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


: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.


Age Ageing


Age and ageing


Gladman JR,Lincoln NB




Has Abstract


1994-01-01 00:00:00












  • The association of visual field deficits and visuo-spatial neglect in acute right-hemisphere stroke patients.

    abstract:BACKGROUND:Visuo-spatial neglect (VSN) after stroke is associated with a poor prognosis for rehabilitation. The co-existence of a visual field deficit (VFD) with VSN may be associated with impaired visuo-spatial functioning and thereby poor functional outcome. OBJECTIVE:To determine whether the presence of a VFD (i) e...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Cassidy TP,Bruce DW,Lewis S,Gray CS

    更新日期:1999-05-01 00:00:00

  • Hip fracture risk and subsequent mortality among Alzheimer's disease patients in the United Kingdom, 1988-2007.

    abstract:BACKGROUND:hip fractures result in a significant burden to the patient, their caregivers and the health care system. Patients with Alzheimer's disease (AD) have a higher incidence of hip fracture compared with other older people without AD, although it is not clear if AD is an independent risk factor for hip fracture. ...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Baker NL,Cook MN,Arrighi HM,Bullock R

    更新日期:2011-01-01 00:00:00

  • A randomised trial of the effect of different fluid consistencies used in the management of dysphagia on quality of life: a time trade-off study.

    abstract:BACKGROUND:thickened fluids are commonly advised to minimise the risk of aspiration in people with dysphagia, although many do not comply with this treatment. In health economics, utilities are values that reflect an individual's preferences for different health states. We examined the healthcare utilities, elicited us...

    journal_title:Age and ageing

    pub_type: 杂志文章,随机对照试验


    authors: Lim DJ,Mulkerrin SM,Mulkerrin EC,O'Keeffe ST

    更新日期:2016-03-01 00:00:00

  • The natural history of delirium in older hospitalized patients: a syndrome of heterogeneity.

    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

    pub_type: 杂志文章


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

    更新日期:1997-05-01 00:00:00

  • Transcatheter aortic valve implantation: restoring the qualities of life in old age.

    abstract::Transcatheter aortic valve implantation (TAVI) is a tremendous therapeutic advance for patients with severe aortic stenosis and high-surgical risk. Since TAVI-treated patients are elderly with multiple co-existing conditions, limited life expectancy and disproportionate health-care expenditures, the aspect of the heal...

    journal_title:Age and ageing

    pub_type: 杂志文章,评审


    authors: Georgiadou P,Sbarouni E,Karavolias GK,Voudris V

    更新日期:2013-01-01 00:00:00

  • Eating alone and depression in older men and women by cohabitation status: The JAGES longitudinal survey.

    abstract:BACKGROUND:Eating by oneself may be a risk factor for mental illness among older adults, but may be influenced by cohabitation status. We examined the association between eating alone and depression in the context of cohabitation status in older adults in Japan. DESIGN:A longitudinal, population-based study. SETTING:...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Tani Y,Sasaki Y,Haseda M,Kondo K,Kondo N

    更新日期:2015-11-01 00:00:00

  • Estimating total Barthel scores from just three items: the European Stroke Database 'minimum dataset' for assessing functional status at discharge from hospital.

    abstract:BACKGROUND:The European Stroke Database (ESDB) Project aims to develop a 'common clinical language' for stroke care by agreeing on terminology, definitions and clinical assessments. Each area of stroke assessment has a 'minimum dataset', which can be collected routinely and more detailed information can be added for pa...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Ellul J,Watkins C,Barer D

    更新日期:1998-03-01 00:00:00

  • New horizons in fracture risk assessment.

    abstract::Fracture is the clinical outcome of concern in osteoporosis, a disease variably defined over the last 30 years, mostly in terms of bone mineral density (BMD). However, an 'osseocentric' view of the condition may have hampered our understanding of how best to identify patients at the greatest risk of fragility fracture...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Aspray TJ

    更新日期:2013-09-01 00:00:00

  • Unexpected paracetamol (acetaminophen) hepatotoxicity at standard dosage in two older patients: time to rethink 1 g four times daily?

