During the past several years, prognostic instruments have been developed for patients with heart failure (HF), predicting a number of clinical outcomes, including mortality and rehospitalization.1–3 Few similar instruments for shortterm prognosis have appeared designed specifically for use in the elderly with HF. Pilotto et al4 have addressed this gap by creating a prognostic instrument that p...

Identifiable comorbid conditions and organ-specific physiologic changes due to aging can limit a patient's ability to tolerate cancer therapy. In addition, the aging process can be associated with decreased physiologic reserve affecting multiple systems. This can be manifested as frailty and can interfere with the functional status of the patient, even in the absence of specific comorbidities. ...

OBJECTIVE The purpose of this study was to examine the prediction of depression on a group of Iranian older adults based on components of health locus of control. METHOD Sixty-six men and 42 women over the age of 55 were recruited from the retirement clubs in Shiraz, using convenience sampling. The participants completed the research questionnaires including the Geriatric Depression Scale (GD...

This study aimed to know what variables influence increased length of hospital stay. A descriptive, cross-sectional study was conducted through an integrated geriatric assessment of 81 people over 65 years of age, admitted to a tertiary acute care hospital. Data were collected through the Pfeiffer Scale, Barthel Index, Goldberg Questionnaire, Family APGAR and Gijón Scale. The length of hospital...

BACKGROUND Many health systems have implemented integrated care as an alternative approach to health care delivery that is more appropriate for patients with complex, long-term needs. The objective of this article was to analyse the implementation of integrated care at a German geriatric hospital and explore whether the use of a "context-mechanisms-outcomes"-based model provides insights into w...

BACKGROUND Previous evidence indicates that older people allocate more of their attentional resources toward their gait and that the attention-related changes that occur during aging increase the risk of falls. The aim of this study was to investigate whether performance and variability in sustained attention is associated with falls and falls efficacy in older adults. METHODS 458 community-d...

BACKGROUND Successfully introducing and maintaining care innovations may depend on the interplay between care setting, the intervention and specific circumstances. We studied the factors influencing the introduction and maintenance of a Multidisciplinary Integrated Care model in 10 Dutch residential care homes. METHODS Facilitating and impeding factors were studied and compared at the time of...

Background/Aims Postoperative delirium (POD) is more frequent in elderly patients undergoing major cancer surgery. The interplay between individual clinical vulnerability and a series of perioperative factors seems to play a relevant role. Surgery is the first-line treatment option for cancer, and fast-track surgery (FTS) has been documented to decrease postoperative complications. The study so...

INTRODUCTION Age and comorbidity are associated with length of stay (LOS) and mortality. Our aim was to compare acutely ill elderly medical patients in geriatric care with general medical care, and to examine the effects of comprehensive geriatric assessment (CGA). MATERIAL AND METHODS In an observational study, we used data from patients aged 80+ years who had been acutely admitted to depart...

OBJECTIVE To analyze and adapt a set of quality indicators for assessment and management of patients with cognitive disorders, which are seen very frequently in geriatric assessment units in Quebec. DESIGN Modified Delphi technique. SETTING Province of Quebec. PARTICIPANTS Seven clinicians from 3 different medical faculties in Quebec were selected for their expertise in dementia and geria...