Annals of Geriatric Medicine and Research最新文献

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Functional Status in Older Adults following Hospitalization for COVID-19: A Cohort Study. 老年人因 COVID-19 住院后的功能状态:队列研究
IF 3.6
Annals of Geriatric Medicine and Research Pub Date : 2023-12-01 Epub Date: 2023-09-07 DOI: 10.4235/agmr.23.0071
Pía Izaguirre, Érica Arakaki, Jorge Vogt Boero, Ángeles Zalazar, Mariano Ghirlanda, Diego Caruso
{"title":"Functional Status in Older Adults following Hospitalization for COVID-19: A Cohort Study.","authors":"Pía Izaguirre, Érica Arakaki, Jorge Vogt Boero, Ángeles Zalazar, Mariano Ghirlanda, Diego Caruso","doi":"10.4235/agmr.23.0071","DOIUrl":"10.4235/agmr.23.0071","url":null,"abstract":"<p><strong>Background: </strong>Coronavirus disease 2019 (COVID-19) can cause multiple acute complications. This study evaluated the long-term functional status of older patients hospitalized for acute COVID-19.</p><p><strong>Methods: </strong>We analyzed data from a multicenter ambispective cohort study on patients aged &gt;60 years who were hospitalized for COVID-19 at two tertiary care hospitals in Argentina. The participants were contacted by telephone between November 2021 and September 2022 to collect data on their functional status. Ordinal logistic regression was used to identify factors associated with functional limitations after discharge.</p><p><strong>Results: </strong>Among the 374 included patients, 205 (55%) showed functional limitations, including 58 (28%) who died during follow-up. The factors independently associated with functional limitations were low baseline functional status (odds ratio [OR]=9.19; 95% confidence interval [CI], 3.35-25.17) and admission to the intensive care unit (OR=4.41; 95% CI, 2.28-8.53). Men had lower odds of functional impairment (OR=0.55; 95% CI, 0.35-0.86).</p><p><strong>Conclusion: </strong>Older patients had high mortality rates and poor functional status at 2 years post-discharge for COVID-19. Several factors at the time of discharge were associated with a higher risk of functional limitations and can be used to identify patients' long-term needs for support and rehabilitation services.</p>","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"286-292"},"PeriodicalIF":3.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10772336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10541809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of Vulnerability Screening on Hospital Admission with Discharge to Rehabilitation-Oriented Care after Acute Hospital Stay. 入院时的脆弱性筛查与急性期住院后出院接受康复护理的关系。
IF 3.6
Annals of Geriatric Medicine and Research Pub Date : 2023-12-01 Epub Date: 2023-09-11 DOI: 10.4235/agmr.23.0068
Aafke J de Groot, Elizabeth M Wattel, Romke van Balen, Cees M P M Hertogh, Johannes C van der Wouden
{"title":"Association of Vulnerability Screening on Hospital Admission with Discharge to Rehabilitation-Oriented Care after Acute Hospital Stay.","authors":"Aafke J de Groot, Elizabeth M Wattel, Romke van Balen, Cees M P M Hertogh, Johannes C van der Wouden","doi":"10.4235/agmr.23.0068","DOIUrl":"10.4235/agmr.23.0068","url":null,"abstract":"<p><strong>Background: </strong>We assessed the vulnerability of patients aged ≥70 years during hospital admission based on the Short Dutch Safety Management Screening (DSMS). Screening of four geriatric domains aims to prevent adverse outcomes and may support targeted discharge planning for post-acute care. We explored whether the DSMS criteria for acutely admitted patients were associated with rehabilitation-oriented care needs.</p><p><strong>Methods: </strong>This retrospective cohort study included community-dwelling patients aged ≥70 years acutely admitted to a tertiary hospital. We recorded patient demographics, morbidity, functional status, malnutrition, fall risk, and delirium and used descriptive analysis to calculate the risks by comparing the discharge destination groups.