2024-03-29T00:21:21Zhttp://open-archive.highwire.org/handler
oai:open-archive.highwire.org:ageing:30/3/1832015-05-19HighWireOUPageing:30:3
Telemedicine and the older patient
Brebner, Eileen M.
Gwyn Seymour, D.
Editorials
Oxford University Press
2001-05-01 00:00:00.0
TEXT
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http://ageing.oxfordjournals.org/cgi/content/short/30/3/183
http://dx.doi.org/10.1093/ageing/30.3.183
en
Copyright (C) 2001, British Geriatrics Society
oai:open-archive.highwire.org:ageing:30/3/1852015-05-19HighWireOUPageing:30:3
My place or yours--what is the best place for early stroke care?
Young, John
Editorials
Oxford University Press
2001-05-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/30/3/185
http://dx.doi.org/10.1093/ageing/30.3.185
en
Copyright (C) 2001, British Geriatrics Society
oai:open-archive.highwire.org:ageing:30/3/1872015-05-19HighWireOUPageing:30:3
Distal forearm fracture--time for action?
Senanayake, Sunil
Francis, Roger M.
Editorials
Oxford University Press
2001-05-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/30/3/187
http://dx.doi.org/10.1093/ageing/30.3.187
en
Copyright (C) 2001, British Geriatrics Society
oai:open-archive.highwire.org:ageing:30/3/1892015-05-19HighWireOUPageing:30:3
News and reviews
News and reviews
Oxford University Press
2001-05-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/30/3/189
http://dx.doi.org/10.1093/ageing/30.3.189
en
Copyright (C) 2001, British Geriatrics Society
oai:open-archive.highwire.org:ageing:30/3/1912015-05-19HighWireOUPageing:30:3
Teleconsultation in psychology: the use of videolinks for interviewing and assessing elderly patients
Tyrrell, Jeanne
Couturier, Pascal
Montani, Claudine
Franco, Alain
Review
Although elderly people are one of the major target groups for telemedicine applications, they remain under‐represented in studies of teleconsultation. Videolinks appear to be easily used by many elderly people as a means of communicating with health‐care staff, including psychologists and doctors. To date, studies of psychometric teleconsultation have been confined to screening tests, or have used very small numbers of patients. There is a need to examine the reliability of more complex psychometric batteries and to use larger samples of older people. Some recommendations for conducting clinical interviews and psychometric tests are presented, based on clinical experience and a review of the literature. The importance of ergonomic considerations, patient comfort and professional preparation are explained.
Oxford University Press
2001-05-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/30/3/191
http://dx.doi.org/10.1093/ageing/30.3.191
en
Copyright (C) 2001, British Geriatrics Society
oai:open-archive.highwire.org:ageing:30/3/1972015-05-19HighWireOUPageing:30:3
Does admission to hospital improve the outcome for stroke patients?
Bhalla, Ajay
Dundas, Ruth
Rudd, Anthony G.
Wolfe, Charles D. A.
Research papers
<b>Objectives:</b> to identify the factors associated with hospital admission and the differences in management and outcome of stroke patients between hospital and home. <b>Design:</b> a prospective community stroke register (1995–8) with multiple notification sources. <b>Setting:</b> an inner city multi‐ethnic population of 234 533 in South London, UK. <b>Participants:</b> 975 subjects with first in a lifetime strokes, whether or not they were admitted to hospital. Patients dying suddenly and those already hospitalized at the time of stroke were excluded. <b>Main outcome measures:</b> factors associated with hospital admission; differences in management in the acute phase of stroke; mortality and dependency assessed by the Barthel index 3 months post‐stroke. <b>Results:</b> 812 patients were admitted to hospital for stroke; 163 were managed in the community. Factors independently associated with hospital admission included stroke severity, pre‐stroke independence, atrial fibrillation, having an intracranial haemorrhage and having a non‐lacunar infarction. Computed tomography scan rates were higher in admitted (78%) than non‐admitted patients (63%; <it>P</it>=0.001). By 3 months, 285 (35%) of the admitted patients had died compared with 13 (8%) of non‐admitted patients (<it>P</it><0.001). Of the admitted patients, 241 (47%) had a Barthel index ≥18 compared with 106 (72%) of those who were not admitted (<it>P</it><0.001). After adjusting for case‐mix variables, the odds ratios for death and dependency (Barthel index<18) in admitted and non‐admitted patients were 2.21 (0.96–5.12) and 2.39 (1.35–4.22) respectively. <b>Conclusion:</b> patients with clinical indicators for a more severe stroke were more likely to be admitted to hospital. Hospitalized stroke patients may have poorer survival and disability rates than those who remain at home, even after adjustment for case mix. There may be some aspects of acute hospital care that may be detrimental to outcome in certain groups of stroke patients. This requires further investigation.
