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Editor’s view
Nathalie van der Velde
doi : 10.1093/ageing/afad098
Age and Ageing, Volume 52, Issue 6, June 2023, afad098
Unveiling the geriatric dimensions of chronic kidney disease
Andrea Corsonello, Fabrizia Lattanzio
doi : 10.1093/ageing/afad117
Age and Ageing, Volume 52, Issue 6, June 2023, afad117
The Australian Delirium Clinical Care Standard: not just another brick in the wall
Andrew Teodorczuk, Michael C Reade, Frederick A Graham
doi : 10.1093/ageing/afad078
Age and Ageing, Volume 52, Issue 6, June 2023, afad078
Delivering delirium care is challenging. Systems may not be set up to facilitate good delirium practice and staff may have low baseline understanding of how to spot, stop and treat delirium. In this context, delirium guidelines are especially important.
A commentary update on NICE CG124. Hip fracture:management (2023)
Terence Ong, Madhavi Vindlacheruvu
doi : 10.1093/ageing/afad110
Age and Ageing, Volume 52, Issue 6, June 2023, afad110
The National Institute for Health and Care Excellence released its second update on hip fracture management in early 2023. First published in 2011, the last update was in 2017. The scope of this recent update focussed on surgical implants for hip fracture.
Psychological interventions for loneliness and social isolation among older adults during medical pandemics: a systematic review and meta-analysis
Muzi Li, Wenwang Rao, Yingying Su, Youngjoo Sul, Gabriel Caron, Carl D’Arcy, Marie-Josee Fleury, Xiangfei Meng
doi : 10.1093/ageing/afad076
Age and Ageing, Volume 52, Issue 6, June 2023, afad076
There is little research conducted to systematically synthesize the evidence on psychological interventions for social isolation and loneliness among older adults during medical pandemics.
Single and combined use of fall-risk-increasing drugs and fracture risk: a population-based case–control study
Jonathan Hauff, Marietta Rottenkolber, Patrick Oehler, Sebastian Fischer, Jochen Gensichen, Michael Drey, G Caleb Alexander, Bruce Guthrie, Tobias Dreischulte
doi : 10.1093/ageing/afad079
Age and Ageing, Volume 52, Issue 6, June 2023, afad079
while many drug groups are associated with falls in older people, less is known about absolute increases in risk and how these risks vary across different groups of drugs or individuals.
Including older people in health and social care research: best practice recommendations based on the INCLUDE framework
Victoria A Goodwin, Mikaela S A Low, Terence J Quinn, Emma J Cockcroft, Victoria Shepherd, Philip H Evans, Emily J Henderson, Farhat Mahmood, Mary Ni Lochlainn, Catherine Needham, Benjamin R Underwood, Amit Arora, Miles D Witham
doi : 10.1093/ageing/afad082
Age and Ageing, Volume 52, Issue 6, June 2023, afad082
Older people are often explicitly or implicitly excluded from research, in particular clinical trials. This means that study findings may not be applicable to them, or that older people may not be offered treatments due to an absence of evidence.
Technology-guided assessment of vocalisations and their diagnostic value as pain indicators for people living with dementia
Kreshnik Hoti, Mustafa Atee, Paola Chivers, Ipsit Vahia, Jeffrey Hughes
doi : 10.1093/ageing/afad088
Age and Ageing, Volume 52, Issue 6, June 2023, afad088
during pain assessment in persons unable to self-report, such as people living with dementia, vocalisations are commonly used as pain indicators. However, there is a lack of evidence from clinical practice regarding their diagnostic value and relationship with pain. We aimed to explore vocalisations and pain in people with dementia undergoing pain assessments in clinical practice settings.
Development and validation of an international preoperative risk assessment model for postoperative delirium
Benjamin T Dodsworth, Kelly Reeve, Lisa Falco, Tom Hueting, Behnam Sadeghirad, Lawrence Mbuagbaw, Nicolai Goettel, Nayeli Schmutz Gelsomino
doi : 10.1093/ageing/afad086
Age and Ageing, Volume 52, Issue 6, June 2023, afad086
Postoperative delirium (POD) is a frequent complication in older adults, characterised by disturbances in attention, awareness and cognition, and associated with prolonged hospitalisation, poor functional recovery, cognitive decline, long-term dementia and increased mortality. Early identification of patients at risk of POD can considerably aid prevention.
A comparison of three approaches to measuring frailty to determine adverse health outcomes in critically ill patients
Benchuan Hao, Tao Chen, Ji Qin, Wenwen Meng, Weimin Bai, Libo Zhao, Xianwen Ou, Hongbin Liu, Weihao Xu
doi : 10.1093/ageing/afad096
Age and Ageing, Volume 52, Issue 6, June 2023, afad096
studies comparing different frailty measures in intensive care unit settings are lacking. We aimed to compare the frailty index based on physiological and laboratory tests (FI-Lab), modified frailty index (MFI) and hospital frailty risk score (HFRS) to predict short-term outcomes for critically ill patients.
Pharmacological treatment of neuropsychiatric symptoms of dementia: a network meta-analysis
Yu-Yuan Huang, Teng Teng, Cinzia D Giovane, Rong-Ze Wang, John Suckling, Xue-Ning Shen, Shi-Dong Chen, Shu-Yi Huang, Kevin Kuo, Wen-Jie Cai, Ke-Liang Chen, Lei Feng, Can Zhang, Cai-Yan Liu, Chun-Bo Li, Qian-Hua Zhao, Qiang Dong, Xin-Yu Zhou, Jin-Tai Yu
doi : 10.1093/ageing/afad091
Age and Ageing, Volume 52, Issue 6, June 2023, afad091
Pharmacological treatments are very common to be used for alleviating neuropsychiatric symptoms (NPS) in dementia. However, decision on drug selection is still a matter of controversy.
