What are the priorities for research of older people living in their own home, including those living with frailty? A systematic review and content analysis of studies reporting older people ’s priorities and unmet needs
ConclusionReview findings provide a valuable resource for researchers and health/care staff wishing to focus their research or service provision on areas of importance for older people. (Source: Age and Ageing)
Source: Age and Ageing - January 15, 2024 Category: Geriatrics Source Type: research

Geriatric care physicians ’ perspectives on providing virtual care: a reflexive thematic synthesis of their online survey responses from Ontario, Canada
ConclusionsGeriatric care physicians identify a role for virtual care in their practice but acknowledge its limitations. Further work is required to ensure equitable access to virtual care for older adults. (Source: Age and Ageing)
Source: Age and Ageing - January 15, 2024 Category: Geriatrics Source Type: research

Digital technologies to prevent falls in people living with dementia or mild cognitive impairment: a rapid systematic overview of systematic reviews
ConclusionsThe evidence for technology to reduce falls and falls risk for PlwD and MCI is methodologically weak, based on small numbers of participants and often indirect. There is a need for higher-quality RCTs to provide robust evidence for effectiveness of fall prevention technologies. Such technologies should be designed with input from users and consideration of the wider implementation context. (Source: Age and Ageing)
Source: Age and Ageing - January 12, 2024 Category: Geriatrics Source Type: research

Effectiveness of low-density lipoprotein cholesterol reduction with lipid lowering therapy for secondary prevention amongst older individuals: a nationwide cohort study
ConclusionsThis study strongly supports a similar relative clinical benefit of LDL-C reduction with lipid lowering treatment for secondary prevention of major vascular events amongst individuals aged ≥70 and<70  years. (Source: Age and Ageing)
Source: Age and Ageing - January 12, 2024 Category: Geriatrics Source Type: research

Evolution of REperfusion Strategies and impact on mortality in Old and Very OLD STEMI patients. The RESOVOLD-e-MUST study
Conclusionthe increase in the reperfusion decision rate was the greatest in the oldest patients. It reduced mortality even in patients over 90  years of age. (Source: Age and Ageing)
Source: Age and Ageing - January 2, 2024 Category: Geriatrics Source Type: research

Survival and critical care use among people with dementia in a large English cohort
ConclusionsIn this cohort, while critical care use among people with dementia declined overall, its use increased among those in their last year of life. Survival remains comparable to that observed in general older populations. (Source: Age and Ageing)
Source: Age and Ageing - September 8, 2023 Category: Geriatrics Source Type: research

Interactive association between insomnia symptoms and sleep duration for the risk of dementia —a prospective study in the Swedish National March Cohort
ConclusionInsomnia and short sleep duration increase the risk of dementia amongst middle-aged to older adults. (Source: Age and Ageing)
Source: Age and Ageing - September 7, 2023 Category: Geriatrics Source Type: research

Predictors of persistent opioid use in non-cancer older adults: a retrospective cohort study
ConclusionA significant proportion of patients developed POU, and several factors were associated with POU. The findings will enable healthcare providers and policymakers to target early interventions to prevent POU and related adverse events. (Source: Age and Ageing)
Source: Age and Ageing - September 1, 2023 Category: Geriatrics Source Type: research

The effects of a salutogenic strength-based intervention on sense of coherence and health outcomes of dementia family carers: A randomized controlled trial
ConclusionA strength-based intervention is effective in improving the perceived burden and mental health of family caregivers of persons with dementia, and an SOC plays an important role in accounting for the mental health benefits.Trial registrationThe trial was registered in the World Health Organization International Clinical Trials Registry Platform (Main ID: ChiCTR-IIC-17011097). (Source: Age and Ageing)
Source: Age and Ageing - September 1, 2023 Category: Geriatrics Source Type: research

Measuring quality of life in care homes when self-report is challenging: the construct validity, structural characteristics and internal consistency of the mixed-methods adult social care outcomes toolkit
ConclusionsThe ASCOT-CH4 is an alternative to conventional proxy-questionnaires for measuring the SCRQoL of care home residents, with good psychometric properties. A limitation is that users need a range of data collection skills. Future research should explore whether findings are replicable when data are collected by other researchers. (Source: Age and Ageing)
Source: Age and Ageing - September 1, 2023 Category: Geriatrics Source Type: research

Breathlessness limiting exertion in very old adults: findings from the Newcastle 85+ study
ConclusionsBreathlessness limiting exertion appears to become less prevalent over time due to death or withdrawal of participants with cardio-respiratory illness.Breathlessness severely limiting exertion had a wide range of service utilisation and wellbeing impacts. (Source: Age and Ageing)
Source: Age and Ageing - September 1, 2023 Category: Geriatrics Source Type: research

Transition to a fully online journal
The next ‘issue’ of Age and Ageing will appear on-line in January 2022, and monthly after that. The Editor’s View article will have a new home on theBGS website, with links from theAge and Ageing website, in our various social media outputs and from the table of contents email alerts, to which I would encourage you to subscribe. Accepted articles are published on-line as soon as they complete production, but the new process expedites assignment to an ‘issue’. (Source: Age and Ageing)
Source: Age and Ageing - November 10, 2021 Category: Geriatrics Source Type: research

Dutch emergency physicians insufficiently educated in geriatric emergency medicine: results of a nationwide survey
ConclusionEPs in the Netherlands feel insufficiently educated to treat older adults. ED managers largely recognize this educational challenge. This nationwide survey underlines the need to prioritize GEM education for EPs. (Source: Age and Ageing)
Source: Age and Ageing - October 20, 2021 Category: Geriatrics Source Type: research

Understanding the experience of living well, beyond the age of 85  years: a qualitative analysis using themes from a meta-ethnography
ConclusionsFindings indicate that health outcomes for older people should incorporate measures of participation and well-being; they highlight the importance of kindness in healthcare; they indicate that older people do not want to place additional burden on the NHS, and this can act as a barrier to care; they support the need for open conversations about dying well. (Source: Age and Ageing)
Source: Age and Ageing - October 20, 2021 Category: Geriatrics Source Type: research

Long-term conditions, multimorbidity, lifestyle factors and change in grip strength over 9  years of follow-up: Findings from 44,315 UK biobank participants
ConclusionsIndividuals living with multimorbidity and those with lifestyle risk factors such as low physical activity are at increased risk of low muscle strength and the loss of strength over time. (Source: Age and Ageing)
Source: Age and Ageing - October 15, 2021 Category: Geriatrics Source Type: research