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Reviews in clinical gerontology最新文献

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Assessment and management of dementia in the general hospital setting 综合医院痴呆的评估和管理
Reviews in clinical gerontology Pub Date : 2014-08-01 DOI: 10.1017/S0959259814000094
I. Singh, Amrita Varanasi, K. Williamson
{"title":"Assessment and management of dementia in the general hospital setting","authors":"I. Singh, Amrita Varanasi, K. Williamson","doi":"10.1017/S0959259814000094","DOIUrl":"https://doi.org/10.1017/S0959259814000094","url":null,"abstract":"Populations are ageing worldwide. The prevalence of dementia will rise exponentially with the oldest old the most rapidly growing segment of society. Caring for this ageing population with dementia, many of whom will have multiple chronic and disabling diseases, will be a challenge to healthcare systems, particularly general hospitals. At any one time, a quarter of acute hospital beds in the UK are in use by people with dementia. Delivery of high-quality care to this growing and vulnerable population must be high on any health service agenda. Current medical training not only generates relatively low numbers of geriatricians and specialists with interest in dementia, but also there is a lack of appropriate training in assessment and management of dementia. There remains huge need for better staff training and support to provide safe, holistic and dignified dementia care. Here we explore various key features for non-specialist assessment and management of older people with dementia in the general hospital setting.","PeriodicalId":85413,"journal":{"name":"Reviews in clinical gerontology","volume":"24 1","pages":"205-218"},"PeriodicalIF":0.0,"publicationDate":"2014-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0959259814000094","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57030365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 15
Post-prostatectomy stress urinary incontinence: a review of contemporary surgical treatments 前列腺切除术后应激性尿失禁:当代外科治疗的回顾
Reviews in clinical gerontology Pub Date : 2014-08-01 DOI: 10.1017/S0959259814000069
L. Resel-Folkersma, J. Salinas‐Casado, J. Moreno‐Sierra
{"title":"Post-prostatectomy stress urinary incontinence: a review of contemporary surgical treatments","authors":"L. Resel-Folkersma, J. Salinas‐Casado, J. Moreno‐Sierra","doi":"10.1017/S0959259814000069","DOIUrl":"https://doi.org/10.1017/S0959259814000069","url":null,"abstract":"Prostate cancer is the most frequent tumour diagnosed in men, especially in older people. Radical prostatectomy is the treatment of choice for this disease, but is also the main cause of stress urinary incontinence in men by iatrogenic injury. This procedure is performed far more frequently now than 10 years ago, so the incidence of post-prostatectomy incontinence (PPUI) has increased. PPUI has a detrimental impact on a patient's quality of life and is a significant problem that needs to be solved. The artificial urinary sphincter is still the gold standard treatment for PPUI. In recent years, less invasive approaches such as suburethral slings have been used with promising results. The selection criteria and most appropriate choice of device for the treatment of PPUI are not well standardized. In this review, the different forms of assessment and management of PPUI will be discussed.","PeriodicalId":85413,"journal":{"name":"Reviews in clinical gerontology","volume":"24 1","pages":"191-204"},"PeriodicalIF":0.0,"publicationDate":"2014-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0959259814000069","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57030309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Outcomes in delirium: same but different 谵妄的结果:相同但不同
Reviews in clinical gerontology Pub Date : 2014-08-01 DOI: 10.1017/S0959259814000112
R. Renjel, E. Eeles
{"title":"Outcomes in delirium: same but different","authors":"R. Renjel, E. Eeles","doi":"10.1017/S0959259814000112","DOIUrl":"https://doi.org/10.1017/S0959259814000112","url":null,"abstract":"Delirium has been associated with institutionalization, increased length of hospital stay, cognitive and functional decline and mortality. Research in the last thirty years has recognized that accurate diagnostic criteria allow for targeted interventions for those suffering from delirium. However, despite the advances made in understanding delirium, adverse outcomes persist. This article will first review how the evolution of diagnostic criteria has fostered improvements in the recognition of delirium and facilitated the development of therapeutic strategies. Second, we discuss how this foundation in approach to delirium has influenced outcomes and the evidence for causality. Finally, the candidate factors responsible for propagating adverse events are considered and future research direction outlined.","PeriodicalId":85413,"journal":{"name":"Reviews in clinical gerontology","volume":"24 1","pages":"182-190"},"PeriodicalIF":0.0,"publicationDate":"2014-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0959259814000112","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57030374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Unplanned admissions and readmissions in older people: a review of recent evidence on identifying and managing high-risk individuals 老年人的意外入院和再入院:关于识别和管理高风险个体的最新证据综述
