Age and ageing
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Comprehensive Geriatric Assessment (CGA) is now the accepted gold standard for caring for frail older people in hospital. However, there is uncertainty about identifying and targeting suitable recipients and which patients benefit the most. ⋯ we confirm a widely used definition of CGA. Key outcomes are death, disability and institutionalisation. The main beneficiaries in hospital are older people with acute illness. The presence of frailty has not been widely examined as a determinant of CGA outcome.
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Review Meta Analysis
Is sarcopenia associated with depression? A systematic review and meta-analysis of observational studies.
to explore whether sarcopenia is associated with depression. ⋯ sarcopenia was independently associated with depression. The causal relationship between the two clinical conditions requires future validation with cohort studies.
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Review Meta Analysis
Is sarcopenia associated with depression? A systematic review and meta-analysis of observational studies.
to explore whether sarcopenia is associated with depression. ⋯ sarcopenia was independently associated with depression. The causal relationship between the two clinical conditions requires future validation with cohort studies.
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patient and public involvement (PPI) in research can enhance its relevance. Older care-home residents are often not involved in research processes even when studies are care-home focused. ⋯ small-scale studies involved residents as collaborators in participatory action research, whereas larger studies involved residents as consultants in advisory roles. There are multiple facilitators of and barriers to involving residents as PPI members. The reporting of PPI varies. While it is difficult to evaluate the impact of involving care-home residents on the research outcomes, impact has been demonstrated from more inclusive research processes with care-home residents. The review shows that older care-home residents can be successfully involved in the research process.
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Review Meta Analysis
Discharging older patients from the emergency department effectively: a systematic review and meta-analysis.
a decline in health state and re-attendance are common in people aged ≥65 years following emergency department (ED) discharge. Diverse care models have been implemented to support safe community transition. This review examined ED community transition strategies (ED-CTS) and evaluated their effectiveness. ⋯ there is limited high-quality data to guide confident recommendations about optimal ED community transition strategies, highlighting a need to encourage better integration of researchers and clinicians in the design and evaluation process, and increased reporting, including appropriate robust evaluation of efficacy and effectiveness of these innovative models of care.