Abstract:
BACKGROUND:in recent years, the NHS has been accused of ageism frequently and from many fronts. Previous studies have shown that the number of critical care beds in the UK is inadequate to meet the needs of the population. This study asks whether there is discrimination against older people in access to these critical care beds. METHODOLOGY:all sick patients in five hospitals in a South Wales Health Authority were studied every 12th day for one calendar year. Demographic, clinical and physiological data were collected. Ten members of the Welsh Intensive Care Society subsequently judged the optimum location of care for each of these individuals. This was based on a summary of diagnoses, procedures and physiological/biochemical results, but without access to the age of the patient or type of ward or hospital where the patients was actually treated. These data were analysed to determine whether the likelihood of being treated in the most appropriate setting, based on the consensus decision, was influenced by the patient's age. RESULTS:4058 patients met the study criteria, of whom 2287 patients (56.4% of the total) were being cared for on a general ward and 1769 in critical care areas. The intensivist panel determined that 1085 (53%) ward based patients were more suitable for care on intensive care or high dependency units and 220 (12.4%) critical care patients were suitable for ward care. The proportion of patients considered to be in an inappropriate ward varied little in different age groups. DISCUSSION:many patients on general wards have needs that may be more appropriately addressed on critical care units but there is no relationship between these unmet needs and the age of the patient.
journal_name
Age Ageingjournal_title
Age and ageingauthors
Hubbard RE,Lyons RA,Woodhouse KW,Hillier SL,Wareham K,Ferguson B,Major Edoi
10.1093/ageing/32.4.382subject
Has Abstractpub_date
2003-07-01 00:00:00pages
382-7issue
4eissn
0002-0729issn
1468-2834journal_volume
32pub_type
杂志文章相关文献
AGE AND AGEING文献大全abstract:PURPOSE OF THE STUDY:to examine the costs and cost-effectiveness of 'second-generation' telecare, in addition to standard support and care that could include 'first-generation' forms of telecare, compared with standard support and care that could include 'first-generation' forms of telecare. DESIGN AND METHODS:a pragm...
journal_title:Age and ageing
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1093/ageing/afu067
更新日期:2014-11-01 00:00:00
abstract:BACKGROUND:information about the predictors of mortality among the oldest-old is limited. Also possible gender differences are poorly known. OBJECTIVE:to examine the predictors of mortality among individuals aged 90 and older, focusing on differences between men and women. We also analysed gender differences in surviv...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/aft030
更新日期:2013-07-01 00:00:00
abstract::Care home medicine has been an under-researched area, but over the last decade there has been a substantial growth in publications. Most of these have focused on the 'geriatric giants' of falls, incontinence and mental health issues (especially dementia, behavioural disturbance and depression) as well as other key top...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/aft186
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:The risk/benefit ratio of warfarin therapy changes in the over 75s, when haemorrhagic side-effects become more common. These may not always be reported in the literature. CASE REPORT:A woman of 80 years, on long-term warfarin therapy presented with an acute dissecting thoracic aortic aneurysm; on investigat...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afh015
更新日期:2004-03-01 00:00:00
abstract:BACKGROUND:there is limited evidence of a protective effect of physical activity in preventing hip fractures among older people living in institutions and in those aged 80 or over. OBJECTIVE:to examine the relationship between physical activity and risk of hip fracture in frail older people. DESIGN:a case-control stu...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/30.3.262
更新日期:2001-05-01 00:00:00
abstract:OBJECTIVES:to investigate the effects of oral intermittent cyclical etidronate therapy on bone mineral density (BMD) in men with idiopathic vertebral osteoporosis. DESIGN:consecutive case series. SETTING:regional specialist clinic for metabolic bone disease. SUBJECTS:42 men aged 35-81 (median 60.5) with established ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/26.5.359
更新日期:1997-09-01 00:00:00
abstract::Of 60 patients referred for geriatric assessment with clinically significant hypochromic anaemia, in the absence of frank bleeding, 44 underwent upper gastrointestinal and 27 lower gastrointestinal investigations. The probability of identifying a potential cause at upper gastrointestinal endoscopy was three times that...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/16.6.399
更新日期:1987-11-01 00:00:00
abstract::We measured calcium regulating hormones and bone mineral density (BMD) in 66 men (aged 24-88 years). Vitamin D (1,25(OH)2D) does not vary with age, parathyroid hormone (PTH) increases after the age of 65 (p < 0.01) together with a parallel increase in urinary (r = 0.46, p < 0.05) and nephrogenic cAMP (r = 0.63, p < 0....
