Journal of Clinical Gerontology and Geriatrics最新文献

{"title":"General Informatiom","authors":"","doi":"10.1016/S2210-8335(16)30026-0","DOIUrl":"https://doi.org/10.1016/S2210-8335(16)30026-0","url":null,"abstract":"","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"7 2","pages":"Page iii"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2210-8335(16)30026-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72282466","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":"Beyond mobility assessment: Timed up and go test and its relationship to osteoporosis and fracture risk","authors":"Shereen M. Mousa MD,&nbsp;Doha Rasheedy MD,&nbsp;Khalid E. El-Sorady MSc,&nbsp;Ahmed K. Mortagy MD","doi":"10.1016/j.jcgg.2015.08.004","DOIUrl":"https://doi.org/10.1016/j.jcgg.2015.08.004","url":null,"abstract":"<div><h3>Background</h3><p>Fracture determinants are falls, bone fragility, imbalance, and decreased lower limb strength. The timed up and go (TUG) test assesses most of the fracture determinants.</p></div><div><h3>Aim</h3><p>To assess the relationship between mobility status using TUG test, bone mineral density (BMD), and different fracture risks predicted by different tools.</p></div><div><h3>Methods</h3><p>A case (TUG time &gt; 20 seconds)–control (TUG ≤ 20 seconds) study comprised 66 patients and 72 controls. Participants were assessed for falls, fracture history, and BMD using dual energy X-ray absorptiometry; the estimated 10-year fracture risk was also calculated using both the World Health Organization fracture risk assessment tool and Garvan fracture risk calculator.</p></div><div><h3>Results</h3><p>Patients had a lower femoral BMD (<em>p</em> = 0.009), T score (<em>p</em> = 0.003), and Z score (<em>p</em> = 0.001). Femur neck osteoporosis had a higher number of patients (<em>p</em> &lt; 0.001). Patients also had lower lumbar BMD (<em>p</em> = 0.02), T-score (<em>p</em> = 0.02), and Z-score (<em>p</em> = 0.005). The estimated 10-year fracture risk for hip and other osteoporotic fractures were higher among the patients using both fracture risk assessment tool and Garvan calculators.</p></div><div><h3>Conclusion</h3><p>Poor TUG test results are associated with lower BMD and higher estimated 10 year fracture risk.</p></div>","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"7 2","pages":"Pages 48-52"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcgg.2015.08.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72247029","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":"Aspirin prescribing patterns for primary prevention of cardiovascular disease in geriatric patients with diabetes: Survey of prescribers based on experience","authors":"Lianne Kokoska, D. Masri, Helen D. Berlie, Candice L. Garwood, Candice L. Garwood","doi":"10.1016/J.JCGG.2016.03.006","DOIUrl":"https://doi.org/10.1016/J.JCGG.2016.03.006","url":null,"abstract":"","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"29 1","pages":"33-36"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82213434","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":"Beyond mobility assessment: Timed up and go test and its relationship to osteoporosis and fracture risk","authors":"S. Mousa, D. Rasheedy, Khalid E. Elsorady, A. Mortagy","doi":"10.1016/J.JCGG.2015.08.004","DOIUrl":"https://doi.org/10.1016/J.JCGG.2015.08.004","url":null,"abstract":"","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"55 1","pages":"48-52"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76446689","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":"Aspirin prescribing patterns for primary prevention of cardiovascular disease in geriatric patients with diabetes: Survey of prescribers based on experience","authors":"Lianne Kokoska PharmD ,&nbsp;Dana El Masri BS ,&nbsp;Helen Berlie PharmD, CDE ,&nbsp;Candice Garwood PharmD, FCCP, BCPS","doi":"10.1016/j.jcgg.2016.03.006","DOIUrl":"https://doi.org/10.1016/j.jcgg.2016.03.006","url":null,"abstract":"<div><p>Evidence and guidelines provide conflicting recommendations regarding the use of aspirin for primary prevention of cardiovascular disease, particularly in geriatric patients with diabetes. The objective of this study is to identify aspirin-prescribing patterns and determine if it is consistent with the 2013 American Diabetes Association and American Geriatrics Association guidelines. A survey was distributed to attending physicians, fellow physicians, and mid-level practitioners in internal medicine, geriatric, cardiology, and endocrinology clinics in Detroit, MI, USA. Most providers (88%) indicated that they would give aspirin for primary prevention of cardiovascular disease. Of those who chose to give aspirin, all chose to prescribe a dose of 81 mg. Most providers elected to prescribe aspirin based on patient age (86%) and comorbidities (98%). Aspirin is routinely prescribed for geriatric patients with diabetes for the primary prevention of cardiovascular disease. The guidelines provide conflicting recommendations; therefore, provider education is needed to guide decision-making in the elderly.</p></div>","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"7 2","pages":"Pages 33-36"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcgg.2016.03.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72247030","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":"Medication adherence in the elderly","authors":"A. Yap, T. Thirumoorthy, Y. Kwan","doi":"10.1016/J.JCGG.2015.05.001","DOIUrl":"https://doi.org/10.1016/J.JCGG.2015.05.001","url":null,"abstract":"","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"71 1","pages":"64-67"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83347134","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":"Sex differences of sarcopenia in Asian populations: The implications in diagnosis and management","authors":"Yi-hui Wu, A. Hwang, Li-Kuo Liu, L. Peng, Liang‐Kung Chen","doi":"10.1016/J.JCGG.2016.04.001","DOIUrl":"https://doi.org/10.1016/J.JCGG.2016.04.001","url":null,"abstract":"","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"20 1","pages":"37-43"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81650997","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":"Predictors for hospitalizations in elderly patients with clinical symptoms of heart failure: A 10-year observational primary healthcare study","authors":"Mona Olofsson PhD,&nbsp;Jan-Håkan Jansson MD, PhD,&nbsp;Kurt Boman MD, PhD","doi":"10.1016/j.jcgg.2015.11.001","DOIUrl":"https://doi.org/10.1016/j.jcgg.2015.11.001","url":null,"abstract":"<div><h3>Background/Purpose</h3><p>Heart failure (HF) is the most common cause of hospitalization at medical clinics for patients older than 65 years.