Journal of Gerontology and Geriatrics最新文献_第10页

Emergency department: risk stratification in the elderly 急诊科:老年人的风险分层

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Journal of Gerontology and Geriatrics Pub Date : 2021-06-15 DOI: 10.36150/2499-6564-n352

Simona Loddo, D. Costaggiu, Antonella Palimodde, Elisa Cogoni, Stefano Putzu, Luca Serchisu, Rosanna Laconi, A. Scuteri, A. Mandas

{"title":"Emergency department: risk stratification in the elderly","authors":"Simona Loddo, D. Costaggiu, Antonella Palimodde, Elisa Cogoni, Stefano Putzu, Luca Serchisu, Rosanna Laconi, A. Scuteri, A. Mandas","doi":"10.36150/2499-6564-n352","DOIUrl":"https://doi.org/10.36150/2499-6564-n352","url":null,"abstract":"Background & aims. The older adults have very frequent access to the Emergency Department (ED). The aim of this study is to explore the ability of some geriatric screening tools validated for the ED to predict outcomes (mortality, hospitalization, ED readmission and institutionalization) at 6 months.Methods. Older adults consecutively admitted to Cagliari University’s ED between May and December of 2017 were enrolled. In ED older patients were screened with three tools: Identification of Seniors at Risk tool (ISAR); Triage Risk Screening Tool (TRST); International Resident Assessment Instrument Emergency Department Screener (InterRAI ED Screener). At 6 months patients were contacted by phone to verify: mortality, ED readmission, hospital admission, and institutionalization.Results. Of the 421 patients (median age 77, Interquartile Range 71-83; 55.8% women) enrolled, 72.4% were positive at the ISAR, 50.1% at the TRST; moreover 44.9% of enrolled subjects needed a urgent geriatric evaluation at the InterRAI ED Screener. The dead subjects had ISAR, TRST and InterRAI ED Screener with greater severity compared to the alive ones. The ISAR and the TRST were also more severe in subjects who had ED readmission, while those hospitalized, in addition to the ISAR, had the more severe Inter- RAI ED Screener. However, applying stepwise logistic regression, of the three tools used, only the ISAR was a predictor for hospitalization (OR = 1.23; CI = 1.03- 1.48; P = 0.02; AUC = 0.63).Conclusions. The association of ISAR and InterRAI ED Screener may be useful in ED to intercept both critical issues typical of the elderly, and the need and priority of the geriatric evaluation.","PeriodicalId":42690,"journal":{"name":"Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48470473","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}

引用次数: 1

Clinical dilemma in the management of an unstable spinal fracture in a frail older patient with multiple comorbidities-conservative versus non-conservative care. A case report 有多种合并症的体弱老年患者不稳定脊柱骨折的临床困境——保守治疗与非保守治疗病例报告

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Journal of Gerontology and Geriatrics Pub Date : 2021-06-15 DOI: 10.36150/2499-6564-n342

N. Palliyil, R. Dhake, Badmus Olakunle, Elen Evans, K. Salem, O. Sahota

引用次数: 0

Dysphagia: what we know? A minireview 吞咽困难：我们知道什么？小型评论

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Journal of Gerontology and Geriatrics Pub Date : 2021-06-15 DOI: 10.36150/2499-6564-n241

T. Ciarambino, G. Sansone, O. Para, M. Giordano

引用次数: 0

Clinical characteristics and impact of treatment gap of fragility fractures in Colombia: experience of 10 Fracture Liaison Services (FLS) 哥伦比亚脆性骨折的临床特征和治疗差距的影响：10个骨折联络服务（FLS）的经验

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Journal of Gerontology and Geriatrics Pub Date : 2021-06-15 DOI: 10.36150/2499-6564-n307

Adriana Medina, Geraldine Altamar, D. Fernández-Ávila, J. A. Leal, Edgar Castro, Alejandra Rivera, Amparo Gómez, L. F. García, Andrés Lancheros, Rodolfo Páez, Lina Vélez, María Claudia Rivera, Walter Chaparro, Daniel Suárez, C. Rodríguez, V. Filizzola, Saúl Martinez, Emilio A. Riveros, C. Olarte, D. Morales, Óscar Rosero, Carlos Alberto Castro