Reviews in clinical gerontology Pub Date : 2014-08-01 DOI: 10.1017/S0959259814000082
B. Walsh
{"title":"Unplanned admissions and readmissions in older people: a review of recent evidence on identifying and managing high-risk individuals","authors":"B. Walsh","doi":"10.1017/S0959259814000082","DOIUrl":"https://doi.org/10.1017/S0959259814000082","url":null,"abstract":"Rising unplanned hospital admissions are a problem in ageing populations worldwide. These admissions are associated with poor outcomes for older people, contribute to rising health care costs and impede the provision of planned care. Policy and practice in recent years has focused on identification of those at risk of unplanned admission and early intervention via a range of admission avoidance services. Despite this, unplanned admissions in older people continue to rise, and managing demand for unplanned care remains a priority. Questions remain about the risk factors for unplanned admission and the best approaches to identifying and intervening with those at risk. This review explores recent evidence on admission rates, risk factors for unplanned admission in older people, identification of those at highest risk and interventions to avert unplanned admission.","PeriodicalId":85413,"journal":{"name":"Reviews in clinical gerontology","volume":"24 1","pages":"228-237"},"PeriodicalIF":0.0,"publicationDate":"2014-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0959259814000082","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57030359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
The approach to patients with cognitive impairment and hip fracture: the role of orthogeriatric care 认知障碍和髋部骨折患者的治疗方法:骨科护理的作用
Reviews in clinical gerontology Pub Date : 2014-08-01 DOI: 10.1017/S0959259814000100
F. Tarazona-Santabalbina, J. Doménech-Pascual, Ángel Belenguer-Varea A, Eduardo Rovira Daudí
{"title":"The approach to patients with cognitive impairment and hip fracture: the role of orthogeriatric care","authors":"F. Tarazona-Santabalbina, J. Doménech-Pascual, Ángel Belenguer-Varea A, Eduardo Rovira Daudí","doi":"10.1017/S0959259814000100","DOIUrl":"https://doi.org/10.1017/S0959259814000100","url":null,"abstract":"Hip fracture is very common among older patients, who are characterized by increased co-morbidities, including cognitive impairment. These patients have an increased risk of falls and fractures, poorer functional recovery and lower survival both in hospital and 12 months after discharge. We review the survival and functional outcomes of older patients with cognitive impairment and hip fracture managed in orthogeriatric units, and highlight the gaps in our knowledge of the efficacy and efficiency of specific orthogeriatric programmes for such patients and the future research perspectives in this field.","PeriodicalId":85413,"journal":{"name":"Reviews in clinical gerontology","volume":"24 1","pages":"219-227"},"PeriodicalIF":0.0,"publicationDate":"2014-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0959259814000100","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57030369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Management of multiple myeloma in older people 老年人多发性骨髓瘤的治疗
Reviews in clinical gerontology Pub Date : 2014-08-01 DOI: 10.1017/S0959259814000070
E. Bolaños, B. Íñigo, C. Benavente, R. Martínez
{"title":"Management of multiple myeloma in older people","authors":"E. Bolaños, B. Íñigo, C. Benavente, R. Martínez","doi":"10.1017/S0959259814000070","DOIUrl":"https://doi.org/10.1017/S0959259814000070","url":null,"abstract":"Multiple myeloma is a neoplastic proliferation of a plasma cell clone that produces a monoclonal immunoglobulin. It is one of the most common haematological malignancies and the incidence increases with age, with a median age at diagnosis of 65–70 years. The diagnosis of multiple myeloma requires the presence of ≥10% plasma cells in the bone marrow and an M-protein in serum and/or urine. Cytogenetic status, serum β 2 -microglobulin and response to therapy are the key prognostic factors. Treatment is necessary for the patient diagnosed with symptomatic multiple myeloma, with organ damage. Patients older than 65 years are ineligible for autologous transplantation. The introduction of novel agents, such as thalidomide, bortezomib and lenalidomide, have changed the management of myeloma and extended overall survival. However, in older patients the results are not as satisfactory and treatment strategies have to be individualized to improve tolerability and optimize efficacy.","PeriodicalId":85413,"journal":{"name":"Reviews in clinical gerontology","volume":"24 1","pages":"173-181"},"PeriodicalIF":0.0,"publicationDate":"2014-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0959259814000070","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57030312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preclinical Alzheimer's disease 阿尔茨海默病
Reviews in clinical gerontology Pub Date : 2014-05-01 DOI: 10.1017/S095925981400001X
P. Gil-Gregorio, R. Yubero-Pancorbo