</p><p><strong>Results: </strong>Among 491 hospital discharges, 349 patients (71.1%) returned home, 60 (12.2%) were referred for geriatric rehabilitation, and 82 (16.7%) to other inpatient post-acute care. Non-home referrals increased with age from 21% (70-80 years) to 61% (&gt;90 years). A surgical diagnosis (odds ratio [OR]=4.92; 95% confidence interval [CI], 2.03-11.95), functional decline represented by Katz-activities of daily living positive screening (OR=3.79; 95% CI, 1.76-8.14), and positive fall risk (OR=2.87; 95% CI, 1.31-6.30) were associated with non-home discharge. The Charlson Comorbidity Index did not differ significantly between the groups.</p><p><strong>Conclusion: </strong>Admission diagnosis and vulnerability screening outcomes were associated with discharge to rehabilitation-oriented care in patients &gt;70 years of age. The usual care data from DSMS vulnerability screening can raise awareness of discharge complexity and provide opportunities to support timely and personalized transitional care.</p>","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"301-309"},"PeriodicalIF":3.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10772331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10554322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association between Toe Pressure Strength in the Standing Position and Maximum Walking Speed in Older Adults. 老年人站立姿势的脚趾压力强度与最大步行速度之间的关系。
IF 3.6
Annals of Geriatric Medicine and Research Pub Date : 2023-12-01 Epub Date: 2023-09-25 DOI: 10.4235/agmr.23.0113
Taishiro Kamasaki, Hiroshi Otao, Mizuki Hachiya, Shinichi Tanaka, Kohei Ochishi, Suguru Shimokihara, Michio Maruta, Gwanghee Han, Yoshihiko Akasaki, Yuma Hidaka, Takayuki Tabira
{"title":"Association between Toe Pressure Strength in the Standing Position and Maximum Walking Speed in Older Adults.","authors":"Taishiro Kamasaki, Hiroshi Otao, Mizuki Hachiya, Shinichi Tanaka, Kohei Ochishi, Suguru Shimokihara, Michio Maruta, Gwanghee Han, Yoshihiko Akasaki, Yuma Hidaka, Takayuki Tabira","doi":"10.4235/agmr.23.0113","DOIUrl":"10.4235/agmr.23.0113","url":null,"abstract":"<p><strong>Background: </strong>Considering concerns about conventional toe grip strength, we devised a method to measure toe pressure strength in the standing position, which is close to the actual motion. This study examined the association between toe pressure strength in the standing position and walking speed among older adults.</p><p><strong>Methods: </strong>This cross-sectional study included 150 community-dwelling older adults (81±8 years, 73% female) who participated in the physical fitness test. We analyzed the correlation between the participants' maximum walking speed and physical function. Furthermore, we performed regression analysis with the maximum walking speed as the dependent variable to examine the association with toe pressure strength in the standing position. We also examined the association between maximum walking speed and toe pressure strength in the standing position by introducing a covariate.</p><p><strong>Results: </strong>Correlation analysis revealed a significant positive correlation between maximum walking speed and toe pressure strength in the standing position, with a moderate effect size (r=0.48, p&lt;0.001). Moreover, multiple regression analysis with covariates showed an association between maximum walking speed and toe pressure strength in the standing position (standardization factor=0.13, p&lt;0.026).</p><p><strong>Conclusion: </strong>Toe pressure strength in the standing position was associated with maximum walking speed. This finding clarifies the significance of assessing toe pressure strength in the standing position and suggests that enhanced toe pressure strength in the standing position may increase maximum walking speed.</p>","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"338-345"},"PeriodicalIF":3.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10772338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41152013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychosocial Determinants of Knee Osteoarthritis Progression: Results from the Promoting Independence in Our Seniors with Arthritis Study. 膝骨关节炎进展的心理社会决定因素:促进老年关节炎患者独立性的研究结果。