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/23.2.127
更新日期:1994-03-01 00:00:00
abstract:BACKGROUND:the incidence of pulmonary embolism increases with age but the 'classical' presentation of acute pulmonary embolism may not occur in older persons. OBJECTIVES:to compare the clinical presentation of younger and older patients with acute pulmonary embolism. DESIGN:retrospective identification of 60 consecut...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afg098
更新日期:2003-11-01 00:00:00
abstract:OBJECTIVES:to test the hypothesis as to whether persons newly discharged into the community following an acute stroke and assigned a stroke case manager would experience, compared to usual post-hospital care, better health-related quality of life (HRQL), fewer emergency room visits and less non-elective hospitalisation...
journal_title:Age and ageing
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1093/ageing/afm133
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:to investigate the associations between chronic health conditions, psychosocial and environmental factors and catastrophic decline in mobility among older people. DESIGN:longitudinal cohort. SETTING:national sample living in private households. PARTICIPANTS:nine hundred and ninety-nine adults aged > or = 6...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afl004
更新日期:2006-07-01 00:00:00
abstract::In one experiment, four groups of six-week-old-male PVG rats were, respectively, given tap water ('control group'), 0.00125M, 0.0025M, and 0.005M lathyrogen (aminoacetonitrile hydrochloride: AAN) solutions ad libitum for a period of 20 weeks. In a second experiment, 12-week-old male rats were similarly treated. It was...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/5.3.155
更新日期:1976-08-01 00:00:00
abstract::Ninety-nine residents, 10% of the total population of elderly in Part III accommodation in Newcastle upon Tyne, were examined for the presence of psychiatric disorder, tested for cognitive impairment, and rated for the presence of confusion. Those allocated a diagnosis of dementia were most impaired and confused, and ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/15.3.139
更新日期:1986-05-01 00:00:00
abstract::Integrated care programs have been developed to enhance the quality care for older adults in primary care. These programs usually consist of a multidisciplinary approach, with personalised care based on comprehensive geriatric assessments. However, there is limited evidence for the effectiveness of these programs in f...
journal_title:Age and ageing
pub_type: 杂志文章,评审
doi:10.1093/ageing/afw081
更新日期:2016-09-01 00:00:00
abstract::The aim of this study was to evaluate the type and frequency of falls presenting to an inner city casualty department, and to identify modifiable risk factors in these patients. A prospective descriptive study evaluated those over 65 years presenting to an inner city casualty department with falls. Over a 4-week recru...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/25.5.362
更新日期:1996-09-01 00:00:00
abstract:BACKGROUND:residential aged care facility (RACF) resident numbers are increasing. Residents are frequently frail with substantial co-morbidity, functional and cognitive impairment with high susceptibility to acute illness. Despite living in facilities staffed by health professionals, a considerable proportion of reside...
journal_title:Age and ageing
pub_type: 杂志文章,评审
doi:10.1093/ageing/afu117
更新日期:2014-11-01 00:00:00
abstract::Plasma Human Growth Hormone (HGH) was raised in a patient with bronchial carcinoma and hypertrophic pulmonary osteoarthropathy before radiotherapy to the tumour. Though the soft-tissue swelling and pain of hypertrophic osteoarthropathy disappeared two to three weeks after radiotherapy to the carcinoma the HGH plasma l...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/4.2.95
更新日期:1975-05-01 00:00:00
abstract::The contribution of the elderly to the workload of a combined consultative District Hospital Gastroenterology Clinic has been studied over a 12-year period. The elderly group comprise 24% of the total referrals with a gradually increasing trend over successive years. The service implications are discussed and the main...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/17.1.49
更新日期:1988-01-01 00:00:00
abstract:BACKGROUND:Valproate (VPA) is an antiepileptic drug with a broad spectrum of efficacy. Although usually well-tolerated, it may have side-effects of which encephalopathy is one of the most serious. OBJECTIVE:To describe the clinical characteristics of valproate encephalopathy (VE) in five older patients with remote sym...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afm019
更新日期:2007-05-01 00:00:00
abstract:BACKGROUND:Delirium is a complex neuropsychiatric syndrome that is common among elderly inpatients. It has been associated with increased mortality, longer hospital stays, cognitive and functional decline and increased institutionalisation rates. Multicomponent interventions, a series of non-pharmacological strategies ...