Oxford University Press
2001-05-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/30/3/197
http://dx.doi.org/10.1093/ageing/30.3.197
en
Copyright (C) 2001, British Geriatrics Society
oai:open-archive.highwire.org:ageing:30/3/2052015-05-19HighWireOUPageing:30:3
Pharmacist-led medication review in patients over 65: a randomized, controlled trial in primary care
Krska, Janet
Cromarty, John A.
Arris, Fiona
Jamieson, Debbie
Hansford, Denise
Duffus, Peter R. S.
Downie, George
Seymour, D. Gwyn
Research papers
<b>Background:</b> regular medication review has been recommended for those over 75 and those on multiple drug therapy. Pharmacists are a potential source of assistance in reviewing medication. Evidence of the benefits of this process is needed. <b>Objective:</b> to study the effect of medication review led by a pharmacist on resolution of pharmaceutical care issues, medicine costs, use of health and social services and health‐related quality of life. <b>Design:</b> randomized, controlled trial. <b>Setting:</b> general medical practices in the Grampian region of Scotland. <b>Subjects:</b> patients aged at least 65 years, with at least two chronic disease states who were taking at least four prescribed medicines regularly. <b>Methods:</b> pharmacists reviewed the drug therapy of 332 patients, using information obtained from the practice computer, medical records and patient interviews. In 168 patients, a pharmaceutical care plan was then drawn up and implemented. The 164 control patients continued to receive normal care. All outcome measures were assessed at baseline and after 3 months. <b>Results:</b> all patients had at least two pharmaceutical care issues at baseline. Half of these were identified from the prescription record, the rest from notes and patient interview. Of all the issues, 21% were resolved by information found in notes and 8.5% by patient interview. General practitioners agreed with 96% of all care issues documented on the care plans in the intervention group. At the time of follow‐up, 70% of the remaining care issues had been resolved in the intervention group, while only 14% had been resolved in the control group. There were no changes in medicine costs or health‐related quality of life in either group. There were small increases in contacts with health‐care professionals and slightly fewer hospital admissions among the intervention group than the control group. <b>Conclusions:</b> pharmacist‐led medication review has the capacity to identify and resolve pharmaceutical care issues and may have some impact on the use of other health services.
Oxford University Press
2001-05-01 00:00:00.0
TEXT
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http://ageing.oxfordjournals.org/cgi/content/short/30/3/205
http://dx.doi.org/10.1093/ageing/30.3.205
en
Copyright (C) 2001, British Geriatrics Society
oai:open-archive.highwire.org:ageing:30/3/2132015-05-19HighWireOUPageing:30:3
Recovery of physical function after limb injuries in independent older people living at home
Scaf-Klomp, Winnie
van Sonderen, Eric
Sanderman, Robbert
Ormel, Johan
Kempen, Gertrudis I. J. M.