IF 3.6
Annals of Geriatric Medicine and Research Pub Date : 2023-12-01 Epub Date: 2023-12-29 DOI: 10.4235/agmr.23.0011
Guo Jeng Tan, Sheng Hui Kioh, Sumaiyah Mat, Maw Pin Tan, Shirley Huey Ling Chan, Jacintha Mei Ying Lee, Yee Wen Tan
{"title":"Psychosocial Determinants of Knee Osteoarthritis Progression: Results from the Promoting Independence in Our Seniors with Arthritis Study.","authors":"Guo Jeng Tan, Sheng Hui Kioh, Sumaiyah Mat, Maw Pin Tan, Shirley Huey Ling Chan, Jacintha Mei Ying Lee, Yee Wen Tan","doi":"10.4235/agmr.23.0011","DOIUrl":"10.4235/agmr.23.0011","url":null,"abstract":"<p><strong>Background: </strong>Knee osteoarthritis (OA) is a common cause of physical disability among older adults. While established risk factors for knee OA include age and increased body weight, few studies have examined psychosocial risk factors or progression of knee OA.</p><p><strong>Methods: </strong>The Promoting Independence in our Seniors with Arthritis study recruited participants aged 65 years and over from orthopedic outpatients and community engagement events. Participants were invited to annual visits during which knee OA symptoms were assessed with the Knee Injury and Osteoarthritis Outcome Score (KOOS), social network using the 6-item Lubben Social Network Scale and anxiety and depression using the Hospital Anxiety and Depression scale. Knee OA worsening was defined by a 5% reduction in mean KOOS scores at the last visit compared to the first visit.</p><p><strong>Results: </strong>Data were available from 148 participants, mean age 66.2±6.5 years and 74.1% female, of whom 28 (18.9%) experienced OA worsening over a median follow-up period of 29 months. Univariate analyses revealed that age, sex, height, grip strength, and social network were associated with OA worsening. Social network remained statistically significantly associated with OA worsening after adjustment for age and sex difference (odds ratio=0.924; 95% confidence interval, 0.857-0.997). The relationship between social network and OA worsening were attenuated by both depression and handgrip strength at baseline.</p><p><strong>Conclusion: </strong>Psychological status and muscle strength may be modifiable risk factors for social network which may in turn prevent knee OA worsening and should be targeted in future intervention studies.</p>","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"346-352"},"PeriodicalIF":3.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10772335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Meta-Analysis on the Association between Echo Intensity, Muscle Strength, and Physical Function in Older Individuals. 老年人回声强度、肌肉力量和身体功能相关性的荟萃分析。
IF 3.6
Annals of Geriatric Medicine and Research Pub Date : 2023-12-01 Epub Date: 2023-09-25 DOI: 10.4235/agmr.23.0101
Han Yuan, Maengkyu Kim
{"title":"Meta-Analysis on the Association between Echo Intensity, Muscle Strength, and Physical Function in Older Individuals.","authors":"Han Yuan, Maengkyu Kim","doi":"10.4235/agmr.23.0101","DOIUrl":"10.4235/agmr.23.0101","url":null,"abstract":"<p><strong>Background: </strong>The use of ultrasonographic echo intensity (EI) to evaluate skeletal muscle quality and its effects on strength, explosive power, and physical function (PF) in older individuals remains unclear. This meta-analysis evaluated the associations among EI, muscle strength (MS), and PF in older individuals.</p><p><strong>Methods: </strong>We conducted a systematic search of the PubMed, Embase, Web of Science, SPORT Discus, and CINAHL databases through October 2022 to identify primary studies examining the association between EI and MS/PF. Effect sizes were computed using a random-effects model and presented using forest plots. Pearson correlation coefficient (r) and I2 statistics were used to measure heterogeneity.