67/100
✓ Peer-reviewed
alzhub usefulness score 67 out of 100.
·
BMC geriatrics
·
2011-04-17
Interventions using educational outreach, on-site education given alone or as part of an intervention package and pharmacist medication review may under certain circumstances reduce inappropriate drug use, but the evidence is of low quality. 2 key findings →
Design: systematic review
Evidence: high
Full summary, score breakdown and related studies →
Original source
The results from our meta-analysis suggest that the incidence of falls of older adults living in nursing homes is high, and the risk factors for falls are various. 2 key findings →
Design: systematic review
Evidence: high
Full summary, score breakdown and related studies →
Original source
ACP is complex, and trial characteristics were heterogeneous. 2 key findings →
Design: systematic review
Evidence: high
Full summary, score breakdown and related studies →
Original source
Seventeen randomized clinical trials tested decision tools in serious illness. 2 key findings →
Design: systematic review
Evidence: high
Full summary, score breakdown and related studies →
Original source
Hospice enrollment correlates with reduced Medicare expenditures among younger decedents with cancer but increased expenditures among decedents without cancer and those older than 84 years of age. 2 key findings →
Design: retrospective cohort
Participants: 245
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
Extrapolating results to the US population, we estimate that annually nearly a million individuals who are likely eligible for hospice die without its services. 4 key findings →
Design: cohort study
Participants: 1,209
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
67/100
✓ Peer-reviewed
alzhub usefulness score 67 out of 100.
·
BMJ open
·
2018-05-05
Our results demonstrate delirium is a significant marker of mortality among seniors in the ED, and mortality risk is most salient in the first 3 months following an ED visit. 5 key findings →
Design: cohort study
Participants: 26
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
Real-world deprescribing patterns of antihypertensives among NH residents with HTN and LLE/AD appear to reflect variation in recommendations for HTN treatment intensity and individualization of patient care in a population with potential overtreatment. 5 key findings →
Design: cohort study
Participants: 10,574
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
Later GOCDs were associated with greater risk of aggressive interventions and death as an inpatient and greater odds of ICU admission. 3 key findings →
Design: cohort study
Participants: 197
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
66/100
✓ Peer-reviewed
alzhub usefulness score 66 out of 100.
·
JAMA
·
1999-12-15
This prospective study followed 392 older spousal caregivers and 427 non-caregivers for an average of 4.5 years. 3 key findings →
Design: cohort
Participants: 819
Evidence: high
Full summary, score breakdown and related studies →
Original source
66/100
✓ Peer-reviewed
alzhub usefulness score 66 out of 100.
·
JAMA network open
·
2019-11-01
A cohort of 4 522 160 US veterans (4 243 462 [93.8%] male; median [interquartile range] age, 64.1 [55.7-75.5] years; 3 702 942 [82.0%] white, 667 550 [14.8%] black, and 145 593 [3.2%] other race) was followed up for a median (interquartile range) of 10.0 (6.8-10.2) years. 5 key findings →
Design: cohort study
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
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66/100
✓ Peer-reviewed
alzhub usefulness score 66 out of 100.
·
PloS one
·
2015-12-14
This is relevant as the number of old people (a) living alone and (b) suffering from dementia is expected to increase rapidly in the next decades. 2 key findings →
Design: longitudinal study
Participants: 201
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
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Among older Medicare beneficiaries, incident AF is common and has remained relatively stable for more than a decade. 3 key findings →
Design: cohort study
Participants: 433,123
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
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Greater purpose in life is associated with a reduced risk of all-cause mortality among community-dwelling older persons. 4 key findings →
Design: cohort study
Participants: 1,238
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
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Despite methodologic limitations, certain risk factors for delirium seem to be consistent and could help identify high-risk patients. 3 key findings →
Participants: 1,365
Evidence: low
Full summary, score breakdown and related studies →
Original source
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We found significant independent associations with overall fracture risk in women for age, body mass index, ethnic origin, alcohol intake, smoking status, chronic obstructive pulmonary disease or asthma, any cancer, cardiovascular disease, dementia, diagnosis or treatment for epilepsy, history of falls, chronic liver disease, Parkinson's disease, rheumatoid arthritis or systemic lupus erythematosus, chronic renal disease, type 1 diabetes, type 2 diabetes, previous fracture, endocrine disorders, gastrointestinal malabsorption, any antidepressants, corticosteroids, unopposed hormone replacement therapy, and parental history of osteoporosis. 3 key findings →
Design: cohort study
Participants: 3,142,673
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
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66/100
✓ Peer-reviewed
alzhub usefulness score 66 out of 100.
