OBJECTIVE to prove the effectiveness of geriatric evaluation and management for elderly, hospitalized patients, combined with post-discharge home intervention by an interdisciplinary team. DESIGN randomized controlled trial with outcome and costs assessed for 12 months after the date of admission. SETTING university-affiliated geriatric hospital and the homes of elderly patients. SUBJECTS...

BACKGROUND AND OBJECTIVE Inappropriate drug use is one of the risk factors for adverse drug reactions in the elderly. We hypothesised that, in elderly patients, geriatricians are more aware of potentially inappropriate medications (PIMs) and may replace or stop PIMs more frequently compared with internists. We therefore evaluated and compared the prevalence of PIMs as well as anticholinergic dr...

Objectives: Global improvements in health care and an increased life expectancy have led to a significant increase in the geriatric population. Because the prevalence of comorbidity increases with age, when confronted with a geriatric patient, there is common tendency to avoid radical surgery. However, new developments in the field of anesthesiology, peri-operative care and surgical techniques ...

For a period of one week all visitors to Shropshire patients in geriatric, psychiatric, and subnormality hospitals were asked to give details of their journey to hospital, including the addresses from which they set out. These data, together with those of the patients in hospital that week, were used to examine (1) the effect of distance of the patient's home from hospital upon the frequency of...

Postoperative delirium and cognitive dysfunction (POCD) are topics of special importance in the geriatric surgical population. They are separate entities, whose relationship has yet to be fully elucidated. Although not limited to geriatric patients, the incidence and impact of both are more profound in geriatric patients. Delirium has been shown to be associated with longer and more costly hosp...

Abstract Background oropharyngeal dysphagia (OD) and hip fracture are common problems in older patients, both associated with important complications. Objective the aim of this study was to measure prevalence identify main risk factors patients fracture. Design a prospective an orthogeriatric unit university hospital over 10 months. Methods total 320 (mean age 86.2 years, 73.4% women) were asse...

INTRODUCTION Approximately one in three older adults fall each year, resulting in a significant proportion of geriatric traumatic injuries. In a hospital with a focus on geriatric fall prevention, we sought to characterize this population to develop targeted interventions. As mild hyponatremia, defined as a serum sodium <135meq/L, has been reported to be associated with falls, unsteadiness and ...

BACKGROUND AND OBJECTIVES With aging of the general population, patients who enter dialysis therapy will more frequently have geriatric impairments and a considerable comorbidity burden. The most vulnerable among these patients might benefit from conservative therapy. Whether assessment of geriatric impairments would contribute to the decision-making process of dialysis initiation is unknown. ...

BACKGROUND The purpose of this study was to present our findings on the treatment completion rates and outcomes in geriatric patients with head and neck cancer treated with neoadjuvant chemotherapy followed by definitive therapy. METHODS Geriatric patients with locally advanced head and neck cancer who received neoadjuvant chemotherapy were selected for this analysis. Overall survival (OS) an...

this article was aimed to provide an overview and a perspective on the changing impact of cancers with increasing age on three age groups. a population based cancer registry was undertaken to register all new cancers cases from march 2006 to march 2007. during one year, 2023 (41.1%) of 4922 patients with cancer were ≥65 years. the five most common cancers (excluding skin cancer) were stomach, b...