Geriatric CarePub Date : 2022-12-30DOI: 10.4081/gc.2022.11049
N. Veronese, A. Fazzari, Maela Caudal, M. Polidori, E. Topinkova, F. M. Mattace Raso, Marina Barbagelata, M. Barbagallo, A. Pilotto
{"title":"The role of comprehensive geriatric assessment in older patients affected by knee osteoarthritis: a systematic review","authors":"N. Veronese, A. Fazzari, Maela Caudal, M. Polidori, E. Topinkova, F. M. Mattace Raso, Marina Barbagelata, M. Barbagallo, A. Pilotto","doi":"10.4081/gc.2022.11049","DOIUrl":"https://doi.org/10.4081/gc.2022.11049","url":null,"abstract":"Osteoarthritis (OA) is one of the most common musculoskeletal diseases and highly prevalent in older people. Whilst the management of knee OA is usually multidisciplinary, the use of comprehensive geriatric assessment (CGA) for this condition is still limited. Given this background, with this systematic review, we summarized the current literature regarding the importance of CGA in people affected by knee OA. A systematic search across several databases was run until 10th April 2022 and updated on 21st November 2022 for any study investigating the use of CGA in patients with knee OA. The data were summarized descriptively. Among 295 articles initially included, three studies made in the context of the osteoarthritis initiative (OAI) were included. All the three studies used the OAI multidimensional prognostic index (MPI), a composite score derived from the CGA. Higher MPI values were associated with a higher risk of falls, cardiovascular conditions, and fractures across a follow-up period of 8 years and after adjusting for potential confounders. In conclusion, in this systematic review we summarized the current evidence of CGA in knee OA, finding that the MPI, a CGA derived tool, could be useful to early find people at higher risk of conditions that are associated with knee OA and therefore that can be the target of personalized interventions for preventing these conditions.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45649431","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}
Geriatric CarePub Date : 2022-12-30DOI: 10.4081/gc.2022.10818
Vishnupriya Veeraraghavan, Dinesh Agarwal
{"title":"Risperidone induced tardive movements in an elderly male-a case of cognitive decline masked by behavioral abnormalities","authors":"Vishnupriya Veeraraghavan, Dinesh Agarwal","doi":"10.4081/gc.2022.10818","DOIUrl":"https://doi.org/10.4081/gc.2022.10818","url":null,"abstract":"Tardive dyskinesia is a drug emergent side effect associated with long-term exposure to neuroleptics. Risperidone has lesser propensity to cause tardive movements. A 67-year-old male presented with tardive symptoms. He had oromasticatory and limb movements. He was started on 2 mg of risperidone for agitation and behavioral disturbance 4 years ago. He also developed cognitive decline over the years. Clinician must be aware of the possibility of tardive movements with risperidone and the need for frequent evaluation of cognitive function in any elderly male.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48766114","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}
Geriatric CarePub Date : 2022-10-07DOI: 10.4081/gc.2022.10916
Alberto Pilotto
{"title":"Abstract Book of the 36° Congresso Nazionale SIGOT - Bari, 5-7 ottobre 2022","authors":"Alberto Pilotto","doi":"10.4081/gc.2022.10916","DOIUrl":"https://doi.org/10.4081/gc.2022.10916","url":null,"abstract":"Abstract Book of the 36° Congresso Nazionale SIGOT - Bari, 5-7 ottobre 2022","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47186697","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}
Geriatric CarePub Date : 2022-09-22DOI: 10.4081/gc.2022.10668
C. Manzo, A. Castagna, G. Ruotolo
{"title":"A journey inside the elderly-onset primary Sjögren’s syndrome, looking for useful tips for the geriatrician","authors":"C. Manzo, A. Castagna, G. Ruotolo","doi":"10.4081/gc.2022.10668","DOIUrl":"https://doi.org/10.4081/gc.2022.10668","url":null,"abstract":"Primary Sjögren’s syndrome (pSS) is a systemic autoimmune rheumatic disease where xerophthalmia, xerostomia and presence of anti-SSA and anti-SSB antibodies are typical features. Its prevalence is higher in over-65 aged population than in other age groups. In the elderly, pSS diagnosis comes up against a whole series of critical points that may favor its misdiagnosis. The aim of our article is to discuss the most relevant of them: the frequent occurrence of a seronegative subset, the presence of systemic features not related to sicca syndrome, the sicca syndrome as iatrogenic manifestation and the possibility of a biopsy false negative of labial salivary glands.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44522632","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}
