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Source: Journal of the American Geriatrics Society
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Total 94 results found since Jan 2013.
Characteristics and Incidence of Chronic Illness in Community ‐Dwelling Predominantly Male U.S. Veteran Centenarians
ConclusionIn a large cohort of predominantly male community‐dwelling elderly veterans, centenarians had a lower incidence of chronic illness than those in their 80s and 90s, demonstrating similar compression of morbidity and extension of health span observed in other studies.
Source: Journal of the American Geriatrics Society - April 19, 2017 Category: Geriatrics Authors: Raya Elfadel Kheirbek, Ali Fokar, Nawar Shara, Leakie K. Bell ‐Wilson, Hans J. Moore, Edwin Olsen, Marc R. Blackman, Maria D. Llorente Tags: Ethnogeriatrics and Special Population Source Type: research
Real ‐World Clinical Characteristics and Treatment Patterns of Individuals Aged 80 and Older with Nonvalvular Atrial Fibrillation: Results from the ReAl‐life Multicenter Survey Evaluating Stroke Study
ConclusionNearly one‐fifth of individuals with NVAF in this real‐world sample were aged 80 and older. Participants aged 80 and older were more likely to be female and have more comorbidities than those who were younger than 80. Those aged 80 and older with AF were less likely to receive anticoagulants than those who were younger than 80, but having more comorbidities and other individual‐level characteristics may explain this difference. When they were prescribed OACs, participants aged 80 and older had poorer quality of anticoagulation than those who were younger, suggesting opportunities for improvement.
Source: Journal of the American Geriatrics Society - April 10, 2017 Category: Geriatrics Authors: Murat Biteker, Özcan Başaran, Volkan Doğan, İbrahim Altun, Fatma Özpamuk Karadeniz, Ahmet İlker Tekkesin, Yasin Çakıllı, Ceyhan Türkkan, Mehmet Hamidi, Vahit Demir, Mustafa Ozan Gürsoy, Müjgan Tek Öztürk, Gökhan Aksan, Sabri Seyis, Mehmet B Tags: Clinical Investigation Source Type: research
Potential Value of Impaired Cognition in Stroke Prediction: A U.K. Population ‐Based Study
ConclusionCriteria for MCI, defined using MMSE scores or clinical criteria, can capture individuals at greater stroke risk. The results highlight the need to focus on stroke risk in individuals even with MCI.
Source: Journal of the American Geriatrics Society - April 3, 2017 Category: Geriatrics Authors: Blossom C. M. Stephan, Kathryn Richardson, George M. Savva, Fiona E. Matthews, Carol Brayne, Vladimir Hachinski Tags: Clinical Investigation Source Type: research
Observed Hearing Loss and Incident Dementia in a Multiethnic Cohort
ConclusionOHL was associated with greater risk of incident dementia in a multiethnic cohort. More study is needed to determine whether HL contributes to dementia and whether treating HL can reduce the risk of dementia.
Source: Journal of the American Geriatrics Society - March 20, 2017 Category: Geriatrics Authors: Justin S. Golub, Jos é A. Luchsinger, Jennifer J. Manly, Yaakov Stern, Richard Mayeux, Nicole Schupf Tags: Clinical Investigation Source Type: research
Diffuse Idiopathic Skeletal Hyperostosis (DISH) and Impaired Physical Function: The Rancho Bernardo Study
ConclusionsDISH was less prevalent in women but affected almost one‐quarter of older white men. People with DISH are more likely to experience physical functional impairment, suggesting that DISH has clinical correlations and is not an incidental radiographic finding.
Source: Journal of the American Geriatrics Society - March 1, 2017 Category: Geriatrics Authors: Wendy B. Katzman, Mei ‐Hua Huang, Donna Kritz‐Silverstein, Elizabeth Barrett‐Connor, Deborah M. Kado Tags: Clinical Investigation Source Type: research
Three ‐Year Changes in Physical Activity and Decline in Physical Performance Over 9 Years of Follow‐Up in Older Adults: The Invecchiare in Chianti Study
ConclusionMaintaining or increasing PA levels may attenuate age‐associated physical performance decline.
Source: Journal of the American Geriatrics Society - February 28, 2017 Category: Geriatrics Authors: David Martinez ‐Gomez, Stefania Bandinelli, Vieri Del‐Panta, Kushang V. Patel, Jack M. Guralnik, Luigi Ferrucci Tags: Clinical Investigation Source Type: research
Outcomes of Coronary Artery Bypass Graft Surgery Versus Drug ‐Eluting Stents in Older Adults
ConclusionOlder adults age 70 to 89 years with left main or multivessel CAD who participated in the BEST, PRECOMBAT, and SYNTAX trials; compared to PCI, CABG was associated with lower risk of primary outcome which was mostly driven by lower risk of myocardial infarction.
Source: Journal of the American Geriatrics Society - February 5, 2017 Category: Geriatrics Authors: Mineok Chang, Cheol Whan Lee, Jung ‐Min Ahn, Rafael Cavalcante, Yohei Sotomi, Yoshinobu Onuma, Duk‐Woo Park, Soo‐Jin Kang, Seung‐Whan Lee, Young‐Hak Kim, Seong‐Wook Park, Patrick W. Serruys, Seung‐Jung Park Tags: Aging & Surgery Source Type: research
Outcomes of Treated Hypertension at Age 80 and Older: Cohort Analysis of 79,376 Individuals
ConclusionIn routine primary care, SBP less than 135 mmHg was associated with greater mortality in the oldest adults with hypertension and free of selected potentially confounding comorbidities. Although important confounders were accounted for, observational studies cannot exclude residual confounding. More work is needed to establish whether unplanned SBPs less than 135 mmHg in older adults with hypertension may be a useful clinical sign of poor prognosis, perhaps requiring clinical review of overall care.
