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Condition: Dementia
Management: General Practices

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Total 25 results found since Jan 2013.

Risk of incident stroke in patients with Alzheimer disease or vascular dementia
Conclusions: Patients with VD, but not AD, have a markedly higher risk of developing an ischemic stroke than those without dementia. In patients with AD, but not VD, use of atypical antipsychotic drugs was associated with an increased risk of TIA.
Source: Neurology - September 2, 2013 Category: Neurology Authors: Imfeld, P., Bodmer, M., Schuerch, M., Jick, S. S., Meier, C. R. Tags: All Cerebrovascular disease/Stroke, Alzheimer's disease, Vascular dementia, Case control studies, Incidence studies ARTICLE Source Type: research

Factors associated with fracture after stroke and TIA: a long-term follow-up
ConclusionStroke was positively associated with fracture in patients<  80 years, while TIA was positively associated with fracture in patients ≥ 80 years and females. Dementia and analgesic therapy were also associated with fracture after either stroke or TIA.
Source: Osteoporosis International - July 9, 2020 Category: Orthopaedics Source Type: research

Predicting the Risk of Ischemic Stroke in Patients Treated with Novel Oral Anticoagulants: A Machine Learning Approach
Conclusions: The stroke risk in AF patients treated with NOAC could be predicted based on comorbidities like ischemic heart diseases, urinary tract infections, and dementia additionally to age and male sex. Knowing and addressing these factors may help reduce the risk of stroke in this patient population.Neuroepidemiology
Source: Neuroepidemiology - July 21, 2021 Category: Epidemiology Source Type: research

Cluster randomised controlled trial of screening for atrial fibrillation in people aged 70 years and over to reduce stroke: protocol for the pilot study for the SAFER trial
Introduction Atrial fibrillation (AF) is a common arrhythmia associated with 30% of strokes, as well as other cardiovascular disease, dementia and death. AF meets many criteria for screening, but there is limited evidence that AF screening reduces stroke. Consequently, no countries recommend national screening programmes for AF. The Screening for Atrial Fibrillation with ECG to Reduce stroke (SAFER) trial aims to determine whether screening for AF is effective at reducing risk of stroke. The aim of the pilot study is to assess feasibility of the main trial and inform implementation of screening and trial procedures. Metho...
Source: BMJ Open - September 9, 2022 Category: General Medicine Authors: Williams, K., Modi, R. N., Dymond, A., Hoare, S., Powell, A., Burt, J., Edwards, D., Lund, J., Johnson, R., Lobban, T., Lown, M., Sweeting, M. J., Thom, H., Kaptoge, S., Fusco, F., Morris, S., Lip, G., Armstrong, N., Cowie, M. R., Fitzmaurice, D. A., Free Tags: Open access, Public health Source Type: research

General practice based psychosocial interventions for supporting carers of people with dementia or stroke: a systematic review
Particularly with ageing populations, dementia and stroke and their resultant disability are worldwide concerns. Much of the support for people with these conditions comes from unpaid carers or caregivers. The...
Source: BMC Family Practice - January 15, 2016 Category: Primary Care Authors: Nan Greenwood, Ferruccio Pelone and Anne-Marie Hassenkamp Source Type: research

Effect of Long-Term Vascular Care on Progression of Cerebrovascular Lesions Clinical Sciences
Conclusions—Nurse-led vascular care in hypertensive community-dwelling older persons did not diminish WMH accumulation over 3 years. However, our results do suggest this type of intervention could be effective in persons with high WMH volumes. There was no effect on lacunar infarcts incidence but numbers were low.Clinical Trial Information—URL: http://www.isrctn.com/ISRCTN29711771. Unique identifier: ISRCTN29711771.
Source: Stroke - June 26, 2017 Category: Neurology Authors: Jan Willem van Dalen, Eric P. Moll van Charante, Matthan W.A. Caan, Philip Scheltens, Charles B.L.M. Majoie, Aart J. Nederveen, Willem A. van Gool, Edo Richard Tags: Aging, Primary Prevention, Hypertension, Magnetic Resonance Imaging (MRI), Cerebrovascular Disease/Stroke Original Contributions Source Type: research

Can cardiovascular risk management be improved by shared care with general practice to prevent cognitive decline following stroke/TIA? A feasibility randomised controlled trial (SERVED memory)
Cognitive impairment and dementia following cerebrovascular disease are increasingly common in the UK. One potential strategy to prevent post-stroke cognitive decline is multimodal vascular risk factor managem...
Source: BMC Geriatrics - September 17, 2020 Category: Geriatrics Authors: William J. Davison, Phyo K. Myint, Yoon K. Loke, Garth Ravenhill, David Turner, Chris Fox, Lee Shepstone and John F. Potter Tags: Research article Source Type: research

Incidence of nonvalvular atrial fibrillation and oral anticoagulant prescribing in England, 2009 to 2019: A cohort study
ConclusionsThe incidence of NVAF increased between 2009 and 2015, before plateauing. Underprescribing of OACs in NVAF is associated with a range of comorbidities, ethnicity, and socioeconomic factors, demonstrating the need for initiatives to reduce inequalities in the care for AF patients.
Source: PLoS Medicine - June 7, 2022 Category: Internal Medicine Authors: Alyaa M. Ajabnoor Source Type: research

The inter-contact interval: a new measure to define frequent attenders in primary care
Background: Frequent attenders receive much attention in primary care research. Defining frequent attendance is crucial for an adequate view on this group of demanding patients. We aimed to develop a purely contact-based definition of "frequent attendance" and to apply it to real patients. Methods: From electronic records of 123 general practices in Germany, patients' inter-contact intervals (ICI) between two consecutive doctor-patient-contacts were calculated in this retrospective observational study. ICI less than 7 days were labelled "frequent attendance", patients with 60% or more of such intervals "frequent attenders ...
Source: BMC Family Practice - October 23, 2013 Category: Primary Care Authors: Johannes HauswaldtWolfgang HimmelEva Hummers-Pradier Source Type: research

