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OBJECTIVE To develop and evaluate a best practice model of general hospital acute medical care for older people with cognitive impairment. DESIGN Randomised controlled trial, adapted to take account of constraints imposed by a busy acute medical admission system. SETTING Large acute general hospital in the United Kingdom. PARTICIPANTS 600 patients(More)
BACKGROUND/OBJECTIVES Older adults with dementia have at least a twofold increased risk of falls. Multi-factorial interventions have failed to demonstrate a reduction in falls in this group. Improved understanding of specific cognitive factors and their relationship to gait, balance and falls is required. METHODS Systematic searches of Medline, Embase,(More)
BACKGROUND In the UK, the National Institute for Health and Care Excellence recommends either fracture risk assessment tool (FRAX) or QFracture to estimate the 10 year fracture risk of individuals. However, it is not known how these tools compare in determining risk and subsequent treatment using set intervention thresholds or guidelines. METHODS The 10(More)
BACKGROUND Cognitive impairment is a risk factor for falls. Older adults with cognitive impairment (such as dementia) have an increased risk of falling compared with age-matched individuals without a cognitive impairment. To reduce falls in this population, interventions could theoretically target and train both physical and cognitive abilities. Combining(More)
Optimizing heath care services for seniors in emergency departments (ED) is a core component of the " Senior Friendly Hospital Approach " being implemented in Quebec. We measured the availability of geriatric expertise in Quebec EDs and its relationship with ED characteristics such as university affiliation, number of stretchers, and geographical location.(More)
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