Geriatrics & gerontology international
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Geriatr Gerontol Int · Mar 2017
Multicenter StudyPredictive factors of mortality and deterioration in performance of activities of daily living after hip fracture surgery in Kagoshima, Japan.
Given that different hospitals achieve different outcomes, optimal evaluation of treatment outcomes in the local community requires evaluation of many institutions in that area. We carried out a prospective multicenter cohort study in Kagoshima Prefecture to identify factors that contribute to deterioration in activities of daily living performance and patient mortality 1 year after surgical treatment of hip fractures. ⋯ Patients with poor activities of daily living performance at the time of hospital discharge were likely to show poor functional recovery and a high 1-year postoperative mortality. Geriatr Gerontol Int 2017; 17: 391-401.
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Geriatr Gerontol Int · Mar 2017
Randomized Controlled Trial Comparative StudyThe consumption of two or more fall risk-increasing drugs rather than polypharmacy is associated with falls.
The presemt study aimed to determine the association between the risk of recurrent and injurious falls with polypharmacy, fall risk-increasing drugs (FRID) and FRID count among community-dwelling older adults. ⋯ Among high risk fallers, the use of two or more FRID was an independent risk factor for falls instead of polypharmacy. Our findings will inform clinical practice in terms of medication reviews among older adults at higher risk of falls. Future intervention studies will seek to confirm whether avoidance or withdrawal of multiple FRID reduces the risk of future falls. Geriatr Gerontol Int 2017; 17: 463-470.