Journal of Clinical Gerontology and Geriatrics最新文献

{"title":"Neurological recovery at age 92 after acute trauma and operative spinal decompression","authors":"Hazem Eltahawy MD, PhD, FRCS, FACS,&nbsp;Angela Ransom NP,&nbsp;Gary Rajah MD","doi":"10.1016/j.jcgg.2015.08.001","DOIUrl":"https://doi.org/10.1016/j.jcgg.2015.08.001","url":null,"abstract":"<div><p>People aged &gt; 80 years are among the fastest growing segments of most Western societies. With improved lifestyles and medical care, complex surgical interventions will be increasingly offered to elderly patients. Questions will arise about the value of performing major surgery in patients near their postulated end of life. Here, we describe a near-full neurological recovery from a profound neurological deficit that occurred as a result of a spinal fracture after a fall. To our knowledge, this is the first report of neurological recovery at such an advanced age.</p></div>","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"7 3","pages":"Pages 115-117"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcgg.2015.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72225790","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}

{"title":"Successful treatment of agitation and aggression with prazosin in an elderly patient with dementia and comorbid heart disease","authors":"Matthew J. Greve MD ,&nbsp;David DesJarlais MD ,&nbsp;Iqbal Ahmed MD","doi":"10.1016/j.jcgg.2015.06.001","DOIUrl":"https://doi.org/10.1016/j.jcgg.2015.06.001","url":null,"abstract":"<div><p>An elderly male with dementia was admitted for increasing aggression and agitation. He was initially treated with risperidone, citalopram, and memantine, as well as nonpharmacological interventions such as behavioral approaches, environmental modifications, and maintaining sleep routines without improvement. He was treated with the addition of the alpha-1 adrenoreceptor antagonist prazosin, with a subsequent reduction in the number of doses of antipsychotic medication needed to maintain appropriate behavior. Prazosin was well tolerated in this patient who had a significant history of heart disease and poor systolic function. Prazosin may represent a relatively safe and effective medication for the treatment of agitation and aggression in patients with dementia, including patients with comorbid cardiac conditions. In this patient, prazosin was better tolerated than the other medications utilized.</p></div>","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"7 3","pages":"Pages 109-111"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcgg.2015.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72225789","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}

{"title":"Cross-cultural validation of the falls efficacy scale international in elderly: Systematic literature review","authors":"Cristina Maria Alves Marques-Vieira MSc CRRN ,&nbsp;Luís Manuel Mota Sousa MSc CRRN ,&nbsp;Sandy Severino MSc CRRN ,&nbsp;Lisete Sousa PhD ,&nbsp;Sílvia Caldeira PhD MSc RN","doi":"10.1016/j.jcgg.2015.12.002","DOIUrl":"https://doi.org/10.1016/j.jcgg.2015.12.002","url":null,"abstract":"<div><p>The aim of this study is to describe the psychometric properties of cultural adaptations of the Falls Efficacy Scale International (FES-I) in the elderly dwelling in the community. A systematic literature review was performed according to the research question: What are the psychometric properties of the FES-I in the elderly dwelling in the community in different cultural backgrounds? The Population, Interest, Context (PICo) strategy was used for inclusion criteria—Population: elderly; Interest area/intervention: psychometric properties of the FES-I; Context: dwelling in the community in various cultural settings. The sample was made up of 10 articles. Metric properties have been evaluated by the criteria of validity, reproducibility, reliability, and responsiveness. The FES-I is considered acceptable, understandable to measure the fear of falling in the elderly, valid, reliable, and comparable cross-culturally, so it is recommended in rehabilitation research, clinical trials, clinical practice, and in fall-prevention programs in elderly.</p></div>","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"7 3","pages":"Pages 72-76"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcgg.2015.12.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72258111","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}

{"title":"Prevalence of risk factors for falls among elderly people living in long-term care homes","authors":"P. Dhargave, R. Sendhilkumar","doi":"10.1016/J.JCGG.2016.03.004","DOIUrl":"https://doi.org/10.1016/J.JCGG.2016.03.004","url":null,"abstract":"","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"46 1","pages":"99-103"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85464222","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}

{"title":"Impact of serum magnesium levels in critically ill elderly patients—A study in a rural teaching hospital","authors":"Sunil Kumar, Shraddha Jain, S. Agrawal, Akshay Honmode","doi":"10.1016/J.JCGG.2016.04.002","DOIUrl":"https://doi.org/10.1016/J.JCGG.2016.04.002","url":null,"abstract":"","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"1101 1","pages":"104-108"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76744333","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}

{"title":"Profile of inpatient falls in patients with dementia: A prospective comparative study between 100% single rooms and traditional multibedded wards","authors":"Sophie Knight ,&nbsp;Inderpal Singh MBBS, MD, MSc, MRCP UK (Geriatric Medicine), FRCP","doi":"10.1016/j.jcgg.2016.03.002","DOIUrl":"https://doi.org/10.1016/j.jcgg.2016.03.002","url":null,"abstract":"<div><h3>Background</h3><p>New hospital designs with single rooms have emerged in recent years, where increased risks of falls have been reported. The objective of this prospective study was to measure the incidence and outcome of inpatient falls (IFs) in high-risk dementia patients being treated in single rooms and multibedded wards (MB-Ws).</p></div><div><h3>Methods</h3><p>A total of 100 patients with dementia were recruited across the two hospital settings in South Wales. Baseline characteristics and falls data were collected for the total length of stay (LoS) in the hospital.</p></div><div><h3>Results</h3><p>There was no significant difference between the two cohorts as suggested by mean age, sex, activities of daily living, comorbidity burden, polypharmacy, or care needs. The number of patients who sustained an IF at the two sites was similar (<em>p</em> = 0.83). Time to first fall was not significantly different (single rooms = 12 ± 18.6 days, MB-Ws = 11.4 ± 12.4 days; <em>p</em> = 0.89). Fifty-three IFs were sustained by 16 patients in single rooms compared with 23 IFs by 15 patients in MB-Ws. Mean IF/patient treated in single rooms was 3.3 (range 1–9) and this was significantly higher than those treated in MB-Ws (mean 1.5; range 1–3, <em>p</em> = 0.03). One patient sustained hip fracture at each site; otherwise, there was no significant difference with regard to other injuries and mortality. Mean LoS for patients with dementia having recurrent falls in single rooms (58.86 ± 41.44 days) was significantly higher as compared with MB-Ws (26.13 ± 20.91 days).</p></div><div><h3>Conclusion</h3><p>Patients with dementia were at an increased risk of recurrent IF in single rooms compared with MB-Ws. Recurrent IF could be correlated with longer LoS but it is difficult to establish the cause and effect due to the low power of the study. There was no significant difference in terms of injury or mortality between the two settings.</p></div>","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"7 3","pages":"Pages 87-92"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcgg.2016.03.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72225792","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}

