Adapted Frailty Index Feasible for Use by Geriatricians Across Multiple Clinical Services

Electronic medical record on a tablet.

Lisa Cooper, MD, and Houman Javedan, MD, of the Division of Aging at the Brigham, and colleagues have adapted the comprehensive geriatric assessment (FI-CGA) tool to be feasible for use by geriatricians to communicate complex geriatric concepts with multiple other clinics at the Brigham that care for older adults.

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Polypharmacy in Older Adults Not Associated with Post-Thoracic Surgery Complications

Close up of senior woman holding a medicine box and taking out a pill

A retrospective study at the Brigham, led by Lisa Cooper, MD, and Laura N. Frain, MD, MPH, found that polypharmacy, potentially inappropriate medications, and frailty were not associated with complications after surgery for thoracic malignancies, but frailty was associated with increased length of hospital stay.

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Comprehensive Geriatric Assessment Successfully Adapted to Telehealth

Patient uses a tablet for telehealth visit with doctor

The COVID-19 pandemic had prompted a 130-fold increase in telehealth visits by U.S. Medicare recipients. The Division of Aging at the Brigham was part of that surge, adapting the comprehensive geriatric assessment (CGA) to be suitable for telephone and video visits.

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A Nuanced Way to Measure Delirium Severity

While clinicians have several tools at their disposal to determine whether patients are delirious, researchers at the Brigham are going a step further by focusing on the severity of delirium. Geriatrician Tammy T. Hshieh, MD, MPH, discusses a more nuanced delirium rating tool featured in a recently published study.

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Lessons Learned From Adapting the CGA for Telehealth

People using tablet at homeThe COVID-19 pandemic has sparked a rapid shift to telemedicine across health care. Among the many challenges this new reality has created for geriatricians is how to adapt the comprehensive geriatric assessment (CGA) to a virtual delivery format.

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Does Long-Term Regular Aspirin Use Prevent Frailty?

man on virtual visit

It is well-established that chronic inflammation may lead to frailty. Less understood is the potential of anti-inflammatory medications such as aspirin to prevent this state of increased vulnerability.

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Creating a Framework to Triage Geriatric COVID Patients

Provider with geriatric patient

The Centers for Disease Control and Prevention (CDC) reports that 8 out of 10 COVID-19-related deaths in the United States have been in adults 65 years and older. As such, the novel coronavirus pandemic has had a dramatic impact on geriatric care.

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Statin Use Tied to Reduced Mortality Rate in Older Adults

Man wearing mask talking to doctor

U.S. veterans aged 75 years or older who were prescribed statins had a 25 percent lower risk of death than their counterparts, according to a retrospective cohort study led by investigators from Brigham and Women’s Hospital and the VA Boston Healthcare System. The analysis also found the risk of dying from a cardiovascular event, such as a heart attack or stroke, was lower by 20 percent among veterans treated with statins.

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Higher Mortality and Hospital Use Linked to Dependency in Instrumental Activities of Daily Living Among Cancer Patients

Elderly couple cooking together

A recent study out of Brigham and Women’s Hospital advises that older cancer patients receive routine assessments of their ability to conduct certain daily living activities to identify those who need supportive intervention. The study, led by Clark DuMontier, MD, geriatrician and research fellow in Brigham and Women’s Division of Aging, found a correlation between patients’ ability to live independently and their odds of being hospitalized or dying.

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Tearing Down the Silos: Promoting Collaboration in Geriatrics Care and Education

Birds eye view of providers standing in circle

Caring for a hospitalized older adult requires the coordinated efforts of various specialists and geriatricians throughout the patient’s hospital stay. At Brigham and Women’s Hospital, an attending physician in the Division of Aging is facilitating such collaboration by developing a co-management service that embeds geriatrics within the hospital’s internal medicine floors.

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