    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

    pub_type: 杂志文章


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

    更新日期:2016-07-01 00:00:00

  • Public knowledge and understanding of dementia-evidence from a national survey in Ireland.

    abstract:Background:there is growing consensus around the importance of population level approaches which seek to improve public knowledge and awareness of dementia. Aim:to assess knowledge of the relationship between dementia and ageing, and of the risk and protective factors associated with it, among the general public in Ir...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Glynn RW,Shelley E,Lawlor BA

    更新日期:2017-09-01 00:00:00

  • Confirming long-stay status.

    abstract::This paper discusses an assessment procedure for the formal identification of patients requiring long-stay geriatric care. It was introduced immediately prior to the reorganization of geriatric in-patient care at St Pancras Hospital which saw the abolition of mixed wards of acute, rehabilitation, and long-stay patient...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Golding R,Lugon M,Hodkinson HM

    更新日期:1987-01-01 00:00:00

  • Reactive stepping behaviour in response to forward loss of balance predicts future falls in community-dwelling older adults.

    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


    authors: Carty CP,Cronin NJ,Nicholson D,Lichtwark GA,Mills PM,Kerr G,Cresswell AG,Barrett RS

    更新日期:2015-01-01 00:00:00

  • Does vitamin D stop inpatients falling? A randomised controlled trial.

    abstract:BACKGROUND:Vitamin D deficiency is common in older people and may increase risk of falls and fracture. Hospital inpatients are at particular risk of falling. Previous studies suggest that vitamin D improves neuromuscular function and reduces falls. OBJECTIVE:To determine whether routine supplementation with vitamin D ...

    journal_title:Age and ageing

    pub_type: 杂志文章,随机对照试验


    authors: Burleigh E,McColl J,Potter J

    更新日期:2007-09-01 00:00:00

  • A prediction model for one- and three-year mortality in dementia: results from a nationwide hospital-based cohort of 50,993 patients in the Netherlands.

    abstract:OBJECTIVE:to develop a model to predict one- and three-year mortality in patients with dementia attending a hospital, through hospital admission or day/memory clinic. DESIGN:we constructed a cohort of dementia patients through data linkage of three Dutch national registers: the hospital discharge register (HDR), the p...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: van de Vorst IE,Golüke NMS,Vaartjes I,Bots ML,Koek HL

    更新日期:2020-04-27 00:00:00

  • Ageism in the management of lung cancer.

    abstract:BACKGROUND:age-related differences in the treatment of lung cancer patients have been reported in the past, but most previous studies have not recorded case-mix factors, nor have they studied the impact of such ageism on survival. METHODS:a questionnaire-based study of diagnostic and case-mix factors was carried out a...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Peake MD,Thompson S,Lowe D,Pearson MG,Participating Centres.

    更新日期:2003-03-01 00:00:00

  • Preparation to care for confused older patients in general hospitals: a study of UK health professionals.

    abstract:BACKGROUND AND OBJECTIVE:in the UK, two-thirds of patients in general hospitals are older than 70, of whom half have dementia or delirium or both. Our objective was to explore doctors, nurses and allied health professionals' perceptions of their preparation to care for confused older patients on general hospital wards....

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Griffiths A,Knight A,Harwood R,Gladman JR

    更新日期:2014-07-01 00:00:00

  • Medical therapy for the overactive bladder in the elderly.

    abstract::The overactive bladder is the commonest underlying bladder disorder causing urinary incontinence in elderly people. Management of the condition relies upon a holistic assessment of the problem, lifestyle adjustment, behavioural management and drug therapy. The majority of currently available drugs rely on their anti-m...

    journal_title:Age and ageing

    pub_type: 杂志文章,评审


    authors: Wagg A,Cohen M

    更新日期:2002-07-01 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


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

    更新日期:2005-11-01 00:00:00

  • The effect of a vinyl floor surface and a carpeted floor surface upon walking in elderly hospital in-patients.