Research papers
<b>Objectives:</b> to describe changes in physical functioning after fall‐related injuries to the limbs in independently living older people. <b>Design:</b> prospective cohort study, including a pre‐injury assessment and post‐injury assessments at 8 weeks and 5 and 12 months. <b>Setting:</b> the study is part of the larger, population‐based prospective and longitudinal Groningen Longitudinal Aging Study on the determinants of health‐related quality of life of people aged 57 and over, who are living independently in the north of the Netherlands. <b>Subjects:</b> 171 patients who sustained injuries at various sites on the limbs and who had completed all four assessments (66% of the eligible population). Patients were grouped according to injury site. <b>Outcome measure:</b> self‐reported grades of difficulties with performing basic and instrumental activities of daily living as measured by the Groningen Activity Restriction Scale. <b>Results:</b> 1 year after the injury, pre‐injury (mean) levels of functioning were not regained in any of the groups studied. However, only those with fractures of the wrist or hip experienced a substantial decrease in ability to perform basic and instrumental activities of daily living between baseline and the final assessment. Furthermore, of the 44 subjects with wrist fractures, seven (15.9%) needed help with at least one relevant activity at baseline and 18 (40.9%) at 12 months. Of the 34 subjects with hip fractures, four (11.8%) needed help with at least one activity at baseline and 18 (52.9%) at 12 months. Practically no changes were found in any of the groups after 5 months post‐injury. <b>Conclusions:</b> not only hip fractures, but also wrist fractures may reduce older people's chances of remaining independent. Prospects of further recovery are minimal 5–6 months after the injury.
Oxford University Press
2001-05-01 00:00:00.0
TEXT
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http://ageing.oxfordjournals.org/cgi/content/short/30/3/213
http://dx.doi.org/10.1093/ageing/30.3.213
en
Copyright (C) 2001, British Geriatrics Society
oai:open-archive.highwire.org:ageing:30/3/2212015-05-19HighWireOUPageing:30:3
Does the Mini Nutritional Assessment predict hospitalization outcomes in older people?
Van Nes, Marie-Claire
Herrmann, François R.
Gold, Gabriel
Michel, Jean-Pierre
Rizzoli, René
Research papers
<b>Background:</b> the Mini Nutritional Assessment is a validated clinical tool for the assessment of nutritional status in older people. Moderate to severe malnutrition is common in elderly patients in hospital and is associated with a poor outcome. <b>Objectives:</b> to determine whether the Mini Nutritional Assessment can predict the outcome of hospital stay in older individuals. <b>Setting:</b> a tertiary‐care geriatric hospital. <b>Methods:</b> we evaluated nutritional status using the Mini Nutritional Assessment in 1319 patients (mean age 84.2, 70% women) admitted between February 1996 and January 1998; 1145 complete assessments were available for analysis. The assessment was carried out on admission and studied in relation to length of stay and in‐hospital mortality for all patients, and discharge to a nursing home for those living at home before admission. <b>Results:</b> Mini Nutritional Assessment scores averaged 19.9±3.8 (mean±SD) with a range of 8.0–27.5, and a median of 20.5. A score below 17, corresponding to malnutrition, was associated with an almost threefold increase in mortality and in the rate of discharge to a nursing home; this contrasted with a score above 24, which indicates satisfactory nutritional status (11.3% <it>vs</it> 3.7%; <it>P</it><0.01 and 20.3% <it>vs</it> 7.7%; <it>P</it><0.001, respectively). Length of stay was longer in the low scoring group (42.0 days <it>vs</it> 30.5 days; <it>P</it><0.0002). <b>Conclusion:</b> Poor nutritional status as measured by the Mini Nutritional Assessment was associated with increased in‐hospital mortality, a higher rate of discharge to nursing homes and a longer length of stay.
Oxford University Press
2001-05-01 00:00:00.0
TEXT
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http://ageing.oxfordjournals.org/cgi/content/short/30/3/221
http://dx.doi.org/10.1093/ageing/30.3.221
en
Copyright (C) 2001, British Geriatrics Society
oai:open-archive.highwire.org:ageing:30/3/2272015-05-19HighWireOUPageing:30:3
Can skin wrinkling in a site that has received limited sun exposure be used as a marker of health status and biological age?
Purba, Martalena B.
Kouris-Blazos, Antigone
Wattanapenpaiboon, Naiyana
Lukito, Widjaja
Rothenberg, Elisabeth
Steen, Bertil
Wahlqvist, Mark L.
