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774 results for “Geriatrics”
Effect of a trAnSitional Pharmacist Intervention in geRiatric Inpatients on Hospitals Visits After dischargE
ClinicalTrials.gov study NCT04617340. IPD Sharing: NO. Countries: 1. Publications: 3.
Efficacy and Safety of Brimonidine Tartrate Ophthalmic Solution in Adult and Geriatric Participants With Ocular Redness
ClinicalTrials.gov study NCT01959230. IPD Sharing: Not stated. Countries: 1. Publications: 1.
Role of Alphacalcidol Supplement to Reduce Pain and COMP in Geriatric Knee Osteoarthritis Patients
ClinicalTrials.gov study NCT04405960. IPD Sharing: NO. Countries: 1. Publications: 34.
Management of Cisplatin-Ineligible Patients With Metastatic Bladder Cancer and The Role of Geriatric Assessments
ClinicalTrials.gov study NCT06138561. IPD Sharing: YES. Countries: 1. Publications: 4.
Effect of a Multicomponent Exercise Program With Virtual Reality (MEP-VR) vs Standard Approaches on Functional and Cognitive Domains in Hospitalized Geriatric Patients: Study Protocol for a Randomized
ClinicalTrials.gov study NCT06469554. IPD Sharing: YES. Countries: 1. Publications: 1.
Evaluation of TXA Prior to Surgery in the Geriatric Hip Fracture Population
ClinicalTrials.gov study NCT03923959. IPD Sharing: NO. Countries: 1. Publications: 19.
Behavioral Economics Applications to Geriatrics Leveraging EHRs R33 Trial
ClinicalTrials.gov study NCT04289753. IPD Sharing: NO. Countries: 1. Publications: 1.
Geriatric Oncology Care in Brazil: Remote Geriatric Assessment-Driven Interventions With Supportive Care
ClinicalTrials.gov study NCT07084454. IPD Sharing: UNDECIDED. Countries: 1. Publications: 7.
Geriatric Ketamine for Pain Management Study
ClinicalTrials.gov study NCT02673372. IPD Sharing: NO. Countries: 1. Publications: 17.
Geriatric Assessment Intervention for Reducing Toxicity in Older Patients With Advanced Cancer
ClinicalTrials.gov study NCT02054741. IPD Sharing: Not stated. Countries: 1. Publications: 11.
Data from: Cost-effectiveness of a specialist geriatric medical intervention for frail older people discharged from acute medical units: economic evaluation in a two-centre randomised controlled trial (AMIGOS)
Background: Poor outcomes and high resource-use are observed for frail older people discharged from acute medical units. A specialist geriatric medical intervention, to facilitate Comprehensive Geriatric Assessment, was developed to reduce the incidence of adverse outcomes and associated high resource-use in this group in the post-discharge period. Objective: To examine the costs and cost-effectiveness of a specialist geriatric medical intervention for frail older people in the 90 days following discharge from an acute medical unit, compared with standard care. Methods: Economic evaluation was conducted alongside a two-centre randomised controlled trial (AMIGOS). 433 patients (aged 70 or over) at risk of future health problems, discharged from acute medical units within 72 hours of attending hospital, were recruited in two general hospitals in Nottingham and Leicester, UK. Participants were randomised to the intervention, comprising geriatrician assessment in acute units and further specialist management, or to control where patients received no additional intervention over and above standard care. Primary outcome was incremental cost per quality adjusted life year (QALY) gained. Results: We undertook cost-effectiveness analysis for 417 patients (intervention: 205). The difference in mean adjusted QALYs gained between groups at 3 months was -0.001 (95% confidence interval [CI]: -0.009, 0.007). Total adjusted secondary and social care costs, including direct costs of the intervention, at 3 months were £4412 (€5624, $6878) and £4110 (€5239, $6408) for the intervention and standard care groups, the incremental cost was £302 (95% CI: 193, 410) [€385, $471]. The intervention was dominated by standard care with probability of 62%, and with 0% probability of cost-effectiveness (at £20,000/QALY threshold). Conclusions: The specialist geriatric medical intervention for frail older people discharged from acute medical unit was not cost-effective. Further research on designing effective and cost-effective specialist service for frail older people discharged from acute medical units is needed.
