Turkish Journal of Geriatrics-Turk Geriatri Dergisi最新文献

{"title":"UNDERREPRESENTATION OF OLDER PERSONS IN CLINICAL TRIALS","authors":"Yeşim GÖKÇE KUTSAL, Önder İLGİLİ, Murat KOÇ, C.Sercan ÖZYURT","doi":"10.29400/tjgeri.2023.349","DOIUrl":"https://doi.org/10.29400/tjgeri.2023.349","url":null,"abstract":"","PeriodicalId":51196,"journal":{"name":"Turkish Journal of Geriatrics-Turk Geriatri Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135596000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examination of mental symptoms, anger, and death anxiety in elderly cancer patients","authors":"Gözde BACIK YAMAN, Erkan KAYIKÇIOĞLU, Çiçek HOCAOĞLU","doi":"10.29400/tjgeri.2023.357","DOIUrl":"https://doi.org/10.29400/tjgeri.2023.357","url":null,"abstract":"Introduction: Cancer is a disease that changes a person’s expectations about death and life. The needs of elderly cancer patients differ according to other age groups. This study aims to reveal the relationship between psychological symptoms and death anxiety and anger expression in elderly patients diagnosed with cancer. Methods: Scales assessing anxiety, depression, death anxiety, and anger were administered to patients over 65 years of age diagnosed with cancer. Patients were asked about the type of cancer, when it was diagnosed, and what treatment they received. They were also asked with whom they lived and with whom they came to check. Results: Of the 201 patients included, 18.9% were diagnosed with anxiety disorder and 17.9% with depression. A high positive statistically significant correlation existed between anxiety and depression symptoms (r=0.755, p<0.001). There was a moderately positive and statistically significant correlation between anxiety symptoms and death anxiety (r=0.599, p<0.001) and state anger (r=0.504, p<0.001). A one-unit increase in state anger score increases the risk of developing depressive symptoms by 11%, while a one-unit increase in death anxiety increases the same risk by 10.6%. When we analyzed according to cut-off values, 124 (61.7% of the whole sample), participants had high death anxiety. Conclusion: Psychological symptoms in elderly cancer patients seem to be associated with death anxiety and anger. Death anxiety should not be considered a natural consequence of getting cancer. Screening for mental symptoms during stressful times can help identify psychological needs and provide targeted psychological support for the elderly. Keywords: Mental Health; Aged; Anger; Neoplasms.","PeriodicalId":51196,"journal":{"name":"Turkish Journal of Geriatrics-Turk Geriatri Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135595997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AGE-RELATED DIFFERENCES IN PROSPECTIVE MEMORY: TURKISH VIRTUAL WEEK (VW-TR)","authors":"Gün PAKYÜREK, Banu CANGÖZ TAVAT","doi":"10.29400/tjgeri.2023.351","DOIUrl":"https://doi.org/10.29400/tjgeri.2023.351","url":null,"abstract":"Introduction: Prospective memory, which involves remembering intended future actions, is a vital function in terms of autonomy, quality of life, and everyday functioning. The primary aim of this study is to examine how aging affects prospective memory performance; its secondary aim is to adapt a laboratory-based prospective memory task, Virtual Week, to the Turkish culture and investigate its efficacy across young and old age groups. Materials and Method: The study was conducted with 60 young (18–25 years) and 60 old (60–87 years) participants. Participants were included based on their results on cognitive screening tests (Montreal Cognitive Assessment, Activities of Daily Living Scale, Geriatric Depression Scale, and the Beck Depression Inventory). In addition, the Stroop and Trail Making tests were administered to measure executive functions. Finally, the laboratory-based prospective memory task Virtual Week was performed. Results: Virtual Week has been adapted to Turkish culture and shown to be reliable (Spearman–Brown: 0.82). ANOVA was conducted to analyze the effect of aging on the Virtual Week task, and the results showed that young adults were more successful than older adults in prospective memory tasks (p < .05). Conclusion: The results support the theory of the aging paradox in prospective memory, which suggests that older adults exhibit lower performance in laboratory-based prospective memory tasks. The findings are discussed in the context of the relevant literature. Keywords: Memory; Cognitive Aging; Executive Function; Young Adult; Aged.","PeriodicalId":51196,"journal":{"name":"Turkish Journal of Geriatrics-Turk Geriatri Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135594484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment Outcomes in Breast Cancer Patients Aged 65 and Above","authors":"Rahşan HABİBOĞLU, İlknur KAYALI, İrem SARICANBAZ","doi":"10.29400/tjgeri.2023.358","DOIUrl":"https://doi.org/10.29400/tjgeri.2023.358","url":null,"abstract":"Introduction: Despite the increasing number of elderly patients with breast cancer, optimal treatment options remain limited. This study aims to evaluate the clinical characteristics, treatment approaches, and survival outcomes of the patient group aged 65 and above who were treated for breast cancer at our clinic. Materials and Methods: The data