Research papers
<b>Objectives:</b> to determine if skin wrinkling in a site that had received limited sun exposure may be a marker of health status and biological age. <b>Design:</b> population‐based, cross‐sectional study. <b>Participants:</b> we evaluated the health status of representative samples of elderly Greek‐born people living in Melbourne, Greeks living in rural Greece, Anglo‐Celtic Australians living in Melbourne and Swedes living in Sweden. We carried out microtopographic assessment of their skin and measured plasma dehydroepiandrosterone concentrations. <b>Methods:</b> we derived activities of daily living, well‐being, memory and general health status scores from a cross‐cultural questionnaire. We measured skin wrinkling using cutaneous microtopographic methods and plasma dehydroepiandrosterone by enzyme immuno‐assay. <b>Results:</b> skin wrinkling was positively correlated with age (<it>r</it><inf>s</inf>=0.27, <it>P</it><0.0001) and negatively with body mass index (<it>r</it><inf>s</inf>=−0.19, <it>P</it><0.0001). Therefore, all analyses were controlled for these variables. Plasma dehydroepiandrosterone was higher in smokers than non‐smokers (2.86 <it>vs</it> 2.08; <it>P</it><0.001) and men had significantly higher plasma dehydroepiandrosterone than women (2.74 <it>vs</it> 1.69; <it>P</it><0.0001). In the pooled data, skin wrinkling was negatively associated with general health score (<it>r</it><inf>s</inf>=−0.13, <it>P</it><0.01) and activities of daily living score (<it>r</it><inf>s</inf>=−0.14, <it>P</it><0.05) after controlling for age, body mass index and smoking. These associations were more pronounced in women. Finally, those with the least skin wrinkling had the highest dehydroepiandrosterone level (<it>r</it><inf>s</inf>=−0.12, <it>P</it>=0.06) after adjusting for age, smoking and sex. <b>Conclusion:</b> skin wrinkling in a site with limited sun exposure might be used as a marker of health status and, to some extent, biological age—particularly for women.
Oxford University Press
2001-05-01 00:00:00.0
TEXT
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http://ageing.oxfordjournals.org/cgi/content/short/30/3/227
http://dx.doi.org/10.1093/ageing/30.3.227
en
Copyright (C) 2001, British Geriatrics Society
oai:open-archive.highwire.org:ageing:30/3/2352015-05-19HighWireOUPageing:30:3
Antioxidant defences and oxidative stress markers in erythrocytes and plasma from normally nourished elderly Alzheimer patients
Bourdel-Marchasson, Isabelle
Delmas-Beauvieux, Marie-Christine
Peuchant, Evelyne
Richard-Harston, Sandrine
Decamps, Arnaud
Reignier, Brigitte
Emeriau, Jean-Paul
Rainfray, Muriel
Research papers
<b>Objectives</b>: to investigate blood markers of oxidative stress, and enzymatic and non‐enzymatic antioxidants in normally nourished elderly people with Alzheimer's disease. <b>Design</b>: case–control study. <b>Subjects</b>: twenty patients with Alzheimer's disease and 23 elderly control subjects, living at home, free from disease and not undergoing any treatment known to have a strong influence on blood oxidative stress markers or antioxidant defence systems. <b>Methods</b>: we performed a nutritional evaluation, including anthropometric and biological measures and a 3‐day dietary record. We determined concentrations of antioxidant vitamins (<it>α</it>‐tocopherol, retinol) and malondialdehyde in plasma and erythrocytes. We also measured erythrocyte enzymatic activities of glutathione peroxidase and copper–zinc superoxide dismutase. <b>Results</b>: the two groups were similar in age, body mass index, dietary record and serum albumin concentration. After adjustment for age, sex and cardiovascular co‐morbidity, mean plasma concentration of <it>α</it>‐tocopherol was lower in those with Alzheimer disease than in control subjects (15±3.5 mg/l compared with 18.2±3.5; <it>P</it>=0.002), as was the mean plasma concentration of retinol (0.54±0.2 mg/l <it>vs</it> 0.7±0.2; <it>P</it>=0.014). The mean concentration of free plasma malondialdehyde was higher in those with Alzheimer's disease (0.70±0.2 mmol/l <it>vs</it> 0.5±0.1; <it>P</it>=0.036). In Alzheimer disease patients, free plasma malondialdehyde concentrations were inversely correlated with levels of <it>α</it>‐tocopherol (<it>P</it>=0.002) and retinol (<it>P</it>=0.025). Erythrocyte levels of vitamins and enzymatic activities were similar in the two groups. <b>Conclusion</b>: lower plasma concentrations of α‐tocopherol and retinol in normally nourished elderly patients with Alzheimer's disease than in controls could suggest that these antioxidant vitamins had been consumed as a result of excessive production of free radicals.