Source: Journal of the American Geriatrics Society - December 29, 2016 Category: Geriatrics Authors: Jo ão Delgado, Jane A.H. Masoli, Kirsty Bowman, W. David Strain, George A. Kuchel, Kate Walters, Louise Lafortune, Carol Brayne, David Melzer, Alessandro Ble, Tags: Clinical Investigation Source Type: research
Continued Use of Warfarin in Veterans with Atrial Fibrillation After Dementia Diagnosis
ConclusionDiscontinuing warfarin after a diagnosis of dementia is associated with a significant increase in stroke and mortality.
Source: Journal of the American Geriatrics Society - December 29, 2016 Category: Geriatrics Authors: Ariela R. Orkaby, Al Ozonoff, Joel I. Reisman, Donald R. Miller, Shibei Zhao, Adam J. Rose Tags: Clinical Investigations Source Type: research
Use of Oral Anticoagulant Therapy in Older Adults with Atrial Fibrillation After Acute Ischemic Stroke
ConclusionDespite very high stroke risk, more than 40% of participants were not discharged with an OAC. Dominant reasons included fall risk, poor prognosis, older age, and dementia. These individuals’ high 1‐year mortality rate confirmed their high level of comorbidity. To improve anticoagulation decisions and outcomes in this population, future research should focus on strategies to mitigate fall risk, improve assessment of risks and benefits of anticoagulation in individuals with AF, and determine whether newer anticoagulants are safer in complex elderly and frail individuals.
Source: Journal of the American Geriatrics Society - December 29, 2016 Category: Geriatrics Authors: Emer R. McGrath, Alan S. Go, Yuchiao Chang, Leila H. Borowsky, Margaret C. Fang, Kristi Reynolds, Daniel E. Singer Tags: Clinical Investigation Source Type: research
Leisure ‐Time Physical Activity Reduces Total and Cardiovascular Mortality and Cardiovascular Disease Incidence in Older Adults
ConclusionsBaseline LTPA reduces the risk of total and CVD mortality and incident CVD events in older adults independently of the major known CVD risk factors. The protective effect of LTPA is dose dependent.
Source: Journal of the American Geriatrics Society - December 25, 2016 Category: Geriatrics Authors: No ël C. Barengo, Riitta Antikainen, Katja Borodulin, Kennet Harald, Pekka Jousilahti Tags: Clinical Investigation Source Type: research
Management of Atrial Fibrillation in Elderly Adults
Driven in large part by the aging of the population and the increasing prevalence of cardiovascular comorbidities associated with atrial fibrillation (AF), there is a burgeoning epidemic of AF in elderly adults. Although there is a large body of literature to guide management of people with AF, elderly adults with AF are frequently underrepresented in clinical trials. This review provides a contemporary update on management of elderly adults with AF with a particular focus on the two main clinical challenges that AF poses: stroke risk reduction and control of symptoms. The evidence to support novel AF treatment strategies ...
Source: Journal of the American Geriatrics Society - December 1, 2016 Category: Geriatrics Authors: Yaanik Desai, Mikhael F. El ‐Chami, Angel R. Leon, Faisal M. Merchant Tags: Clinical Management of Older Adult Source Type: research
Physical Activity and Other Determinants of Survival in the Oldest Adults
ConclusionIn the oldest adults, accurate quantification of physical activity may provide important prognostic information. The predictive value of cardiovascular risk factors, except age, male sex, and prior stroke, was confirmed to be negligible. An unexpected inverse association between neck pain and mortality may require further investigation.
Source: Journal of the American Geriatrics Society - November 29, 2016 Category: Geriatrics Authors: Antonio Muscari, Giampaolo Bianchi, Paola Forti, Marco Giovagnoli, Donatella Magalotti, Paolo Pandolfi, Marco Zoli, Tags: Brief Reports Source Type: research
Association Between Results of Quality Assessment of Long ‐Term Care Facilities and Hospital‐Acquired Pneumonia in Individuals with Stroke or Neurodegenerative Disease in Korea
Source: Journal of the American Geriatrics Society - November 20, 2016 Category: Geriatrics Authors: Seung J. Kim, Kyu ‐Tae Han, Sun J. Kim, Eun‐Cheol Park Tags: Letters to the Editor Source Type: research
Cerebral Amyloid Deposition Is Associated with Gait Parameters in the Mayo Clinic Study of Aging
ConclusionPiB‐PET SUVR across ROIs, independent of general measures of AD‐associated neurodegeneration, is associated with poorer performance on multiple gait parameters among cognitively normal women, aged 50 to 69 years. Longitudinal studies are needed to determine whether Aβ predicts gait decline in both women and men.
Source: Journal of the American Geriatrics Society - November 20, 2016 Category: Geriatrics Authors: Alexandra M. V. Wennberg, Rodolfo Savica, Clinton E. Hagen, Rosebud O. Roberts, David S. Knopman, John H. Hollman, Prashanthi Vemuri, Clifford R. Jack, Ronald C. Petersen, Michelle M. Mielke Tags: Clinical Investigations Source Type: research
