Age and ageing
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Review
Persistent delirium in older hospital patients: a systematic review of frequency and prognosis.
one explanation for the poor prognosis of delirium among older hospital patients may be that many of these patients do not recover from delirium. We sought to determine the frequency and prognosis of persistent delirium (PerD) in older hospital patients by systematically reviewing original research on this topic. ⋯ PerD in older hospital patients is frequent, appears to be associated with adverse outcomes and may account for the poor prognosis of delirium in this population. These findings have potentially important implications for clinical practice and research.
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the aim of this study was to develop a brief screening tool for use in the emergency department (ED), to identify people who require further assessment and management. ⋯ the FROP-Com screen has a relatively good capacity to predict falls. It can be used in time-limited situations to classify those at high risk of falls who require more detailed assessment and management.
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Randomized Controlled Trial
Mobility training after hip fracture: a randomised controlled trial.
to compare the effects of two different exercise programmes after hip fracture. ⋯ there was no benefit (or harm) due to the higher dose, weight-bearing exercise programme with respect to the primary outcome measures. However, people with hip fracture and cognitive impairment gained greater benefit from the higher dose programme than from the lower dose programme.
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the Falls Risk for Older People in the Community assessment (FROP-Com) tool was designed for use in targeted multi-factorial falls prevention programmes. It fills the gap between the short screening tools and the longer assessment tools, e.g. the physiological profile assessment (PPA). The aim of this study was to determine the reliability and predictive accuracy of the FROP-Com. ⋯ the FROP-Com demonstrated good reliability and a moderate capacity to predict falls.