{"title":"Preclinical Alzheimer's disease","authors":"P. Gil-Gregorio, R. Yubero-Pancorbo","doi":"10.1017/S095925981400001X","DOIUrl":"https://doi.org/10.1017/S095925981400001X","url":null,"abstract":"Recently, diagnostic criteria for preclinical Alzheimer's disease have been proposed. These describe and define three stages of disease. Stage I is focused on asymptomatic cerebral amyloidosis. Stage II includes evidence of synaptic dysfunction and/or early degeneration. Finally, stage III of the disease is characterized by the beginning of cognitive decline.","PeriodicalId":85413,"journal":{"name":"Reviews in clinical gerontology","volume":"24 1","pages":"117-121"},"PeriodicalIF":0.0,"publicationDate":"2014-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S095925981400001X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57030052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
Faecal incontinence in older people: evaluation, treatment and new surgical techniques 老年人大便失禁:评估，治疗和新的手术技术
Reviews in clinical gerontology Pub Date : 2014-05-01 DOI: 10.1017/S0959259814000021
C. Cerdán-Santacruz, M. Vigara-García, M. Ortega-López, J. Cerdán-Miguel
{"title":"Faecal incontinence in older people: evaluation, treatment and new surgical techniques","authors":"C. Cerdán-Santacruz, M. Vigara-García, M. Ortega-López, J. Cerdán-Miguel","doi":"10.1017/S0959259814000021","DOIUrl":"https://doi.org/10.1017/S0959259814000021","url":null,"abstract":"Faecal incontinence is a disabling condition, with a high personal, social and economic cost. Whilst it may occur at any age, prevalence and severity of symptoms is higher among older people. There are many therapeutic options, ranging from non-invasive treatments to complex surgical techniques, with results that can be considered satisfactory in about 70% of individuals. A comprehensive study of the type of incontinence and its presentation and severity, together with consideration of the general condition of the patient and their environment, are the keys that will decide the best treatment option.","PeriodicalId":85413,"journal":{"name":"Reviews in clinical gerontology","volume":"24 1","pages":"105-116"},"PeriodicalIF":0.0,"publicationDate":"2014-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0959259814000021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57030130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Evaluation and delivery of ambulatory rehabilitation for people with Parkinson's disease 帕金森病患者门诊康复的评估与实施
Reviews in clinical gerontology Pub Date : 2014-05-01 DOI: 10.1017/S0959259813000257
L. Goodwin, L. Lan
{"title":"Evaluation and delivery of ambulatory rehabilitation for people with Parkinson's disease","authors":"L. Goodwin, L. Lan","doi":"10.1017/S0959259813000257","DOIUrl":"https://doi.org/10.1017/S0959259813000257","url":null,"abstract":"Parkinson’s disease (PD) is a common and costly condition affecting a predominantly older population. Physical rehabilitation has been shown to enhance motor performance and functional mobility in the shortterm. However, there is limited information available about how best to design and deliver an ambulatory rehabilitation (AR) programme for this patient group. This article reviews the current evidence, aiming to provide guidance about best-practice service provision. We highlight the benefits of group therapy and techniques aimed at reducing falls. Further research is required to determine the optimal dose and intensity of AR necessary to provide sustained benefits in people with different stages of PD.","PeriodicalId":85413,"journal":{"name":"Reviews in clinical gerontology","volume":"24 1","pages":"122-138"},"PeriodicalIF":0.0,"publicationDate":"2014-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0959259813000257","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57030483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Individualization of drug therapy in older people 老年人药物治疗的个体化
Reviews in clinical gerontology Pub Date : 2014-05-01 DOI: 10.1017/S0959259814000033
P. Scibona, F. Angriman, C. Vázquez, B. Ferreyro, AG Perelsztein, V. Simonovich, J. Jáuregui, C. Musso, W. Belloso
{"title":"Individualization of drug therapy in older people","authors":"P. Scibona, F. Angriman, C. Vázquez, B. Ferreyro, AG Perelsztein, V. Simonovich, J. Jáuregui, C. Musso, W. Belloso","doi":"10.1017/S0959259814000033","DOIUrl":"https://doi.org/10.1017/S0959259814000033","url":null,"abstract":"Summary Older people are high consumers of prescription drugs and are at increasing risk of polypharmacy and adverse reactions. Pharmacokinetic and pharmacodynamic modifications due to age and co-morbidities are an important consideration, but pharmacological background evidence to guide safe and effective therapeutic approaches are often inadequate since the older population is under-represented in clinical trials. We review the pharmacokinetic and pharmacodynamic changes that are characteristic in old age and consider evidence regarding potentially safer prescription and monitoring of drugs commonly used in older patients. We also introduce the possible role of pharmacogenomics and therapeutic drug monitoring as tools to guide the individualization of drug therapy.","PeriodicalId":85413,"journal":{"name":"Reviews in clinical gerontology","volume":"24 1","pages":"145-157"},"PeriodicalIF":0.0,"publicationDate":"2014-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S0959259814000033","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57030156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
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