Geriatric CarePub Date : 2022-09-22DOI: 10.4081/gc.2022.10571
M. Turrin, A. Attanasio, I. Castellaro
{"title":"Lupus anticoagulant in an elderly woman with dementia: a clinical case report with many questions and few answers","authors":"M. Turrin, A. Attanasio, I. Castellaro","doi":"10.4081/gc.2022.10571","DOIUrl":"https://doi.org/10.4081/gc.2022.10571","url":null,"abstract":"We describe the clinical case of an elderly woman with dementia, suffering from bilateral soleal venous thrombosis, despite antithrombotic prophylaxis, after orthopedic surgery. An isolated anti-cardiolipin antibodies positivity, however pre-existing for at least seven years, was found in a patient with previous cerebral ischemia and treated intermittently with aspirin. During the coronavirus disease 2019 (COVID-19) pandemic lockdown, to promote patient compliance, we practiced anticoagulant therapy with edoxaban: resolution of venous thrombosis was achieved. Longlasting medical treatment is discussed.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43448387","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}
Geriatric CarePub Date : 2022-08-02DOI: 10.4081/gc.2022.10458
Henna Fatma, Soomal Rafique, S. Furqan
{"title":"About elder mistreatment: a brief report","authors":"Henna Fatma, Soomal Rafique, S. Furqan","doi":"10.4081/gc.2022.10458","DOIUrl":"https://doi.org/10.4081/gc.2022.10458","url":null,"abstract":"Elder mistreatment, initially coined as ‘Granny Battering’ in 1975 by British gerontologists is an issue that has seldom received any attention in our part of the world, mostly due to lack-luster reporting. With tertiary care setups in low to middle income countries administering care to a burgeoning population of elderly patients, elder abuse has now become increasingly apparent. This case report examines elder mistreatment in a drowsy patient living with her son, who had recently appointed a private nurse for her care. Our healthcare team proceeded to provide the best available medical and community resources in the care and intervention of the patient.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44617808","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}
Geriatric CarePub Date : 2022-07-25DOI: 10.4081/gc.2022.10286
F. Fimognari, V. Bambara, P. Scarpino, O. Cuccurullo, Roberto Ricchio, Claudio Iorio, M. Rizzo
{"title":"Methemoglobinemia and acute hemolysis induced by high intravenous doses of vitamin C in a COVID-19 patient with unrecognized glucose-6- phosphate-dehydrogenase deficiency","authors":"F. Fimognari, V. Bambara, P. Scarpino, O. Cuccurullo, Roberto Ricchio, Claudio Iorio, M. Rizzo","doi":"10.4081/gc.2022.10286","DOIUrl":"https://doi.org/10.4081/gc.2022.10286","url":null,"abstract":"In glucose-6-phosphate-dehydrogenase deficiency (favism), exposure to oxidant agents can trigger hemolytic crises. The intravenous administration of very high doses of vitamin C was proposed as a treatment for severe coronavirus disease 2019 (COVID-19) pneumonia. Unlike low vitamin C doses, very high doses (>6 gr daily) can promote H2O2 formation, oxidation of hemoglobin to methemoglobin and, eventually, hemolytic anemia in patients with favism. We here describe the case of a 77-year old man hospitalized for severe COVID-19 pneumonia and treated with a mean daily dose of 9.5 gr of intravenous vitamin C during the first 6 days. He developed methemoglobinemia and hemolytic anemia, which improved after interruption of vitamin C treatment. Previously unrecognized glucose- 6-phophate-dehydrogenase deficiency was diagnosed. This first case of vitamin Cinduced hemolytic anemia in a COVID-19 patient indicates the need of a screening for glucose-6-phosphate-dehydrogenase deficiency before treatment with very high vitamin C doses or for long period.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45441199","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}
Geriatric CarePub Date : 2022-03-31DOI: 10.4081/gc.2022.10455
A. Fabbo, N. Veronese, E. Genovese, P. Mecocci, A. Cella, C. Custodero, Vittorio Ferrero, F. Ragusa, A. Pilotto
