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A long-term physical activity program is not associated with reduced risk of frailty among community-dwelling older adults with functional limitations

Physical Activity Doesn’t Seem to Reduce Risk of Frailty in Elderly

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Baseline frailty didn't modify effect of physical activity on reducing major mobility disability
The use of idalopirdine does not improve cognition versus placebo over 24 weeks of treatment for patients with mild-to-moderate Alzheimer's disease

Idalopirdine May Not Improve Cognition in Mild Alzheimer’s

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Findings from three randomized trials show no improvement in cognition vs. placebo over 24 weeks
The new adjuvanted herpes zoster subunit vaccine is cost-effective compared with the currently recommended live attenuated herpes zoster vaccine

Adjuvanted Shingles Subunit Vaccine Likely More Cost-Effective

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Less overall cost and more effective than live attenuated vaccine at all ages; generally a good value
Vaccination for influenza for multiple seasons is twice as effective in preventing severe influenza -- compared with non-severe influenza -- in older patients admitted to hospital

Repeated Flu Vaccinations Help Prevent Severe Infection

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Annual vaccination found to lessen flu severity, hospitalizations, and death among the elderly
A quality improvement intervention can improve documentation of geriatric assessments during transitions of care

Charting Intervention Improves Geriatric Assessment Notes

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Includes templates, education, outreach, reminders for documenting function, cognition, care planning
Hospitals that volunteered to be under financial incentives for more than a decade as part of the Premier Hospital Quality Incentive Demonstration do not have better process scores or lower mortality than hospitals where these incentives were implemented later under the Hospital Value-Based Purchasing program

For Hospitals, No Benefit for Early Adoption of Financial Incentives

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Hospitals with early adoption do not have better process scores, lower mortality than late adopters
In both men and women in the United States

Cancer Death Rate Continuing to Decline in United States

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Continuous drop in combined cancer death rate from 1991 to 2015, resulting in 2,378,600 fewer deaths
For older adults discharged to home from the emergency department

Scripted Callbacks Do Not Prevent 30-Day Returns of ER Discharges

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No reduction in ER/hospital return rates or death for older adults who receive telephone follow-up
Silent myocardial infarction is associated with an increased long-term risk of heart failure

Silent Myocardial Infarction Linked to Heart Failure Risk

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Silent and clinically manifested MI both correlated with future risk of heart failure in adjusted models

December 2017 Briefing – Geriatrics

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Here are what the editors at HealthDay consider to be the most important developments in Geriatrics for December 2017. This roundup includes the latest...