Geriatric Care最新文献

{"title":"Position paper on essential strategies for healthy aging: focus on preventing sarcopenia and cardiovascular diseases from the 38th National Congress of the Italian Society of Geriatrics Hospital and Territory (SIGOT)","authors":"Virginia Boccardi, Francesco Vetta, Luca Cipriani, A. Fabbo, Alberto Cella, Moira Ceci, Margherita Azzini, Claudia Bauco, Giuseppe Benati, Alberto Castagna, M. Lunardelli, Patrizia Mecocci, M. Passamonte, Marcello Romano, Salvatore Tardi, Liliana Mazza, Gianluca Ottomanelli, Piero Secreto, Vincenzo Solfrizzi, Nicola Vargas, F. Fimognari, L. Palleschi","doi":"10.4081/gc.2024.12702","DOIUrl":"https://doi.org/10.4081/gc.2024.12702","url":null,"abstract":"Italy’s demographic setting is rapidly evolving and is characterized by a substantial increase in the older population segment. This trend, driven by prolonged life expectancy and declining birth rates, positions Italy as a leader in global aging patterns. The 38th National Congress of the Società Italiana di Geriatria Ospedale e Territorio (SIGOT), held in Rome, underlined the importance of addressing the health needs of this aging population, particularly focusing on preventing sarcopenia and cardiovascular diseases. Recent data challenge the notion of functional decline as an inevitable consequence of aging, highlighting the interplay of genetic, environmental, and lifestyle factors in modulating health outcomes. Sarcopenia, a prevalent condition and biological substrate of frailty, significantly impacts physical function and mortality rates, necessitating behavioral interventions to mitigate its effects. Physical exercise emerges as a key strategy for maintaining cardiovascular health and reducing the risk of arrhythmias, prevalent in older age groups. However, the complex relationship between physical activity intensity, age, and cardiovascular risk underlines the importance of tailored interventions and preliminary screenings. Looking ahead, proactive measures such as enhanced screening, promoting lifelong healthy habits, research and innovation, robust community support systems, and adaptable policies are essential to address the multifaceted challenges posed by an aging population. With this consensus paper, we aimed to summarize the key messages from the three intensive days of the SIGOT National Congress.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":"20 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141815607","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":"An uncommon orthogeriatric syndrome: a case of Ogilvie’s syndrome","authors":"Elisa Salsano, Oriana Rossi, Cecilia Rispoli, Marta Zuccarino, Lucio D’Avanzo, Luigi Esposito, Federico Ruggiero, Maria Rosaria Fiorentino, Giovanni Carifi, Nicola Vargas","doi":"10.4081/gc.2024.12685","DOIUrl":"https://doi.org/10.4081/gc.2024.12685","url":null,"abstract":"Acute colonic pseudo-obstruction (ACPO), also known as Ogilvie’s syndrome, is an uncommon postoperative complication of major orthopedic surgery that is characterized by massive colonic dilatation and the potential for substantial morbidity and mortality. Most patients who had Ogilvie’s syndrome had risk factors that could be identified preoperatively, such as immobility, elevated comorbidity, and polypharmacy, prefiguring the frail elderly patient. In modern terms, it is considered a typical orthogeriatric syndrome. In these kinds of patients, we need to be vigilant for its development and judicious in the use of epidural anesthesia. We present an ACPO case in an elderly frail patient with a hip fracture, and we review the available literature to outline clinical characteristics and outcomes. Our patient presented numerous risk factors for developing the syndrome in the preoperative period: nonautonomy in basic and daily living activities, polypharmacotherapy, spinal trauma, and hyposodiemia. In this patient, epidural anesthesia was an additional risk factor. The purpose of this case report is to emphasize the presence of this rare syndrome (1.5% of orthogeriatric patients) in orthogeriatric departments and to identify not only pharmacological, traumatic, and electrolytic risk factors but also those that can be identified even through geriatric evaluation to avoid the use of anesthesiologic techniques and drugs that may have an impact on the prognosis of these patients.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":"97 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141647305","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":"Hypomagnesemia, hypogammaglobulinemia, and chronic normocytic normochromic anemia: random association? An unresolved case report of an elderly patient with remitting seronegative symmetrical synovitis with pitting edema syndrome","authors":"M. Turrin, Lucia Fornasiero, Cataldo Abaterusso","doi":"10.4081/gc.2024.12224","DOIUrl":"https://doi.org/10.4081/gc.2024.12224","url":null,"abstract":"This is the clinical case of an elderly man suffering from stabilized polypathology, affected by remitting seronegative symmetrical synovitis with pitting edema syndrome following anti-COVID vaccines, with evidence of persistent hypomagnesemia, coexisting chronic hypogammaglobulinemia and normochromic normocytic anemia. Although we investigated potential links between these conditions, the case remains partially unresolved.