Oxford University Press
2001-05-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/30/3/235
http://dx.doi.org/10.1093/ageing/30.3.235
en
Copyright (C) 2001, British Geriatrics Society
oai:open-archive.highwire.org:ageing:30/3/2432015-05-19HighWireOUPageing:30:3
Eligibility criteria for elderly mentally ill continuing-care National Health Service patients: are they being met and do they need revision?
Simmons, Peter
Richardson, Barbora
Mullan, Eleanor
Katona, Cornelius
Walker, Zuzana
Orrell, Martin
Research papers
<b>Background:</b> in 1996, the British government directed health authorities to draw up local eligibility criteria for National Health Service continuing health care. <b>Objectives:</b> to examine whether elderly mentally ill continuing‐care National Health Service patients fulfilled a variety of eligibility criteria for their placement, and to identify the characteristics of patients who met local eligibility criteria. <b>Design:</b> descriptive study. <b>Setting:</b> four continuing‐care units for elderly mentally ill patients in and around London. <b>Subjects:</b> 67 continuing‐care inpatients. <b>Methods:</b> interview with nurse carer and, where possible, the patient with the use of standard global, functional, behavioural and cognitive rating scales. We determined fulfilment of Royal College of Psychiatrists' guideline criteria and three local eligibility criteria for elderly mentally ill continuing care. We identified clinical differences between those eligible and ineligible. <b>Results:</b> although there were wide variations between local eligibility criteria, their effects were the same. In total, 58% of patients fulfilled all local eligibility criteria; 42% fulfilled none. Patients who fulfilled local eligibility criteria scored much higher on ratings of aggression, activity disturbance (wandering, and purposeless and inappropriate activity) and paranoid and delusional ideation. Ten percent of patients fulfilled Royal College of Psychiatrists' criteria but not local eligibility criteria. <b>Conclusions:</b> comprehensive and unambiguous national eligibility criteria should be introduced to reflect clinical needs and provide equity of access.
Oxford University Press
2001-05-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/30/3/243
http://dx.doi.org/10.1093/ageing/30.3.243
en
Copyright (C) 2001, British Geriatrics Society
oai:open-archive.highwire.org:ageing:30/3/2512015-05-19HighWireOUPageing:30:3
A comparison of the new executive functioning domains of the CAMCOG-R with existing tests of executive function in elderly stroke survivors
Leeds, Lesley
Meara, R. Jolyon
Woods, Robert
Hobson, J. Peter
Research papers
<b>Aim:</b> to compare the two new executive function tests of the revised Cambridge Cognitive Examination (CAMCOG‐R), a bedside measure of cognitive function, with existing neuropsychological assessments of executive function in elderly stroke survivors. <b>Methods:</b> we assessed 83 stroke survivors at 1 and 3 months post‐stroke with the new CAMCOG‐R, the Weigl colour form sorting test and Raven's coloured progressive matrices. We assessed functional recovery with the Barthel index and depression with the self‐report 15‐item geriatric depression scale. We used descriptive statistics, Pearson correlation coefficients, paired <it>t</it>‐tests and principal axis factor analyses to interpret the data. <b>Results:</b> the new CAMCOG‐R executive functioning tests showed moderate correlation with the Weigl and Raven tests (<it>P</it><0.01). Improved functional outcome as measured by the Barthel index was significantly associated with higher executive function test scores (<it>P</it><0.05). Depression was significantly associated with poorer performance on all tasks of executive function (<it>P</it><0.05). A factor analysis of the scores on all of the neuropsychological tests revealed a single strong factor that accounted for 66% of the variance. The CAMCOG‐R and the executive functioning subscales used in this population established sensitivity to change over time. <b>Conclusion:</b> although the new executive tests of the CAMCOG‐R compared reasonably well with the Weigl and Raven neuropsychological tests, the extra time taken to administer the CAMCOG‐R may not be justified. The new CAMCOG‐R executive function tests were vulnerable to the effects of depression. Finally, the executive function tests might have provided more of a global measure of cognitive function, raising doubts about their construct validity in our patient population.
