Optimal healthcare delivery to care homes in the UK: a realist evaluation of what supports effective working to improve healthcare outcomes.

abstract：Background:Pain and delirium are common in people with dementia admitted to hospitals. These are often under-diagnosed and under-treated. Pain is implicated as a cause of delirium but this association has not been investigated in this setting. Objective:To investigate the relationship between pain and delirium in peop...

journal_title：Age and ageing

authors： Feast AR,White N,Lord K,Kupeli N,Vickerstaff V,Sampson EL

更新日期：2018-11-01 00:00:00

abstract：:A study was carried out to examine the prevalence of oropharyngeal and urinary tract colonization and to compare the colonizing bacteria with the strains causing nosocomial infections during patients' stays in a geriatric ward. Colonization with Gram-negative rods was not uncommon. Nosocomial infections frequently occ...

journal_title：Age and ageing

authors： Michielsen W,Vandevondele D,Verschraegen G,Claeys G,Afschrift M

更新日期：1993-05-01 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

authors： Livshits G,Ni Lochlainn M,Malkin I,Bowyer R,Verdi S,Steves CJ,Williams FMK

更新日期：2018-01-01 00:00:00

abstract：BACKGROUND:intracranial volume (ICV) is commonly used as a marker of premorbid brain size in neuroimaging studies as it is thought to remain fixed throughout adulthood. However, inner skull table thickening would encroach on ICV and could mask actual brain atrophy. OBJECTIVE:we investigated the effect that thickening ...

journal_title：Age and ageing

authors： Aribisala BS,Royle NA,Valdés Hernández MC,Murray C,Penke L,Gow A,Maniega SM,Starr JM,Bastin M,Deary I,Wardlaw J

更新日期：2014-09-01 00:00:00

abstract：:The elastic and mechanical behaviour of isolated papillar muscle was studied in aged and in young rats. The spontaneous fall in tension (stress relaxation phenomenon) and the duration of the active state of the contractile element during the isometric and isotonic contraction were greater in aged than in young rats. T...

journal_title：Age and ageing

authors： Minelli R,Reggiani C,De Nicola P

更新日期：1976-05-01 00:00:00

abstract：INTRODUCTION:Age limits for diagnostics and treatments have been largely removed and replaced by an active diagnostic and treatment practice among the oldest old and has led to concerns about potential overtreatment during the last years of life. METHODS:Use of prescription medication in the last years of life was ass...

journal_title：Age and ageing

authors： Pedersen JK,Jensen TM,Waldorff FB,Søndergaard J,Christensen K

更新日期：2020-10-23 00:00:00

abstract：BACKGROUND:our aim was to study the relationship between HbA1c and cardiovascular morbidity and all-cause mortality among older insulin-treated patients with type 2 diabetes (T2D) after adjustment for multiple confounders. METHODS:data for 4589 adults with T2D (>65 years) on insulin treatment were sourced from 532 UK ...

journal_title：Age and ageing

authors： Anyanwagu U,Mamza J,Donnelly R,Idris I

更新日期：2019-03-01 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

authors： Maffulli N,Dougall TW,Brown MT,Golden MH

更新日期：1999-09-01 00:00:00

abstract：OBJECTIVES:To determine the presentation, course and duration of delirium in hospitalized older people. DESIGN:Observational cohort study. SETTING:Inpatient surgical and medical wards at a university hospital. PARTICIPANTS:432 people over the age of 65. MEASUREMENTS:All participants were screened daily for confusio...

journal_title：Age and ageing

authors： Rudberg MA,Pompei P,Foreman MD,Ross RE,Cassel CK

更新日期：1997-05-01 00:00:00

abstract：:From an international comparison of arm anthropometric reference norms for the elderly a new diagnostic criterion for severe wasting malnutrition was derived: corrected arm muscle area at or below 16.0 cm2 for men or 16.9 cm2 for women. Of 201 consecutive hospital admissions aged 65 years and over, 10 subjects were ma...