Interprofessional education in geriatric medicine: towards best practice. A controlled before-after study of medical and nursing student attitudes
<p>Objectives To investigate nursing and medical students' readiness for interprofessional learning before and after implementing geriatric Interprofessional education (IPE), based on interactive case scenarios Problem Based Learning (PBL). To determine optimal number of geriatric IPE sessions, the size and the ratio of participants in the learner groups, the outcomes related to the Kirkpatrick four-level typology of learning evaluation, students' concerns about joint learning, perception of roles of the "other" profession and students choice of topic.</p> <p>The strength:</p> <p>• This is a novel evidence regarding good practice for geriatric undergraduate Interprofessional education derived from a large unselected (inclusive) cohort of medical and nursing students</p> <p>• A controlled before-after study, with students randomly assigned to the intervention and control groups</p> <p>The limitations:</p> <p>• The overall number of nursing students was smaller, so the control group consisted of only medical students</p> <p>• The nursing students had more clinical experience than the medical students at the time of the geriatric IPE</p> <p>• Not all students returned the feedback forms, complaining that completing both questionnaires was time-consuming</p>
Dataset related to article: What changed in the Italian internal medicine and geriatric wards during the lockdown
<p>Data in .xlsx format relative to the journal letter</p>
Use of the Electronic Medical Record to screen for high-risk geriatric patients in the Emergency Department
Introduction <p>Older adults with multi-morbidities have the highest rate of ED usage. These patients are typically on numerous medications, may have underlying dementia, and often present with falls and delirium. Identifying these high-risk older adults for possible intervention is challenging in the ED setting since available screening methods are manual and resource-intensive. The objective is to study the feasibility of using the Electronic Medical Record (EMR) for identifying high-risk older adults in Emergency Department (ED).</p> Study Setting <p>Academic ED with 67,000 total and 24% geriatric (age ≥ 65 years) annual visits, American College of Emergency Physician (ACEP) accredited Level 1 Geriatric Emergency Department with ED-based geriatric consultation program.</p> Materials and Methods <p>This is a feasibility study incorporating criteria from existing manual geriatric screening instruments and the 4M framework into an automated EMR screen to identify high-risk geriatric patients. ED providers were then alerted by an EMR Best Practice Alert (BPA) if high-risk status was identified. Initial development and impact on geriatric ED consults are reported.</p> <strong>Results </strong> <p>During the study period, 7,450 patient encounters occurred; 1,836 (24.6%) encounters involved patients who were 65 years or older. 1398 (76.1%) high-risk ED encounters resulted in BPA alerts using the EMR automated screen. BPA alerts resulted in 82 (5.9%) geriatric evaluations.</p> Conclusion <p>Using the EMR to automate screening for older adults for high-risk geriatric conditions in the ED is feasible. An automated EMR screen with a BPA to ED providers identified a well-defined cohort of older patients appropriate for further ED geriatric evaluation.</p>
Geriatric Assessment Directed Trial to Evaluate Gemcitabine +/- Nab-paclitaxel in Elderly Pancreatic Cancer Patients
ClinicalTrials.gov study NCT02812992. IPD Sharing: NO. Countries: 1. Publications: 1.
Treatment for Moderate/Severe COVID-19 in a Fragile and Vulnerable Population, Admitted to a Geriatric Hospital Unit or in a Transicional Care Center
ClinicalTrials.gov study NCT04492358. IPD Sharing: Not stated. Countries: 1. Publications: 1.
NESA Microcurrents on Quality of Life in Geriatric Patients
ClinicalTrials.gov study NCT05800431. IPD Sharing: NO. Countries: 1. Publications: 4.
Efficacy of Ultra-micronized Palmitoylethanolamide (Um-PEA) in Geriatric Patients With Chronic Pain
ClinicalTrials.gov study NCT02699281. IPD Sharing: UNDECIDED. Countries: 1. Publications: 2.
Prevalence of Sarcopenia and Its Geriatric Features
ClinicalTrials.gov study NCT02664376. IPD Sharing: NO. Countries: 1. Publications: 4.
Optimization of Drug Prescribing in an Elderly Population of Geriatric Consultations
ClinicalTrials.gov study NCT02740764. IPD Sharing: Not stated. Countries: 1. Publications: 1.
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International Brain Laboratory public data
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OpenNeuro
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