Age and ageing
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Multicenter Study Comparative Study Observational Study
The predictive properties of frailty-rating scales in the acute medical unit.
older people are at an increased risk of adverse outcomes following attendance at acute hospitals. Screening tools may help identify those most at risk. The objective of this study was to compare the predictive properties of five frailty-rating scales. ⋯ frailty-rating scales alone are of limited use in risk stratifying older people being discharged from acute medical units.
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Multicenter Study Comparative Study Observational Study
The Identification of Seniors at Risk (ISAR) score to predict clinical outcomes and health service costs in older people discharged from UK acute medical units.
tools are required to identify high-risk older people in acute emergency settings so that appropriate services can be directed towards them. ⋯ adverse outcomes are common in older people discharged from acute medical units in the UK; the poor predictive ability of the ISAR in older people discharged from acute medical units makes it unsuitable as a sole tool in clinical decision-making.
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Multicenter Study
Influence of life-style choices on locomotor disability, arthritis and cardiovascular disease in older women: prospective cohort study.
many chronic conditions have their roots in modifiable health-related behaviours. ⋯ never smokers and regular exercisers had substantially reduced odds of 7-year disability onset. Low PAFs suggest changes in health-related behaviours in older women would result in only modest reductions in common chronic conditions.
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Randomized Controlled Trial Multicenter Study
Effect of telecare on use of health and social care services: findings from the Whole Systems Demonstrator cluster randomised trial.
to assess the impact of telecare on the use of social and health care. Part of the evaluation of the Whole Systems Demonstrator trial. ⋯ telecare as implemented in the Whole Systems Demonstrator trial did not lead to significant reductions in service use, at least in terms of results assessed over 12 months.
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Multicenter Study Comparative Study
Comparison of the quick mild cognitive impairment (Qmci) screen and the SMMSE in screening for mild cognitive impairment.
differentiating mild cognitive impairment (MCI) from normal cognition (NC) is difficult. The AB Cognitive Screen (ABCS) 135, sensitive in differentiating MCI from dementia, was modified to improve sensitivity and specificity, producing the quick mild cognitive impairment (Qmci) screen. ⋯ the Qmci is more sensitive than the SMMSE in differentiating MCI and NC, making it a useful test, for MCI in clinical practice, especially for older adults.