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http://medilib.ir
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Editor’s view—clustering of multiple problems in individual patients
Roy L Soiza
doi : 10.1093/ageing/afaf012
Volume 54, Issue 1, January 2025, afaf012
One of the defining features of the common presentations in geriatric medicine (or geriatric giants, as they are frequently termed) is how they tend to cluster together in the same individuals. The development of one tends to rapidly lead to another and then another. In this issue, a systematic review and meta-analysis of the relationship between falls and delirium finds evidence that the relationship is bi-directional and potentially complex [1]. The authors found plenty of room for improvement in the evidence base. For now, the message to clinicians is to ensure to look carefully for the presence of falls and delirium in those presenting with either one
A mobile interactive cognitive self-assessment scale for screening cognitive impairment due to Alzheimer’s disease
Kexin Xie, Juan Huang, Ting Chen, Dan Li, Tianxinyu Xia, Min Chu, Yue Cui, Mei Tang, Dantao Peng
doi : 10.1093/ageing/afae293
Volume 54, Issue 1, January 2025, afae293,
A mobile cognition scale for community screening in cognitive impairment with rigorous validation is in paucity. We aimed to develop a digital scale that overcame low education for community screening for mild cognitive impairment (MCI) due to Alzheimer’s disease (AD) and AD.
Frailty in colorectal cancer—are we speaking the same language?
Nia Humphry, Jonathan Hewitt
doi : 10.1093/ageing/afae285
Volume 54, Issue 1, January 2025, afae285
Frailty affects half of older patients with cancer and is associated with increased risk of adverse outcomes [1, 2]. In those undergoing surgery for colorectal cancer, frailty is associated with significantly higher rates of post-operative complications, post-operative mortality, reoperation, length of stay and readmission
Falls risk stratification. One size doesn’t fit all
Manuel Montero-Odasso, Nathalie van der Velde, Jesper Ryg, Tahir Masud
doi : 10.1093/ageing/afae292
Volume 54, Issue 1, January 2025, afae292
Editorial to accompany: Two simple modifications to the World Falls Guidelines algorithm improves its ability to stratify older people into low, intermediate and high falls risk groups.
Closing the evidence-practice gap in dementia: two new national guidelines
J Simon Bell, Sue Brennan, Alli Patterson, Velandai Srikanth
doi : 10.1093/ageing/afaf005
Volume 54, Issue 1, January 2025, afaf005
Editorial to accompany The Italian guideline on diagnosisand treatment of dementia and mild cognitive impairment and Guideline summary: assessment, diagnosis, care andsupport for people with dementia and their carers
The British Geriatrics Society’s position on assisted dying
Andrew J Stanners, Martin J Vernon, Esther Clift, Elizabeth Davis, Sarah Evans, Shireen Ismail, Gabrielle Jenkinson, Eva Kalmus, Louis Savage, David Graeme Smithard
doi : 10.1093/ageing/afae290
Volume 54, Issue 1, January 2025, afae290,
In response to increased focus on the issue of Assisted Dying (AD) in the UK due to the presentation of The Terminally Ill Adults (End of Life) Bill 2024–25 [1] and bills before parliaments in the Isle of Man, Guernsey and Scotland, the British Geriatric Society (BGS) recently developed a position statement opposing legalisation of AD in the UK [2]. We set out our key reasoning behind this position, namely the current adverse health and social care context and significant concern about whether effective safeguards can be created to protect older people with complex needs from undue harms. The BGS asks for improved, personalised, multidisciplinary care for older people at the end of their lives, including high-quality palliative and end-of-life care. It urges caution about legalisation and offers its expertise in any potential future shaping and implementation of AD legislation. This should include a conscience clause for professionals objecting to direct involvement. The main outcomes from a survey of member’s opinions are also outlined [2]. The majority were against legalisation of AD; however, a significant minority were in favour, with some undecided. This diversity of opinion highlights a need for the Society to maintain balance and nuance on this difficult and emotive issue, warranting future BGS reviews if the relevant legislation changes.
Systematic review and meta-analysis of the prevalence of frailty and pre-frailty amongst older hospital inpatients in low- and middle-income countries
Sean Lawlor Davidson, Jim Lee, Luke Emmence, Emily Bickerstaff, George Rayers, Elizabeth Davidson, Jenny Richardson, Heather Anderson, Richard Walker, Catherine Dotchin
doi : 10.1093/ageing/afae279
Volume 54, Issue 1, January 2025, afae279,
As populations age, low- and middle-income countries (LMICs) are rapidly adapting hospital services to meet the needs of older populations. This systematic review aimed to establish the prevalence of frailty and pre-frailty amongst older people admitted to hospital in LMICs, and to compare levels with existing estimates for high-income settings
Change in frailty status in the 12 months following solid organ transplantation: a systematic review and meta-analysis
Anna Bevan, Jenny Avery, Hoe Leong Cheah, Ben Carter, Jonathan Hewitt
doi : 10.1093/ageing/afae283
Volume 54, Issue 1, January 2025, afae283
To investigate if frailty status alters following solid organ transplantation (lung, liver, kidney and heart) without rehabilitation intervention
Association between sarcopenic obesity and risk of frailty in older adults: a systematic review and meta-analysis
Yao Gengxin, Ma Xuehan, Wan Xinyu, Yang Yali, Xu Yiran, Zheng Lishuang, Qiu Yiming, Li Guichen, Chen Li
doi : 10.1093/ageing/afae286
Volume 54, Issue 1, January 2025, afae286
