Effect of Trospium Chloride on Cognitive Function in Women Aged 50 and Older: A Randomized Trial.

Objectives: This study aimed to investigate the effect of trospium chloride on cognitive function in postmenopausal women treated for overactive bladder (OAB).

Methods: Randomized double-blind placebo-controlled trial conducted from April 2013 to April 2015. Women aged 50 years or older seeking treatment for OAB were randomized to either trospium chloride XR 60 mg daily or placebo.

Service-Learning in Communities of Elders (SLICE): Development and Evaluation of an Introductory Geriatrics Course for Medical Students.

Problem: Medical students have limited exposure to Geriatrics in their traditional training. Service-learning offers students the opportunity to engage with older adult communities and become more comfortable interacting with this population.

Intervention: A preclinical elective course was developed to expand medical students' experiences in Geriatrics through service-learning.

Antibiotic prescribing in 4 assisted-living communities: incidence and potential for improvement.

Objective: To describe the prevalence, characteristics, and appropriateness of systemic antibiotic use in assisted living (AL) and to conduct a preliminary quality improvement intervention trial to reduce inappropriate prescribing.

Design: Pre-post study, with a 13-month intervention period.

Setting: Four AL communities.

Diagnosis of urinary incontinence.

Urinary incontinence is common, increases in prevalence with age, and affects quality of life for men and women. The initial evaluation occurs in the family physician's office and generally does not require urologic or gynecologic evaluation. The basic workup is aimed at identifying possible reversible causes.

Challenges of antibiotic prescribing for assisted living residents: perspectives of providers, staff, residents, and family members.

Objectives: To better understand the antibiotic prescribing process in assisted living (AL) communities given the growing rate of antibiotic resistance.

Design: Cross-sectional survey.

Setting: Four AL communities in North Carolina.

Effect of anticholinergic use for the treatment of overactive bladder on cognitive function in postmenopausal women.

Background: Overactive bladder (OAB) is a common condition affecting the elderly. The mainstay of treatment for OAB is medical therapy with anticholinergics. However, adverse events have been reported with this class of drugs, including cognitive changes.

Physician perspectives on medical care delivery in assisted living.

Objectives: To describe the provision of medical care in assisted living (AL) as provided by physicians who are especially active in providing care to older adults and AL residents; to identify characteristics associated with physician confidence in AL staff; and to ask physicians a variety of questions about their experience providing care to AL residents and how it compares with providing care in the nursing home and home care settings.

Design: Cross-sectional descriptive study.

Setting: AL communities in 27 states.

Predicting hospital admission and returns to the emergency department for elderly patients.

Objectives: Methods to accurately identify elderly patients with a high likelihood of hospital admission or subsequent return to the emergency department (ED) might facilitate the development of interventions to expedite the admission process, improve patient care, and reduce overcrowding. This study sought to identify variables found among elderly ED patients that could predict either hospital admission or return to the ED.

Methods: All visits by patients 75 years of age or older during 2007 at an academic ED serving a large community of elderly were reviewed.