Age and ageing
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Randomized Controlled Trial Multicenter Study Comparative Study
Efficacy and safety of apixaban compared with aspirin in the elderly: a subgroup analysis from the AVERROES trial.
increasing age is associated with a higher prevalence of atrial fibrillation (AF), and higher risks of stroke and bleeding. We report the effects of apixaban versus acetylsalicylic acid (ASA) in older patients (≥75 years and ≥85 years) compared with younger patients with AF unsuitable for vitamin K antagonists. ⋯ ClinicalTrials.gov number: NCT00496769. URL: https://clinicaltrials.gov/ct2/show/NCT00496769.
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Multicenter Study
The Multidimensional Prognostic Index predicts in-hospital length of stay in older patients: a multicentre prospective study.
prediction of length of stay (LOS) may be useful to optimise care plans to reduce the negative outcomes related to hospitalisation. ⋯ the MPI is an accurate predictor of LOS in older patients hospitalised with the most frequent diseases.
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Comparative Study
Analgesic prescribing patterns in Norwegian nursing homes from 2000 to 2011: trend analyses of four data samples.
the analgesic drug use has been reported to increase in general in nursing home patients. However, there is insufficient evidence in terms of what agents are used, variations of use over time and to whom these drugs are prescribed. ⋯ the analgesic drug prescription increased significantly from 2000 to 2011, especially the use of paracetamol and strong opioids. We also highlight a possible change from under-prescription of analgesic medication in people with dementia, to an equal amount compared with patients without cognitive impairment.
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reliable delirium risk stratification will aid recognition, anticipation and prevention and will facilitate targeting of resources in clinical practice as well as identification of at-risk patients for research. Delirium risk scores have been derived for acute medicine, but none has been prospectively validated in external cohorts. We therefore aimed to determine the reliability of externally derived risk scores in a consecutive cohort of older acute medicine patients. ⋯ externally derived delirium risk scores performed well in our independent acute medicine population with reliability unaffected by simplification and might therefore facilitate targeting of multicomponent interventions in routine clinical practice.
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to describe the views of healthcare workers on the facilitators of communication with people with dementia in a care setting. ⋯ many strategies used by healthcare workers to facilitate communication have not yet been studied in the research literature. Participants' views on training should be incorporated into future dementia training programmes.