To synthesise the association between sarcopenic obesity and the risk of frailty and to investigate the role of obesity in the risk of frailty in old age
Cognitive reserve and its impact on cognitive and functional abilities, physical activity and quality of life following a diagnosis of dementia: longitudinal findings from the Improving the experience of Dementia and Enhancing Active Life (IDEAL) study
Laura D Gamble, Linda Clare, Carol Opdebeeck, Anthony Martyr, Roy W Jones, Jennifer M Rusted, Claire Pentecost, Jeanette M Thom, Fiona E Matthews
doi : 10.1093/ageing/afae284
Volume 54, Issue 1, January 2025, afae284,
To investigate the longitudinal impact of cognitive reserve on cognitive and functional abilities, physical activity and quality of life in people with dementia
Outreach acute care for nursing homes: an observational study on the quality and cost-effectiveness of the Mobile Hospital
Kontunen Perttu, Leppänen Roope, Linna Miika, Castrén Maaret, Torkki Paulus
doi : 10.1093/ageing/afae287
Volume 54, Issue 1, January 2025, afae287,
The global trend of emergency department (ED) crowding can be mitigated with outreach care. The Mobile Hospital is an outreach acute care service in Espoo, Finland. This study describes the results of the Mobile Hospital intervention to nursing homes in a pre–post study setting with benchmarking validation dat
Use of a trigger tool to describe and screen drug-related hospital admissions in older adults: the TRIGGAge retrospective cohort study
Dauny Vincent, Minaud Alix, Boutitie Léa, Genet Bastien, Boddaert Jacques, Zerah Lorene
doi : 10.1093/ageing/afae276
Volume 54, Issue 1, January 2025, afae276
Drug-related hospital admissions (DRAs) can account for 5%–40% of total hospital admissions in older adults, with a significant proportion deemed preventable. To increase the detection of DRAs, in 2021, a revised trigger tool listing 21 frequent causes of admissions and medications at risk was proposed. This study aimed to describe DRAs using this trigger tool in a French acute geriatric ward and to assess the performance of the tool.
Antibiotic prescribing for care-home residents: a population-based, cross-classified multilevel analysis in Scotland, UK
Nicosha De Souza, Bruce Guthrie, Suzanne Grant, Fabiana Lorencatto, Jane Dickson, Aleksandra Herbec, Carmel Hughes, Jacqueline Sneddon, Peter T Donnan, Charis A Marwick
doi : 10.1093/ageing/afae288
Volume 54, Issue 1, January 2025, afae288,
To quantify variation in antibiotic prescribing and associations with resident, care-home and general practice characteristics
Early detection and management of hearing loss to reduce dementia risk in older adults with mild cognitive impairment: findings from the treating auditory impairment and cognition trial (TACT)
Ruan-Ching Yu, Menelaos Pavlou, Anne G M Schilder, Doris-Eva Bamiou, Glyn Lewis, Frank Robert Lin, Gill Livingston, Danielle Proctor, Rumana Omar, Sergi G Costafreda
doi : 10.1093/ageing/afaf004
Volume 54, Issue 1, January 2025, afaf004,
Age-related hearing loss and mild cognitive impairment (MCI) independently increase dementia risk. The Ageing and Cognitive Health Evaluation in Elders randomised controlled trial (RCT) found hearing aids reduce cognitive decline in high-risk older adults with poor hearing
A mobile interactive cognitive self-assessment scale for screening cognitive impairment due to Alzheimer’s disease
Kexin Xie, Juan Huang, Ting Chen, Dan Li, Tianxinyu Xia, Min Chu, Yue Cui, Mei Tang, Dantao Peng
doi : 10.1093/ageing/afae293
Volume 54, Issue 1, January 2025, afae293
A mobile cognition scale for community screening in cognitive impairment with rigorous validation is in paucity. We aimed to develop a digital scale that overcame low education for community screening for mild cognitive impairment (MCI) due to Alzheimer’s disease (AD) and AD
Predictors of 15-year transitions across living and care settings in a population of Swedish older adults
Susanna Gentili, Amaia Calderón-Larrañaga, Debora Rizzuto, Adam Lee Gordon, Janne Agerholm, Carin Lennartsson, Åsa Hedberg Rundgren, Laura Fratiglioni, Davide Liborio Vetrano
doi : 10.1093/ageing/afaf006
Volume 54, Issue 1, January 2025, afaf006,
We aimed to investigate the association of sociodemographic, clinical and functional characteristics with the volume of transitions and specific trajectories across living and care settings.
Piloting a minimum data set for older people living in care homes in England: a developmental study
Adam L Gordon, Stacey Rand, Elizabeth Crellin, Stephen Allan, Freya Tracey, Kaat De Corte, Therese Lloyd, Richard Brine, Rachael E Carroll, Ann-Marie Tower
doi : 10.1093/ageing/afaf001
Volume 54, Issue 1, January 2025, afaf001
We developed a prototype minimum data set (MDS) for English care homes, assessing feasibility of extracting data directly from digital care records (DCRs) with linkage to health and social care data.
Why is implementing remote monitoring in virtual wards (Hospital at Home) for people living with frailty so hard? Qualitative interview study
Rosie Kate Lindsay, Paige Cunnington, Mary Dixon-Woods
doi : 10.1093/ageing/afaf003
Volume 54, Issue 1, January 2025, afaf003,
To explore the views and experiences of frailty virtual wards stakeholders involved in implementing remote monitoring.
Cross-sectional survey of healthcare professionals’ perceptions of bedrails as a measure of physical restraint in the hospital setting
César Gálvez-Barrón, Ana González-De Luna, Carlos Pérez-López, Oscar Macho-Perez
doi : 10.1093/ageing/afaf002
Volume 54, Issue 1, January 2025, afaf002,
Although bedrails are considered a restraint measure under the legal regulations in Spain, no data on the related perceptions of healthcare professionals (HCPs) are available. Thus, this study aimed to calculate the proportion of HCPs in the hospital setting that consider bedrails to be a restraint measure.
