Gerontology & Geriatrics: Research最新文献

{"title":"Guillain Barré Syndrome in the Elderly: Does Age Affect the Course?","authors":"Kirchner Rj, Alessandro L, Castiglione Ji, Varela F, Barroso F","doi":"10.26420/gerontolgeriatrres.2023.1088","DOIUrl":"https://doi.org/10.26420/gerontolgeriatrres.2023.1088","url":null,"abstract":"Objectives: Describe the characteristics of Guillain Barré Syndrome in patients older than 60 years (Latin American population). Methods: Retrospective analysis of 141 patients with diagnosis of Guillain Barré Syndrome. 43 in the elderly group (>60 years) and 98 patients in the young group (18–59 years). Clinical characteristics, electrodiagnosis, cerebrospinal fluid, treatment and prognosis (12 months of follow-up) were compared between groups. Results: A longer delay from the prodrome to the disease (median in days 14 vs 7; p=0.04). greater involvement in deep sensitivity (72.5% vs 29.6%; p=0.001) and ataxia (30.2% vs 13.2%; p=0.01) in the elderly. In the follow-up, the prognosis was similar using the Hughes scale (12 months: ederly group 0.22 vs young group 0.29; p=0.6). Conclusions: A longer delay from the prodromal event to the onset of Guillain Barré Syndrome in the elderly could be interpreted as a more insidious presentation in the context of immunosenescence. A greater compromise of deep sensitivity and ataxia must be taken into consideration for an adequate approach to rehabilitation. With our results we cannot conclude that age is an independent risk factor for worse prognosis.","PeriodicalId":310319,"journal":{"name":"Gerontology & Geriatrics: Research","volume":"98 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140984290","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":"Imperative Future To-Do List: We Face Enormous Problems of Delirium - But Do We Really Eliminate the Fundamental Causation?","authors":"Wolf U","doi":"10.26420/gerontolgeriatrres.2022.1079","DOIUrl":"https://doi.org/10.26420/gerontolgeriatrres.2022.1079","url":null,"abstract":"Dr. med. Ursula Wolf, MD, Consultant Internal Medicine, Head of Pharmacotherapy Management Department at Halle University Hospital, developed Individual Pharmacotherapy Management (IPM) in polypharmacy for patient and drug safety in intensive care medicine, transplantation, and geriatric traumatology; intraclinical and transsectoral interprofessional projects’ leader, educator postgraduate eduction and training workshops on the prevention of drug-induced organ injuries, falls and cognitive disorders. “Distinguished Educator” of the Transplantation Society; Recipient of the Lohfert Prize 2020 for Measurable Innovations to Improve Patient Safety; German Medical Award Medical Management 2020; cdgw-Future Award 2021; Digital Female Leader Award Health 2021.","PeriodicalId":310319,"journal":{"name":"Gerontology & Geriatrics: Research","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126172658","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":"Who are the Older Adults’ Users or Non-Users of the Internet before the Pandemic? Analysis of the Epifloripaageing Cohort Study (2009-2019)","authors":"Quialheiro A, Rech Cr, S. M., Boing Af, d´Orsi E","doi":"10.26420/gerontolgeriatrres.2022.1078","DOIUrl":"https://doi.org/10.26420/gerontolgeriatrres.2022.1078","url":null,"abstract":"Background: This ageing demographic transformation has been happening simultaneously with technological immersion, especially internet use in communication and health monitoring applications. Objective: This study’s primary aim was to characterize the Internet’s socioeconomic and demographic factors of internet users and non-users. The second aim was to analyze which factor, modifiable or not, influenced the incidence of older adults’ Internet use over time. Methods: This study was done with 722 EpiFloripa Ageing Cohort Study follow-up of older adults. The outcome is internet use according to waves 1 to 3, and the exposures are sociodemographic. It described the characteristics of internet users and non-users, and it used a longitudinal analysis model (Generalized Estimating Equations) to estimate Incidence Rate Ratios (IRR) with 95% confidence intervals. Results: Internet users were younger, with higher education and higher income than non-users over time. Most non-users of the Internet were women (54%) and white (93%), with an average of 66.4 years old and 14 years of study. Conclusion: The incidence of internet use was 11, 4% in Wave 2 and 23.0% in Wave 3 and was 80% lower in older adults 80 years and over compared to other age groups. Regarding schooling and family income, the internet use incidence was higher according to the increase in education levels and income range, except for older adults with more than 10 