Oxford University Press
2001-05-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/30/3/251
http://dx.doi.org/10.1093/ageing/30.3.251
en
Copyright (C) 2001, British Geriatrics Society
oai:open-archive.highwire.org:ageing:30/3/2552015-05-19HighWireOUPageing:30:3
Distal forearm fracture history in an older community-dwelling population: the Nottingham Community Osteoporosis (NOCOS) study
Masud, Tahir
Jordan, Desda
Hosking, David J.
Short reports
<b>Objectives:</b> to assess the prevalence of a history of Colles' fracture (occurring after the age of 40 years) and to ascertain the extent of investigation and treatment of osteoporosis in this population. <b>Methods:</b> we studied subjects aged ≥60 years from the age–sex register of three general practices. We recorded a history of fractures and details of any previous investigation for osteoporosis and treatment with bone‐protective drugs. Bone mineral density was performed at the heel using dual‐energy x‐ray absorptiometry (Lunar PIXI machine). We classified subjects into normal, osteopaenic or osteoporotic according to the machine manufacturer's recommended World Health Organisation ‘equivalent T‐score thresholds’ (0.6 for osteopaenia and 1.6 for osteoporosis). <b>Results:</b> of the 605 subjects invited, we recruited 259 women and 194 men (response rate=74.8%). Twenty‐eight (10.8%) of the women and five (2.6%) of the men had a history of Colles' fracture. Of women with a prevalent Colles' fracture, 39% were osteoporotic and 36% were osteopaenic. These rates were significantly greater than in women without a Colles' fracture (19.9% osteoporotic, 29.4% osteopaenic; <it>P</it>=0.018). Assuming the same PIXI thresholds for men, two (40%) of the five men with a history of Colles' fractures were osteoporotic and the rest were osteopaenic, compared with 20.6 and 31.2% of men without a history of Colles' fractures. None of the subjects in the Colles' fracture group had previously been investigated with bone densitometry. Women with and without a history of Colles' fracture did not differ significantly in ever having (32.1% <it>vs</it> 27.2%; <it>P</it>=0.4) or currently having (14.3% <it>vs</it> 10.4%; <it>P</it>=0.4) hormone replacement treatment. None of the men and only one woman with a previous Colles' fracture had ever taken a non‐hormone replacement treatment for osteoporosis. <b>Conclusions:</b> older community‐dwelling subjects with previous Colles' fracture have a high prevalence of osteoporosis and are under‐investigated and under‐treated. Methods for identifying subjects with a previous Colles' fracture need to be developed in primary and secondary care.
Oxford University Press
2001-05-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/30/3/255
http://dx.doi.org/10.1093/ageing/30.3.255
en
Copyright (C) 2001, British Geriatrics Society
oai:open-archive.highwire.org:ageing:30/3/2592015-05-19HighWireOUPageing:30:3
Peak flow technique and the 'windmill' trainer in older subjects admitted with acute airflow limitation
Clare, Josie
Teale, Charlie
Short reports
<b>Methods:</b> peak expiratory flow technique was assessed as being satisfactory or unsatisfactory in consecutive patients >60 years with an acute exacerbation of airflow obstruction, admitted to an integrated medical and elderly unit. <b>Results:</b> at baseline assessment, 16 (25%) of 63 patients had satisfactory peak expiratory flow technique. After conventional teaching, this improved to 38 (60%) of 63 (<it>P</it><0.0001). Further instruction usin<?Pub Caret>g a ‘windmill’ device failed to improve the number with a satisfactory technique.
