Morten Tange Kristensen, Signe Hulsbæk, Louise Lohmann Faber, Lise Kronborg
{"title":"Knee Extension Strength Measures Indicating Probable Sarcopenia Is Associated with Health-Related Outcomes and a Strong Predictor of 1-Year Mortality in Patients Following Hip Fracture Surgery.","authors":"Morten Tange Kristensen, Signe Hulsbæk, Louise Lohmann Faber, Lise Kronborg","doi":"10.3390/geriatrics6010008","DOIUrl":"https://doi.org/10.3390/geriatrics6010008","url":null,"abstract":"<p><p>To examine if knee-extension strength (KES) measures indicating probable sarcopenia are associated with health-related outcomes and if KES and hand grip strength (HGS) measures are associated with 1-year mortality after hip fracture. Two groups of older patients with hip fracture had either HGS (<i>n</i> = 32) or KES (<i>n</i> = 150) assessed during their acute hospital stay. Cut-points for HGS (<27 kg for men and <16 kg for women), and cut-points for maximal isometric KES (non-fractured limb), being the lowest sex-specific quintile (<23.64 kg for men and <15.24 kg for women), were used to examine association with health-related outcomes and 1-year mortality. Overall, 1-year mortality was 12.6% in the two strength groups, of which 47% (HGS) and 46% (KES) respectively, were classified as probable sarcopenia. Probable sarcopenia patients (KES) had lower prefracture function, performed poorly in mobility measures and expressed a greater concern of falling compared to their stronger counterparts. Hazard ratio for 1-year mortality was 2.7 (95%CI = 0.49-14.7, <i>p</i> = 0.3) for HGS and 9.8 (95%CI = 2.2-43.0, <i>p</i> = 0.002) for KES for probable sarcopenia patients compared to those not. Sex-specific KES measures indicating sarcopenia is associated with health-related outcomes and a strong predictor of 1-year mortality after hip fracture.</p>","PeriodicalId":520631,"journal":{"name":"Geriatrics (Basel, Switzerland)","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3390/geriatrics6010008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38771438","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}
{"title":"Geriatric Care Models.","authors":"James S Powers","doi":"10.3390/geriatrics6010006","DOIUrl":"https://doi.org/10.3390/geriatrics6010006","url":null,"abstract":"<p><p>This Special Issue on geriatric care models features 18 papers highlighting the evolving nature of healthcare delivery and the leadership and quality enhancement research provided by geriatric care models [...].</p>","PeriodicalId":520631,"journal":{"name":"Geriatrics (Basel, Switzerland)","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2021-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3390/geriatrics6010006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38819476","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}
James S Powers, Lovely Abraham, Ralph Parker, Nkechi Azubike, Ralf Habermann
{"title":"The GeriPACT Initiative to Prevent All-Cause 30-Day Readmission in High Risk Elderly.","authors":"James S Powers, Lovely Abraham, Ralph Parker, Nkechi Azubike, Ralf Habermann","doi":"10.3390/geriatrics6010004","DOIUrl":"https://doi.org/10.3390/geriatrics6010004","url":null,"abstract":"<p><strong>Background: </strong>Suboptimal care transitions increases the risk of adverse events resulting from poor care coordination among providers and healthcare facilities. The National Transition of Care Coalition recommends shifting the discharge paradigm from discharge from the hospital, to transfer with continuous management. The patient centered medical home is a promising model, which improves care coordination and may reduce hospital readmissions.</p><p><strong>Methods: </strong>This is a quality improvement report, the geriatric patient-aligned care team (GeriPACT) at Tennessee Valley Healthcare System (TVHS) participated in ongoing quality improvement (Plan, Do, Study, Act (PDSA)) cycles during teamlet meetings. Post home discharge follow-up for GeriPACT patients was provided by proactive telehealth communication by the Registered Nurse (RN) care manager and nurse practitioner. Periodic operations data obtained from the Data and Statistical Services (DSS) coordinator informed the PDSA cycles and teamlet meetings.</p><p><strong>Results: </strong>at baseline (July 2018-June 2019) the 30-day all-cause readmission for GeriPACT was 21%. From July to December 2019, 30-day all-cause readmissions were 13%. From January to June 2020, 30-day all-cause readmissions were 15%.</p><p><strong>Conclusion: </strong>PDSA cycles with sharing of operations data during GeriPACT teamlet meetings and fostering a shared responsibility for managing high-risk patients contributes to improved outcomes in 30-day all-cause readmissions.</p>","PeriodicalId":520631,"journal":{"name":"Geriatrics (Basel, Switzerland)","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2021-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3390/geriatrics6010004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38797917","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}
{"title":"Effect of Exercise Training on Body Temperature in the Elderly: A Retrospective Cohort Study.","authors":"Koichiro Matsumura, Toshiji Iwasaka, Satoshi Mizuno, Ikuko Mizuno, Hikaru Hayanami, Kiyoshi Sawada, Junji Iwasaka, Kotaro Takeuchi, Toshimitsu Suga, Tetsuro Sugiura, Ichiro Shiojima","doi":"10.3390/geriatrics6010003","DOIUrl":"https://doi.org/10.3390/geriatrics6010003","url":null,"abstract":"<p><strong>Background: </strong>This study evaluated the effect of exercise training on body temperature and clarified the relationship between body temperature and body composition in the elderly.</p><p><strong>Methods: </strong>In this retrospective cohort study, a total of 91 elderly participants performed aerobic and anaerobic exercise training twice a week for 2 years. Non-contact infrared thermometer and bioelectrical impedance analysis were performed at baseline and at 2 years.</p><p><strong>Results: </strong>Mean age of study participants was 81.0 years. The participants were divided into two groups by baseline body temperature of 36.3 °C; lower body temperature group (n = 67) and normal body temperature group (n = 24). Body temperature rose significantly after exercise training in the lower body temperature group (36.04 ± 0.11 °C to 36.30 ± 0.13 °C, <i>p</i> < 0.0001), whereas there was no significant difference in the normal body temperature group (36.35 ± 0.07 °C to 36.36 ± 0.13 °C, <i>p</i> = 0.39). A positive correlation was observed between the amount of change in body temperature and baseline body temperature (r = -0.68, <i>p</i> < 0.0001). Increase in skeletal muscle mass was an independent variable related to the rise in body temperature by the multivariate logistic regression analysis (odds ratio: 4.77, 95% confidence interval: 1.29-17.70, <i>p</i> = 0.02).</p><p><strong>Conclusions: </strong>Exercise training raised body temperature in the elderly, especially those with lower baseline body temperature.</p>","PeriodicalId":520631,"journal":{"name":"Geriatrics (Basel, Switzerland)","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3390/geriatrics6010003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38785566","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}
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