{"title":"Chronic diseases and multimorbidity among elderly patients admitted in the medical wards of a Nigerian tertiary hospital","authors":"Paul Osemeke Nwani MBBS, MSc, FMCP, FWACP ,&nbsp;Ambrose Ohumagho Isah MBBS, FMCP, FWACP, FRCP (Edin), MD (UK)","doi":"10.1016/j.jcgg.2015.10.001","DOIUrl":"https://doi.org/10.1016/j.jcgg.2015.10.001","url":null,"abstract":"<div><h3>Background/Purpose</h3><p>Morbidity patterns vary for different age groups. As people grow older, chronic noncommunicable diseases become prominent causes of diseases. Our aim was to determine the frequency of occurrence and the patterns of chronic diseases and multimorbidity among elderly inpatients.</p></div><div><h3>Methods</h3><p>A longitudinal prospective survey was conducted among patients aged ≥ 65 years who were admitted to the medical wards of a tertiary hospital (Nnewi, Nigeria) over a period of 12 months. Chronic diseases were defined and counted using the World Health Organization definition, and multimorbidity was defined as the co-occurrence of two or more chronic diseases in the same individual, at a given time.</p></div><div><h3>Results</h3><p>The records of 345 patients aged between 65 years and 92 years were reviewed. There were 221 (64.1%) males and 124 (35.9%) females. A total of 223 (64.6%) patients were aged 65–74 years (early elderly), and 122 (35.4%) patients were aged ≥ 75 years (late elderly). Chronic morbidities were present in 92.5% (<em>n</em> <!-->=<!--> <!-->319/345) of the patients, whereas 49.0% (<em>n</em> <!-->=<!--> <!-->169/345) had multimorbidity. The diseases of the circulatory system and endocrine and metabolic diseases ranked the highest among the chronic diseases.</p></div><div><h3>Conclusion</h3><p>The high frequency of occurrence of multiple chronic diseases in the same individual highlights the challenges awaiting the current healthcare delivery system in developing countries as the populations in these parts of the world grow older.</p></div>","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"7 3","pages":"Pages 83-86"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcgg.2015.10.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72258110","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}

{"title":"Profile of inpatient falls in patients with dementia: A prospective comparative study between 100% single rooms and traditional multibedded wards","authors":"S. Knight, I. Singh","doi":"10.1016/J.JCGG.2016.03.002","DOIUrl":"https://doi.org/10.1016/J.JCGG.2016.03.002","url":null,"abstract":"","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"8 1","pages":"87-92"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75118010","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}

{"title":"Risk factors for cardiovascular events of antidementia drugs in Alzheimer's disease patients","authors":"I. Hernandez","doi":"10.1016/J.JCGG.2016.01.002","DOIUrl":"https://doi.org/10.1016/J.JCGG.2016.01.002","url":null,"abstract":"","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"39 1","pages":"77-82"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72811738","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}

{"title":"Sociodemographic profile and health condition of elderly patients attended at a community primary health center","authors":"Fernanda Borges Carlucio da Silva ,&nbsp;Rosangela Filipini ,&nbsp;Ana Paula Guarnieri ,&nbsp;Nathalia Grangeiro Vieira ,&nbsp;Andrea Bonvini ,&nbsp;Beatriz da Costa Aguiar Alves ,&nbsp;Ligia Ajaime Azzalis ,&nbsp;Virginia Junqueira ,&nbsp;Fernando Luiz Affonso Fonseca","doi":"10.1016/j.jcgg.2016.03.003","DOIUrl":"https://doi.org/10.1016/j.jcgg.2016.03.003","url":null,"abstract":"<div><h3>Background/Purpose</h3><p>The world has gradually been turning eyes to the elderly population due to the increased life expectancy. This study aimed to trace the sociodemographic profile and to analyze health conditions among elderly individuals.</p></div><div><h3>Methods</h3><p>A transversal retrospective study was performed. Data were obtained using an administered questionnaire on sociodemographic and clinical features, diseases reported by the studied population, daily activities, and laboratory test results gathered from patients' medical records.</p></div><div><h3>Results</h3><p>In this study, 66.2% of the total patients were female; 74% had 4 years of primary education with a family income of up to three Brazilian minimum wages; 64.6% were retired; 27.8% had one or more morbidities. As much as 33.4% of the patients showed no difficulty in performing daily activities.</p></div><div><h3>Conclusion</h3><p>Understanding the profile of the senior population is of utmost importance so that public health programs may be carried out to meet the needs of these individuals.</p></div>","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"7 3","pages":"Pages 93-98"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcgg.2016.03.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72225787","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}