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Comprehensive Guidelines for Geriatric EDs

Several organizations have teamed up to develop comprehensive guidelines specifically designed for managing geriatric patients who present to EDs. The guidelines cover a wide range of topics, including staffing, education, and the management of common problems that affect older people, such as falls, delirium, and dementia.

Surrogate Decision Making for Older Hospitalized Adults

Surrogate decision makers often face a broad range of decisions. Hospitals should take into account the large role of surrogates and make efforts to support them in healthcare decision making.

Managing UTIs in Older Women

Diagnosing symptomatic urinary tract infections (UTIs) in older women requires a careful clinical evaluation with laboratory assessments using urinalysis and urine cultures. Differentiating asymptomatic bacteriuria from symptomatic UTI is important and has implications on how clinicians should treat these patients.


MCI & AD: Searching for Protective Strategies

According to current data, Alzheimer’s disease (AD) is the sixth leading cause of mortality in the United States. Mild cognitive impairment (MCI) can occur as people age and may lead to the development of dementia or AD. Studies suggest that patients with MCI have a 10-fold increased risk of developing dementia when compared with those who are cognitively normal.…

Triage Among Elderly Trauma Patients

Research has shown that elderly patients are frequently undertriaged, but little is known about the associations between triage patterns and outcomes.

Hospital Admission Risk Factors for Older HF Patients

The number of older people with heart failure (HF) has increased considerably over the past 20 years. Currently, 80% of patients with HF are 65 or older. The costs associated with HF are more than $35 billion per year in the United States, and these costs are largely driven by hospital stays.…


Linking Vitamin D to Dementia

Adults who were moderately deficient or severely deficient in vitamin D had a 53% and 125% increased risk of developing dementia, respectively, in the largest study examining the link between low vitamin D levels and dementia published this month in Neurology.…

New Guidelines on Osteoporosis in Men

This week, the Endocrine Society issued guidelines on managing osteoporosis in men. Published in the June 1, 2012 issue of Journal of Clinical Endocrinology & Metabolism, the guidelines recommend the following:

Men at increased risk for osteoporosis should be tested by measurement of bone mineral density (BMD).…


Managing Older Adults With Mild Head Injuries

CT scans do not appear to be necessary for adults presenting to the ED with mild head injuries (MHIs). In a retrospective study of patients with MHI who underwent CT scans, pathological acute findings on CT scans were found in only 2.18% of participants.…

Complication Rates With Nephrectomy in Octogenarians

Morbidity appears to be significant in patients older than 80 who undergo nephrectomy for renal cell carcinoma, according to results from a small French analysis. For all patients in this age range, the overall complication rate was 38.8%.

Abstract: Journal of Urology, September 2012.…

Examining the Health Status of Older Americans

A report from the Federal Interagency Forum on Aging-Related Statistics has found that Americans who live to 65 are likely to live an average of 19.2 additional years when compared with 1960 data. The report, available at, explores data on death, obesity rates, hospice care, and in-hospital mortality rates, among other related topics.…

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