Abstract:
BACKGROUND:nasogastric tube (NGT) feeding is commonly used after stroke, but its effectiveness is limited by frequent dislodgement. OBJECTIVE:the objective of the study was to evaluate looped NGT feeding in acute stroke patients with dysphagia. METHODS:this was a randomised controlled trial of 104 patients with acute stroke fed by NGT in three UK stroke units. NGT was secured using either a nasal loop (n = 51) or a conventional adhesive dressing (n = 53). The main outcome measure was the proportion of prescribed feed and fluids delivered via NGT in 2 weeks post-randomisation. Secondary outcomes were frequency of NGT insertions, treatment failure, tolerability, adverse events and costs at 2 weeks; mortality; length of hospital stay; residential status; and Barthel Index at 3 months. RESULTS:participants assigned to looped NGT feeding received a mean 17% (95% confidence interval 5-28%) more volume of feed and fluids, required fewer NGTs (median 1 vs 4), and had fewer electrolyte abnormalities than controls. There was more minor nasal trauma in the loop group. There were no differences in outcomes at 3 months. Looped NGT feeding cost 88 pounds sterling more per patient over 2 weeks than controls. CONCLUSION:looped NGT feeding improves delivery of feed and fluids and reduces NGT reinsertion with little additional cost.
journal_name
Age Ageingjournal_title
Age and ageingauthors
Beavan J,Conroy SP,Harwood R,Gladman JR,Leonardi-Bee J,Sach T,Bowling T,Sunman W,Gaynor Cdoi
10.1093/ageing/afq088subject
Has Abstractpub_date
2010-09-01 00:00:00pages
624-30issue
5eissn
0002-0729issn
1468-2834pii
afq088journal_volume
39pub_type
杂志文章,多中心研究,随机对照试验相关文献
AGE AND AGEING文献大全abstract:BACKGROUND:cataract is a leading cause of reversible vision impairment and may increase falls in older adults. OBJECTIVE:to assess the risk of an injury due to a fall among adults aged 60+, 2 years before first-eye cataract surgery, between first-eye surgery and second-eye surgery and 2 years after second-eye surgery....
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/aft177
更新日期:2014-05-01 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:OBJECTIVE:to evaluate the effectiveness of a multifactorial intervention on incidence of falls in psychogeriatric nursing home patients. DESIGN:cluster-randomised controlled 12-month trial. SETTING:psychogeriatric wards in 12 nursing homes in The Netherlands. PARTICIPANTS:psychogeriatric nursing home patients (n = 5...
journal_title:Age and ageing
pub_type: 杂志文章,随机对照试验
doi:10.1093/ageing/afn297
更新日期:2009-03-01 00:00:00
abstract:Background:despite an increasing proportion of older people working beyond State Pension Age (SPA), little is known about neither the motivations for this decision nor whether, and to what extent, working beyond SPA affects quality of life (QoL). Methods:QoL was measured using the CASP-19 scale. Respondents in paid wo...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afx181
更新日期:2018-05-01 00:00:00
abstract:BACKGROUND:frequent emergency department (ED) attendance at the end of life disrupts care continuity and contradicts most patients' preference for home-based care. OBJECTIVE:to examine factors associated with frequent (≥3) end of life ED attendances among older people to identify opportunities to improve care. METHOD...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afz043
更新日期:2019-09-01 00:00:00
abstract::At present, frailty is defined variably. Some consensus on a definition is likely to emerge, but the basis for a successful definition needs to be explored. Here, a classic approach to validation is proposed: a successful definition of frailty should be multifactorial but must also manage the many factors in a way tha...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afi146
更新日期:2005-09-01 00:00:00
abstract:BACKGROUND:There are conflicting data on the association between Helicobacter pylori (HP) infection and cardiovascular diseases. AIM:To determine if there is an association between gastric HP infection and atherosclerosis of cerebral or peripheral arteries in elderly subjects. METHODS:90 dyspeptic elderly subjects ha...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/28.4.367
更新日期:1999-07-01 00:00:00
abstract::A simple random sample of older people composed of 215 men and 272 women aged 62 years and over was examined in Edinburgh in 1968-9. After one year, 86 per cent of the men and 79 per cent of the women were re-examined; 7 per cent of the men and 4 per cent of the women had died and the remainder were not re-examined fo...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/4.3.152
更新日期:1975-08-01 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:BACKGROUND:delirium is a frequent complication of hospital admission for older people and can be reduced by multicomponent interventions, but implementation and delivery of such interventions is challenging. OBJECTIVE:to investigate fidelity to the prevention of delirium system of care within a multicentre, pragmatic,...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afaa042
更新日期:2020-07-01 00:00:00
abstract::In the period 1967-1981, 102 patients older than 70 years were treated for a colorectal carcinoma. The mean age was 76 years. The average delay was 7.6 months. Obstruction as initial symptom was seen in only 8% of the cases. The resection rate was 85%. The postoperative mortality rate was 6% for patients patients who ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/14.6.321
更新日期:1985-11-01 00:00:00
abstract:BACKGROUND:Delirium is a common neuropsychiatric disorder. The natural course is of an acute, fluctuating and often transient condition; however, accumulating evidence suggests that delirium can be associated with incomplete recovery. Despite a growing body of research, a lack of clarity exists regarding definition and...
journal_title:Age and ageing
pub_type: 杂志文章,评审
doi:10.1093/ageing/afu152
更新日期:2015-03-01 00:00:00
abstract::A retrospective study was performed of 163 patients aged 65 years and over with a diagnosis of duodenal ulceration admitted to one Health District over a period of six years. Eighty per cent of the patients were admitted with acute complications, 50% bled and 30% were perforated. A large proportion of these patients w...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/14.4.225
更新日期:1985-07-01 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:OBJECTIVE:to evaluate a nurse-led management plan and care pathway for older people discharged from an Accident and Emergency Department after a fall. DESIGN:randomized controlled trial. SETTING:a large teaching hospital. SUBJECTS:348 consecutive patients aged 65 or over attending the Accident and Emergency Departme...