{"title":"Clinical characteristics and impact of treatment gap of fragility fractures in Colombia: experience of 10 Fracture Liaison Services (FLS)","authors":"Adriana Medina, Geraldine Altamar, D. Fernández-Ávila, J. A. Leal, Edgar Castro, Alejandra Rivera, Amparo Gómez, L. F. García, Andrés Lancheros, Rodolfo Páez, Lina Vélez, María Claudia Rivera, Walter Chaparro, Daniel Suárez, C. Rodríguez, V. Filizzola, Saúl Martinez, Emilio A. Riveros, C. Olarte, D. Morales, Óscar Rosero, Carlos Alberto Castro","doi":"10.36150/2499-6564-n307","DOIUrl":"https://doi.org/10.36150/2499-6564-n307","url":null,"abstract":"Background & aims. Fragility fractures are those caused by low-energy trauma or falls from standing height. The mortality after the first year of suffering a hip fracture ranges from 15 to 30%. This problem has been addressed through the creation of interdisciplinary programs for fragility fracture early diagnosis and prevention. Describing the clinical characteristics of a cohort of patients diagnosed with fragility fractures in 10 fracture liaison services in Colombia. Methods. Led by the Asociaci n Colombiana de Osteoporosis y Metabolismo Mineral, this is a cross-sectional descriptive study, in patients with a diagnosis of fragility fracture in 10 fracture liaison services. Demographic and clinical variables were described for one year from the diagnosis of the fracture. Results. were analyzed 1699 records of patient fractures between 50 and 101 years of age, 1334 were women (76.5%), 581/1484 (39.1%) had previous fragility fractures, 570/1599 (35.7%) had a previous diagnosis of osteoporosis. Of these, 70/1051 (7%) received anti-osteoporosis medication, and 311/733 (42.4%) received it post-fracture. Of the total records with information, 65/707 (9.2%) died the following year of the fracture. Conclusions. Fracture prevention programs in institutions allow for de16 A. Medina et al. tecting patients with fragility fractures, clinical characteristics of these, in addition to strengthening the conditions of a centralized national registry, based on the parameters of the International Osteoporosis Foundation - Capture the Fracture program, through strategies with multidisciplinary personnel.","PeriodicalId":42690,"journal":{"name":"Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42829783","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}

引用次数: 2

Emphysematous cystitis in an elderly male diabetic patient: a case report. A complicated urinary tract infection 老年男性糖尿病患者的肺气肿性膀胱炎：一例报告。一种复杂的尿路感染

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Journal of Gerontology and Geriatrics Pub Date : 2021-06-15 DOI: 10.36150/2499-6564-n341

Annalisa Paglia, Anna Grazia Angeletti, Vera Conte, G. Serviddio, A. Romano

引用次数: 0

Histological confirmation of a rare case of hyperfunctioning thyroid cancer with bone metastasis in elderly patient 老年人甲状腺功能亢进伴骨转移一例的组织学证实

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Journal of Gerontology and Geriatrics Pub Date : 2021-06-15 DOI: 10.36150/2499-6564-n264

G. Ruotolo, Elvira Bonacci, R. Cerra, Carmen Ruberto, A. Lavecchia, A. Castagna

引用次数: 0

Multidimensional assessment using a modified S.Va.M.A scale, a pilot study in patients aged 65 or older 使用改良的S.Va.M.a量表进行多维评估，这是一项针对65岁或以上患者的试点研究

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Journal of Gerontology and Geriatrics Pub Date : 2021-06-01 DOI: 10.36150/2499-6564-N358

Marica Scotellaro, Maila Ruggeri, Victoria d'Inzeo, E. D. Simone, M. D. Muzio, S. Dionisi, N. Giannetta

引用次数: 1

A cascade of complications in a hospitalized frail older patient: is a better management possible? 住院体弱老年患者的一连串并发症：是否有可能进行更好的管理？