journal_title：Age and ageing

authors： Friedman PJ,Campbell AJ,Caradoc-Davies TH

更新日期：1985-05-01 00:00:00

abstract：INTRODUCTION:Routine cognitive screening for in-patients aged ≥75 years is recommended, but there is uncertainty around how this should be operationalised. We therefore determined the feasibility and reliability of the Abbreviated mental test score (AMTS/10) and its relationship to subjective memory complaint, Montreal...

journal_title：Age and ageing

authors： Pendlebury ST,Klaus SP,Mather M,de Brito M,Wharton RM

更新日期：2015-11-01 00:00:00

abstract：BACKGROUND:Some patients may have medication-related risk factors only identified by home visits, but the extent to which those risk factors are associated with poor health outcomes remains unclear. OBJECTIVE:To determine the association between medication-related risk factors and poor patient health outcomes from obs...

journal_title：Age and ageing

authors： Sorensen L,Stokes JA,Purdie DM,Woodward M,Roberts MS

更新日期：2005-11-01 00:00:00

abstract：BACKGROUND:The number of new world records has decreased substantially in most athletic events in recent years. There has been enormous growth in participation at Masters events, and older athletes have been competing at the highest levels with much younger athletes. However, the progression of athletic performance ove...

journal_title：Age and ageing

authors： Akkari A,Machin D,Tanaka H

更新日期：2015-07-01 00:00:00

abstract：BACKGROUND:age-related hearing loss is a common chronic condition; hence, it is important to understand its influence on the functional status of older adults. We assessed the association between hearing impairment with activity limitations as assessed by the activities of daily living (ADL) scale. METHODS:a total of ...

journal_title：Age and ageing

authors： Gopinath B,Schneider J,McMahon CM,Teber E,Leeder SR,Mitchell P

更新日期：2012-03-01 00:00:00

abstract：BACKGROUND:Therapists and nurses often use verbal instruction in the rehabilitation of mobility following stroke. This study aimed to determine whether performing a verbal cognitive task while walking adversely affected patients' balance and velocity. METHODS:There were two counterbalanced conditions: walking only and...

journal_title：Age and ageing

authors： Bowen A,Wenman R,Mickelborough J,Foster J,Hill E,Tallis R

更新日期：2001-07-01 00:00:00

abstract：:Plasma and red-cell folate levels and dietary folate intake were monitored for about six months, including two months during which supplementary vitamin C was given, in 21 healthy elderly men and women living at home in the north of England. Although biochemical values were consistently low in some subjects, no clinic...

journal_title：Age and ageing

authors： Bates CJ,Fleming M,Paul AA,Black AE,Mandal AR

更新日期：1980-11-01 00:00:00

abstract：:Genetic factors are known to be of importance in determining the rate of biotransformation of foreign compounds in the liver. Adverse reactions to drugs are increased and pharmacokinetic parameters altered with age. In the present study, the effect of age on plasma paroxonase activity is studied. Paroxonase is a hepat...

journal_title：Age and ageing

authors： Playfer JR,Powell C,Evans DA

更新日期：1977-05-01 00:00:00

abstract：:The present study was undertaken to define the hormonal response to thyroid-releasing hormone (TRH) further in a large, healthy, ambulatory elderly group. Seventy-seven subjects over 60 years old, 30 males (MA) and 47 females (FA), and control subjects, 22 males (MC) and 42 females (FC) were studied. No difference in ...

journal_title：Age and ageing

authors： Kaiser FE

更新日期：1987-11-01 00:00:00

abstract：:The aim of this prospective study was to investigate whether an immunological double faecal occult blood test (Fecatwin-S/FECA-EIA) can be used in screening patients with symptoms suggestive of colonic or rectal origin in primary health care. Altogether 523 patients were referred to the study by general practitioners....