Brazilian minimum wages. Public policies are needed to reduce inequalities in access to the Internet and promote the digital inclusion of older adults.","PeriodicalId":310319,"journal":{"name":"Gerontology & Geriatrics: Research","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131976660","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":"Factors Associated with Frailty Transitions among the Old-Old in Community: A Prospective Cohort Study","authors":"L. J, Zhu M, Zhao S, L. X","doi":"10.26420/gerontolgeriatrres.2022.1077","DOIUrl":"https://doi.org/10.26420/gerontolgeriatrres.2022.1077","url":null,"abstract":"Background: The identification of older adults with different frailty transitions, especially the old-old, is beneficial for stratified management. However, the factors associated with frailty transition in the elderly have not been fully elucidated. This study aimed to explore frailty transitions and associated factors among older adults. Methods: The participants were all from a prospective cohort study of older adults aged ≥75 years in a continuing care retirement community in Beijing, China. Frailty states were assessed using FRAIL at baseline and 1-year follow-up. The association between factors, including comprehensive geriatric assessment and laboratory indicators such as serum albumin and highsensitivity C-reactive protein (hsCRP), and frailty transitions were explored by binary logistic regression. The predicted value of the factors associated with frailty transitions was analyzed using the receiver operating characteristic curve (ROC), and the area under the ROC curve (AUC) was calculated. Results: A total of 183 older adults (mean age: 83.9±4.4 years; females, 59%) completed the frailty state assessment at baseline and 1-year followup. After adjusting for age and sex, walking speed(odds ratio [OR], 0.01; 95%confidence interval [CI]: 0.002-0.12),timed up-and-go (TUG) test(OR:1.08, 95% CI: 1.02-1.15), short physical performance battery(OR:0.79, 95% CI :0.68-0.92), serum albumin (OR:0.78, 95% CI:0.64-0.94), and serum hsCRP (OR:1.21, 95% CI:1.00-1.47) were associated with worsening of the frailty state. Cognitive function (OR:6.73, 95% CI:1.15-39.19) was associated with improving the frailty state. ROC analysis showed that low walking speed (AUC:0.81), long TUG test time(AUC:0.77), low Short Physical Performance Battery (SPPB)score (AUC:0.75), low serum albumin (AUC:0.68), and high serum hsCRP(AUC:0.80) could predict the decline in frailty state. Good cognitive function (AUC: 0.69) predicted an improvement in the frailty state. Conclusions: Frailty is dynamic. The frailty state of the old-old with poor physical function, low serum albumin, and high serum hsCRP was more likely to decline, but it was more likely to improve with good cognitive function. Walking speed, TUG test, SPPB, serum albumin, serum hsCRP, and cognitive function may predict frailty transitions among the old-old.","PeriodicalId":310319,"journal":{"name":"Gerontology & Geriatrics: Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131348500","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":"Translating Performance Level to Clinical Frailty Scale Category Simplifies Scoring and Indicates Length of Stay and Outcome: A Longitudinal Observational Study","authors":"S. D., Frew K, Paes P, Hanratty B","doi":"10.26420/gerontolgeriatrres.2022.1076","DOIUrl":"https://doi.org/10.26420/gerontolgeriatrres.2022.1076","url":null,"abstract":"Objectives: To group performance level scores of hospice inpatients using the clinical frailty scale to explore the association between performance, frailty, outcomes and Length of Stay (LOS). Methods: Australia-modified-Karnofsky-Status was recorded for admissions to three hospices in England (April 2017 to April 2018) and cross-mapped to the Clinical-Frailty-Scale. We explored relationships between performance, frailty, demographics, diagnosis, LOS, and outcome (death/discharge) using Kaplan- Meier survival curves and logistic regression. Results: 419 admissions were recorded from 406 people (51.8% female, mean age=69.0, sd=13.1).158 (37%) were severely/very severely frail (AKPS 10-30) on admission. Of these, 140(88.7%) died after a short stay (median 11.5 and 5.0 days respectively). 112(26.7%) had no/mild frailty (AKPS 60-100) at admission. Of these, 82(73%) were discharged after(median) 23 and 28 days respectively. 