Amanda Lavan
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View article: The association between STOPPFall medication use and orthostatic hypotension in community-dwelling older people
The association between STOPPFall medication use and orthostatic hypotension in community-dwelling older people Open
Introduction Fall-risk-increasing drugs (FRIDs), identified by the Screening Tool of Older Persons Prescriptions in older adults with high fall risk (STOPPFall), may increase fall risk by causing orthostatic hypotension (OH). This study in…
View article: The association between STOPPFall medication use and falls and fractures in community-dwelling older people
The association between STOPPFall medication use and falls and fractures in community-dwelling older people Open
Introduction Falls and fractures are common among older people. The Screening Tool of Older Persons Prescriptions in older adults with high fall risk (STOPPFall) provides a comprehensive list of fall-risk-increasing drugs (FRIDs). This stu…
View article: Immune Checkpoint Inhibitors and Cognition in Adults with Cancer: A Scoping Review
Immune Checkpoint Inhibitors and Cognition in Adults with Cancer: A Scoping Review Open
Cancer-related cognitive decline refers to a deterioration in cognitive function affecting adults with cancer at any stage of their cancer journey. Older adults are at increased risk of cognitive decline. As the indications for immune chec…
View article: Can ambulatory blood pressure biomarkers predict future falls amongst older people?
Can ambulatory blood pressure biomarkers predict future falls amongst older people? Open
Background While ambulatory blood pressure monitoring (ABPM) biomarkers can predict cardiovascular and cerebrovascular outcomes, little work to date has examined their link with falls. The objective of this study was to examine association…
View article: The Association of Regular Dog Walking With Mobility, Falls, and Fear of Falling in Later Life
The Association of Regular Dog Walking With Mobility, Falls, and Fear of Falling in Later Life Open
Background It has been suggested that dog walking may protect against falls and mobility problems in later life, but little work to date has examined this. The aim of this study was to assess if regular dog walking was associated with redu…
View article: Implementation and evaluation of a navigation program for people with cancer in old age and their family caregivers: study protocol for the EU NAVIGATE International Pragmatic Randomized Controlled Trial
Implementation and evaluation of a navigation program for people with cancer in old age and their family caregivers: study protocol for the EU NAVIGATE International Pragmatic Randomized Controlled Trial Open
Clinicaltrials.gov: identifier NCT06110312 (2023/10/31).
View article: The Association Between Psychotropic Medication Use and Gait and Mobility Impairment in Community-Dwelling Older People: Data From The Irish Longitudinal Study on Ageing (TILDA)
The Association Between Psychotropic Medication Use and Gait and Mobility Impairment in Community-Dwelling Older People: Data From The Irish Longitudinal Study on Ageing (TILDA) Open
Background Little work to date has quantified the effect of psychotropic medications (antidepressants, benzodiazepines, “Z” drugs, antipsychotics, anticholinergics) on mobility and gait in later life. The aim of this study is to examine th…
View article: Implementing a Pilot Geriatric Oncology Service at a National Cancer Centre in Dublin
Implementing a Pilot Geriatric Oncology Service at a National Cancer Centre in Dublin Open
Background The American Society of Clinical Oncology and International Society of Geriatric Oncology recommend comprehensive geriatric assessment (CGA) for older adults commencing systemic anti-cancer treatments (SACTs) (1, 2). Routine CGA…
View article: Oral Symptom Assessment In Older Patients with Frailty Using the Oral Symptom Assessment Scale
Oral Symptom Assessment In Older Patients with Frailty Using the Oral Symptom Assessment Scale Open
Background Frailty is common in older patients referred to specialist palliative care teams. Its prevalence is estimated at 18% [1]. It is regarded as a “state of vulnerability” [2] in which even a minor stressor may result in adverse heal…
View article: Adapting, implementing and evaluating a navigation intervention for older people with cancer and their family caregivers in six countries in Europe: the Horizon Europe-funded EU NAVIGATE project
Adapting, implementing and evaluating a navigation intervention for older people with cancer and their family caregivers in six countries in Europe: the Horizon Europe-funded EU NAVIGATE project Open
Background: Navigation interventions could support, educate and empower older people with cancer and/or their family caregivers by addressing barriers and ensuring timely access to needed services and resources throughout the continuum of …
View article: The Association of Regular Dog Walking with Mobility, Falls and Fear of Falling in Later Life.
