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  1. Artikel ; Online: Decreased falls through multifactorial intervention in frail older adults

    Prevettoni, Mariana Alejandra / Guenzelovich, Tami / Zozaya, Maria Estefanía / Giardini, Gimena / Hornstein, Lucila / Schapira, Marcelo / Giber, Fabiana / Quintar, Eugenia / Perman, Gaston

    Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina)

    2021  Band 78, Heft 2, Seite(n) 166–170

    Titelübersetzung [Disminución de caídas mediante una intervención multifactorial en adultos mayores frágiles]
    Mesh-Begriff(e) Accidental Falls ; Aged ; Frail Elderly ; Humans ; Retrospective Studies
    Sprache Spanisch
    Erscheinungsdatum 2021-06-28
    Erscheinungsland Argentina
    Dokumenttyp Journal Article
    ZDB-ID 390127-0
    ISSN 1853-0605 ; 0014-6722 ; 0301-7281
    ISSN (online) 1853-0605
    ISSN 0014-6722 ; 0301-7281
    DOI 10.31053/1853.0605.v78.n2.27832
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Geriatric co-management and interdisciplinary transitional care reduced hospital readmissions in frail older patients in Argentina: results from a randomized controlled trial.

    Schapira, Marcelo / Outumuro, María Belén / Giber, Fabiana / Pino, Claudia / Mattiussi, Mercedes / Montero-Odasso, Manuel / Boietti, Bruno / Saimovici, Javier / Gallo, Cristian / Hornstein, Lucila / Pollán, Javier / Garfi, Leonardo / Osman, Abdelhady / Perman, Gastón

    Aging clinical and experimental research

    2021  Band 34, Heft 1, Seite(n) 85–93

    Abstract: Background: Hospitalization is a moment of extreme vulnerability for frail older adults. There is scarce evidence on the effectiveness of geriatric co-management or transitional care interventions in Latin America.: Aims: To assess whether geriatric ... ...

    Abstract Background: Hospitalization is a moment of extreme vulnerability for frail older adults. There is scarce evidence on the effectiveness of geriatric co-management or transitional care interventions in Latin America.
    Aims: To assess whether geriatric co-management combined with an interdisciplinary transitional care intervention could reduce 30-day hospital readmission rate compared to usual care in hospitalized frail older patients in a tertiary hospital in Argentina.
    Methods: Single-blinded randomized controlled trial. Usual care treatment arm: all procedures performed during hospitalization were overseen by a senior internal medicine specialist and complied with pre-defined protocols. Patients had access to specialist care if needed, as well as hospital-at-home or home-based primary care services after discharge. Intervention treatment arm: in addition to usual care, a geriatric co-management team performed a comprehensive geriatric assessment during hospitalization, provided tailored recommendations to minimize geriatric syndromes and planned transition of care. A health and social care counselor oversaw continuity of care in patients' homes after discharge.
    Results: We included 120 participants in each of the intervention and usual care (control) arms. Thirty-day hospital readmissions were 47.7% lower in the intervention arm (18.3% vs 35.0%; P = 0.040); and emergency room visits within the first 6 months after discharge were 27.8% lower (43.3% vs 60.0%; P = 0.010). There was a non-statistically significant decrease in 6-month mortality in the intervention arm (25.0% vs 35.0%; P = 0.124).
    Conclusion: Geriatric co-management of frail older patients during hospitalization combined with an interdisciplinary transitional care intervention reduced 30-day hospital readmissions and emergency visits 6 months after discharge.
    Trial registration number: Trial registration number: RENIS IS003081.
    Mesh-Begriff(e) Aged ; Argentina ; Frail Elderly ; Geriatric Assessment ; Humans ; Patient Discharge ; Patient Readmission ; Transitional Care
    Sprache Englisch
    Erscheinungsdatum 2021-06-07
    Erscheinungsland Germany
    Dokumenttyp Journal Article ; Randomized Controlled Trial
    ZDB-ID 2104785-6
    ISSN 1720-8319 ; 1594-0667
    ISSN (online) 1720-8319
    ISSN 1594-0667
    DOI 10.1007/s40520-021-01893-0
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: Consenso sobre accidente cerebrovascular isquémico agudo.