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141679396","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":"Prevalence, pattern, and potential predictors of microvascular complications in aging Nigerians with type 2 diabetes","authors":"William Balogun, M. Emuze, Lawrence Adebusoye, Olufemi O Olowookere","doi":"10.4081/gc.2024.12308","DOIUrl":"https://doi.org/10.4081/gc.2024.12308","url":null,"abstract":"In low-resource settings like Nigeria, the rising prevalence of diabetes is accompanied by an excessive burden of microvascular complications from diabetes. This study aimed to determine the prevalence and predictors of microvascular complications among older patients with diabetes mellitus. Therefore, a 2-year retrospective cross-sectional study was carried out among elderly diabetes patients at the Chief Tony Anenih Geriatric Center outpatient diabetes clinic. A total of 148 diabetic patients were included in the study; the mean (± standard deviation) age was 70.89 (±6.99) years, with 71.6% of the studied population being female. Logistic regression analysis was employed to determine the prevalence and predictors of microvascular complications. Results show that the prevalence of microvascular complications in older diabetes patients was 73.9% [95% confidence interval (CI)=66.7-81.6] with peripheral neuropathy (77.1% prevalence, 95% CI=67.9-84.8) being the most common and retinopathy being the least prevalent (95% CI=4.7-16.8). The significant predictors of developing microvascular complications were intake of oral agents only [p=0.013, odds ratio (OR)=2.35, 95% CI=1.15-16.81], number of comorbidities (p=0.041, adjusted OR=5.28, 95% CI=1.09-27.93) and systolic blood pressure (p=0.042, OR=1.02, 95% CI=1.00-1.04). Considering the high prevalence of microvascular complications among aging patients with diabetes mellitus, older patients should comply with oral medications and undergo regular check-ups, and more advocacy should be undertaken to strengthen geriatric healthcare systems to mitigate comorbidities and reduce complications.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":"69 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141348076","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":"38° Congresso nazionale SIGOT | Roma, 22-24 maggio 2024","authors":"The Editors","doi":"10.4081/gc.2024.12683","DOIUrl":"https://doi.org/10.4081/gc.2024.12683","url":null,"abstract":"Abstract Book of the 38° SIGOT National Congress | Roma, May 22-24, 2024.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":"55 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141112812","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":"Enteral nutrition for elderly patients in intensive care unit settings","authors":"Simone Dini, Mariagiovanna Cozza, Aurora Vitali, Francesca Flavia Rossi, Virginia Boccardi, Vincenzo Gianturco, Giulia Musatti","doi":"10.4081/gc.2024.11712","DOIUrl":"https://doi.org/10.4081/gc.2024.11712","url":null,"abstract":"Nutrition plays a fundamental role in the management of frail elderly patients. Indeed, effective management can reduce common pathological situations, such as malnutrition, refeeding syndrome, and aspiration pneumonia, which can increase morbidity and mortality in intensive care unit settings. To optimize this management, it is essential to have knowledge of basic aspects such as timing, route, and composition of nutrition, as well as the prevention and management of the most common adverse events.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140997150","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":"A case report of extranodal diffuse large B-cell lymphoma involving upper limb soft tissue in a patient with rheumatoid arthritis on immunosuppressive therapy","authors":"S. Ciampi, Cosimo Petrelli","doi":"10.4081/gc.2024.11541","DOIUrl":"https://doi.org/10.4081/gc.2024.11541","url":null,"abstract":"An 80-year-old woman affected by rheumatoid arthritis on immunosuppressive therapy was evaluated for an 11-month history of swelling of her left upper limb. The patient did not report systemic symptoms. Ultrasonographic examination showed hypoechoic masses in the upper limb soft tissue, brachial vein thrombosis, and suspected malignant axillary lymphadenopathy. The patient underwent an excisional biopsy of the lymphadenopathy for histologic examination; a diagnosis of diffuse large B-cell lymphoma was made. The patient started anticoagulation therapy and chemotherapy, with a follow-up at a hematology clinic. At a 3-month follow-up visit in our clinic, the swelling of her left upper limb decreased, and an ultrasonographic control demonstrated a reduction in the size and number of the soft tissue masses and resolution of vein thrombosis.