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 frail older people. In this article, we review the results of three recent intervention studies carried out as part of the Dutch National Care for the Elderly Programme. The results illustrate how difficult it is to improve outcomes in community-dwelling frail older adults by means of integrated care. Furthermore, we discuss the implications of these studies for future research into frailty interventions.
journal_name
Age Ageingjournal_title
Age and ageingauthors
Hoogendijk EOdoi
10.1093/ageing/afw081subject
Has Abstractpub_date
2016-09-01 00:00:00pages
585-8issue
5eissn
0002-0729issn
1468-2834pii
afw081journal_volume
45pub_type
杂志文章,评审相关文献
AGE AND AGEING文献大全abstract::Data on National Health Service (NHS) dental care utilization by the elderly are analysed to consider the distribution of dental care according to the charge status of the patient. Considerable and significant differences are observed in the type and amount of dental care provided to elderly patients exempt and not ex...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/18.2.136
更新日期:1989-03-01 00:00:00
abstract:Background:high cardiorespiratory fitness (CRF) is associated with larger brain volumes but data on sex differences in the association of CRF with brain volumes are scarce. We investigated whether the association of CRF with total grey matter (GM) and white matter volumes as well as medial temporal lobe and striatum vo...
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/afw191
更新日期:2017-03-01 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::We examined the characteristics of patients occupying elderly-mentally-ill acute and assessment beds in all mental health units within North and South Thames Regions; the proportion of patients defined as no longer requiring acute care (inappropriately located); and the unmet need for alternative service provision the...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/25.4.268
更新日期:1996-07-01 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: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::Fasting serum cholesterol and triglyceride levels, and lipoprotein electrophoretic patterns have been investigated in 42 men aged 67-92 years (mean 79 years). Although all the cholesterol and the majority of the triglyceride levels were within the normal range for younger people, both were significantly greater (P < 0...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/9.3.154
更新日期:1980-08-01 00:00:00
abstract:Introduction:frailty is an increased vulnerability to adverse health outcomes, across multiple physiological systems, with both environmental and genetic drivers. The two most commonly used measures are Rockwood's frailty index (FI) and Fried's frailty phenotype (FP). Material and methods:the present study included 36...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afx122
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:chronic obstructive pulmonary disease (COPD) prevalence steadily increases with age. However, the effectiveness of inhaled therapy in the elderly COPD population has rarely been formally evaluated. We studied a group of elderly patients with COPD with a range of severity, selected from one General Practice re...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afl174
更新日期:2007-03-01 00:00:00
abstract::We analysed 103 episodes of upper gastrointestinal bleeding in 88 elderly patients (age 76 +/- 7.7 years) to determine which of a group of 52 clinical and laboratory variables, measured on admission, best predicted continued or rebleeding, and death in these patients. Variables which related directly to the size of th...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/16.4.208
更新日期:1987-07-01 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::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::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::The DOMINO study compared domiciliary and hospital-based rehabilitation services for stroke patients after discharge from hospital, stratified by the hospital ward at discharge. No difference between the services had been found at 6 months, but home therapy was better than outpatient department therapy at improving ho...
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/23.1.9
更新日期:1994-01-01 00:00:00
abstract::The effect of leukoaraiosis or white matter low attenuation (WMLA) on cognitive function is not fully understood. We compared the neuropsychological performance of 37 Alzheimer's disease patients with WMLA on CT brain scans with a similar group of 31 Alzheimer's disease patients with no evidence of white matter lesion...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/25.6.443
更新日期:1996-11-01 00:00:00
abstract:BACKGROUND:Little is known about the factors that are associated with receipt of care in older people. This study aims to describe the pattern and predictors of service usage, by a representative sample of people aged 65 and over. METHOD:We assessed psychiatric and physical morbidity, formal and informal care and pres...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/31.6.445
更新日期:2002-11-01 00:00:00
abstract::The UK has many excellent care homes that provide high-quality care for their residents; however, across the care home sector, there is a significant need for improvement. Even though the majority of care homes receive a rating of 'good' from regulators, still significant numbers are identified as requiring 'improveme...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afw154
更新日期:2017-03-01 00:00:00
abstract:Background:measuring the complex needs of care home residents is crucial for resource allocation. Hospital patient administration systems (PAS) may not accurately identify admissions from care homes. Objective:to develop and validate an accurate, practical method of identifying care home resident hospital admission us...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afx182
更新日期:2018-05-01 00:00:00
abstract:OBJECTIVE:to prevent the occurrence of weight loss during hospitalisation and following discharge by daily oral supplementation. DESIGN:in a prospective, randomised, controlled study of 80 patients aged 75 or more, and at risk of undernutrition based on their initial Mini Nutritional Assessment score, patients were ra...
