Geriatrics & Gerontology International最新文献

Coronary heart disease as a risk factor for delirium in older COVID-19 patients.

IF 2.4 4区医学

Geriatrics & Gerontology International Pub Date : 2025-03-05 DOI: 10.1111/ggi.70021

Young-Gun Lee, Sang-Won Park, Jihwan Bang, Eunyoung Lee

{"title":"Coronary heart disease as a risk factor for delirium in older COVID-19 patients.","authors":"Young-Gun Lee, Sang-Won Park, Jihwan Bang, Eunyoung Lee","doi":"10.1111/ggi.70021","DOIUrl":"https://doi.org/10.1111/ggi.70021","url":null,"abstract":"Aim: Delirium during acute infection is associated with poor outcomes, although research is limited due to the heterogenous nature of affected populations. Identifying risk factors for delirium can help differentiate high-risk patients.Methods: This retrospective study was carried out at a single COVID-19 designated hospital in Korea between February 2020 and May 2022. It analyzed the clinical and laboratory characteristics of COVID-19 patients aged ≥75 years. COVID-19, ranging from mild to severe, was diagnosed by polymerase chain reaction test, and delirium was diagnosed clinically. A binary logistic regression analysis was carried out using meaningful variables from descriptive analyses.Results: Among the 1166 patients in the study population, 53 (4.5%) experienced delirium during the admission period. Patients with delirium were more likely to have been transferred from another hospital (24.5% vs. 12.4%, P = 0.018) and had higher body temperatures (37.4°C vs 37.1°C, P = 0.008). They also had a history of coronary heart disease, chronic kidney disease more frequently and showed higher C-reactive protein (19.2% vs 7.1%, P = 0.003; 13.5% vs 4.5%, P = 0.009; 6.2 mg/dL vs 4.8 mg/dL, P = 0.026). Patients with delirium more frequently required oxygen support, mechanical ventilation and transfer to a higher-level hospital (54.7% vs 35.7%, P = 0.008; 13.2% vs 4.1%, P = 0.006; 17.0% vs 7.0%, P < 0.001). Coronary heart disease was associated with a significantly higher odds ratio of 2.898 (95% confidence interval 1.118-6.696, P = 0.0182) in a multiple regression model.Conclusion: A history of coronary heart disease was associated with a high risk of developing delirium during hospitalization for COVID-19 in patients aged ≥75 years. Patients with delirium experienced worse COVID-19-related outcomes. Geriatr Gerontol Int 2025; ••: ••-••.","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143556416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comment on: Association between base excess and mortality in septic older adults.

IF 2.4 4区医学

Geriatrics & Gerontology International Pub Date : 2025-03-04 DOI: 10.1111/ggi.70016

Korhan Kollu, Muhammet Cemal Kizilarslanoglu

引用次数: 0

Comment on: Predictive value of the Hemoglobin, Albumin, Lymphocyte and Platelet score for mortality in geriatric patients presenting to the emergency department.

IF 2.4 4区医学

Geriatrics & Gerontology International Pub Date : 2025-03-03 DOI: 10.1111/ggi.70026

Esra Cataltepe

引用次数: 0

Changes of filial responsibility norms under public long-term care insurance in China.

IF 2.4 4区医学

Geriatrics & Gerontology International Pub Date : 2025-03-02 DOI: 10.1111/ggi.70009

Qifeng Ma, Jing Ning, He Chen

{"title":"Changes of filial responsibility norms under public long-term care insurance in China.","authors":"Qifeng Ma, Jing Ning, He Chen","doi":"10.1111/ggi.70009","DOIUrl":"https://doi.org/10.1111/ggi.70009","url":null,"abstract":"Aim: The public long-term care insurance (LTCI) scheme offers a potential solution to growing long-term care needs. This study investigated its effects on perceived filial responsibility norms and evaluated the heterogeneity of these effects.Methods: Using data from the 2014, 2016, 2018, and 2020 waves of the China Longitudinal Aging Social Survey, we focused on 10 042 older adults aged 60 and above living in communities. The quasi-experimental design of staggered difference-in-differences analyses with propensity score matching was employed to assess the policy effects.Results: The LTCI scheme significantly influenced perceived filial responsibility norms, reducing the likelihood of older adults believing that children should bear primary responsibility for their care by 6%. This effect was more pronounced among older adults who were more educated, lived with their children, or were in better health.Conclusion: The implementation of the public LTCI scheme has had a negative impact on traditional filial piety in China. These findings highlight the importance for countries adopting LTCI or similar policies to develop strategies that prevent the excessive erosion of this cultural value. Geriatr Gerontol Int 2025; ••: ••-••.","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143536797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association between bed-rest time, food intake, and constipation in older nursing home residents.

