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Geriatrics

Home Geriatrics
For Medicare beneficiaries age 65 years and older

Revisits After Discharge From Observation Up in Elderly

From 2006 to 2011, increases seen in repeat observation stays and any hospital revisit for seniors
Therapeutic patient education interventions can promote self-management in selected cardiovascular conditions

Education Can Promote Self-Management in CVD Conditions

Most effective interventions are tailored to individual patient needs, use multiple components
Most serious adverse events in nursing homes are caused by medication errors

Causes of Serious Adverse Events in Nursing Homes Identified

Most serious adverse events caused by medication errors, falls, delayed or inappropriate intervention
For patients with acute heart failure

Early Loop Diuretic Tx Tied to Lower Mortality in Heart Failure

Early-treatment group had significantly lower in-hospital mortality even after adjustment
About 6 to 28 percent of seniors refuse home health care offered when they are discharged from the hospital

Report Addresses Patient Refusal of Home Health Care Services

Importance of home health care services increasing, partly due to shorter hospital stays, complex needs
Opioid-related hospitalizations among women in the United States increased far faster than among men between 2005 and 2014

Sharp Rise Among Women for Opioid-Related Hospitalizations

U.S. cases rose 75 percent for females versus 55 percent for males over a decade, researchers say
For patients undergoing coronary angiography

Risk of Cardiovascular Events Similar With, Without Diabetes

Patients with versus without diabetes, without CAD, were more often treated with statins and aspirin
A white paper has been developed by the American Urological Association Quality Improvement and Patient Safety committee with respect to the diagnosis and management of nonneurogenic chronic urinary retention; the paper was published in the July issue of The Journal of Urology.

AUA Reports on Nonneurogenic Chronic Urinary Retention

Treatment algorithm proposed based on stratification of patients by risk and by symptoms
Physicians who receive information about patient harms are more likely to support financial penalties targeting inappropriate antibiotic prescribing

Support for Financial Penalties Up With Emphasis on Patient Harms

Penalties supported by 41% of physician recipients of clinical vignette describing harms to patient
For patients with gout

Marital Status Among Factors Tied to Gout Rx Adherence

Belief about medicines, presence of comorbidity, being married positively influence meds adherence