The role of lifestyle in the association between frailty and all-cause mortality amongst older adults: a mediation analysis in the UK Biobank
Mario Delgado-Velandia, Javier Maroto-RodrÃguez, Rosario Ortolá, Fernando RodrÃguez-Artalejo, Mercedes Sotos-Prieto
doi : 10.1093/ageing/afad092
Age and Ageing, Volume 52, Issue 6, June 2023, afad092
frailty is a syndrome characterised by increased vulnerability to stressors, which manifests as higher death risk. Whilst guidelines for frailty management usually entails lifestyle modifications (e.g. physical exercise, diet), the mediating role of lifestyle on the excess mortality associated with frailty is unclear. This study estimates the death risk due to frailty that could be avoided with a healthy lifestyle in older adults.
Effects of anti-osteoporosis therapy on the risk of secondary fractures and surgical complications following surgical fixation of proximal humerus fracture in older people
Jan Christoph Katthagen, Jeanette Koeppe, Josef Stolberg-Stolberg, Robert Rischen, Moritz Freistuehler, Andreas Faldum, Michael J Raschke
doi : 10.1093/ageing/afad097
Age and Ageing, Volume 52, Issue 6, June 2023, afad097
age-related fragility fractures cause significant burden of disease. Within an ageing society, fracture and complication prevention will be essential to balance health expenditure growth.
Trends in the use of psychotropics in older people with dementia: interrupted time series of Finnish clinical guidelines of behavioural and psychological symptoms of dementia
Mervi Rantsi, Lauri Kortelainen, Virva Hyttinen, Johanna Jyrkkä, Eila Kankaanpää
doi : 10.1093/ageing/afad094
Age and Ageing, Volume 52, Issue 6, June 2023, afad094
Up to 90% of people with dementia experience behavioural and psychological symptoms of dementia (BPSD) as part of their illness. Psychotropics are not recommended as the first-line treatment of BPSD because older people are more prone to adverse reactions. In this study, we evaluate the impact of the Finnish clinical guidelines of BPSD (published in 2017) on psychotropic use in people with dementia.
Reducing hip and non-vertebral fractures in institutionalised older adults by restoring inadequate intakes of protein and calcium is cost-saving
Yeji Baek, Sandra Iuliano, Judy Robbins, Shirley Poon, Ego Seeman, Zanfina Ademi
doi : 10.1093/ageing/afad114
Age and Ageing, Volume 52, Issue 6, June 2023, afad114
older adults in aged care account for 30% of the population burden of hip fractures. Nutritional interventions to correct under nutrition reduce these debilitating fractures, perhaps partly by reducing falls and slowing deterioration in bone morphology.
Still WALKing-FOR: 2-year sustainability of the ‘WALK FOR’ intervention
Efrat Gil, Anna Zisberg, Efrat Shadmi, Nurit Gur-Yaish, Ksenya Shulyaev, Yehudith Chayat, Maayan Agmon
doi : 10.1093/ageing/afad115
Age and Ageing, Volume 52, Issue 6, June 2023, afad115
low mobility of hospitalised older adults is associated with adverse outcomes and imposes a significant burden on healthcare and welfare systems. Various interventions have been developed to reduce this problem; at present, however, their methodologies and outcomes vary and information is lacking about their long-term sustainability.
Physical activity and injurious falls in older Australian women: adjusted associations and modification by physical function limitation and frailty in the Australian Longitudinal Study on Women’s Health
Wing S Kwok, Xenia Dolja-Gore, Saman Khalatbari-Soltani, Julie Byles, Juliana S Oliveira, Marina B Pinheiro, Vasi Naganathan, Anne Tiedemann, Catherine Sherrington
doi : 10.1093/ageing/afad108
Age and Ageing, Volume 52, Issue 6, June 2023, afad108
To investigate associations between leisure-time physical activity (LPA) and injurious falls in older women and explore modification of associations by physical function and frailty.
‘That’s as hard a decision as you will ever have to make’: the experiences of people who discussed Do Not Attempt Cardiopulmonary Resuscitation on behalf of a relative during the COVID-19 pandemic
Louise Tomkow, Felicity Dewhurst, Michaela Hubmann, Christina Straub, Efioanwan Damisa, Barbara Hanratty, Chris Todd
doi : 10.1093/ageing/afad087
Age and Ageing, Volume 52, Issue 6, June 2023, afad087
COVID-19 brought additional challenges to Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decision-making, which was already a contentious issue. In the UK, reports of poor DNACPR decision-making and communication emerged in 2020, including from the regulator, the Care Quality Commission.
‘Will I wear purple?’—a school arts-based research project in the UK to disseminate findings from a qualitative evidence synthesis about living to an extreme age
Francine Toye, Alexa Cox, Cathy Jenkins, Karen Barker
doi : 10.1093/ageing/afad051
Age and Ageing, Volume 52, Issue 6, June 2023, afad051
a change in attitude towards ageing is needed. Arts-based research (ABR) refers to the use of any creative art in research. ABR can provide an environment to reflect on challenging social issues and has the potential to make lasting impressions.
‘Frailty as an adjective rather than a diagnosis’—identification of frailty in primary care: a qualitative interview study
Anna Seeley, Margaret Glogowska, Gail Hayward
doi : 10.1093/ageing/afad095
Age and Ageing, Volume 52, Issue 6, June 2023, afad095
In 2017, NHS England introduced proactive identification of frailty into the General Practitioners (GP) contract. There is currently little information as to how this policy has been operationalised by front-line clinicians, their working understanding of frailty and impact of recognition on patient care.