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Journal of Gerontology and Geriatrics Pub Date : 2021-03-31 DOI: 10.36150/2499-6564-N340

Ambra Bertola, S. Damanti, R. Scotti, G. D. Lucca, E. Bozzolo, M. Tresoldi

{"title":"A cascade of complications in a hospitalized frail older patient: is a better management possible?","authors":"Ambra Bertola, S. Damanti, R. Scotti, G. D. Lucca, E. Bozzolo, M. Tresoldi","doi":"10.36150/2499-6564-N340","DOIUrl":"https://doi.org/10.36150/2499-6564-N340","url":null,"abstract":"Methods. Describing the complications that an older patient under- went during his hospital stay.Results. An 87-year-old man was admitted to the San Raffaele Hos- pital for a transient loss of consciousness (LOC). He was hospitalized for assessing the causes of the LOC. The LOC lasted 2 minutes, was associated with bilateral upper limb clonus and subsequent confu- sion. The patient was severely comorbid: he suffered from metabolic syndrome, chronic kidney failure, hemodynamically significant carotid atheromasia, anemia, and he had a dubious history of epilepsy. More- over, the patient was cognitively impaired and many episodes of LOC were reported in his medical history. During the hospital stay the patient developed many complications: a fall, nosocomial pneumonia, urinary retention and deconditioning.Conclusions. Global aging poses several challenges to society and public health systems. The traditional models of care are not suitable to face the complex needs of frail older people for whom standard deci- sional algorithms are seldom applicable. The context of hospitalization, though necessary, may be hazardous risky for the health of older peo- ple, especially the frailer ones.","PeriodicalId":42690,"journal":{"name":"Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43600822","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}

引用次数: 0

Safety and tolerability of intravenous ferric carboxymaltose in the oldest old patients: a prospective cohort study in a University Italian Geriatrics Department 最高龄老年患者静脉注射羧基麦芽糖铁的安全性和耐受性:意大利一所大学老年病学的前瞻性队列研究

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Journal of Gerontology and Geriatrics Pub Date : 2021-03-01 DOI: 10.36150/2499-6564-N001

L. Tagliafico, M. N. Parodi, P. Odetti, A. Nencioni, F. Monacelli

引用次数: 1

Age, comorbidities, nursing home stay and outcomes of SARS-CoV-2 infection in a Northern Italian cohort 意大利北部队列中SARS-CoV-2感染的年龄、合并症、养老院住宿和结果

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Journal of Gerontology and Geriatrics Pub Date : 2021-03-01 DOI: 10.36150/2499-6564-N291

F. Valent

{"title":"Age, comorbidities, nursing home stay and outcomes of SARS-CoV-2 infection in a Northern Italian cohort","authors":"F. Valent","doi":"10.36150/2499-6564-N291","DOIUrl":"https://doi.org/10.36150/2499-6564-N291","url":null,"abstract":"Background & aims. A large proportion of deaths from SARS-CoV-2 infections worldwide occur among nursing home residents. The aim of this research is to study the association between age and comorbidities and the likelihood of hospitalization and death in patients with SARS-CoV-2 infection in an Italian province, taking into account the residential setting. Methods. Retrospective cohort study based on multiple anonymous administrative health databases. Multinomial logistic regression was used to assess the association of sex, age, comorbidities, nursing home residency, calendar time with likelihood of hospitalization (with no death) and death, adjusting for mutual confounding. Results. Older subjects had increased likelihood of both outcomes. Congestive heart failure and hypothyroidism significantly increased the likelihood of death. Neurological diseases and hypertension increased the risk of hospitalization. Nursing home residents were over-represent-ed in the cohort. They had reduced likelihood of hospitalization, but mortality was analogous of that of other persons of the same age and clinical conditions. Conclusions. Efforts should be done to protect elderly and frail people from SARS-CoV-2, regardless of the residential setting.","PeriodicalId":42690,"journal":{"name":"Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44438044","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}

引用次数: 1