
Tetanus presenting as painful muscle spasms, dysphagia and delirium in an older adult
AbstractWhile tetanus is now a rare disease in the UK, it remains an important differential diagnosis for trismus and muscle spasms. Even more so in older adults, as this population is less likely to have received full vaccination. Hence, the highest incidence of tetanus in England is seen in older adults. Written informed consent for publication of their clinical details was obtained from the patient proxy. (Source: Age and Ageing)
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research
Frailty trajectories in three longitudinal studies of aging: Is the level or the rate of change more predictive of mortality?
Conclusions Frailty trajectories differ as a function of age-at-death category. The current level of FI is a stronger marker for risk stratification than the rate of change. (Source: Age and Ageing)
Source: Age and Ageing - June 11, 2021 Category: Geriatrics Source Type: research
Effects of gait adaptability training on falls and fall-related fractures in older adults: a systematic review and meta-analysis
Conclusionsour results show that GAT significantly reduces the number of falls and prevents fall-related fractures in older community dwellers. GAT is a promising and feasible exercise modality; however, studies of high quality should be conducted to support a robust conclusion.Protocol registrationPROSPERO; CRD42020191051. (Source: Age and Ageing)
Source: Age and Ageing - June 11, 2021 Category: Geriatrics Source Type: research
The impact of additional payments on functional decline among long-term care health facility residents in Japan
ConclusionsThe results of our study may be of particular interest to policymakers in monitoring and evaluating additional payment approaches and provide insight into improving quality of care. (Source: Age and Ageing)
Source: Age and Ageing - June 11, 2021 Category: Geriatrics Source Type: research
The frequency and impact of undiagnosed benign paroxysmal positional vertigo in outpatients with high falls risk
ConclusionsUndiagnosed BPPV is very common and associated with a trend towards increased loneliness in adult rehabilitation outpatients identified as having a high falls risk. (Source: Age and Ageing)
Source: Age and Ageing - June 11, 2021 Category: Geriatrics Source Type: research
