Healthcare for Older People
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Research outputs from the Healthcare for Older People department at the RD&E.
Recent Submissions
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Home visits: A new screening tool for frailty? A retrospective exploratory study.
(Academy of Family Physicians India, 2018-09)In the United Kingdom, the new NHS contract for primary care mandates that practices use the Electronic Frailty Index (EFI) to screen for frailty and apply clinical judgment, based on knowledge of the patient, to decide ... -
Impact of Low Cardiovascular Risk Profiles on Geriatric Outcomes: Evidence From 421,000 Participants in Two Cohorts.
(Oxford Journals, 2018-05-21)Individuals with low cardiovascular risk factor profiles experience lower rates of cardiovascular diseases, but associations with geriatric syndromes are unclear. We tested whether individuals with low cardiovascular disease ... -
Diabetes, cardiovascular disease and the microcirculation.
(BioMed Central, 2018-04-18)Cardiovascular disease (CVD) is the leading cause of mortality in people with type 2 diabetes mellitus (T2DM), yet a significant proportion of the disease burden cannot be accounted for by conventional cardiovascular risk ... -
Proton-Pump Inhibitors and Long-Term Risk of Community-Acquired Pneumonia in Older Adults.
(Wiley, 2018-04-20)To estimate associations between long-term use of proton pump inhibitors (PPIs) and pneumonia incidence in older adults in primary care. -
Type 2 diabetes mellitus in older people: a brief statement of key principles of modern day management including the assessment of frailty. A national collaborative stakeholder initiative.
(Wiley, 2018-04-07)Rates of population ageing are unprecedented and this, combined with the progressive urbanization of lifestyles, has led to a dramatic shift in the epidemiology of diabetes towards old age, particularly to those aged 60-79 ... -
Intravascular lymphoma presenting with postural hypotension.
(BMJ, 2018-01-29)An 84-year-old woman presented with severe postural hypotension. Further assessment revealed weight loss, fatigue and fever at night. On examination, she had bilateral skin lesions on the inner thighs and skin biopsy ... -
Interventions to improve working conditions of nursing staff in acute care hospitals: Scoping review.
(Wiley, 2018-01-11)To conduct a scoping review to examine and map the interventions proposed for the improvement of the working conditions of nursing staff in acute care hospitals. -
Blood Pressure Trajectories in the 20 Years Before Death.
(JAMA, 2017-12-04)There is mixed evidence that blood pressure (BP) stabilizes or decreases in later life. It is also unclear whether BP trajectories reflect advancing age, proximity to end of life, or selective survival of persons free from ... -
A multi-centre randomised trial to compare the effectiveness of geriatrician-led admission avoidance hospital at home versus inpatient admission.
(BioMed Central, 2017-10-23)There is concern that existing models of acute hospital care will become unworkable as the health service admits an increasing number of frail older people with complex health needs, and that there is inadequate evidence ... -
Obesity in Older People With and Without Conditions Associated With Weight Loss: Follow-up of 955,000 Primary Care Patients.
(Oxford Academic, 2017-02)Moderate obesity in later life may improve survival, prompting calls to revise obesity control policies. However, this obesity paradox may be due to confounding from smoking, diseases causing weight-loss, plus varying ... -
Improving Hospital at Home for frail older people: insights from a quality improvement project to achieve change across regional health and social care sectors.
(BioMed Central, 2017-06-05)Against a background of rising numbers of frail older people, there is a need to improve quality and safety of services whilst containing costs. Improving patient outcomes requires change across hospital and community ... -
The design and development of a complex multifactorial falls assessment intervention for falls prevention: The Prevention of Falls Injury Trial (PreFIT).
(BioMed Central, 2017-06-01)This paper describes the design and development of a complex multifactorial falls prevention (MFFP) intervention for implementation and testing within the framework of a large UK-based falls prevention randomised controlled ... -
The involvement of people with Parkinson’s in designing a study of the lived experience of anxiety
(Sage, 2017-05-12)Anxiety is a common non-motor symptom of Parkinson’s and is an important consideration for occupational therapists working with this population. Little is known about how people with Parkinson’s experience anxiety. A ... -
Proton-Pump Inhibitors and Fragility Fractures in Vulnerable Older Patients.
(Nature, 2017-03) -
Considerations for management of patients with diabetic macular edema: optimizing treatment outcomes and minimizing safety concerns through interdisciplinary collaboration
(Elsevier, 2017-01)Diabetes is a growing worldwide epidemic and a leading cause of blindness in working-age people around the world. Diabetic retinopathy (DR) and diabetic macular edema (DME) are common causes of visual impairment in people ... -
Outcomes of Treated Hypertension at Age 80 and Older: Cohort Analysis of 79,376 Individuals.
(Wiley, 2016-12-30)To estimate outcomes according to attained blood pressure (BP) in the oldest adults treated for hypertension in routine family practice.