149 people had moderate frailty(AKPS 40-50), 126(84.6%)of these were admitted for symptom control, but most(n=93, 62.4%) died after(median)19 days. In this group, frailty was stable in people who were discharged, and declined rapidly over the 14 days before death in decedents. Similar patterns were observed across cancer and non-cancer patients. Conclusions: Measuring frailty, or dividing performance scores using frailty categories, could support decision making in hospices. Frailty seems to divide cancer and non-cancer hospice-inpatients into three groups: Those with severe frailty, at high risk of dying with short LOS. Patients with mild/no frailty, moderate LOS and high discharge rates. Those with moderate frailty, long LOS and similar rates of discharge/death. However, the latter two groups are targets for future research as associations between frailty and length of stay were less clear.","PeriodicalId":310319,"journal":{"name":"Gerontology & Geriatrics: Research","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114510655","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":"Older People and Social Security System in Nepal","authors":"Chalise Hn, Bohora Pk, Khan Tr","doi":"10.26420/gerontolgeriatrres.2022.1075","DOIUrl":"https://doi.org/10.26420/gerontolgeriatrres.2022.1075","url":null,"abstract":"Population aging is the global phenomenon irrespective of level of development of the country. But, there is dearth of research focusing different issues of elderly in Nepal. This paper discusses aging trends and some aging issues of Nepal focusing the social security in the changing social context of Nepal. For the purpose of this paper research article found through google search and freely available to download or paper author has access is used. Population aging is directly related with the fertility and mortality of the country. Latest trend shows both fertility and mortality are decreasing and average life expectancy as well as proportion of older population is increasing in Nepal. Statistics shows elderly population proportion is increasing and expected to reach 10% of total population in the 2021 census. Aging has resulted problems on social-cultural, economic, demographic, labour, health and care of the elderly. The social security of the elderly is major concern with aging population. But the government has not given adequate priority to the issues of elderly and their social security as well. Government needs to identify the issues of elderly and need to develop sustainable policies for the quality-of-life increasing aging populations.","PeriodicalId":310319,"journal":{"name":"Gerontology & Geriatrics: Research","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115508349","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 of Problematic Gambling in South Australia: A Population Health Perspective","authors":"P. Harvey","doi":"10.26420/gerontolgeriatrres.2022.1073","DOIUrl":"https://doi.org/10.26420/gerontolgeriatrres.2022.1073","url":null,"abstract":"This paper was designed for a public health readership, rather than for the traditional gambling research fraternity, in order that it might reach people working in the wider primary health care field who have an interest in the social, political, and philosophical implications of the emerging phenomenon of modern problematic gambling and gambling disorders in our community. In various iterations of standard prevalence studies designed to determine the number of people in defined populations who are adversely affected by gambling to the extent that they would register a DSM 5 diagnosis for gambling disorder, findings are consistent over time. That is, around 3% of the population is at severe or moderate risk of having a gambling disorder. Given that up to ten other individuals may be impacted adversely by the behaviour of each problem gambler in the community, and suffer the negative consequences of this affliction, the implications for society are clear. Gambling disorder, a preventable condition in essence, has a substantially negative impact on society and requires significant resources for remediation; resources that should rightly be drawn from the industry that profits from gambling and from governments that rely on the inexorably increasing revenue streams flowing from the expanding gambling industry. In contrast, however, resources flowing back to the afflicted in the community are sparse indeed, with South Australia’s Office for Problem Gambling, for example, managing an annual budget of around $5m to support people seeking help for their gambling problems. The challenge for service providers in this context, therefore, has been to achieve the best treatment outcome for each person seeking help for their gambling problem and at the lowest possible cost, hence the current search for efficiency and cost effectiveness in treatment programmes.","PeriodicalId":310319,"journal":{"name":"Gerontology & Geriatrics: Research","volume":"92 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124666869","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":"Oral