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/31.3.203
更新日期:2002-05-01 00:00:00
abstract:BACKGROUND:vascular disease has been postulated to contribute to muscle dysfunction in old age. Previous studies examining the effects of cardiovascular drugs on muscle function have shown conflicting results. We therefore examined the association of angiotensin converting enzyme (ACE) inhibitor, thiazide and statin us...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afu008
更新日期:2014-09-01 00:00:00
abstract:BACKGROUND:a large number of studies have explored factors related to self- and informant ratings of quality of life in people with dementia, but many studies have had relatively small sample sizes and mainly focused on health conditions and dementia symptoms. The aim of this study is to compare self- and informant-rat...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afz177
更新日期:2020-04-27 00:00:00
abstract:OBJECTIVES:to determine the prevalence of vertebral fractures and their risk factors in geriatric patients. DESIGN:prospective cohort study. SETTING:teaching hospital in Amsterdam, The Netherlands. SUBJECTS:three hundred and three geriatric patients, who had their first visit at a diagnostic day hospital between Apr...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afr174
更新日期:2012-03-01 00:00:00
abstract:UNLABELLED:Older people are majority users of health and social care services in the UK and internationally. Many older people who access these services have frailty, which is a state of vulnerability to adverse outcomes. The existing health care response to frailty is mainly secondary care-based and reactive to the ac...
journal_title:Age and ageing
pub_type: 杂志文章,实务指引,评审
doi:10.1093/ageing/afu138
更新日期:2014-11-01 00:00:00
abstract:METHOD:We investigated the association of total serum cholesterol concentrations and subsequent overall and coronary mortality in 304 patients aged > or =65 discharged from hospital after acute myocardial infarction. RESULTS:There was no association between total cholesterol concentrations and mortality due to either ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/28.3.313
更新日期:1999-05-01 00:00:00
abstract::Many studies have shown the indigenous elderly population and Asian immigrants to be groups at particular risk of vitamin D deficiency and osteomalacia, but there are no data on the risks in elderly Asians. In this community-based study a group of elderly Asians was compared with control groups of elderly and young wh...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/24.2.103
更新日期:1995-03-01 00:00:00
abstract:AIMS/OBJECTIVES:to study associations between the likelihood of hospital death with patient demographics, cause of death and co-morbidities for people aged ≥85 at death who have been previously admitted (within 12 months of death) to hospital. METHODS:a cross-sectional study, using death registration data and hospital...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afw019
更新日期:2016-05-01 00:00:00
abstract::One hundred and twenty-two consecutive patients admitted with acute stroke in a carotid distribution had venous blood taken for haematocrit (Hct), haemoglobin (Hb), white cell count (WCC) and urea estimations. Patients were followed for 12 weeks to determine the influence of haematocrit upon fatality. There were 96 pa...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/17.6.406
更新日期:1988-11-01 00:00:00
abstract::The world is ageing rapidly. Between 2000 and 2050, the number of people aged ≥65 will double as a proportion of the global population, from 7% to 16%, respectively. By 2050, for the first time in human history, there will be more older people than children (aged 0–14 years) in the population. More distinctive is the ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afw181
更新日期:2017-01-05 00:00:00
abstract::Clinical observations suggest an age-associated decline in skin perfusion but there are few quantitative in vivo data on skin perfusion at various ages. We studied skin perfusion of the dorsum of the foot by determining the capillary blood flow velocity (CBFV) expressed in millivolts (mV), using laser Doppler flowmetr...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/21.4.237
更新日期:1992-07-01 00:00:00
abstract::Falls pose a major threat to the well-being and quality of life of older people. Falls can result in fractures and other injuries, disability and fear and can trigger a decline in physical function and loss of autonomy. This article synthesises recent published findings on fall risk and mobility assessments and fall p...
journal_title:Age and ageing
pub_type: 杂志文章,评审
doi:10.1093/ageing/afy059
更新日期:2018-07-01 00:00:00
abstract:BACKGROUND:physical and mental health are important risk factors for cardiovascular disease (CVD) incidence and death among postmenopausal women. The objective of this study was to assess whether changes in physical and mental health were associated with CVD incidence and death. METHODS:in the Women's Health Initiativ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afy213
更新日期:2019-05-01 00:00:00
abstract::The type of environmental hazards implicated in the aetiology of a consecutive series of 787 hip-fracture patients was prospectively studied. Most falls occurred between 09 h 00 and midday and there was no seasonal variation. Fifty-one different environmental hazards were implicated in the aetiology of the fall for 58...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/25.4.322
更新日期:1996-07-01 00:00:00
abstract:BACKGROUND:The electronic Frailty Index (eFI) has been developed in primary care settings. The Hospital Frailty Risk Score (HFRS) was derived using secondary care data. OBJECTIVE:Compare the two different tools for identifying frailty in older people admitted to hospital. DESIGN AND SETTING:Retrospective cohort study...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afaa252
更新日期:2020-11-30 00:00:00
abstract::Deafness is a very common problem in older persons. We present a case of metastatic adenocarcinoma of the pancreas with deafness being the patient's only reason for seeking medical attention. The patient had bilateral vestibulocochlear nerve palsies with associated lower motor neurone facial nerve palsies and a bulbar...
journal_title:Age and ageing
pub_type: 杂志文章,评审
doi:10.1093/ageing/afs085
更新日期:2012-11-01 00:00:00