</p><p><strong>Results: </strong>This meta-analysis included 24 patients. EI demonstrated a negative association with maximal strength (r=-0.351; 95% confidence interval [CI], -0.411 to -0.288; p&lt;0.001) and explosive power (r=-0.342; 95% CI, -0.517 to -0.139; p=0.001) in older individuals. Handgrip strength also showed a significant negative correlation with EI (r=-0.361; 95% CI, -0.463 to -0.249; p&lt;0.001). However, we observed only a small and non-significant negative association between EI and gait speed (r=-0.003; 95% CI, -0.083 to -0.077; p=0.943), and a weak non-significant correlation with the chair stand test (r=0.072; 95% CI, -0.045 to 0.187; p=0.227).</p><p><strong>Conclusion: </strong>Increased EI was associated with lower strength and power but not with gait speed or chair test performance in older individuals. Further large-sample studies with long-term follow-up are needed to improve frailty prediction and risk assessment in this population.</p>","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"329-337"},"PeriodicalIF":3.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10772333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41153477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Retraction: Denosumab's Therapeutic Effect for Future Osteosarcopenia Therapy: A Systematic Review and Meta-Analysis. 撤稿:地诺单抗对未来骨质疏松症治疗的疗效:系统回顾与元分析》。
IF 3.6
Annals of Geriatric Medicine and Research Pub Date : 2023-12-01 Epub Date: 2023-12-29 DOI: 10.4235/agmr.22.0139.r1
I Gusti Putu Suka Aryana, Sandra Surya Rini, Siti Setiati
{"title":"Retraction: Denosumab's Therapeutic Effect for Future Osteosarcopenia Therapy: A Systematic Review and Meta-Analysis.","authors":"I Gusti Putu Suka Aryana, Sandra Surya Rini, Siti Setiati","doi":"10.4235/agmr.22.0139.r1","DOIUrl":"10.4235/agmr.22.0139.r1","url":null,"abstract":"","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":"27 4","pages":"361"},"PeriodicalIF":3.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10772337/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Relationship between Chronic Musculoskeletal Pain and Sarcopenia Risk in Community-Dwelling Older Adults: A Cross-Sectional Study. 社区居住的老年人慢性肌肉骨骼疼痛与肌肉无力风险的关系:一项横断面研究。
IF 3.6
Annals of Geriatric Medicine and Research Pub Date : 2023-09-01 Epub Date: 2023-08-28 DOI: 10.4235/agmr.23.0081
Ulku Kezban Sahin, Aysun Yağci Şentürk
{"title":"The Relationship between Chronic Musculoskeletal Pain and Sarcopenia Risk in Community-Dwelling Older Adults: A Cross-Sectional Study.","authors":"Ulku Kezban Sahin,&nbsp;Aysun Yağci Şentürk","doi":"10.4235/agmr.23.0081","DOIUrl":"10.4235/agmr.23.0081","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to better understand the relationship between chronic musculoskeletal pain and the risk of sarcopenia in older adults.</p><p><strong>Methods: </strong>The risk of sarcopenia was assessed in 210 older adults using the SARC-F (strength, assistance with walking, rising from a chair, ascending stairs, and falls) questionnaire. Geriatric pain measures were used to assess pain. We also recorded the pain sites (ankles/feet, wrists/hands, upper back, lower back, neck, shoulder, hips, and knees).</p><p><strong>Results: </strong>Participant mean age was 72.4±7 years, and 109 (51.9%) of the participants were female. The prevalence rates of sarcopenia and chronic musculoskeletal pain were 60% and 92.9%, respectively. Older adults at risk of sarcopenia had a higher mean age, body mass index (BMI), number of comorbidities and falls, presence of chronic pain, pain intensity, and pain sites. Sarcopenia risk was correlated with chronic pain intensity (current and last 7 days) (r=0.506, p<0.001 and r=0.584, p< 0.001, respectively), multisite pain (r=0.442, p< 0.001), and Geriatric Pain Measure score (r=0.730; p< 0.001). Age (odds ratio [OR]=1.1; 95% confidence interval [CI], 1.0-1.2), BMI (OR=1.1; 95% CI, 1.0-1.2), and geriatric pain (OR=1.1; 95% Cl, 1.0-1.1) were associated with sarcopenia risk.</p><p><strong>Conclusions: </strong>The risk of sarcopenia is linked to chronic pain, which frequently occurs in geriatric populations. Our study results also showed that higher pain intensity was associated with a higher risk of sarcopenia. Older adults at risk for sarcopenia often experience chronic musculoskeletal pain, which must be better recognized. Moreover, its significance must be noted in the treatment process.</p>","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"250-257"},"PeriodicalIF":3.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/70/e7/agmr-23-0081.PMC10556709.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10081881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association between Support after Dementia Diagnosis and Subsequent Decrease in Social Participation. 痴呆症诊断后的支持与随后社会参与减少之间的关系。