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140383882","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":"Hyponatremia: practical considerations in the acute geriatric setting","authors":"Aurora Vitali, Simone Dini, Mariagiovanna Cozza, Francesca Flavia Rossi, Virginia Boccardi, M. Brunori","doi":"10.4081/gc.2024.11711","DOIUrl":"https://doi.org/10.4081/gc.2024.11711","url":null,"abstract":"In older adults, hyponatremia often represents a medical emergency and is frequently associated with neurological manifestations or symptomatic pictures that the clinician mistakes for other pathologies. This paper deals with some practical considerations in the assessment and management of hyponatremia in older adults in the acute care setting, following the clinical discussion that took place at the Soave (Italy) meeting convened by the scientific committee of the Italian Society of Geriatrics Hospital and Territory.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" 25","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140384114","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":"The medical treatment needs and in-home care service utilization of the elderly: a population-based data analysis of long-term care insurance payments in Tokyo, Japan","authors":"Hiromi Watanabe, Tomoko Onouchi, Ilhee Yoon, Chiho Oshima","doi":"10.4081/gc.2024.11824","DOIUrl":"https://doi.org/10.4081/gc.2024.11824","url":null,"abstract":"How can we improve in-home care for the elderly with medical treatment needs? The purpose of this study is to investigate medical treatment and examine the use of home care services. We analyzed the long-term care insurance service payments data in City A (n=18,882) as of January 2019 and checked 12 medical treatment care needs items. The results showed that 10.1% (1913 of a total of 18,882) of people required medical treatment. The analysis was carried out by using a filter, “living in home” (n=15,320). We focused on urinary catheter and tube feeding. The study subjects are categorized into three groups: group 1 [both tubes (n=61)], group 2 [either tube (n=564)], and group 3 [no tube (n=14,698)]. The home help utilization rate was 27.9% in group 1, 29.9% in group 2, and 20.5% in group 3 (p<0.01). The home visit nursing utilization rate was 11.5% in group 1, 23.7% in group 2, and 8.1% in group 3 (p<0.01).","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" 92","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140384214","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":"Shaping geriatric practice: evaluating Beers, PRISCUS, and European Union(7) criteria for optimal patient care. A retrospective study","authors":"Shikha Sood, Nidhi Saija, Devang Rana, Kanisha Shah, Hirva Santoki, Vipul Prajapati","doi":"10.4081/gc.2023.11597","DOIUrl":"https://doi.org/10.4081/gc.2023.11597","url":null,"abstract":"Medications whose risk of adverse drug events exceeds their expected clinical benefit when given to older patients are called potentially inappropriate medications (PIMs). The geriatric population represents about 10% of the world population and 7% of the Indian population and consumes 40% of prescription and 35% of all over-the-counter drugs. That is why it is necessary to evaluate the use of PIMs in the geriatric population. This study aimed to evaluate prescriptions for PIMs by using three pre-validated and internationally used criteria, namely the Beers criteria (2019), the European Union (EU)(7) list (2015), and the PRISCUS list (2010). A retrospective observational study began after obtaining written approval from the institutional review board. Demographic and clinical profiles and patients' complete prescriptions were recorded, and the Beers criteria (2019), the EU(7) (2015) list, and the PRISCUS list (2010) were applied. A p<0.05 was considered statistically significant. A total of 345 patients, with a mean age of 71.48 years, were included in the study. Vitamin D3 (56.81%) was frequently prescribed as medicine. According to the Beers, EU(7), and PRISCUS criteria, PIMs were 311 (11.26%), 272 (9.85%), and 105 (3.80%), respectively. Pantoprazole [20.57% Beers and 23.52% EU(7)] and glimepiride [15.43% Beers and 17.64% EU(7)] were the most inappropriate drugs. According to the PRISCUS list, piroxicam (21.9%) and etoricoxib (19.04%) were the inappropriate drugs. According to the Beers, EU(7), and PRISCUS criteria, total inappropriate prescriptions containing at least one PIM are 183 (52.04%), 174 (50.43%), and 88 (25.5%), respectively. The number of prescriptions with inappropriate medication is highly correlated with the total number of drugs prescribed per prescription (p<0.01) and the total number of fixed-dose combinations (p<0.01). Maximum PIMs were found with the Beers criteria and minimum PIMs with the PRISCUS list. This study shows that the prescription of PIMs ranges from 25.5 to 52.04%. The EU(7) list had the highest sensitivity (63.66%), while the PRISCUS list had the highest specificity (98.48%) to detect PIMs with the Beers criteria taken as a reference.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":"9 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135405654","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}