Health of Older Individuals in Long-Term Care: An Evaluation of Residents in Private Homes and Nursing Homes","authors":"Lente I, Edelhoff D, Haffner C, Grünewald E, Liebermann A","doi":"10.26420/gerontolgeriatrres.2022.1071","DOIUrl":"https://doi.org/10.26420/gerontolgeriatrres.2022.1071","url":null,"abstract":"Introduction: The demographic change results in an increasing number of older adults in long-term care. Long-term care can be provided either noninstitutionalized by nurses/relatives at private home or institutionalized in nursing homes. As oral health is associated with general health and overall quality of life, numerous studies addressed the oral health of older people in nursing homes. Clinical investigations focusing on older high-maintenance people living at their private home are still limited. Therefore, the purpose of this investigation was the evaluation and comparison of the oral health of older individuals in long-term care living at home and in nursing homes. Methods: Data were collected from 121 home residents and 243 nursing home residents. A questionnaire was used for self-reported data. Within the intraoral examination, Decayed/Missed/Filled Teeth (DMFT), the condition of the oral mucosa and oral hygiene and removable dental prostheses were recorded. Results: Nursing home residents were older (85.4±9.01 years) than home residents (82.7±9.87 years). Most participants had not used dental services for several years and the DMFT value was higher the longer the utilization was delayed. The older removable dental prostheses were, the higher the DMFT value was. The condition of oral hygiene and mucosa was better with higher DMFT values. Overall, 77.6% of the home residents and 80.9% of the nursing home residents, respectively, felt satisfied with their personal oral situation.","PeriodicalId":310319,"journal":{"name":"Gerontology & Geriatrics: Research","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116918080","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":"Measuring Delirium Severity in Patients with Dementia: A Nurses’ ‘Delirium in Dementia Assessment Scale’ (DIDAS)","authors":"V. Al, Brandt Pm, O. L., Heyde Gs, de Jonghe Jfm, Wijnen Vjm, V. Wa","doi":"10.26420/gerontolgeriatrres.2022.1069","DOIUrl":"https://doi.org/10.26420/gerontolgeriatrres.2022.1069","url":null,"abstract":"Objectives: Prevalence of delirium is increased in patients with dementia. Monitoring of the severity of Delirium Superimposed on Dementia (DSD) may help to improve the quality of care in patients suffering from this condition. This proof-of-concept study aims to provide a first exploration of the reliability, validity and sensitivity to change of the Delirium-In-Dementia-Assessment-Scale (DIDAS), a 10-item nurses’ observation scale to be used as a tool to screen for symptoms and measure severity of DSD. Methods: A first cross sectional and repeated measurement study of the DIDAS was conducted in a closed psychogeriatric unit of a general psychiatric hospital. All patients admitted to this ward were enrolled in this study to assess DIDAS’ validity, reliability, discriminative power and ability to measure delirium severity. Results: 589 DIDAS questionnaires were completed in 17 patients yielding a high internal consistency (a = 0.86) for the total DIDAS scores. Mean day DIDAS scores were significantly higher in patients with DSD compared to patients without DSD (Cohen’s d 1.02). The effect size on item level ranged from Cohen’s d of 0.27 to 0.72. A statistically significant correlation (Spearman’s Rho 0.626) was found between the mean DIDAS score per patient per day and a Likert score for global clinical severity. Conclusion: The DIDAS seems a reliable instrument for nurses to measure severity of DSD and monitor the course of DSD severity over time.","PeriodicalId":310319,"journal":{"name":"Gerontology & Geriatrics: Research","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134541223","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":"Social Work Practice Courses: A Teaching Note","authors":"Howey W","doi":"10.26420/gerontolgeriatrres.2021.1067","DOIUrl":"https://doi.org/10.26420/gerontolgeriatrres.2021.1067","url":null,"abstract":"This paper reviews current teaching methods in Social Work Practice courses. It offers an innovative approach to improve Social Work Practice courses in higher education. It centers on the use of evidence-informed approaches by teachers and students as a way of learning and improving social workers entering the field.","PeriodicalId":310319,"journal":{"name":"Gerontology & Geriatrics: Research","volume":"403 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115233160","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}