·
JAMA psychiatry
·
2022-05-01
Late-life depression (LLD) is characterized by considerable heterogeneity in clinical manifestation. 4 key findings →
Design: longitudinal study
Participants: 996
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
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End-of-life care in elderly patients with serious advanced illness sits at the intersection of patient autonomy, family involvement, clinical judgment, and resource allocation. 5 key findings →
Design: cohort study
Participants: 358
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
This review of reviews provides a comprehensive and systematic overview of epidemiological evidence from previously conducted research to assess the associations of physical activity with physical and mental health outcomes in older adults. 1 key finding →
Design: meta-analysis
Evidence: high
Full summary, score breakdown and related studies →
Original source
66/100
✓ Peer-reviewed
alzhub usefulness score 66 out of 100.
·
JAMA
·
2022-01-01
In patients aged 65 years and older undergoing hip fracture surgery, regional anesthesia without sedation did not significantly reduce the incidence of postoperative delirium compared with general anesthesia. 3 key findings →
Design: open-label trial
Participants: 476
Evidence: high
Full summary, score breakdown and related studies →
Original source
The use of benzodiazepines or opioids in the ICU is associated with longer duration of a first episode of delirium. 5 key findings →
Design: cohort study
Participants: 304
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
Potentially modifiable factors consistently associated with increased likelihood of weight loss, low BMI, or poor nutrition included depression, impaired function, and poor oral intake. 5 key findings →
Participants: 100
Evidence: low
Full summary, score breakdown and related studies →
Original source
Preoperative determination of dementia status is important for risk stratification for incident delirium after acute hip fracture repair surgery because types and magnitude of predisposing risk factors for postoperative delirium substantially differ based on preoperative dementia status. 3 key findings →
Design: cohort study
Participants: 284
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
66/100
✓ Peer-reviewed
alzhub usefulness score 66 out of 100.
·
BMC geriatrics
·
2014-05-22
The majority of residents were stable in their care dependency status over two subsequent 6-month periods. 2 key findings →
Evidence: low
Full summary, score breakdown and related studies →
Original source
This study has shown the MNA to be a more appropriate nutrition assessment tool for older patients when compared to the SGA. 3 key findings →
Participants: 43
Evidence: low
Full summary, score breakdown and related studies →
Original source
How the 0–100 score works — and why some entries are capped
This is alzhub's own score. It is not an official metric, not an impact factor,
and no journal, publisher or ranking body endorses it. We built it so that a reader who is not a
scientist can tell a landmark trial from a conference abstract without having to already know the
difference. Every point comes from one of 20 components, all of them printed on the study itself,
so you can disagree with our arithmetic rather than having to trust the total.
- Journal tier up to 10 pts
- Journal's citation record up to 4 pts
- Study design up to 12 pts
- Strength of evidence up to 5 pts
- Peer-review validation up to 10 pts
- How recent up to 5 pts
- Sample size up to 4 pts
- Effect reported up to 3 pts
- Studied in people up to 3 pts
- Randomised / blinded up to 2 pts
- Times cited up to 7 pts
- Citations per year up to 5 pts
- Impact for its field and year up to 6 pts
- Cited by studies here up to 6 pts
- Still being cited up to 4 pts
- Senior author's track record up to 4 pts
- Institution's track record up to 3 pts
- Multi-centre collaboration up to 3 pts
- Indexed in PubMed up to 2 pts
- Free to read up to 2 pts
Journals are placed in ordered tiers, never given a numeric impact factor — we
could not verify current impact factors from a source we control, and an invented one would be
worse than none. Tier 1 is the top-tier general journals (NEJM, The Lancet, JAMA, Nature, Science,
Nature Medicine); tier 2 is the leading specialty journals; tier 3 is every other peer-reviewed
journal. A separate part scores how much the journal's own papers are cited, which tells the
tier-3 journals apart.
Two rules we don't bend. First, we never fill in a
missing value: if a record does not state a sample size or a design, that component scores
zero, and if we simply have no data for a part, such as a citation count, that part is left out and
the study is scored on the parts we could check. The study card says which. Second, anything that is not a peer-reviewed
article is capped at 16/100 and carries a warning chip — so a conference abstract or
a company press release can never outrank a peer-reviewed paper, no matter how good it looks.
We rank a rigorous null result — a good trial showing that something does not
work — above an early positive finding. Someone deciding whether to buy a supplement is served by
that, and the rigour is already counted by the design and journal components.
The score is computed from the published data alone and is
reproducible: the same file always yields the same numbers.
See the whole rubric drawn out →
— four charts covering all 27,780 studies: how the scores are spread and where the cap
bites, which of the 20 components the library is strong and weak on, which subjects rest on
stronger evidence, and what kinds of study each subject is actually built from.