Neuroimaging and Neurolaw: Drawing the Future of Aging
Vincenzo Tigano1, Giuseppe Lucio Cascini2, Cristina Sanchez-Castañeda3, Patrice Péran4 and Umberto Sabatini5* 1Department of Juridical, Historical, Economic and Social Sciences, University of Magna Graecia, Catanzaro, Italy 2Department of Experimental and Clinical Medicine, University of Magna Graecia, Catanzaro, Italy 3Department of Clinical Psychology and Psychobiology, University of Barcelona, Barcelona, Spain 4ToNIC, Toulouse NeuroImaging Center, Université de Toulouse, Inserm, UPS, Toulouse, France 5Department of Medical and Surgical Sciences, University of Magna Graecia, Catanzaro, ...
Source: Frontiers in Endocrinology - April 7, 2019 Category: Endocrinology Source Type: research

Statins for extension of disability-free survival and primary prevention of cardiovascular events among older people: protocol for a randomised controlled trial in primary care (STAREE trial)
Introduction The world is undergoing a demographic transition to an older population. Preventive healthcare has reduced the burden of chronic illness at younger ages but there is limited evidence that these advances can improve health at older ages. Statins are one class of drug with the potential to prevent or delay the onset of several causes of incapacity in older age, particularly major cardiovascular disease (CVD). This paper presents the protocol for the STAtins in Reducing Events in the Elderly (STAREE) trial, a randomised double-blind placebo-controlled trial examining the effects of statins in community dwelling o...
Source: BMJ Open - April 3, 2023 Category: General Medicine Authors: Zoungas, S., Curtis, A., Spark, S., Wolfe, R., McNeil, J. J., Beilin, L., Chong, T. T.-J., Cloud, G., Hopper, I., Kost, A., Nelson, M., Nicholls, S. J., Reid, C. M., Ryan, J., Tonkin, A., Ward, S. A., Wierzbicki, A., On behalf of STAREE investigator group Tags: Open access, Cardiovascular medicine Source Type: research

The DAISY psychosocial intervention does not improve outcomes in patients with mild Alzheimer's disease or their carers
Question Question: What are the effects of a semitailored multicomponent intervention for patients with mild Alzheimer's disease and their carers? Patients: In total, 330 patients with recently diagnosed mild Alzheimer's disease living in the community and their caregivers. Other inclusion criteria: age ≥50 years, DSM-IV dementia, probable Alzheimer's disease (National Institute of Neurological and Communicative Disorders and Stroke and the Alzheimer's Disease and Related Disorders Association (NINCDS-ADRDA) criteria) or Lewy body dementia (McKeith criteria), diagnosis in past 12 months, mini-mental state exam...
Source: Evidence-Based Mental Health - January 9, 2013 Category: Psychiatry & Psychology Authors: Mittelman, M. S. Tags: Clinical trials (epidemiology), General practice / family medicine, Neurology, Dementia, Alzheimer's type, Psychiatry of old age, Epidemiology Therapeutics Source Type: research

Why acupuncture is giving sceptics the needle
Acupuncture has been prescribed by half of Britain's doctors, but after 3,000 clinical trials its efficacy remains unproven. So is the NHS making a grave error in supporting this ancient treatment?• Are vitamin pills a sham? Q&A with Dr. Paul OffitYou can't get crystal healing on the NHS. The Department of Health doesn't fund faith healing. And most doctors believe magnets are best stuck on fridges, not patients. But ask for a treatment in which an expert examines your tongue, smells your skin and tries to unblock the flow of life force running through your body with needles and the NHS will be happy to oblige.The govern...
Source: Guardian Unlimited Science - July 26, 2013 Category: Science Authors: David Derbyshire Tags: Culture Health Science and scepticism Features NHS Alternative medicine The Observer Source Type: news

A transitional care model for low-income older adults does not reduce readmission rates or emergency department visits during care transitions
Commentary on: Ohuabunwa U, Jordan Q, Shah S, et al.. Implementation of a care transitions model for low-income older adults: a high-risk, vulnerable population. J Am Geriatr Soc 2013;61:987–92. Implications for practice and research A relatively simple, low-cost care transition intervention can encourage low-income, predominantly African-American elders to better utilise primary care, posthospital discharge. An adequately powered study is needed in order to enable stronger conclusions to be drawn, particularly regarding the model's impact on hospital re-admission and emergency department (ED) visits. Studies benefit...
Source: Evidence-Based Nursing - June 17, 2014 Category: Nursing Authors: Nadash, P. Tags: Health policy, General practice / family medicine, Care of the older person, Dementia, Stroke, Hypertension, Memory disorders (psychiatry), Health service research, Diabetes, Metabolic disorders Source Type: research

Enhanced invitation methods to increase uptake of NHS health checks: study protocol for a randomized controlled trial
DiscussionThe research will provide evidence on whether asking individuals to complete a preliminary questionnaire, by using the QBE, is effective in increasing uptake of Health Checks and whether an incentive alters questionnaire return rates as well as uptake of Health Checks. The trial interventions can be readily translated into routine service delivery if they are shown to be cost-effective.Trial registration: Current Controlled Trials ISRCTN42856343. Date registered: 21.03.2013.
Source: Trials - August 30, 2014 Category: Journals (General) Authors: Alice ForsterCaroline BurgessLisa McDermottAlison WrightHiten DodhiaMark ConnerJane MillerCaroline RudisillVictoria CorneliusMartin Gulliford Source Type: research