Follow-up of a controlled trial of domiciliary stroke rehabilitation (DOMINO Study).

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 household ability and leisure activity in the patients discharged from the Stroke Unit (SU), and attendance at a day hospital may have been better than a domiciliary service at preventing death or institutionalization for patients discharged from Health Care of the Elderly (HCE) wards. We report the follow-up of the patients between 6 months and 1 year after discharge, during which time few patients received further treatment and little change in health or function occurred. Over this period the benefits of domiciliary rehabilitation in the SU group were lost, largely because the patients who had been treated in outpatient departments continued to improve. Between 6 months and 1 year the numbers of HCE patients in the two treatment groups who died or were institutionalized were similar, but the advantage of day hospital attendance was still evident at 1 year.

journal_name

Age Ageing

journal_title

Age and ageing

authors

Gladman JR,Lincoln NB

doi

10.1093/ageing/23.1.9

subject

Has Abstract

pub_date

1994-01-01 00:00:00

pages

9-13

issue

1

eissn

0002-0729

issn

1468-2834

journal_volume

23

pub_type

临床试验,杂志文章,随机对照试验
  • Prospective trial of a new diagnostic criterion for severe wasting malnutrition in the elderly.

    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

    pub_type: 杂志文章

    doi:10.1093/ageing/14.3.149

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

    更新日期:1985-05-01 00:00:00

  • Improving the recording of the clinical assessment of stroke patients using a clerking pro forma.

    abstract::In this study we examine whether the introduction of a clerking pro forma improves the completeness of the recording of the management of stroke patients and we review methodological issues important in this type of audit. We prospectively identified 244 consecutive stroke patients before and after the introduction of...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/24.1.43

    authors: Davenport RJ,Dennis MS,Warlow CP

    更新日期:1995-01-01 00:00:00

  • Hospital use, institutionalisation and mortality associated with delirium.

    abstract:BACKGROUND:Delirium is a disorder affecting consciousness, which gives rise to core clinical features and associated symptoms. Older patients are particularly prone, owing to higher rates of pre-existing cognitive impairment, frailty, co-morbidity and polypharmacy. OBJECTIVES:The aim of this study was to investigate t...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afq052

    authors: Eeles EM,Hubbard RE,White SV,O'Mahony MS,Savva GM,Bayer AJ

    更新日期:2010-07-01 00:00:00

  • A population-based study of sensorimotor factors affecting gait in older people.

    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

    authors: Callisaya ML,Blizzard L,Schmidt MD,McGinley JL,Lord SR,Srikanth VK

    更新日期:2009-05-01 00:00:00

  • Interventions to prevent and reduce excessive alcohol consumption in older people: a systematic review and meta-analysis.

    abstract:Background:harmful alcohol consumption is reported to be increasing in older people. To intervene and reduce associated risks, evidence currently available needs to be identified. Methods:two systematic reviews in older populations (55+ years): (1) Interventions to prevent or reduce excessive alcohol consumption; (2) ...

    journal_title:Age and ageing

    pub_type: 杂志文章,meta分析

    doi:10.1093/ageing/afx132

    authors: Kelly S,Olanrewaju O,Cowan A,Brayne C,Lafortune L

    更新日期:2018-03-01 00:00:00

  • Alcohol consumption by elderly people: a general practice survey.

    abstract::A random sample of 241 patients from General Practice registers in London were interviewed to assess alcohol consumption, cognitive impairment, depression and other factors. Fifty-one per cent of men and 22% of women reported use of alcohol in the previous 3 months. No significant association was found between reporte...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/20.2.120

    authors: Iliffe S,Haines A,Booroff A,Goldenberg E,Morgan P,Gallivan S

    更新日期:1991-03-01 00:00:00

  • Metabolic syndrome and insulin resistance are associated with frailty in older adults: a prospective cohort study.

    abstract:Background:diabetes increases the risk of frailty that is a leading cause of disability and premature mortality in older people. Metabolic syndrome (MS) and insulin resistance (IR) are strong risk factors for diabetes and could, thus, lead to frailty. However, the association between MS or IR and frailty has barely bee...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afx023

    authors: Pérez-Tasigchana RF,León-Muñoz LM,Lopez-Garcia E,Gutierrez-Fisac JL,Laclaustra M,Rodríguez-Artalejo F,Guallar-Castillón P

    更新日期:2017-09-01 00:00:00

  • Contribution of the elderly to a district hospital combined gastroenterology clinic.

    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

    authors: Purkayastha SK,Salter RH,Holmes KM

    更新日期:1988-01-01 00:00:00

  • Medication management at home: medication-related risk factors associated with poor health outcomes.

