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Interactive association between insomnia symptoms and sleep duration for the risk of dementia —a prospective study in the Swedish National March Cohort
ConclusionInsomnia and short sleep duration increase the risk of dementia amongst middle-aged to older adults.
Source: Age and Ageing - September 7, 2023 Category: Geriatrics Source Type: research

Supporting stroke survivors living in care homes: challenges and opportunities for practice development and research
care homestrokedata linkageoutcomesolder people
Source: Age and Ageing - August 28, 2021 Category: Geriatrics Source Type: research

Global cognitive performance at 4-year follow-up in individuals with atrial fibrillation —findings from The Irish Longitudinal Study on Ageing
ConclusionIndividuals with AF were more likely to show an increase in rate of errors between waves 1 and 3 (4-year follow-up period) in the TILDA population; however, results were not significant when controlling for age, sex and level of education.
Source: Age and Ageing - July 21, 2021 Category: Geriatrics Source Type: research

Survival and outcomes for stroke survivors living in care homes: a prospective cohort study
ConclusionsRates of secondary stroke prevention prescribing increased over 20 years but remained lower in care home residents. The lower levels of rehabilitation received by stroke survivors in care homes, despite their higher levels of disability, suggest a gap in care and urgent need for restorative and/or preventative rehabilitation.
Source: Age and Ageing - July 6, 2021 Category: Geriatrics Source Type: research

Neutrophil-to-lymphocyte ratio predicts delirium after stroke
ConclusionsBesides age, stroke severity, premorbid mRS and cognitive impairment, NLR is a predictor of PSD, even independent of the development of pneumonia or urinary tract infection.
Source: Age and Ageing - July 5, 2021 Category: Geriatrics Source Type: research

Age and clinical outcomes after hip fracture surgery: do octogenarian, nonagenarian and centenarian classifications matter?
Conclusionwe identified three types of association between age and clinical outcomes. Patients aged 85 –90 may constitute the upper threshold for age categorisations, because the risk of in-hospital complications changed dramatically at that stage. This information can improve clinical awareness of various complications and support collective decision-making.
Source: Age and Ageing - July 3, 2021 Category: Geriatrics Source Type: research

505 interleukin-6, c-reactive protein, fibrinogen, and risk of recurrence after ischemic stroke: systematic review and meta-analysis
ConclusionDespite evidence suggesting an association between inflammatory markers and post-stroke vascular recurrence, substantial methodological heterogeneity was apparent between studies. Individual-patient pooled analysis and standardisation of methods are needed to determine the prognostic role of blood inflammatory markers and to improve patient selection for randomised trials of inflammatory therapies.
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research

547 quality improvement project in prescribing thickeners post stroke
ConclusionThis project has built up a multidisciplinary system to a multidisciplinary problem. Through repeated cycles and system improvement, we have seen and demonstrated a collaborative effort resulting in consistent and improving results.
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research

426 prevalence of, and risk factors for, dementia in adult outpatient referrals to a regional referral hospital in arusha, tanzania
ConclusionsThe prevalence of dementia in this population is lower than previously reported community-based rates in Tanzania, and similar to those in high-income countries. This is the first time the association between uncorrected visual impairment and dementia has been reported in SSA. Other associations identified are in keeping with previous literature. Further research on the management of dementia and its risk factors, and the support and education of carers and patients in east African populations is required.
Source: Age and Ageing - June 12, 2021 Category: Geriatrics Source Type: research

Frailty is an outcome predictor in patients with acute ischemic stroke receiving endovascular treatment
DiscussionFrailty is an independent predictor of outcome in AIS patients submitted to EST.
Source: Age and Ageing - June 3, 2021 Category: Geriatrics Source Type: research

New horizons in cardiogeriatrics: geriatricians and heart failure care —the custard in the tart, not the icing on the cake
AbstractHeart failure (HF) can be considered a disease of older people. It is a leading cause of hospitalisation and is associated with high rates of morbidity and mortality in the over-65s. In 2012, an editorial in this journal detailed the latest HF research and guidelines, calling for greater integration of geriatricians in HF care. This current article reflects upon what has been achieved in this field in recent years, highlighting some future challenges and promising areas. It is written from the perspective of one such integrated team and explores the new role of cardiogeriatrician, working in a multidisciplinary tea...
Source: Age and Ageing - April 9, 2021 Category: Geriatrics Source Type: research

Reasons for discontinuing oral anticoagulation therapy for atrial fibrillation: a systematic review
ConclusionThe available evidence is derived from heterogeneous studies with few relevant data for the newer direct oral anticoagulants. Reasons underpinning decision-making to discontinue OAC from the perspective of patients, family carers and clinicians is poorly understood.
Source: Age and Ageing - March 10, 2021 Category: Geriatrics Source Type: research

Perceived versus objective sleep quality in long-stay hospitalised older adults —a mixed methods study
ConclusionsWe found high levels of sleep problems and identified substantial discrepancies between the validated sleep questionnaire and qualitative response data. Our findings indicate that standard assessment tools, such as PSQI, may not be suitable to assess sleep in hospitalised older adults and call for further investigations to build more appropriate methods. Further exploring psychological factors and expectations could potentially lead to novel interventions to improve sleep in this setting.
Source: Age and Ageing - February 2, 2021 Category: Geriatrics Source Type: research

A medical history of arterial thrombosis is a strong predictor of post-operative myocardial infarction and stroke in patients with hip fractures —a nationwide cohort study
ConclusionMI and stroke after hip fractures are overlooked and serious complications. Persons with elevated risk can be identified at admission, based on their medical history.
Source: Age and Ageing - January 28, 2021 Category: Geriatrics Source Type: research

New horizons: managing antithrombotic dilemmas in patients with cerebral amyloid angiopathy
AbstractCerebral amyloid angiopathy (CAA) most commonly presents with lobar intracerebral haemorrhage, though also with transient focal neurological episodes, cognitive impairment, as an incidental finding and rarely acutely or subacutely in patients developing an immune response to amyloid. Convexity subarachnoid haemorrhage, cortical superficial siderosis and lobar cerebral microbleeds are the other signature imaging features. The main implications of a diagnosis are the risk of intracerebral haemorrhage and frequent co-existence of antithrombotic indications. The risk of intracerebral haemorrhage varies by phenotype, be...
Source: Age and Ageing - January 22, 2021 Category: Geriatrics Source Type: research

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