The Association of Regular Dog Walking with Mobility, Falls and Fear of Falling in Later Life. Open
Purpose To assess whether regular dog walking was associated with reduced likelihood of falls, fear of falling and mobility problems in a large cohort of community-dwelling older people. Methods Participants aged ≥60 years at TILDA Wave 5 …
View article: 72 Are so-called ‘mechanical’ falls in later life as benign as we think? Data from TILDA
72 Are so-called ‘mechanical’ falls in later life as benign as we think? Data from TILDA Open
Background ‘Mechanical’ or simple falls are those due to slips or trips, and in the absence of injury are often considered benign. Older people with ‘mechanical’ falls are often not referred for a comprehensive falls assessment. The aim of…
View article: 323 A service evaluation of a new initiative; the Mercers Acute Medical Assessment Unit for Older Adults (MASU)
323 A service evaluation of a new initiative; the Mercers Acute Medical Assessment Unit for Older Adults (MASU) Open
Background Mercers Acute Medical Assessment Unit for Older Adults (MASU), a new service, was developed to expedite diagnosis, reduce delays in treatment and avoid unnecessary admissions in older adults presenting to hospital. Methods This …
View article: 291 Improving the collateral history for older people admitted to hospital: the 6 Cs
291 Improving the collateral history for older people admitted to hospital: the 6 Cs Open
Background Despite its central role in diagnostic formulation in unwell older adults, particularly those with memory problems, little scrutiny has been applied to Collateral History (CH) taking from how/when it should be performed, what in…
View article: 331 Patient experience in a Falls and Syncope service in a large Irish teaching hospital
331 Patient experience in a Falls and Syncope service in a large Irish teaching hospital Open
Background The measurement of patient satisfaction provides valuable information about patients’ perceptions of their received healthcare. It is an excellent measure of the quality of care delivered by a healthcare facility. This allows se…
View article: 223 Chronic pain is frequently under-treated among older people in Ireland: data from TILDA
223 Chronic pain is frequently under-treated among older people in Ireland: data from TILDA Open
Background Chronic pain can have significant adverse effects on quality-of-life, functional status, and well-being in later life. Concerns exist regarding under-treatment of pain among older people, however. The aim of this study, therefor…
View article: 207 What is the association between psychotropic medication use and orthostatic hypotension in community-dwelling older people: data from TILDA
207 What is the association between psychotropic medication use and orthostatic hypotension in community-dwelling older people: data from TILDA Open
Background Psychotropic medications increase the risk of falls among older people. The aim of this study is to examine the link between psychotropic medication use and Orthostatic Hypotension (OH), a frequent cause of falls in later life. …
View article: Psychotropic medication use and future unexplained and injurious falls and fracture amongst community-dwelling older people: data from TILDA
Psychotropic medication use and future unexplained and injurious falls and fracture amongst community-dwelling older people: data from TILDA Open
Purpose Psychotropic medications (antidepressants, anticholinergics, benzodiazepines, ‘Z’-drugs and antipsychotics) are frequently identified as Falls Risk Increasing Drugs. The aim of this study is to clarify the association of psychotrop…
View article: The ‘Bermuda Triangle’ of orthostatic hypotension, cognitive impairment and reduced mobility: prospective associations with falls and fractures in The Irish Longitudinal Study on Ageing
The ‘Bermuda Triangle’ of orthostatic hypotension, cognitive impairment and reduced mobility: prospective associations with falls and fractures in The Irish Longitudinal Study on Ageing Open
Background Orthostatic hypotension (OH), cognitive impairment (Cog) and mobility impairment (MI) frequently co-occur in older adults who fall. This study examines clustering of these three geriatric syndromes and ascertains their relations…
View article: Asymptomatic orthostatic hypotension and risk of falls in community-dwelling older people
Asymptomatic orthostatic hypotension and risk of falls in community-dwelling older people Open
Introduction Many older people with orthostatic hypotension (OH) may not report typical symptoms of dizziness, light-headedness or unsteadiness. However, the relationships between OH and falls in the absence of typical symptoms are not yet…
View article: 273 ‘HOME ON TIME’: MULTIDISCIPLINARY INTERVENTION REDUCES LENGTH OF STAY AND DELAYS IN CARE TRANSFERS ON AN ACUTE GERIATRIC MEDICINE WARD
273 ‘HOME ON TIME’: MULTIDISCIPLINARY INTERVENTION REDUCES LENGTH OF STAY AND DELAYS IN CARE TRANSFERS ON AN ACUTE GERIATRIC MEDICINE WARD Open
Background Unnecessarily prolonged hospital admission can have a profound effect on a frail, older person’s confidence, mood, functional status and cognition.This study examined whether a structured multidisciplinary intervention, embedded…
View article: 327 REVIEW OF ONCOLOGY PATIENTS ADMITTED FROM 2019-2021: DEFINING THE NEED FOR AN ONCO-GERIATRIC SERVICE
327 REVIEW OF ONCOLOGY PATIENTS ADMITTED FROM 2019-2021: DEFINING THE NEED FOR AN ONCO-GERIATRIC SERVICE Open
Background With an aging population, there is an increased need to consider older patients for cancer treatment. Involvement of a Comprehensive Geriatric Assessment (CGA) in an oncology workup can help guide cancer treatment and non-pharma…
View article: 179 WHAT IS THE RISK OF FALLS DUE TO PSYCHOTROPIC MEDICATIONS IN A LARGE POPULATION-REPRESENTATIVE COHORT OF COMMUNITY-DWELLING OLDER PEOPLE?
