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OBJECTIVE To summarise existing systematic reviews that assess the effects of non-pharmacological, pharmacological and alternative therapies on activities of daily living (ADL) function in people with dementia. DESIGN Overview of systematic reviews. METHODS A systematic search in the Cochrane Database of Systematic Reviews, DARE, Medline, EMBASE and(More)
OBJECTIVES Older people are at risk of undernutrition because of a number of physiological conditions and lifestyle factors. The purpose of this study was to explore the predictive relationship of corrected arm muscle area (CAMA) with 8-year mortality in a representative sample of older Australians. DESIGN Prospective cohort study: The Australian(More)
OBJECTIVE To compare hospital and home settings for the rehabilitation of patients following hip fracture. DESIGN Randomized controlled trial comparing accelerated discharge and home-based rehabilitation (n = 34) with conventional hospital care (n = 32) for patients admitted to hospital with hip fracture. SETTING Three metropolitan hospitals in(More)
OBJECTIVE To determine whether individualized advice on non-pharmacological strategies for hospitalized older patients with confusion and behavioral problems can improve levels of agitation and reduce the use of psychotropic medication. METHOD Pragmatic randomized controlled trial in two metropolitan teaching hospitals in South Australia. Seventy-one(More)
OBJECTIVE To investigate the preferences of frail older people for individualised multidisciplinary rehabilitation to promote recovery from a hip fracture. DESIGN Discrete Choice Experiment. SETTING Acute and Rehabilitation Hospitals in Adelaide, South Australia. SUBJECTS Eighty-seven patients with recent hip fracture (16 living in residential care(More)
BACKGROUND Geriatric cachexia is distinct from other age-related muscle wasting syndromes; however, detection and therefore treatment is challenging without the availability of valid instruments suitable for application in the clinical setting. This study assessed the sensitivity and specificity of a newly developed screening instrument utilising portable(More)
BACKGROUND efficient strategies are needed to provide specialist advice in nursing homes to ensure quality medical care. We describe a case conference intervention involving a multidisciplinary team of health professionals. OBJECTIVES to evaluate the impact of multidisciplinary case conferences on the appropriateness of medications and on patient(More)
OBJECTIVE To evaluate, in terms of function and mobility, the predictive value of commonly adopted anthropometric 'definitions' used in the nutritional assessment of older adults, in a cohort of older Australians. DESIGN Prospective cohort study - Australian Longitudinal Study of Ageing (ALSA). SETTING Adelaide, South Australia (1992-1994). SUBJECTS(More)
BACKGROUND While hip fractures are an important cause of disability, dependency and death in older adults, the benefit of multi-disciplinary rehabilitation for people who have sustained hip fracture has not been demonstrated. METHODS Systematic review of randomized controlled trials which compare co-ordinated multi-disciplinary rehabilitation with usual(More)
OBJECTIVE To assess the effectiveness of moving patients who are waiting in hospital for a long term care bed to an off-site transitional care facility. DESIGN Randomised controlled trial. SETTING Three public hospitals in Southern Adelaide. PARTICIPANTS 320 elderly patients (mean age 83 years) in acute hospital beds (212 randomised to intervention,(More)