IF 3.6
Annals of Geriatric Medicine and Research Pub Date : 2023-09-01 Epub Date: 2023-09-27 DOI: 10.4235/agmr.23.0091
Hiroshige Matsumoto, Shuji Tsuda, Shun Takehara, Tomoyuki Yabuki, Satoko Hotta
{"title":"Association between Support after Dementia Diagnosis and Subsequent Decrease in Social Participation.","authors":"Hiroshige Matsumoto,&nbsp;Shuji Tsuda,&nbsp;Shun Takehara,&nbsp;Tomoyuki Yabuki,&nbsp;Satoko Hotta","doi":"10.4235/agmr.23.0091","DOIUrl":"10.4235/agmr.23.0091","url":null,"abstract":"We are writing this letter to accelerate research and discussion on the nature of post-diagnostic support for dementia. Accurate diagnosis of dementia provides a gateway to care and support for people living with dementia and their relatives. 1) The reasons for recommending early diagnosis is that cognitive rehabilitation in the milder stages of dementia was suggested to be effective in preventing further impairment. 2) National plans focused on early diagnosis of dementia have been initiated in many countries. 3) However, the stigma and anxiety associated with diagnosis of dementia without care and support may reduce social participation. 4) Also, post-diagnostic support is supposed to moderate the negative impact, but little is known about the delivery and effectiveness of the support. Therefore, we have analyzed the association between post-diagnosis support and subsequent changes in social participation using data from an online survey.","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":"27 3","pages":"274-276"},"PeriodicalIF":3.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ee/12/agmr-23-0091.PMC10556721.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41170097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors Associated with Improvement in Activities of Daily Living during Hospitalization: A Retrospective Study of Older Patients with Hip Fractures. 住院期间日常生活活动改善的相关因素:对老年髋部骨折患者的回顾性研究。
IF 3.6
Annals of Geriatric Medicine and Research Pub Date : 2023-09-01 Epub Date: 2023-08-28 DOI: 10.4235/agmr.23.0040
Kazuya Takeda, Mineko Wada, Kyosuke Yorozuya, Yuhei Hara, Toyoaki Watanabe, Hideaki Hanaoka
{"title":"Factors Associated with Improvement in Activities of Daily Living during Hospitalization: A Retrospective Study of Older Patients with Hip Fractures.","authors":"Kazuya Takeda,&nbsp;Mineko Wada,&nbsp;Kyosuke Yorozuya,&nbsp;Yuhei Hara,&nbsp;Toyoaki Watanabe,&nbsp;Hideaki Hanaoka","doi":"10.4235/agmr.23.0040","DOIUrl":"10.4235/agmr.23.0040","url":null,"abstract":"<p><strong>Background: </strong>In this study, we aimed to examine the changes in delirium during hospitalization of patients and its association with behavioral and psychological symptoms of dementia (BPSD), as well as improvements in activities of daily living (ADL).</p><p><strong>Methods: </strong>A longitudinal, retrospective cohort study was conducted involving 83 older adults (≥65 years) with hip fractures. We collected Mini-Mental State Examination (MMSE) and Functional Independence Measure-motor domain (m-FIM) assessment results from the medical charts at two time points: baseline (first week of hospitalization) and pre-discharge (final week before discharge). Additionally, we collected data on delirium and BPSD at three points: baseline, week 2 post-admission, and pre-discharge. We performed univariate logistic regression analysis using changes in m-FIM scores as the dependent variable and MMSE and m-FIM scores at baseline and pre-discharge, along with delirium and BPSD subtypes at baseline, week 2 post-admission, and pre-discharge, as the explanatory variables. Finally, we performed a multivariate logistic regression analysis incorporating the significant variables from the univariate analysis to identify factors associated with ADL improvement during hospitalization.