Age and ageing
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the ageing demographic means that increasing numbers of older people will be attending emergency departments (EDs). Little previous research has focused on the needs of older people in ED and there have been no evaluations of comprehensive geriatric assessment (CGA) embedded within the ED setting. ⋯ it is possible to embed CGA within EDs, which is associated with improvements in operational outcomes.
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Comparative Study Observational Study
Diagnostic accuracy of three different methods of temperature measurement in acutely ill geriatric patients.
we examined the diagnostic accuracy of different methods of body temperature measurement to diagnose infection in geriatric patients presenting to the emergency department (ED). ⋯ diagnostic accuracy for the identification of infection was comparable among tympanal and rectal thermometry and lower for temporal artery thermometry. Different cut-off points should be used to identify infection using tympanal (37.3°C) or rectal (37.9°C) thermometry. In general, temperature measurement is an insensitive method to identify geriatric patients with infection. Registration number clinicaltrials.com: KSMC-tempger-1.
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Multicenter Study
Influence of life-style choices on locomotor disability, arthritis and cardiovascular disease in older women: prospective cohort study.
many chronic conditions have their roots in modifiable health-related behaviours. ⋯ never smokers and regular exercisers had substantially reduced odds of 7-year disability onset. Low PAFs suggest changes in health-related behaviours in older women would result in only modest reductions in common chronic conditions.
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Multicenter Study Comparative Study Observational Study
The Identification of Seniors at Risk (ISAR) score to predict clinical outcomes and health service costs in older people discharged from UK acute medical units.
tools are required to identify high-risk older people in acute emergency settings so that appropriate services can be directed towards them. ⋯ adverse outcomes are common in older people discharged from acute medical units in the UK; the poor predictive ability of the ISAR in older people discharged from acute medical units makes it unsuitable as a sole tool in clinical decision-making.
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Multicenter Study Comparative Study Observational Study
The predictive properties of frailty-rating scales in the acute medical unit.
older people are at an increased risk of adverse outcomes following attendance at acute hospitals. Screening tools may help identify those most at risk. The objective of this study was to compare the predictive properties of five frailty-rating scales. ⋯ frailty-rating scales alone are of limited use in risk stratifying older people being discharged from acute medical units.