International journal of geriatric psychiatry
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Int J Geriatr Psychiatry · Oct 2019
Likelihood of depressive symptoms in US older adults by prescribed opioid potency: National Health and Nutrition Examination Survey 2005-2013.
To investigate the relationships between depressive symptoms and opioid potency among adults aged 50 years and older reporting use of one or more prescription opioids in the past 30 days. ⋯ Compared with older adults without depressive symptoms, older adults with severe depressive symptoms are more likely to be taking high-potency opioid medications. Future prescription opioid medication research should prioritize investigations among older adults with pain-related diagnoses, other than arthritis, reporting preexisting or new symptoms of severe depression.
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Int J Geriatr Psychiatry · Oct 2019
Hospitalized burn injury risk associated with benzodiazepines and Z-drugs in elders: A population-based case-control study.
To examine the association between benzodiazepines (BZDs) and Z-drugs treatment and risk of burn injury in elders. ⋯ BZDs and Z-drugs prescriptions in elders may be associated with increased risk of burn injury hospitalization. When prescribing BZDs and Z-drugs, clinicians should exercise caution with the elderly to minimize risks.
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Int J Geriatr Psychiatry · Oct 2019
The trajectory of C-reactive protein serum levels in older hip fracture patients with postoperative delirium.
Important precipitating risk factors for delirium such as infections, vascular disorders, and surgery are accompanied by a systemic inflammatory response. Systemic inflammatory mediators can induce delirium in susceptible individuals. Little is known about the trajectory of systemic inflammatory markers and their role in the development and outcome of delirium. ⋯ Delirium is associated with an increased systemic inflammatory response, and our results suggest that CRP plays a role in the underlying (inflammatory-vascular) pathological pathway of postoperative delirium.