of breast cancer patients aged 65 and above who received treatment and follow-up at our clinic between 2012 and 2018 were retrospectively analyzed. Overall survival and disease-free survival analyses were performed using Kaplan-Meier analysis, and comparisons were conducted using the log-rank test. Results: A total of 108 elderly female patients with breast cancer were included in the study. The median follow-up duration was 79.75 months (6.64 years), with a maximum follow-up of 133.49 months (11.12 years). At the end of this period, 88 patients (81.48%) were still alive. The 3-year overall survival rate was 93.5%, and the 5-year overall survival rate was 86.1%. The 3-year disease-free survival rate was 91.6%, and the 5-year disease-free survival rate was 88.7%. Conclusion: When making treatment decisions for elderly breast cancer patients, factors such as performance status, comorbidities, toxicity, and post-treatment quality of life should be carefully considered alongside age. Treatment decisions should be based on comprehensive evaluations taking these factors into account. Keywords: Breast Neoplasms; Treatment Outcome; Aged; Mastectomy; Drug Therapy; Radiotherapy.","PeriodicalId":51196,"journal":{"name":"Turkish Journal of Geriatrics-Turk Geriatri Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135595999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive and motor performances in dual tasks in older adults with chronic neck pain: A randomized controlled clinical trial","authors":"Aydın Sinan APAYDIN, Emre SOYLEMEZ","doi":"10.29400/tjgeri.2023.353","DOIUrl":"https://doi.org/10.29400/tjgeri.2023.353","url":null,"abstract":"Aim: There is limited information on dual-task performance in older individuals with chronic neck pain. This study aims to investigate cognitive and motor performances during dual tasks in older adults with chronic neck pain. Methods: Thirty-five older adults with chronic neck pain and 35 older adults without neck pain were included in the study. The timed up and go test evaluated individuals’ single-task performance. To assess the dual-task performances of the groups, the individuals were given motor and cognitive (forward and backward digit span) tasks simultaneously with the timed up and go test. During cognitive dual-task, the cognitive performances of individuals were evaluated and the duration of their timed up and go test was recorded. Results: There was no difference between the groups in terms of single-task timed up and go test (p >0.05). There was also no difference between the groups in terms of cognitive-forward and cognitive-backward (p >0.05). However, cognitive performance of the chronic neck pain group during dual-task was worse than that of the control group (p <0.05). Additionally, the motor dual-task of older adults in the chronic neck pain group was worse than the control group (p <0.05). Conclusion: Older adults with chronic neck pain struggle more in motor dual-task situations than asymptomatic older adults. Therefore, gait assessment with a motor dual task should be performed for older adults with chronic neck pain. In addition, during cognitive dual-task conditions, the cognitive performance of older adults should be evaluated in addition to their gait performance. Keywords: Aged; Gait; Neck Pain; Postural Balance; Task Performance and Analysis.","PeriodicalId":51196,"journal":{"name":"Turkish Journal of Geriatrics-Turk Geriatri Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135594473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"RISK FACTORS FOR PROLONGED INTENSIVE CARE UNIT STAYS IN ELDERLY PATIENTS AFTER CARDIAC SURGERY: A RETROSPECTIVE OBSERVATIONAL STUDY","authors":"Bedih BALKAN, Mücahit POLAT, Lokman YALÇIN, Taner İYİGÜN, Barış TİMUR","doi":"10.29400/tjgeri.2023.359","DOIUrl":"https://doi.org/10.29400/tjgeri.2023.359","url":null,"abstract":"Introduction: With the increase in life expectancy and developments in surgical and anesthetic techniques, intensive care follow-up, and treatment methods, the number of patients undergoing open-heart surgery has increased. Methods: The clinical files of 220 patients who underwent cardiovascular surgery were retrospectively reviewed. The patients were divided into two groups: group 1 (those who stayed for one day or less) and group 2 (those who stayed for more than one day). In addition, the reason for hospitalization for five days or more was investigated. The effect of patient variables on the length of stay in the intensive care unit was investigated by logistic regression analysis. Results: Hemoglobin values, ejection fraction values, and intensive care unit hospitalizations were significantly lower (p<0.05) than those in the group with intensive care unit hospitalizations of <24 h. The sodium value was significantly higher (p<0.05) in the group with intensive care unit hospitalizations >24 h than in the group with intensive care unit hospitalizations <24 h. The pacemaker requirement rate in the group with intensive care unit hospitalizations >24 h was significantly (p<0.05) higher than the group with intensive care unit hospitalizations < 24 h. The sinus rhythm in the group with intensive care unit hospitalizations >24 h was significantly lower (p<0.05) than that in the