Prevalence and population characteristics associated with frailty in a rural low socioeconomic area in Denmark: the Lolland-Falster Health Study.

Background: Frailty is a major geriatric syndrome that predicts increased vulnerability to minor stressor events and adverse outcomes such as falls, fractures, disability and death. The prevalence of frailty among individuals above the age of 65 varies widely with an overall weighted prevalence of 10.7%.

[Not Available].

Older frail patients with multiple diagnoses and comprehensive medication lists are at risk of drug interaction, adverse events, and unnecessary medication. The aim of this review is to evaluate existing tools for deprescribing in older frail patients. The identified eight tools can be organised in three levels.

Self-reported dizziness, falls, and self-rated health in a rural population in Denmark.

Purpose: To investigate associations between dizziness, hearing loss, medication, and self-perceived health in the region of Lolland-Falster in Denmark.

Methods: A cross-sectional population-based study using data from questionnaires and physical examinations between February 8th, 2016, and February 13th, 2020. Individuals aged 50 years or above in the region of Lolland-Falster were randomly invited to participate.

Menopausal hormone therapy and dementia: nationwide, nested case-control study.

Objectives: To assess the association between use of menopausal hormone therapy and development of dementia according to type of hormone treatment, duration of use, and age at usage.

Design: Nationwide, nested case-control study.

Setting: Denmark through national registries.

Perspective of geriatric patients on advance care planning in Denmark: a qualitative study.

Objective: Most previous studies on advance care planning (ACP) have focused on patients with specific diseases and only a few on frail ageing individuals. We therefore decided to examine the perspective of geriatric patients on ACP. Our research questions include if, when, with whom and with which content geriatric patients wish to have ACP conversations.

Vaginal estrogen and association with dementia: A nationwide population-based study.

Introduction: Use of systemic hormone therapy has been positively associated with development of dementia. Little is known about the dose-dependent effect of vaginal estradiol on dementia risk.

Methods: We assessed associations between cumulative dose of vaginal estradiol tablets and dementia in a case-control study nested in a nationwide Danish cohort of women aged 50 to 60 years at study initiation, who did not use systemic hormone therapy.

Feasibility, quality and validity of narrative multisource feedback in postgraduate training: a mixed-method study.

Objectives: To examine a narrative multisource feedback (MSF) instrument concerning feasibility, quality of narrative comments, perceptions of users (face validity), consequential validity, discriminating capacity and number of assessors needed.

Design: Qualitative text analysis supplemented by quantitative descriptive analysis.

Setting: Internal Medicine Departments in Zealand, Denmark.

[The chronically dizzy patient].

Many medical, neurologic and psychiatric conditions as well as drugs can give chronic dizziness, and a systematic diagnostic workup is essential. Chronic vestibular syndrome is a clinical syndrome of chronic vertigo, dizziness or unsteadiness lasting months to years. There is generally a persistent unilateral or bilateral vestibular loss.

Predictive validity of PRISMA-7 as a screening instrument for frailty in a hospital setting.

Objectives: Frailty is a major clinical geriatric syndrome associated with serious adverse events including functional disability, falls, hospitalisation, increased morbidity and mortality. The aim of this study was to study the associations between frailty defined as Program of Research to Integrate Services for the Maintenance of Autonomy (PRISMA-7) score ≥3 and use of healthcare resources in hospital and in the municipality as well as association between frailty and mortality.

Design: Register-based retrospective study.

Effect of single follow-up home visit on readmission in a group of frail elderly patients - a Danish randomized clinical trial.

Background: Unplanned hospital admissions are costly and prevention of these has been a focus for research for decades. With this study we aimed to determine whether discharge planning including a single follow-up home visit reduces readmission rate. The intervention is not representing a new method but contributes to the evidence concerning intensity of the intervention in this patient group.

Resumption of oral anticoagulation following traumatic injury and risk of stroke and bleeding in patients with atrial fibrillation: a nationwide cohort study.

Aims: We examined the risks of all-cause mortality, stroke, major bleeding, and recurrent traumatic injury associated with resumption of vitamin K antagonists (VKAs) and non-VKAs oral anticoagulants (NOACs) following traumatic injury in atrial fibrillation (AF) patients.

Methods And Results: This was a Danish nationwide registry-based study (2005-16), including 4541 oral anticoagulant (OAC)-treated AF patients experiencing traumatic injury (defined as traumatic brain injury, hip fracture, or traumatic torso or abdominal injury). Within 90 days following discharge from traumatic injury, 60.

Danish register-based study on the association between specific antipsychotic drugs and fractures in elderly individuals.

Background: antipsychotic drugs (APs) have been associated with falls and fractures in elderly individuals but limited knowledge on specific drugs exist.

Objective: to investigate the association between individual APs and fractures in elderly persons.

Design And Setting: nationwide register-based cohort study.

Antidepressants and the risk of hyponatremia: a Danish register-based population study.

Objective: To examine the association between classes of antidepressants and hyponatremia, and between specific antidepressants and hyponatremia.

Design: Retrospective register-based cohort study using nationwide registers from 1998 to 2012.

Setting: The North Denmark Region.

European postgraduate training in geriatric medicine: data of a systematic international survey.

Introduction: High-quality education and training standards in geriatric medicine are important to develop the profession of geriatric medicine. The objective of the study was to give a structured update on postgraduate specialty training in geriatric medicine throughout Europe to assess the need for further developments in postgraduate education.

Methods: The study was performed as a cross-sectional structured quantitative online survey with qualitative comments.

[Working environment and educational environment are two sides of the same coin].

Educational environment is of major importance for job satisfaction and it consists of several components including curriculum and values of the organization. Educational climate is the environment, as the individual physicians perceive it. Motivation is important for job satisfaction as well as for learning.

[Evidence-based pedagogical principles used at medical specialist workshop].

How should a theoretical postgraduate course be organized to obtain maximum effect? We report an example of a two-day course planned and implemented according to educational approaches previously shown to be effective. The theme of the course is "The old patient", and the course is compulsory for residents in internal medicine. This case study showed that the methods used were feasible, and the participants gained knowledge.

Diagnosis of the syndrome of inappropriate secretion of antidiuretic hormone.

Background: Hyponatremia is a frequent condition in elderly patients. In diagnostic workup, a 24-hour urine sample is used to measure urinary osmolality and urinary sodium concentration necessary to confirm the diagnosis of the syndrome of inappropriate secretion of antidiuretic hormone (SIADH). This study was undertaken to test the hypothesis that a spot urine sample would be sufficient for urinalysis.

[Fall or syncope?].

Falls among older adults are a major health problem. When older adults fall, it is difficult to determine whether it is just a simple fall or is caused by syncope, as people often have amnesia for the loss of consciousness. We report three cases in which cardiac monitoring, for seven days or more, showed that falls had been caused by cardiac-related syncopes.