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[Geriatric medicine].
Sonia Lajoso1, Cyrille P Launay1, Barbara Poloni1
1Service de gériatrie et de réadaptation gériatrique, CHUV, 1011 Lausanne.
Revue Medicale Suisse
|July 14, 2017
Summary
Inappropriate prescribing, falls, and dementia incidence were examined. Research also evaluated transfusion thresholds, swallowing disorder screening, and vaccine efficacy for influenza and shingles.
Area of Science:
- Geriatrics
- Neurology
- Pharmacology
- Infectious Diseases
Background:
- Inappropriate drug prescribing poses risks to older adults.
- Falls and syncope are significant concerns in geriatric populations.
- Cognitive decline, including vascular dementia and Alzheimer's disease, affects many seniors.
Purpose of the Study:
- To investigate inappropriate drug prescribing, its causes, and prevention.
- To explore the causes and implications of falls and syncope.
- To evaluate current medical practices and interventions for geriatric conditions.
Main Methods:
- Meta-analyses were conducted on transfusion thresholds and swallowing disorder screening.
- Observational studies analyzed trends in vascular dementia incidence.
- Research investigated the role of microbleeds in cognitive decline and aducanumab's efficacy.
Main Results:
- Inappropriate prescribing factors and prevention strategies were identified.
- Studies on falls and syncope provided new insights.
- A meta-analysis questioned transfusion threshold adaptation for comorbidities.
- Vascular dementia incidence is declining; microbleeds impact cognition; aducanumab shows promise for Alzheimer's.
- Influenza vaccination for healthcare workers in nursing homes is recommended.
- Shingles vaccines, including HZ7su, are effective and safe in older adults.
Conclusions:
- Evidence supports continued research into optimizing geriatric care.
- Interventions for cognitive decline and infectious diseases require careful consideration.
- Adherence to vaccination recommendations and appropriate prescribing practices is crucial.
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