journal_title：Age and ageing

authors： Kemppainen M,Häkkinen I,Räihä I,Pomoell R,Sourander L

更新日期：1994-09-01 00:00:00

abstract：:Fifty-eight carers and their dependents who received inpatient respite care were studied before and during the admission period. Although there was no observable improvement in the carers' emotional well-being the majority of the patients showed an improvement in functioning, particularly those who were being looked a...

journal_title：Age and ageing

authors： Homer AC,Gilleard CJ

更新日期：1994-07-01 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

authors： Genever RW,Downes TW,Medcalf P

更新日期：2005-01-01 00:00:00

abstract：OBJECTIVES:To evaluate the influence of age on the day-night blood pressure rhythm and on the prevalence of vascular events in those whose systolic blood pressure (SBP) fell by <10% overnight (non-dippers). DESIGN:Cross-sectional observational cohort study. SETTING:Outpatient hypertension clinic. PARTICIPANTS:419 Hy...

journal_title：Age and ageing

authors： Di Iorio A,Marini E,Lupinetti M,Zito M,Abate G

更新日期：1999-01-01 00:00:00

abstract：:Resuscitation decisions during the first 6 weeks were analysed for 97 admissions to a psychogeriatric ward of a general teaching hospital. Seventy-seven patients (79%) had a written 'do not resuscitate' (DNR) order on admission and 74 patients (875) had a written DNR order after 6 weeks. Morbidity was assessed with a ...

journal_title：Age and ageing

authors： Dautzenberg PL,Hooyer C,Schonwetter RS,Dermout KM,vd Veer JK,Duursma SA

更新日期：1996-05-01 00:00:00

abstract：:A double-blind, placebo-controlled, clinical study was performed to assess the effects of oral betahistine hydrochloride (Serc) on mental impairment and physical disability in patients with established cerebrovascular disease. Fifty-three patients were admitted to the study during 18 months. Forty-five patients comple...

journal_title：Age and ageing

authors： Pathy J,Menon G,Reynolds A,Van Strik R

更新日期：1977-08-01 00:00:00

abstract：:We present two cases of acute hepatotoxicity associated with elevated paracetamol (acetaminophen) levels in older patients. Both patients were receiving a standard European dose of oral paracetamol (2 × 500 mg QDS) with no risk factors for slowed metabolism (weight <50 kg, interacting medications, hepatic enzyme induc...

journal_title：Age and ageing

authors： Ging P,Mikulich O,O'Reilly KM

更新日期：2016-07-01 00:00:00

abstract：:Seventy-nine patients with probable Alzheimer's disease were enrolled into a double-blind, placebo-controlled cross-over study to assess the therapeutic effect and safety of THA (tetrahydroaminoacridine; tacrine) without concomitant lecithin administration. Forty-one patients completed the trial which consisted of two...

journal_title：Age and ageing

authors： Wilcock GK,Surmon DJ,Scott M,Boyle M,Mulligan K,Neubauer KA,O'Neill D,Royston VH

更新日期：1993-09-01 00:00:00

abstract：BACKGROUND:the 16-item Falls Efficacy Scale-International (FES-I) has been shown to have excellent reliability and construct validity. However, for practical and clinical purposes, a shortened version of the FES-I would be useful. OBJECTIVE:to develop and validate a shortened version of FES-I while preserving good psy...

journal_title：Age and ageing

authors： Kempen GI,Yardley L,van Haastregt JC,Zijlstra GA,Beyer N,Hauer K,Todd C

更新日期：2008-01-01 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

authors： Gazzotti C,Arnaud-Battandier F,Parello M,Farine S,Seidel L,Albert A,Petermans J

更新日期：2003-05-01 00:00:00

abstract：:This paper describes how a sample of elderly people were identified from the electoral register using an initial postal screen, and reports a technique that was used to increase the response to the screen. ...

journal_title：Age and ageing

authors： Cartwright A,Smith C

更新日期：1987-03-01 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

authors： Smith J,Green J,Siddiqi N,Inouye SK,Collinson M,Farrin A,Young J

更新日期：2020-07-01 00:00:00