IF 2.4 4区医学

Geriatrics & Gerontology International Pub Date : 2025-02-28 DOI: 10.1111/ggi.70025

Kenta Ushida, Hidetaka Wakabayashi, Shoji Kinoshita, Haruka Tohara, Tokiko Isowa, Kotomi Sakai, Momoko Tohyama, Yuka Shirai, Ryo Momosaki

{"title":"Association between bed-rest time, food intake, and constipation in older nursing home residents.","authors":"Kenta Ushida, Hidetaka Wakabayashi, Shoji Kinoshita, Haruka Tohara, Tokiko Isowa, Kotomi Sakai, Momoko Tohyama, Yuka Shirai, Ryo Momosaki","doi":"10.1111/ggi.70025","DOIUrl":"https://doi.org/10.1111/ggi.70025","url":null,"abstract":"Aim: This study aimed to investigate the associations between bed-rest time and food intake and between bed-rest time and constipation in older nursing home residents.Methods: We conducted a cross-sectional study using data from the Long-term Care Information System for Evidence (LIFE) database. We used data collected from older nursing home residents registered in the LIFE database between April 2022 and March 2023. We compared outcome data between the short-bed-rest group (≥9 h out of bed per day) and the long-bed-rest group (<9 h out of bed per day). The outcomes were the percentage of food intake provided in the last 3 days, the percentage of energy sufficiency (the percentage of energy intake to energy requirements), and the incidence of constipation.Results: The short-bed-rest group consisted of 265 people (53.9%). The short-bed-rest group showed a significantly higher percentage of food intake (93.1 ± 12.3 vs. 85.2 ± 21.6), a higher percentage of energy sufficiency (104.8 ± 19.4 vs. 92.2 ± 26.2), and a lower incidence of constipation (6.0% vs. 18.5%) than the long bed-rest group. Multivariable analyses revealed that shorter bed-rest time was independently and significantly associated with the percentage of food intake (standardized coefficient: 0.28, P < 0.001), the percentage of energy sufficiency (standardized coefficient 0.30, p < 0.001), and incidence of constipation (odds ratio: 0.12, P < 0.001).Conclusion: Bed-rest time is associated with food intake and constipation in older nursing home residents. Geriatr Gerontol Int 2025; ••: ••-••.","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Thirty-day survival rate of patients having a treatment withholding or treatment withdrawal decision in the emergency department: A retrospective monocentric study.

IF 2.4 4区医学

Geriatrics & Gerontology International Pub Date : 2025-02-27 DOI: 10.1111/ggi.70013

Fabien Coisy, Chloé Desbrosses, Thibaut Markarian, Laura Grau-Mercier, Sarah Lavielle, Dino Tikvesa, Xavier Bobbia, Romain Genre Grandpierre

{"title":"Thirty-day survival rate of patients having a treatment withholding or treatment withdrawal decision in the emergency department: A retrospective monocentric study.","authors":"Fabien Coisy, Chloé Desbrosses, Thibaut Markarian, Laura Grau-Mercier, Sarah Lavielle, Dino Tikvesa, Xavier Bobbia, Romain Genre Grandpierre","doi":"10.1111/ggi.70013","DOIUrl":"https://doi.org/10.1111/ggi.70013","url":null,"abstract":"Aim: Treatment withholding or withdrawal (TWW) is frequent in the emergency department (ED). Most studies on this topic only study patients who die in the ED. The main aim of this study was to determine 30-day mortality after a TWW decision in the ED, for patients discharged alive from ED.Methods: This was a retrospective monocentric study conducted from January 1, 2020, to March 31, 2022, in a university hospital in France. Classes of TWW levels were low, medium and high, corresponding to do-not-resuscitate order, treatment withholding and treatment withdrawal, respectively. The secondary aim was to determine if there were predictive factors of survival among patients with medium-level TWW.Results: Overall, 280 patients were included and 219 (78%) were analyzed, with mean age of 82 (±12) years. Respectively, 12 (5%), 145 (66%) and 62 (28%) had a low, medium, or high level of TWW. A total of 78 (36% [95% CI, 29%-42%]) patients were alive on day 30 following their ED admission: 7 (11%) with a high level, 63 (43%) with a medium level and 8 (67%) with a low level. No difference was found after adjustment between surviving and nonsurviving patients having a medium TWW level.Conclusions: Among patients having a TWW decision in the ED, 36% of patients were alive at 30 days. The decision to limit some therapeutics for patients does not mean an imminent death, and those patients need adequate care. The care pathway for these patients must be organized accordingly. Geriatr Gerontol Int 2025; ••: ••-••.","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Relationships between elementary school children's experiences in helping older adults and their attitudes toward individuals with dementia and intention to help: A cross-sectional survey aiming to develop age-friendly education.

IF 2.4 4区医学

Geriatrics & Gerontology International Pub Date : 2025-02-26 DOI: 10.1111/ggi.70014

Ayumi Igarashi, Manami Takaoka, Hiroshige Matsumoto, Noriko Yamamoto-Mitani

引用次数: 0

Impacts of tirzepatide on older patients with diminished β-cell function and dementia.

IF 2.4 4区医学

Geriatrics & Gerontology International Pub Date : 2025-02-25 DOI: 10.1111/ggi.70018

Toshitaka Sawamura, Shigehiro Karashima, Ai Ohmori, Mitsuhiro Kometani, Takashi Yoneda

引用次数: 0

Reply to comment on "Regional disparities in home health care utilization for older adults and their associated factors at the secondary medical area level: A nationwide study in Japan".

IF 2.4 4区医学

Geriatrics & Gerontology International Pub Date : 2025-02-25 DOI: 10.1111/ggi.70015

Yu Sun, Nobuo Sakata, Masao Iwagami, Satoru Yoshie, Ryota Inokuchi, Tomoko Ito, Naoaki Kuroda, Jun Hamano, Nanako Tamiya

引用次数: 0

Expanding perspectives on workload and emotional exhaustion among older assistant care workers: A commentary on Ma et al.

IF 2.4 4区医学

Geriatrics & Gerontology International Pub Date : 2025-02-24 DOI: 10.1111/ggi.70001

Lien-Chung Wei, Hsien-Jane Chiu

引用次数: 0