179 WHAT IS THE RISK OF FALLS DUE TO PSYCHOTROPIC MEDICATIONS IN A LARGE POPULATION-REPRESENTATIVE COHORT OF COMMUNITY-DWELLING OLDER PEOPLE? Open
Background Psychotropic medications including antidepressants, anticholinergics, benzodiazepines, ‘Z’ drugs and antipsychotics, are frequently identified as Falls Risk Increasing Drugs (FRIDS), yet there is a relative lack of robust data d…
View article: 336 ASYMPTOMATIC ORTHOSTATIC HYPOTENSION AND RISK OF FALLS IN COMMUNITY-DWELLING OLDER PEOPLE
336 ASYMPTOMATIC ORTHOSTATIC HYPOTENSION AND RISK OF FALLS IN COMMUNITY-DWELLING OLDER PEOPLE Open
Background Many older people with Orthostatic Hypotension (OH) may not report typical symptoms of dizziness, light-headedness, or unsteadiness. However, the relationships between OH and falls in the absence of typical symptoms are not yet …
View article: 277 The ‘Bermuda Triangle’ of Orthostatic Hypotension, Cognitive Impairment and Reduced Mobility: Associations with Falls and Fractures in Community-dwelling Older People
277 The ‘Bermuda Triangle’ of Orthostatic Hypotension, Cognitive Impairment and Reduced Mobility: Associations with Falls and Fractures in Community-dwelling Older People Open
Background Orthostatic Hypotension (OH), cognitive impairment and mobility impairment frequently co-occur in older adults who fall. The aim of this study was to examine the clustering of these three geriatric syndromes and ascertain their …
View article: 105 EVALUATION OF A NEW PHYSIOTHERAPY-LED VESTIBULAR SERVICE EMBEDDED IN THE FALLS AND SYNCOPE UNIT
105 EVALUATION OF A NEW PHYSIOTHERAPY-LED VESTIBULAR SERVICE EMBEDDED IN THE FALLS AND SYNCOPE UNIT Open
Background Clinical presentations in the falls and syncope unit (FASU) are diverse and require a range of skillsets. Vestibular disorders amount to a significant proportion of presentations. In our FASU, we embedded a 0.5 FTE specialist ph…
View article: Scoring the Clinical Frailty Scale in the Emergency Department: The Home FIRsT Experience
Scoring the Clinical Frailty Scale in the Emergency Department: The Home FIRsT Experience Open
We evaluated predictors of the Clinical Frailty Scale (CFS) scored by an interdisciplinary team (Home FIRsT) performing comprehensive geriatric assessment (CGA) in our Emergency Department (ED). This was a retrospective observational study…
View article: 162 TRENDS IN EMERGENCY DEPARTMENT USE BY OLDER PEOPLE DURING THE COVID-19 PANDEMIC
162 TRENDS IN EMERGENCY DEPARTMENT USE BY OLDER PEOPLE DURING THE COVID-19 PANDEMIC Open
Background Older people have been disproportionately affected by the COVID-19 pandemic with reports suggesting that many older people deferred seeking healthcare during the pandemic due to fear of contracting COVID-19. The aim of this stud…
View article: 138 DELAYED BLOOD PRESSURE RECOVERY AFTER STANDING INDEPENDENTLY PREDICTS FRACTURE IN COMMUNITY-DWELLING OLDER PEOPLE
138 DELAYED BLOOD PRESSURE RECOVERY AFTER STANDING INDEPENDENTLY PREDICTS FRACTURE IN COMMUNITY-DWELLING OLDER PEOPLE Open
Background Orthostatic hypotension, characterized by delayed blood pressure recovery (DBPR) after standing, is a risk factor for falls but the longitudinal relationship with fracture is not yet known. The aim of this study was to examine t…