group with intensive care unit hospitalizations <24 h. Intensive care transfusion of erythrocyte suspension, fresh frozen plasma, and platelet suspension were significantly higher (p<0.05) in the group with intensive care unit hospitalizations >24 h than in the group with intensive care unit hospitalizations <24 h. Conclusion: In our study; We found that factors such as preoperative low ejection fraction (EF), hypernatremia, female gender, inotrope requirement, delirium, extubation time, intraoperative-postoperative transfusion, drainage revision affect the length of stay in the intensive care unit In the intraoperative period, methods to protect myocardial and kidney functions and provide hemostasis bleeding control reduce the duration of intensive care hospitalization Keywords: Thoracic Surgery; Length of Stay; Critical Care; Aging.","PeriodicalId":51196,"journal":{"name":"Turkish Journal of Geriatrics-Turk Geriatri Dergisi","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135594967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"USING THE ROTTERDAM CT SCORE TO PREDICT OUTCOMES OF HEAD INJURIES IN THE GERIATRIC POPULATION","authors":"P. Ozturk, U. Ozturk","doi":"10.31086/TJGERI.2021.239","DOIUrl":"https://doi.org/10.31086/TJGERI.2021.239","url":null,"abstract":"","PeriodicalId":51196,"journal":{"name":"Turkish Journal of Geriatrics-Turk Geriatri Dergisi","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78018326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effects of Renal Insufficiency and Age on Mortality in Geriatric Patients with Non-ST-Segment Elevation Myocardial Infarction","authors":"Pınar D Gündoğmuş","doi":"10.31086/TJGERI.2021.228","DOIUrl":"https://doi.org/10.31086/TJGERI.2021.228","url":null,"abstract":"","PeriodicalId":51196,"journal":{"name":"Turkish Journal of Geriatrics-Turk Geriatri Dergisi","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90956652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Science Students Perceptions and Awareness of Elder Abuse and Neglect","authors":"B. B. Kahraman, Ülkü Polat, N. Gürhan","doi":"10.31086/TJGERI.2021.205","DOIUrl":"https://doi.org/10.31086/TJGERI.2021.205","url":null,"abstract":"Results: Although the majority of the students (92.7%) have indicated that they were aware of the concept of elderly abuse and neglect, it was observed that the students couldn’t define the concept of elderly abuse either comprehensively or clearly. It was determined in our study that the type of abuse mostly known by these students was physical abuse, and thus their knowledge about abuse was insufficient. It was observed that the number of students who receive education about this concept was higher in the nursing department when compared to the other departments (p<0.05).","PeriodicalId":51196,"journal":{"name":"Turkish Journal of Geriatrics-Turk Geriatri Dergisi","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84558247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical findings and prognosis of hospitalized elderly covid-19 patients","authors":"Ö. Bozan, Ş. Atiş, B. Çekmen, Mehmet Taylan Koçer, Y. Koca, Edip Burak Karaaslan, Mücahit Şentürk, F. Şimşek, A. Kalkan","doi":"10.31086/TJGERI.2021.194","DOIUrl":"https://doi.org/10.31086/TJGERI.2021.194","url":null,"abstract":"Background: SARS-CoV-2 has caused an outbreak all over the World Age is the most important factor for mortality However, it is not known exactly why SARS-CoV-2 infections are more severe and fatal in the elderly population We examined the clinical course and the causes of increasing mortality in all hospitalized patients diagnosed with COVID-19 over 65 years of age Methods: Hospitalized elderly patients diagnosed with COVID-19 were examined in this retrospective observational study The blood results, length of stay, comorbid diseases, admission symptoms, clinical results and demographic data of the patients were recorded It was examined whether there was a significant difference between surviving and non-surviving patients in terms of comorbid diseases and symptoms The effects of these parameters on the 30-day mortality alone were investigated Results: A total of 263 patients (125 males) were included in the study Cough (53 2%) followed by dyspnea (35 7%) were the two most common symptoms There was no statistically significant difference age or sex distribution between survivor and nonsurvivor patients Patients with dyspnea had a significantly lower survival rate compared to patients who did not have dyspnea at presentation and patients who have chronic obstructive pulmonary disease and cerebrovascular disease were associated with a significantly increased risk of mortality Conclusions: It has been shown that there is a significant increase in the risk of mortality in COVID-19 patients with chronic obstructive pulmonary disease and cerebrovascular diseases Additionally, Dyspnea, as an admission symptom, were found to have an effect on mortality and clinical outcomes in our study","PeriodicalId":51196,"journal":{"name":"Turkish Journal of Geriatrics-Turk Geriatri Dergisi","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2021-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87554174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}