    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

    pub_type: 杂志文章

    doi:10.1093/ageing/afi202

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

    更新日期:2005-11-01 00:00:00

  • Central auditory function in early Alzheimer's disease and in mild cognitive impairment.

    abstract:OBJECTIVE:to investigate auditory function in subjects with early Alzheimer's disease, mild cognitive impairment and with subjective memory complaints, in search of signs of central auditory processing dysfunction even in early stages of cognitive impairment. DESIGN AND SUBJECTS:a consecutive group of men and women, r...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afq168

    authors: Idrizbegovic E,Hederstierna C,Dahlquist M,Kämpfe Nordström C,Jelic V,Rosenhall U

    更新日期:2011-03-01 00:00:00

  • Reappraising 'the good death' for populations in the age of ageing.

    abstract::This is the second in an occasional series of paired commentaries in Age and Ageing, the Journal of the British Geriatrics Society and the Journal of the American Geriatrics Society (JAGS). The aim is to address issues of current significance and to foster dialogue and increased understanding between academics and cli...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afy008

    authors: Pollock K,Seymour J

    更新日期:2018-05-01 00:00:00

  • The prevalence of faecal incontinence in older people living at home.

    abstract:BACKGROUND:faecal incontinence affects quality of life and causes caregiver strain. Patients are often reluctant to seek help because of embarrassment and perceived lack of effective treatment. Persisting faecal soiling may lead to unwanted and premature institutionalization. OBJECTIVE:to ascertain the prevalence of f...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/30.6.503

    authors: Edwards NI,Jones D

    更新日期:2001-11-01 00:00:00

  • Autonomic cardiovascular responses to tilting in patients with Alzheimer's disease and in healthy elderly women.

    abstract::The cardiovascular responses to tilting and breathing were studied in 24 patients with late-onset Alzheimer's disease (AD) and 54 healthy control women aged between 75 and 96 years in order to study the parasympathetic and sympathetic heart-rate control. The cardiovascular response to tilting and breathing showed no a...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/21.4.301

    authors: Elmståhl S,Petersson M,Lilja B,Samuelsson SM,Rosén I,Bjunö L

    更新日期:1992-07-01 00:00:00

  • Why should medical students study Social Gerontology?

    abstract::The General Medical Council (GMC) provides a core curriculum for all medical degrees in the UK. However, these guidelines do not provide in-depth, specific learning outcomes for the various medical specialties. Recognising our ageing population, the British Geriatrics Society in 2013 published their own supplementary ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afw003

    authors: Tinker A,Hussain L,D'Cruz JL,Tai WY,Zaidman S

    更新日期:2016-03-01 00:00:00

  • Using the Resident Assessment Instrument for quality enhancement in nursing homes.

    abstract:BACKGROUND:in some current policy discussions concerning long-term care, the emphasis has been almost solely on the costs of care. This dialogue must be replaced with a discussion of value, which emphasizes both the costs of care and quality of care. While the Resident Assessment Instrument (RAI) was originally designe...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/26.suppl_2.77

    authors: Phillips CD,Zimmerman D,Bernabei R,Jonsson PV

    更新日期:1997-09-01 00:00:00

  • Senile parkinsonism, a study of current treatment.

    abstract::In a survey of all 2069 in-patients at 14 geriatric centres, 249 patients were found to have received drugs for the treatment of parkinsonism. There was a wide variation in point prevalence which varied from 4.6% to 22.6% between centres. Levodopa, usually in combination with a decarboxylase inhibitor, was the most fr...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/10.2.81

    authors: White NJ,Barnes TR

    更新日期:1981-05-01 00:00:00

  • Evidence of cellular zinc depletion in hospitalized but not in healthy elderly subjects.

    abstract::Cellular immune function declines with age and is implicated in the increased incidence of cancer, and morbidity and mortality associated with infections in elderly people. Elderly people are at risk of nutritional depletion, including of zinc, and zinc is known to influence immunity. The present study assessed zinc s...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/20.5.345

    authors: Goode HF,Penn ND,Kelleher J,Walker BE

    更新日期:1991-09-01 00:00:00

  • New horizons in design for autonomous ageing.

    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

    authors: van der Cammen TJ,Albayrak A,Voûte E,Molenbroek JF

    更新日期:2017-01-05 00:00:00

  • Post-acute care for older people in community hospitals--a cost-effectiveness analysis within a multi-centre randomised controlled trial.

    abstract:OBJECTIVES:to compare the cost effectiveness of post-acute care for older people provided in community hospitals with general hospital care. DESIGN:cost-effectiveness study embedded within a randomised controlled trial. SETTING:seven community hospitals and five general hospitals at five centres in the midlands and n...

