Midazolam sedation for upper gastrointestinal endoscopy in older persons: a randomized, double-blind placebo-controlled study

Article Abstract:

A randomized, double-blind placebo-controlled study has been carried out in 65 geriatric inpatients, mean age 84 +/- 7, to study the benefits and risks of using midazolam for sedation in upper gastrointestinal endoscopic procedures in older people. Findings show that under adequate surveillance, benefits outweigh risks.

Methods, Usage, Diagnosis, Prevention, Practice, Pain, Gastrointestinal diseases, Sedatives, Gastroscopy, Gastroenterology, Endoscopy, Midazolam

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What's the basis for treating infections your way?: Quality assessment of review articles on the treatment of urinary and respiratory tract infectons in older people

Article Abstract:

Review articles on urinary tract infections were compared with those on respiratory tract infections, correlated clinical applicability and methodological quality and evaluated quality as a function of breadth of subject and publications type. It was found that review articles on treatment of common infectious diseases in older people are often not clinically applicable and often lacking good methodological quality. More systematic review articles about treatment of older patients as well as evidence-based practice guidelines are needed.

Publishing industry, Evaluation, Periodicals, Respiratory tract infections, Medical literature, Urinary tract infections, Technical writing

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Zolpidem use and hip fractures in older people

Article Abstract:

Zolpidem use, hip fractures and their relationship in older people have been studied using a case-control study of 1,222 subjects age 65+ enrolled in Medicare and in Medicaid or the Pharmaceutical Assistance to the Aged and Disabled program of New Jersey and frequency-matched to four controls based on age and gender. It was found that use of zolpidem, a nonbenzodiazepine hypnotic, by older people was associated with almost twice the risk of hip fracture, even after controlling for possible demographic and clinical confounders.

Complications and side effects, Physiological aspects, Hip joint, Hip fractures, Hypnotics, Zolpidem

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