</p></div><div><h3>Purpose</h3><p>To study the prognostic value of biomarkers, comorbidities, and verified HF diagnosis for all-cause and cardiovascular hospitalizations.</p></div><div><h3>Methods</h3><p>Between 2000 and 2003, 170 patients with HF symptoms according to their general practitioners were recruited and referred for echocardiography, biomarker measures and a final cardiology consultation. HF diagnosis was based on the general practitioner's prespecified HF record, echocardiography, and hospital records. Records from the departments of medicine and surgery were used to identify hospitalizations. This is a 10-year longitudinal observational primary healthcare center study.</p></div><div><h3>Results</h3><p>During 10 years, 136 (80%) patients had 660 and 207 all-cause and cardiovascular hospitalizations, respectively. In multivariable logistic regression, age [odds ratio (OR) = 1.1, 95% confidence interval (CI) = 1.01–1.15] and underlying heart disease (OR = 3.5, 95% CI = 1.00–11.89) significantly predicted all-cause hospitalization. Age (OR = 1.1, 95% CI = 1.01–1.12), underlying heart disease (OR = 3.4, 95% CI = 1.041–1.40), and N-terminal of prohormone brain natriuretic peptide ≥ 800 ng/L (OR = 4.3, 95% CI = 1.5–12.50) significantly predicted cardiovascular hospitalizations. In Cox regression analysis, overall HF (HR = 1.8, 95% CI = 1.06–2.94) significantly predicted time to first all-cause hospitalizations while no variable independently predicted time to first cardiovascular hospitalization.</p></div><div><h3>Conclusion</h3><p>In patients with HF symptoms managed in primary healthcare, age, and underlying heart diseases predicted all-cause hospitalizations. N-terminal of prohormone brain natriuretic peptide added independent prognostic information for cardiovascular hospitalizations.</p></div>","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"7 2","pages":"Pages 53-59"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcgg.2015.11.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72282385","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":"Effect of oral cilostazol on acute neurological deterioration and outcome of noncardioembolic minor stroke","authors":"Shigeru Fujimoto MD, PhD ,&nbsp;Masato Osaki MD ,&nbsp;Makoto Kanazawa MD ,&nbsp;Naoki Tagawa MD ,&nbsp;Masaya Kumamoto MD ,&nbsp;Yuichiro Ohya MD ,&nbsp;Takanari Kitazono MD, PhD","doi":"10.1016/j.jcgg.2015.09.001","DOIUrl":"https://doi.org/10.1016/j.jcgg.2015.09.001","url":null,"abstract":"<div><h3>Background/Purpose</h3><p>Stroke recurrence in the acute phase is not rare, even in minor stroke patients. We investigated whether combined antithrombotic therapy with early oral cilostazol prevents progressive stroke and improves outcomes in ischemic stroke patients.</p></div><div><h3>Methods</h3><p>For the present study, 311 first-time stroke patients who were admitted within 48 hours after the onset and were diagnosed as having a noncardioembolic stroke with National Institutes of Health Stroke Scale (NIHSS) scores of ≤ 7 were prospectively included. All patients were classified into two groups according to oral cilostazol. In Group A, 154 patients were treated with conventional antithrombotic agents with or without oral aspirin (100–200 mg/d), during the first 7 hospital days. In Group C, 157 patients were treated with oral cilostazol 200 mg/d (100 mg twice daily) plus conventional antithrombotic agents during the first 7 hospital days. Neurological deterioration during the first 21 days, stroke recurrence, cardiovascular events, and any deaths during a 3-month follow-up period were compared between Groups A and C.</p></div><div><h3>Results</h3><p>The frequencies of neurological deterioration, stroke recurrence, acute myocardial infarction, or death from all causes did not differ between Groups A and C. A good outcome at 3 months after admission was observed more frequently in Group C than in Group A patients (68% vs. 56%, <em>p</em> = 0.0253). In the multivariate analysis, age [odds ratio (OR), 0.94; 95% confidence interval (CI), 0.91–0.97; <em>p</em> &lt; 0.0001] and initial NIHSS score (OR, 0.65; 95% CI, 0.56–0.76; <em>p</em> &lt; 0.0001) were negatively associated, and cilostazol (OR, 1.99; 95% CI, 1.05–3.77; <em>p</em> = 0.0353) was positively associated with a good outcome.</p></div><div><h3>Conclusion</h3><p>In noncardioembolic stroke, combined antithrombotic therapy with early oral cilostazol in the acute phase appears to be associated with a good outcome in patients with progressive stroke.</p></div>","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"7 1","pages":"Pages 21-26"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcgg.2015.09.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72248034","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":"General Informatiom","authors":"","doi":"10.1016/S2210-8335(16)30004-1","DOIUrl":"https://doi.org/10.1016/S2210-8335(16)30004-1","url":null,"abstract":"","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"7 1","pages":"Page iii"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2210-8335(16)30004-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72294131","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}