</p><p><strong>Results: </strong>We observed significant correlations between ADL improvement during hospitalization and baseline m-FIM and MMSE scores, hypoactive delirium state, and BPSD subtype pre-discharge. Notably, all participants with hypoactive symptoms before discharge exhibited some subtype of delirium and BPSD at baseline.</p><p><strong>Conclusion: </strong>Besides ADL ability and cognitive function at admission, the presence of hypoactive delirium and BPSD subtype before discharge may hinder ADL improvement during hospitalization.</p>","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"220-227"},"PeriodicalIF":3.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1b/7b/agmr-23-0040.PMC10556722.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10087647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effect of Neuromuscular Blockade Reversal Agents on Postoperative Pulmonary Complications in Patients undergoing Femur Fracture Repair Surgery: A Retrospective Observational Study. 神经肌肉阻断逆转剂对股骨骨折修复术后肺部并发症的影响:一项回顾性观察研究。
IF 3.6
Annals of Geriatric Medicine and Research Pub Date : 2023-09-01 Epub Date: 2023-07-04 DOI: 10.4235/agmr.23.0060
Sung-Ae Cho, Jun-Ho Kim, Choon-Kyu Cho, Tae-Yun Sung
{"title":"The Effect of Neuromuscular Blockade Reversal Agents on Postoperative Pulmonary Complications in Patients undergoing Femur Fracture Repair Surgery: A Retrospective Observational Study.","authors":"Sung-Ae Cho,&nbsp;Jun-Ho Kim,&nbsp;Choon-Kyu Cho,&nbsp;Tae-Yun Sung","doi":"10.4235/agmr.23.0060","DOIUrl":"10.4235/agmr.23.0060","url":null,"abstract":"<p><strong>Background: </strong>Femoral fracture repair surgery under general anesthesia is associated with postoperative pulmonary complications (PPCs). However, information on PPCs caused by residual neuromuscular blockade following perioperative use of neuromuscular blockers is limited. This study aimed to identify the differences in the incidence of PPCs according to the type of neuromuscular blockade reversal agent used in femoral fracture repair surgery, as well as the risk factors for PPCs.</p><p><strong>Methods: </strong>We retrospectively analyzed the electronic medical records of 604 patients aged >18 years who underwent general anesthesia for femoral fracture repair surgery at a single university hospital between March 2017 and March 2022. Patients in whom sugammadex or anticholinesterase was used to reverse the neuromuscular block were subjected to propensity score matching. Multivariate logistic regression analysis was performed to identify risk factors for PPCs.</p><p><strong>Results: </strong>Among the 604 patients, 108 were matched in each group. The incidence rates of PPCs overall and in the anticholinesterase and sugammadex groups were 7.0%, 8.3%, and 5.6%, respectively, with no significant differences between the groups. Older age, higher ASA (American Society of Anesthesiologists) physical status, and lower preoperative oxygen saturation were risk factors, whereas emergency surgery was a preventive factor.</p><p><strong>Conclusions: </strong>Our results demonstrated that the incidence of PPC did not differ significantly between sugammadex and anticholinesterase in patients undergoing femur fracture repair under general anesthesia. Identifying the risk factors and confirming complete recovery from neuromuscular blockade might be more important.</p>","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"212-219"},"PeriodicalIF":3.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/92/02/agmr-23-0060.PMC10556711.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10106127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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