Journal of Clinical Gerontology and Geriatrics最新文献_第4页

The impact of the presence of systemic inflammatory response syndrome in the emergency department on the timing and outcomes of medical emergency team calls after admission: A retrospective audit 急诊科系统性炎症反应综合征对入院后医疗急救小组呼叫时间和结果的影响：一项回顾性审计

Journal of Clinical Gerontology and Geriatrics Pub Date : 2016-12-01 DOI: 10.1016/j.jcgg.2016.06.001

Harry Harianto MBBS , Benjamin Watson MBBS , Julie van der Klift MBBS, BN , Sandi Valentine PGDip Critical Care , Jonathan Marriott MBBS

{"title":"The impact of the presence of systemic inflammatory response syndrome in the emergency department on the timing and outcomes of medical emergency team calls after admission: A retrospective audit","authors":"Harry Harianto MBBS , Benjamin Watson MBBS , Julie van der Klift MBBS, BN , Sandi Valentine PGDip Critical Care , Jonathan Marriott MBBS","doi":"10.1016/j.jcgg.2016.06.001","DOIUrl":"https://doi.org/10.1016/j.jcgg.2016.06.001","url":null,"abstract":"<div><h3>Background/Purpose</h3><p>To investigate if systemic inflammatory response syndrome (SIRS), present on arrival to the emergency department, correlates with the timing of medical emergency team calls (MET calls), mortality, length of stay, and discharge destination.</p></div><div><h3>Methods</h3><p>A retrospective audit was performed on patients who had a MET call during their admission and were over the age of 75 years during a 6-month period. A total of 127 patients were included: 43 with SIRS and 84 without.</p></div><div><h3>Results</h3><p>There was a greater amount of MET calls within 48 hours for the SIRS group compared with the Non-SIRS group (48.8% vs. 27.4%), with an odds ratio of 2.54 (95% confidence interval: 1.18–5.45, <em>p</em>  <0.0003), and higher mortality rates, 28.9% versus 4.5%, with an odds ratio of 8.54 (95% confidence interval: 1.91–38.12, <em>p</em>  <!-->0.0049).</p></div><div><h3>Conclusion</h3><p>The presence of SIRS on admission may be considered in assessing early deterioration, prognosis, and treatment aims for older patients.</p></div>","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"7 4","pages":"Pages 119-123"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcgg.2016.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72245071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Why aren't medical students specializing in geriatrics, and can arts-based experiences with the elderly help? Insights from 4th-year trainees 为什么医科学生不专攻老年病学?基于艺术的老年人体验能有所帮助吗?来自四年级学员的见解

Journal of Clinical Gerontology and Geriatrics Pub Date : 2016-12-01 DOI: 10.1016/J.JCGG.2016.05.004

D. George

引用次数: 0

Oxidative stress is associated with increased arterial stiffness in middle-aged and elderly community-dwelling persons 氧化应激与中老年社区居民动脉硬化增加有关

Journal of Clinical Gerontology and Geriatrics Pub Date : 2016-12-01 DOI: 10.1016/J.JCGG.2016.05.003

R. Kawamoto, Daisuke Ninomiyax, T. Kusunoki, Y. Kasai, N. Ohtsuka, T. Kumagi

引用次数: 8

Slower gait speed predicts decline in Instrumental Activities of Daily Living in community-dwelling elderly: 3-year prospective finding from Living Profiles of Older People Survey in Korea 较慢的步态速度预测社区老年人日常生活工具活动的下降：韩国老年人生活概况调查的3年前瞻性发现

Journal of Clinical Gerontology and Geriatrics Pub Date : 2016-12-01 DOI: 10.1016/j.jcgg.2016.05.002

Seonghun Hong MD , Sunyoung Kim MD , Jinho Yoo MD , Byung Sung Kim MD, PhD , Hyun Rim Choi MD, PhD , Sung Eun Choi PhD , Chang Gi Hong MD , Chang Won Won MD, PhD

{"title":"Slower gait speed predicts decline in Instrumental Activities of Daily Living in community-dwelling elderly: 3-year prospective finding from Living Profiles of Older People Survey in Korea","authors":"Seonghun Hong MD , Sunyoung Kim MD , Jinho Yoo MD , Byung Sung Kim MD, PhD , Hyun Rim Choi MD, PhD , Sung Eun Choi PhD , Chang Gi Hong MD , Chang Won Won MD, PhD","doi":"10.1016/j.jcgg.2016.05.002","DOIUrl":"https://doi.org/10.1016/j.jcgg.2016.05.002","url":null,"abstract":"<div><h3>Background/Purpose</h3><p>Slower gait speed is a good predictor of falls, dependency, disability, and mortality. However, the cutoff point of the gait speed to best predict the bad outcomes is controversial. The purpose of this study was to determine the cutoff point of gait speed that best predicts Instrumental Activities of Daily Living (IADL) dependency.</p></div><div><h3>Methods</h3><p>The study targeted 8000 people aged ≥ 65 years who had been enrolled in 2008 and followed up in 2011 for the Living Profiles of Older People Survey in Korea. The population was divided into an independent group and a dependent group with 2011 Korean Instrumental Activities of Daily Living (K-IADL) scores of 10 and ≥ 11, respectively. The gait speed was measured as the time taken to walk 2.5 m at a usual pace without any help, and the best result of two trials was chosen for analysis.</p></div><div><h3>Results</h3><p>The area under the curve was highest (0.642) at gait speed of 0.6 m/s, with a sensitivity and specificity of 68.44% and 55.09%, respectively. The dependency hazard ratio of IADL was statistically significant in the group with gait speed less than 0.6 m/s, 1.974 (95% confidence interval, 1.646–2.367). The dependency hazard ratio of IADL was also statistically significant in the same group after adjusting for all relevant variables, 1.613 (95% confidence interval, 1.332–1.955).</p></div><div><h3>Conclusion</h3><p>The gait speed of 0.6 m/s may be considered as the new standard of a screening tool to predict IADL dependency in Korean people aged ≥ 65 years.</p></div>","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"7 4","pages":"Pages 141-145"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcgg.2016.05.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72245050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 14