journal_title:Age and ageing
pub_type: 杂志文章,meta分析,评审
doi:10.1093/ageing/afu173
更新日期:2015-03-01 00:00:00
abstract:BACKGROUND:high morale is defined as future-oriented optimism. Previous research suggests that a high morale independently predicts increased survival among old people, though very old people have not been specifically studied. OBJECTIVE:to investigate whether high morale is associated with increased survival among ve...
journal_title:Age and ageing
pub_type: 杂志文章,多中心研究
doi:10.1093/ageing/afv021
更新日期:2015-07-01 00:00:00
abstract::The capacity of peripheral blood mononuclear cells (PBMC) isolated from patients with Alzheimer's disease to produce interleukin-1 and -2 (IL-1, IL-2) was compared to that of cells from age-matched controls and young healthy subjects. There was no difference in the production of both interleukins between patients and ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/18.1.21
更新日期:1989-01-01 00:00:00
abstract:Background:fear of falling (FOF) is a major health concern among community-dwelling older adults that could restrict mobility. Objective:to examine the association of FOF with life-space mobility (i.e. the spatial area a person moves through in daily life) of community-dwelling older adults from five diverse sites. M...
journal_title:Age and ageing
pub_type: 杂志文章,多中心研究
doi:10.1093/ageing/afw239
更新日期:2017-05-01 00:00:00
abstract::Muscle cramps are painful and common in elderly patients but have largely escaped medical investigation. Quinine sulphate is usually the sole drug prescribed, even though firm evidence for its efficacy is not available. The results of the present double-blind cross-over study show that quinine was significantly superi...
journal_title:Age and ageing
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1093/ageing/12.2.155
更新日期:1983-05-01 00:00:00
abstract:BACKGROUND:dysphagia is common in acute stroke. Accurate detection of the presence or absence of aspiration by bedside swallowing assessment is difficult without objective methods, tending to over-diagnose aspiration. As a result, some patients suffer restricted oral intake unnecessarily. OBJECTIVE:we examined the pre...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/29.6.495
更新日期:2000-11-01 00:00:00
abstract:PRESENTATION:an 83-year-old man was admitted to hospital with acute confusion 3 days after a direct flight from Australia. OUTCOME:computed tomography (CT) brain scan and magnetic resonance imaging head scan revealed the cause to be pneumocephalus, apparently the result of barotrauma caused by Valsalva manoeuvres when...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/29.4.365
更新日期:2000-07-01 00:00:00
abstract::We report the case of an 85-year-old male with platypnoea-orthodeoxia associated with patent foramen ovale (PFO) and ectatic ascending aorta, in the absence of any significant pulmonary pathology. ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afr131
更新日期:2012-01-01 00:00:00
abstract:INTRODUCTION:Patients with Parkinson's disease (PD) are not routinely prescribed bone-protecting medication despite the fact that they are known to be at risk of falling. We investigated whether subjects with PD were more at risk of fractures than other patient groups in order to establish whether preventative measures...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afh203
更新日期:2005-01-01 00:00:00
abstract:BACKGROUND:geriatrics encompasses diverse medical, social and ethical challenges requiring a multidimensional, interdisciplinary approach. Recent reports have highlighted failings in the care of older people. It is therefore vital that trainees in geriatrics are afforded opportunities to develop skills in managing this...
journal_title:Age and ageing
pub_type: 杂志文章,多中心研究
doi:10.1093/ageing/afv049
更新日期:2015-07-01 00:00:00
abstract::The aim of the present study was to determine the prevalence of biliary lithiasis (BL) and its major associated factors in the elderly people of a small town in Sicily. All inhabitants over the age of 65 were interviewed and underwent a general physical examination, blood tests and ultrasonography of the gallbladder a...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/21.5.338
更新日期:1992-09-01 00:00:00