Articles: dementia.
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Randomized Controlled Trial Comparative Study Clinical Trial
Cannulated screws versus hemiarthroplasty for displaced intracapsular femoral neck fractures in demented patients.
There are no randomised trials comparing internal fixation and hemiarthroplasty for a displaced intracapsular femoral neck fracture in relation to mental state. ⋯ Postoperative mortality is high and the chance of successful rehabilitation very small for both types of treatment in this group of patients. In our opinion, demented patients should not be treated with a major surgical procedure like hemiarthroplasty. Internal fixation should be considered the treatment of choice, because it is a smaller operation than prosthetic replacement, with less morbidity. If adequate reduction can not be achieved, a primary hemiarthroplasty should be performed.
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Randomized Controlled Trial Clinical Trial
Improving adherence to dementia guidelines through education and opinion leaders. A randomized, controlled trial.
Educational methods that encourage physicians to adopt practice guidelines are needed. ⋯ A multifaceted educational program can improve physician adoption of practice guidelines.
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Randomized Controlled Trial Comparative Study Clinical Trial
Comparison of risperidone and placebo for psychosis and behavioral disturbances associated with dementia: a randomized, double-blind trial. Risperidone Study Group.
We report the findings from the first large, double-blind, placebo-controlled study conducted to evaluate the efficacy and safety of risperidone in the treatment of psychotic and behavioral symptoms in institutionalized elderly patients with dementia. ⋯ Risperidone significantly improved symptoms of psychosis and aggressive behavior in patients with severe dementia. Results show that 1 mg/day of risperidone is an appropriate dose for most elderly patients with dementia.
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Am J Geriatr Psychiatry · Jan 1997
Randomized Controlled Trial Comparative Study Clinical TrialA double-blind comparison of trazodone and haloperidol for treatment of agitation in patients with dementia.
The authors compared the efficacy and side effects of trazodone and haloperidol for treating agitated behaviors associated with dementia. Twenty-eight elderly patients with dementia and agitated behaviors were randomly assigned to double-blind treatment with either trazodone (50-250 mg/day) or haloperidol (1-5 mg/day) for 9 weeks. ⋯ Improvement in individual areas suggested that repetitive, verbally aggressive, and oppositional behaviors responded preferentially to trazodone, whereas symptoms of excessive motor activity and unwarranted accusations responded preferentially to haloperidol. These results indicate that moderate doses of trazodone and haloperidol are equally effective for treatment of overall agitated behaviors in patients with dementia, but specific symptoms may respond preferentially to a particular agent.
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Randomized Controlled Trial Clinical Trial
A randomized trial of dementia care in nursing homes.
To evaluate the efficacy of a dementia care program to reduce behavior disorders in nursing home patients with dementia. ⋯ The A.G.E. program reduces the prevalence of behavior disorders and the use of antipsychotic drugs and restraints. It is practical, feasible, and appears to improve the lives of patients with dementia in nursing homes.