{"title":"Interest in hearing loss in geriatric medicine: a survey of members of the Societa' Italiana Geriatria Ospedale e Territorio (SIGOT)","authors":"A. Fabbo, N. Veronese, E. Genovese, P. Mecocci, A. Cella, C. Custodero, Vittorio Ferrero, F. Ragusa, A. Pilotto","doi":"10.4081/gc.2022.10455","DOIUrl":"https://doi.org/10.4081/gc.2022.10455","url":null,"abstract":"Hearing loss is a common condition in older people. Increasing research has shown that this condition is associated with a higher risk of several health problems. The aim of this survey made among the members of the Societa' Italiana Geriatria Ospedale e Territorio (SIGOT) is to explore how far hearing loss is known in the Italian geriatric community and how to develop a collaboration with other services. A short survey (taking approximately 5 min to complete) was freely available on the SIGOT website and disseminated using social channels. The questionnaire was available during the whole year of 2021. The questionnaire specifically addressed general characteristics/ demographics, general attention to hearing loss problem in older people and relationships with the National Health System, and personal opinions regarding hearing loss. A total of 122 participants (mainly females and aging between 61-70 years) from all Italian Regions were included. The SIGOT members answered that they consider hearing loss as clinically relevant is always important (55.7%). Unfortunately, many members had not audiological centers or specialists available. Moreover, 38.5% of SIGOT members reported that the possibility of correction of hearing loss with prostheses or cochlear implants in older people is very good for older patients and that in 87.7% a significant improvement in quality of life was observed. The interest in hearing loss problems in older people perceived by the SIGOT members is elevated, but some barriers, particularly in the availability of other specialists and in the services given by National Health System are still very limited.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44088686","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}
Geriatric CarePub Date : 2022-03-31DOI: 10.4081/gc.2022.10435
Siu Kan Law, Dawn Chingtung Au, Albert Wingnang Leung, Chuanshan Xu
{"title":"Music therapy for elderly sleeping quality","authors":"Siu Kan Law, Dawn Chingtung Au, Albert Wingnang Leung, Chuanshan Xu","doi":"10.4081/gc.2022.10435","DOIUrl":"https://doi.org/10.4081/gc.2022.10435","url":null,"abstract":"Elderly people have sleeping disorder problems which can be occurred frequently. This is a significant public health issue because sleeping disorder leads to cause depression, diabetes, cardiovascular, Alzheimer’s disease. Currently, music therapy might be a good choice instead of western medicines for the treatment of a sleeping disorder. This short communication describes the background of sleeping disorder, music therapy, and its research progress as well as the future development. A simple systematic search of publications in PubMed, Embase, Cochrane Library, and google search without language restriction is performed. Because of the little finding on the music therapy for sleep disorders in present literature, therefore, there is a short communication written by some literature reviews before starting a novel study of sleeping disorders for elderly people.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43614247","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}
Geriatric CarePub Date : 2022-03-24DOI: 10.4081/gc.2022.10384
Johanna Marietta Christiansen, A. Meyer, L. Pickert, R. Pfister, M. Polidori
{"title":"Challenges in the performance of real-life studies in older patients: focus on long-term care facilities","authors":"Johanna Marietta Christiansen, A. Meyer, L. Pickert, R. Pfister, M. Polidori","doi":"10.4081/gc.2022.10384","DOIUrl":"https://doi.org/10.4081/gc.2022.10384","url":null,"abstract":"Research on geriatric conditions and atypical disease presentation in poorly studied patients’ groups is becoming increasingly important. Aim of the present investigation was addressing prevalence and prognostic significance of aortic valve stenosis (AVS) in older residents of long-term care facilities (LTCF). For the planned recruitment of 500 LTCF guests of a German metropolitan area, study investigators were trained and in the performance of a cardiologic examination and of the comprehensive geriatric assessment- based multidimensional prognostic index (MPI). After five attempts to obtain permission to conduct the study in 30 institutions, patients’ recruitment was stopped with 22 participants included from one institution. AVS was suspected in two patients, in agreement with the reported prevalence data. The MPI value correlated with social support (P=0.002) and geriatric syndromes (P=0.004). This structured attempt at investigating presence and prognostic signature of AVS in older LTCF guests was challenged by logistic obstacles strongly hindering diagnosis of potentially treatable conditions which, if undisclosed, negatively impact on survival and quality of life.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46200820","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}