    Pigretti, Santiago G / Alet, Matías J / Mamani, Carlos E / Alonzo, Claudia / Aguilar, Martín / Alvarez, Héctor J / Ameriso, Sebastián / Andrade, María G / Arcondo, Florencia / Armenteros, Cristian / Arroyo, José / Beigelman, Ricardo / Bonardo, Pablo / Bres Bullrich, María / Cabello, Cecilia / Camargo, Gonzalo / Camerlingo, Sebastián / Cárdenas, Rolando / Cháves, Hernán /
    Ciardi, Celina / Ciarrochi, Nicolás / Cirio, Juan / Claverie, Santiago / Colla Machado, Pedro / Costilla, Marcelo / Díaz, María F / Dossi, Daiana / Gimenez, María Estrella / Giber, Fabiana / Gómez Schneider, Maia / González, Leonardo / Hlavnika, Alejandro / Ioli, Pablo / Isaac, Cristian F / Izaguirre, Andrés / Klein, Francisco / Kuschner, Pablo / Lerman, Damián / López, Rossana / Marquevich, Victoria / Miranda, Juan C / Murgieri, Margarita / Odzak, Andrea / Pahnke, Perla / Persi, Gabriel / Pizzorno, José / Pollan, Javier / Pujol Lereis, Virginia / Requejo, Flavio / Robledo, Laura / Rosales, Julieta / Rubin, Romina / Sabio, Rodrigo / Tejada Jacob, Virginia / Tumino, Leandro / Valdez, Pascual / Videtta, Walter / Vilela, Andrés / Villaroel Saavedra, Víctor / Winkel, Martín / Zurrú, María C

    Medicina

    2019  Band 79 Suppl 2, Seite(n) 1–46

    Abstract: Stroke is the third cause of death and the first cause of disability in Argentina. Ischemic events constitute 80% of cases. It requires the implementation of systematized protocols that allow reducing the time of care, morbidity and mortality. ... ...

    Titelübersetzung Consensus on acute ischemic stroke.
    Abstract Stroke is the third cause of death and the first cause of disability in Argentina. Ischemic events constitute 80% of cases. It requires the implementation of systematized protocols that allow reducing the time of care, morbidity and mortality. Specialists from nine medical societies related to the care of patients with cerebrovascular disease participated in the consensus. A separate agenda was agreed upon in chapters and for the writing of them, work groups were formed with members of different medical specialties. The level of recommendation was discussed and agreed upon for each topic based on the best clinical evidence available for each of them. An adaptation to the local scope of the recommendations was made when it was considered necessary.The American Heart Association system was used to draft the recommendations and their level of evidence. The correction and editing were done by five external reviewers, who did not participate in the writing and with extensive experience in vascular pathology. Once the preliminary document was finalized, a general meeting was held with all the members of the working groups and the reviewers to reach final recommendations. The consensus covers the management of ischemic stroke in the pre-hospital phase, initial evaluation in the emergency center, recanalization therapies (thrombolysis and/ or mechanical thrombectomy), decompressive craniectomy, neuroimaging and clinical care in the hospital.
    Mesh-Begriff(e) Argentina ; Brain Ischemia/diagnosis ; Brain Ischemia/epidemiology ; Brain Ischemia/therapy ; Humans ; Stroke/diagnosis ; Stroke/epidemiology ; Stroke/therapy
    Sprache Spanisch
    Erscheinungsdatum 2019-05-19
    Erscheinungsland Argentina
    Dokumenttyp Consensus Development Conference ; Journal Article
    ZDB-ID 411586-7
    ISSN 1669-9106 ; 0025-7680 ; 0325-951X
    ISSN (online) 1669-9106
    ISSN 0025-7680 ; 0325-951X
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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