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/32.3.321
更新日期:2003-05-01 00:00:00
abstract:BACKGROUND:the nursing home Resident Assessment Instrument (RAI) includes a set of core assessment items, known as the Minimum Data Set (MDS), for assessment and care screening and more detailed Resident Assessment Protocols in 18 areas that represent common problem areas or risk factors for nursing home residents. Its...
journal_title:Age and ageing
pub_type: 杂志文章,评审
doi:10.1093/ageing/26.suppl_2.19
更新日期:1997-09-01 00:00:00
abstract:BACKGROUND:the STOPP criteria advise against the use of long-acting benzodiazepines (LBs). OBJECTIVE:to study whether LBs are associated with a higher fall risk than short-acting benzodiazepines (SBs) (elimination half-life ≤ 10 h). METHODS:we used base-line data and prospective fall follow-up from the Longitudinal A...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/aft089
更新日期:2013-11-01 00:00:00
abstract:BACKGROUND:the recognition of stroke symptoms by the public and activation of the emergency medical services (EMS) are the most important factors in instigating pre-hospital stroke care. Studies have suggested that poor recognition of the warning signs of stroke is the main cause of delay in accessing the EMS. METHODS...
journal_title:Age and ageing
pub_type: 杂志文章,评审
doi:10.1093/ageing/afp196
更新日期:2010-01-01 00:00:00
abstract:BACKGROUND:Frailty was shown to be associated with psychosocial risk factors, but there are few longitudinal data. METHODS:We used data from waves 5 and 6 of the Survey of Health Aging Retirement in Europe (SHARE) to study the contribution of loneliness and social isolation to transitions towards frailty defined accor...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afaa168
更新日期:2021-01-08 00:00:00
abstract:OBJECTIVES:To compare costs and outcome of occupational therapy-led assessment with social worker-led assessment of older people, in terms of their independence and quality of life. DESIGN:Cost-effectiveness analysis alongside a randomised controlled trial. The analysis took viewpoints of health services and patients....
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/afh232
更新日期:2005-01-01 00:00:00
abstract:BACKGROUND:the study of factors associated with age-related gait decline may assist in developing methods to preserve mobility in older people. OBJECTIVE:to examine the associations between sensorimotor factors relevant to ageing and gait in the general older population. DESIGN:cross-sectional population-based study....
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afp017
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND:The reason why elderly human hips tend to break in one of two anatomical regions is uncertain. Nutritional factors may affect the site of fracture. OBJECTIVE:To assess possible nutritional differences in patients with proximal femoral fractures. DESIGN:Prospective observational cohort study. SETTING:Unive...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/28.5.458
更新日期:1999-09-01 00:00:00
abstract:BACKGROUND:a fall occurs when an individual experiences a loss of balance from which they are unable to recover. Assessment of balance recovery ability in older adults may therefore help to identify individuals at risk of falls. The purpose of this 12-month prospective study was to assess whether the ability to recover...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afu054
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:To compare the levels of satisfaction expressed by residents of nursing homes with those of patients in geriatric long-stay wards. DESIGN:A structured satisfaction questionnaire containing 37 closed and two open questions was used to elicit responses from residents of nursing homes in the former South West T...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/27.2.199
更新日期:1998-03-01 00:00:00
abstract:BACKGROUND:antipsychotics are widely used in assisted living (AL facilities). Even more, the prescription of these drugs is gradually increasing since the availability of second-generation atypical antipsychotics. More knowledge is needed on prescription reasons to understand this increasing prevalence. METHODS:cross-...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afr032
更新日期:2011-05-01 00:00:00
abstract::The Neuberger report failed to show that the Liverpool Care Pathway was the cause of poor end-of-life care and made it the scapegoat for poor communication and faulty decision-making. The report's discrediting of a quality assurance mechanism that had the potential for improvement is a disservice to dying patients. Se...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/aft195
更新日期:2014-03-01 00:00:00