Oxford University Press
2001-05-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/30/3/259
http://dx.doi.org/10.1093/ageing/30.3.259
en
Copyright (C) 2001, British Geriatrics Society
oai:open-archive.highwire.org:ageing:30/3/2622015-05-19HighWireOUPageing:30:3
Is physical activity protective against hip fracture in frail older people?
Norton, Robyn
Galgali, Geetha
Campbell, A. John
Reid, Ian R.
Robinson, Elizabeth
Butler, Meg
Gray, Harley
Short reports
<b>Background:</b> there is limited evidence of a protective effect of physical activity in preventing hip fractures among older people living in institutions and in those aged 80 or over. <b>Objective:</b> to examine the relationship between physical activity and risk of hip fracture in frail older people. <b>Design:</b> a case–control study. <b>Setting:</b> Auckland, New Zealand. <b>Subjects:</b> a random sample of individuals hospitalized with a fracture of the femoral neck (<it>n</it>=911) and 910 randomly selected age‐ and sex‐matched individuals from the lists of a random sample of general practitioners. <b>Methods:</b> we sought information on physical activity and other potential risk factors for hip fracture from cases and controls, using a standardized interviewer‐administered questionnaire. We conducted multivariate analyses, separately for those living in private homes and residential institutions. <b>Results:</b> increasing hours of physical activity per week protected against the risk of hip fracture among individuals living in private homes, including those who are over 80. However, among individuals living in institutions, physical activity levels were extremely low (<15% participated in ⩾2 h per week) and there was limited evidence of a protective effect. <b>Conclusions:</b> efforts to prevent hip fractures in individuals living in care homes and institutions should focus on passive interventions which are known to be effective.
Oxford University Press
2001-05-01 00:00:00.0
TEXT
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http://ageing.oxfordjournals.org/cgi/content/short/30/3/262
http://dx.doi.org/10.1093/ageing/30.3.262
en
Copyright (C) 2001, British Geriatrics Society
oai:open-archive.highwire.org:ageing:30/3/2652015-05-19HighWireOUPageing:30:3
Efficacy of in-home screening for risk of functional decline
Hébert, Réjean
Dion, Marie-Hélène
Letters
Oxford University Press
2001-05-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/30/3/265
http://dx.doi.org/10.1093/ageing/30.3.265
en
Copyright (C) 2001, British Geriatrics Society
oai:open-archive.highwire.org:ageing:30/3/2662015-05-19HighWireOUPageing:30:3
Rehabilitation research in frail older people
Bussin, Jacqueline
Tallis, Ray C.
Letters
Oxford University Press
2001-05-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/30/3/266
http://dx.doi.org/10.1093/ageing/30.3.266
en
Copyright (C) 2001, British Geriatrics Society
oai:open-archive.highwire.org:ageing:30/3/2672015-05-19HighWireOUPageing:30:3
Predicting outcomes of proximal femoral fractures by analysis of 'get well' cards
Jones, Andy W.
Gummerson, Nigel W.
Newman, Raymond J.
Letters
Oxford University Press
2001-05-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/30/3/267
http://dx.doi.org/10.1093/ageing/30.3.267
en
Copyright (C) 2001, British Geriatrics Society
oai:open-archive.highwire.org:ageing:30/3/2682015-05-19HighWireOUPageing:30:3
Miller Fisher syndrome in an elderly man
Bussin, Jacqueline
Letters
Oxford University Press
2001-05-01 00:00:00.0
TEXT
text/html
http://ageing.oxfordjournals.org/cgi/content/short/30/3/268
http://dx.doi.org/10.1093/ageing/30.3.268
en
Copyright (C) 2001, British Geriatrics Society
oai:open-archive.highwire.org:ageing:30/3/2712015-05-19HighWireOUPageing:30:3
Lonely nights in long-term care
Milward, David V.
Hobby Horse
Oxford University Press
2001-05-01 00:00:00.0
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http://ageing.oxfordjournals.org/cgi/content/short/30/3/271
http://dx.doi.org/10.1093/ageing/30.3.271
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Copyright (C) 2001, British Geriatrics Society