    abstract::Fifty-eight elderly hospital patients walked along a 10-m length of carpeted corridor and a 10-m length of vinyl-tiled corridor. Gait speed and step length were significantly greater on the carpeted than on the vinyl surface. ...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Willmott M

    更新日期:1986-03-01 00:00:00

  • Persistent pain is a risk factor for frailty: a systematic review and meta-analysis from prospective longitudinal studies.

    abstract:Background:pain is prevalent in frail older adults; however, the association of pain and frailty has not been evaluated yet by a systematic assessment of prospective longitudinal studies. Objective:we aimed to assess the association of persistent pain as a risk factor for frailty incidence, using data from longitudina...

    journal_title:Age and ageing

    pub_type: 杂志文章,meta分析


    authors: Saraiva MD,Suzuki GS,Lin SM,de Andrade DC,Jacob-Filho W,Suemoto CK

    更新日期:2018-11-01 00:00:00

  • Duodenal ulcer disease in the elderly: a retrospective study.

    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


    authors: Watson RJ,Hooper TL,Ingram G

    更新日期:1985-07-01 00:00:00

  • A modelling-based economic evaluation of primary-care-based fall-risk screening followed by fall-prevention intervention: a cohort-based Markov model stratified by older age groups.

    abstract:BACKGROUND:fall-risk assessment with fall-prevention intervention referral for at-risk groups to avoid falls could be cost-effective from a care-payer perspective. AIMS:to model the cost-effectiveness of a fall-risk assessment (QTUG compared to TUG) with referral to one of four fall-prevention interventions (Otago, Fa...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Franklin M,Hunter RM

    更新日期:2019-12-01 00:00:00

  • Slicing the health service cake: the Islington study.

    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


    authors: Nelson T,Livingston G,Knapp M,Manela M,Kitchen G,Katona C

    更新日期:2002-11-01 00:00:00

  • A prospective study of elderly general surgical patients: II. Post-operative complications.

    abstract::A prospective study was carried out on 288 general surgical patients aged 65 years and over. Over 40% of patients suffered no post-operative complication. The commonest post-operative problem was respiratory, with 17% of patients having simple atelectasis, 12% acute bronchitis and 10% pneumonia. Six per cent of patien...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Seymour DG,Vaz FG

    更新日期:1989-09-01 00:00:00

  • Secrets and lies: the dilemma of disclosing the diagnosis to an adult with dementia.

    abstract::Guidelines state that doctors should reveal the diagnosis to the carer and the person with dementia. Carers may, however, not wish the diagnosis to be disclosed. We investigated carer and patient characteristics associated with the wish for disclosure. Fifty-four per cent of 100 carers wished the diagnosis to be revea...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Fahy M,Wald C,Walker Z,Livingston G

    更新日期:2003-07-01 00:00:00

  • Geriatric medicine in Sweden: a study of the organisation, staffing and care production in 2000-2001.

    abstract:OBJECTIVE:the organisation of long-term medicine and geriatric medicine has undergone many changes during the last 15 years. The aim of this study is to gain an overall perspective of the present organisation of geriatric medicine in Sweden. DESIGN:questionnaire survey. METHODS:The Swedish Society for Geriatric Medic...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Akner G

    更新日期:2004-07-01 00:00:00

  • Cardiorespiratory fitness and brain volumes in men and women in the FINGER study.

    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


    authors: Pentikäinen H,Ngandu T,Liu Y,Savonen K,Komulainen P,Hallikainen M,Kivipelto M,Rauramaa R,Soininen H

    更新日期:2017-03-01 00:00:00

  • Dementia in resuscitation policy: a prospective study of a psychogeriatric ward in a Dutch general teaching hospital.

    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

    pub_type: 杂志文章


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

    更新日期:1996-05-01 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


    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

  • 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


    authors: Edwards NI,Jones D

    更新日期:2001-11-01 00:00:00