    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/afn120

    authors: O'Reilly J,Lowson K,Green J,Young JB,Forster A

    更新日期:2008-09-01 00:00:00

  • Effect of intravenous iron on functional outcomes in hip fracture: a randomised controlled trial.

    abstract:OBJECTIVES:to determine the safety and effect of intravenous iron sucrose on functional outcomes, delirium, nosocomial infections and transfusion requirements in older patients with hip fracture. DESIGN:single-centre randomised, double-blind, placebo-controlled clinical trial. SETTING AND PARTICIPANTS:orthogeriatric ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afaa107

    authors: Bielza R,Llorente J,Thuissard IJ,Andreu-Vázquez C,Blanco D,Sanjurjo J,López N,Herráez MR,Molano C,Morales A,Arias E,Neira M,Lung A,Escalera J,Portillo L,Larrubia Y,García C,Zambrana F,Gómez Cerezo J

    更新日期:2021-01-08 00:00:00

  • Mental and physical health of elderly people: five-year follow-up of a total population.

    abstract::The change in mental and physical functioning over 5 years for 594 survivors of a community survey of the elderly is described. An increase in cognitive impairment, physical disability and incontinence over the period was found with increasing age. Women in the two oldest age groups had a significantly greater increas...

    journal_title:Age and ageing

    pub_type: 杂志文章,评审

    doi:10.1093/ageing/18.2.77

    authors: Jagger C,Clarke M,Cook AJ

    更新日期:1989-03-01 00:00:00

  • Functional profiles of healthy older persons.

    abstract::To learn whether the percentage of time spent at different functional levels varies as a function of age, we studied 44 older (mean age 70 years) and 46 younger (mean age 27 years) urban, community-dwelling volunteers who participated in a study of normative ageing of the cardiovascular system. Each subject completed ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/23.1.34

    authors: Ashworth JB,Reuben DB,Benton LA

    更新日期:1994-01-01 00:00:00

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

    abstract:INTRODUCTION:care home residents have high healthcare needs not fully met by prevailing healthcare models. This study explored how healthcare configuration influences resource use. METHODS:a realist evaluation using qualitative and quantitative data from case studies of three UK health and social care economies select...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afx195

    authors: Gordon AL,Goodman C,Davies SL,Dening T,Gage H,Meyer J,Schneider J,Bell B,Jordan J,Martin FC,Iliffe S,Bowman C,Gladman JRF,Victor C,Mayrhofer A,Handley M,Zubair M

    更新日期:2018-07-01 00:00:00

  • The decision to work after state pension age and how it affects quality of life: evidence from a 6-year English panel study.

    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

    authors: Di Gessa G,Corna L,Price D,Glaser K

    更新日期:2018-05-01 00:00:00

  • General practitioner conduct of clinical services representing comprehensive geriatric assessment is associated with lower risk of mortality in older Australians receiving home care packages.

    abstract:OBJECTIVES:The purpose of this paper is to investigate the utilisation of general practice Medicare Benefit Schedule (MBS) services aligned to Comprehensive Geriatric Assessment (CGA) within 6 months of an aged care eligibility assessment and its effects on mortality and transition to permanent residential aged care (P...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afaa272

    authors: Visvanathan R,Amare AT,Wesselingh S,Inacio MC

    更新日期:2020-12-23 00:00:00

  • Chronic conditions and use of health care service among German centenarians.

    abstract:Background:there is limited data comparing conditions and health service use across care settings in centenarians. To improve health service delivery in centenarians, the aim of this study was to compare the proportion of centenarians who have chronic conditions, take medication and use health care services across diff...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afx008

    authors: von Berenberg P,Dräger D,Zahn T,Neuwirth J,Kuhlmey A,Gellert P

    更新日期:2017-11-01 00:00:00

  • Priorities for the professional development of registered nurses in nursing homes: a Delphi study.

    abstract:Objective:To establish a consensus on the care and professional development needs of registered nurses (RNs) employed by UK care homes. Design:Two-stage, online modified Delphi study. Setting and Participants:A panel (n = 352) of individuals with experience, expertise or interest in care home nursing: (i) care home n...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afw160

    authors: Cooper E,Spilsbury K,McCaughan D,Thompson C,Butterworth T,Hanratty B

    更新日期:2017-01-08 00:00:00

  • Risk of imbalance in elderly people with impaired hearing or vision.

    abstract::We evaluated the effect of impaired hearing and vision on balance in a sample of 977 elderly people residing in the community. Of the sample, 21% reported balance problems, 27% vision problems, and 30% hearing problems. The increased relative risk for balance problems was 1.7 for each 10-year age increment. Women were...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/18.1.31

    authors: Gerson LW,Jarjoura D,McCord G

    更新日期:1989-01-01 00:00:00

  • A longitudinal study of knee pain in older men: Concord Health and Ageing in Men Project.

    abstract:BACKGROUND:chronic knee pain is still considered a fairly benign disease by many, an 'unavoidable' consequence of ageing. This passive acceptance may be unnecessarily exposing older people to disability and serious co-morbidity. The aim of this study was to determine the disease burden associated with chronic knee pain...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/aft188

    authors: Fransen M,Su S,Harmer A,Blyth FM,Naganathan V,Sambrook P,Le Couteur D,Cumming RG

    更新日期:2014-03-01 00:00:00

  • Cognitive impairment in the elderly--a community survey.

    abstract::Previous studies have suggested that up to a fifth of people over the age of 80 years may suffer severe dementia-like illnesses. This total population survey of over a thousand people over the age of 75 suggests that the prevalence of marked cognitive impairment is much less than expected. However, differences in the ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/15.5.278

    authors: Clarke M,Lowry R,Clarke S

    更新日期:1986-09-01 00:00:00