Diversified psychiatric presentation in a case of progressive supranuclear palsy 一例进行性核上性麻痹的多样化精神表现

Journal of Clinical Gerontology and Geriatrics Pub Date : 2016-12-01 DOI: 10.1016/j.jcgg.2016.05.001

Yu-Wen Chiu MD , Shwu-Hua Lee MD , Tu-Hsueh Yeh PhD

引用次数: 3

Successful treatment with rituximab of a very elderly patient with refractory thrombotic thrombocytopenic purpura 利妥昔单抗成功治疗难治性血栓性血小板减少性紫癜的一例老年患者

Journal of Clinical Gerontology and Geriatrics Pub Date : 2016-12-01 DOI: 10.1016/J.JCGG.2016.02.001

G. Saito, T. Higuchi, Ryosuke Koyamada, Sadamu Okada

引用次数: 0

Falls in people prior to undergoing total hip or total knee replacement surgery: Frequency and associated factors 在接受全髋关节或全膝关节置换手术前跌倒:频率和相关因素

Journal of Clinical Gerontology and Geriatrics Pub Date : 2016-12-01 DOI: 10.1016/J.JCGG.2016.03.001

K. Hill, E. Wee, Soula Margelis, H. Menz, J. Bartlett, N. Bergman, S. McMahon, D. Hare, P. Levinger

引用次数: 16

The impact of the presence of systemic inflammatory response syndrome in the emergency department on the timing and outcomes of medical emergency team calls after admission: A retrospective audit 急诊科全身性炎症反应综合征的存在对入院后医疗急救小组呼叫时间和结果的影响:回顾性审计

Journal of Clinical Gerontology and Geriatrics Pub Date : 2016-12-01 DOI: 10.1016/J.JCGG.2016.06.001

Harry Harianto, Benjamin Watson, Julie van der Klift, S. Valentine, J. Marriott

引用次数: 1

Concomitant use of psychotropics and donepezil in Japanese patients with dementia: Pooled postmarketing surveillance data analysis 日本痴呆患者同时使用精神药物和多奈哌齐:合并上市后监测数据分析

Journal of Clinical Gerontology and Geriatrics Pub Date : 2016-12-01 DOI: 10.1016/J.JCGG.2016.05.005

Kasumi Daidoji, Y. Sakata, Kenta Sumitomo, M. Ishii, T. Toyoda, M. Kawaguchi

引用次数: 1

Concomitant upper limb and hip fractures in older adults - does the site matter? A retrospective clinical observation study 老年人伴发上肢和髋部骨折——部位有关系吗?回顾性临床观察研究

Journal of Clinical Gerontology and Geriatrics Pub Date : 2016-10-23 DOI: 10.24816/JCGG.2017.V8I2.0

V. Siaw, Susan W. Kim, P. Hakendorf, C. Horwood, T. To

{"title":"Concomitant upper limb and hip fractures in older adults - does the site matter? A retrospective clinical observation study","authors":"V. Siaw, Susan W. Kim, P. Hakendorf, C. Horwood, T. To","doi":"10.24816/JCGG.2017.V8I2.0","DOIUrl":"https://doi.org/10.24816/JCGG.2017.V8I2.0","url":null,"abstract":"Background: Recent reports have suggested that mortality and morbidity in patients with concomitant upper limb and hip fractures vary depending on the sites of fracture. Objectives: To determine the mortality outcomes in elderly patients with concomitant upper limb (wrist or humerus) and hip fractures compared to patients with isolated hip fractures. The secondary objective was to determine the length of hospital stay during acute care, morbidity characteristics and perioperative complication rates. Methods: 144 older adults with concomitant upper limb and hip fractures were compared to 2,690 older adults with isolated hip fractures in a single-centre tertiary hospital. Blinded patient data were extracted from our Inpatient Separation Information System based on ICD-10 codes for analysis and comparison between the groups. A multivariate regression survival analysis was performed to determine mortality outcomes. Results: No difference in mortality was shown between patient groups in the short and long term. Older adults with concomitant humeral and hip fractures had a higher prevalence of cognitive disorders and chronic kidney disease, while those with concomitant wrist and hip fractures had the lowest. Those with concomitant upper limbs fracture had a longer length of stay during the acute care, as well as a greater requirement for blood transfusions. Conclusions: When compared to isolated hip fracture patients, older adults with concomitant hip and humeral fractures may represent a frailer group, but not necessary in those with concomitant hip and wrist fractures.","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"64 1","pages":"47-51"},"PeriodicalIF":0.0,"publicationDate":"2016-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81084046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1