Gerontology and Geriatric Medicine最新文献_第3页

Codeine Withdrawal Presenting as Acute Delirium in an Older Adult. 可待因戒断后出现急性谵妄的老年人。

IF 2.1

Gerontology and Geriatric Medicine Pub Date : 2024-09-24 eCollection Date: 2024-01-01 DOI: 10.1177/23337214241284909

Ina Dubin, Ami Schattner

引用次数: 0

COVID-19 Hospitalization Outcomes for Long-Term Care Facility Residents With Dementia: Mediation by Pre-existing Health Conditions. COVID-19 痴呆症长期护理机构住院患者的住院治疗结果：既往健康状况的中介作用。

IF 2.1

Gerontology and Geriatric Medicine Pub Date : 2024-09-24 eCollection Date: 2024-01-01 DOI: 10.1177/23337214241284035

Cheng Yin, Elias Mpofu, Kaye Brock, Stan Ingman

{"title":"COVID-19 Hospitalization Outcomes for Long-Term Care Facility Residents With Dementia: Mediation by Pre-existing Health Conditions.","authors":"Cheng Yin, Elias Mpofu, Kaye Brock, Stan Ingman","doi":"10.1177/23337214241284035","DOIUrl":"https://doi.org/10.1177/23337214241284035","url":null,"abstract":"Background: This study explores COVID-19 emergency admission and length of hospital stay hospitalization outcomes for Long-Term Care Facility (LTCF) residents with dementia. Methods: Utilizing a cross-sectional case control design, we employed logistic regression to analyze Texas Inpatient Public Use Data File (PUDF) for 1,413 dementia patients and 1,674 non-dementia patients (>60 years) to predict emergency admission and length of hospital stay with mediation by pre-existing conditions. Results: LTCF residents with dementia have a higher likelihood of COVID-19 emergency admission and shorter hospital stays. Adjusting for confounders of demographics, health insurance, and lifestyle, dementia diagnosis remained significantly associated with emergency admission and shorter hospital stays with preexisting conditions. Conclusion: Findings underscore the heightened risk for adverse COVID-19 hospitalization care disparities with dementia. Targeted health support programs for LTCF residents with dementia should aim to improve their COVID19 hospitalization outcomes, treating pre-existing health conditions and reducing their risk for excess mortality.","PeriodicalId":52146,"journal":{"name":"Gerontology and Geriatric Medicine","volume":"10 ","pages":"23337214241284035"},"PeriodicalIF":2.1,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11423368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332100","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

Improving Hurricane Preparedness Among Galveston County Older Adults: Description of a Successful Community-Based Quality Improvement Model. 提高加尔维斯顿县老年人的飓风防范能力：描述一个成功的社区质量改进模式。

IF 2.1

Gerontology and Geriatric Medicine Pub Date : 2024-09-21 eCollection Date: 2024-01-01 DOI: 10.1177/23337214241278550

Jennifer Young, Jessica den Herder, Tammie Michael, Diana P Bernardez, Zachary Carson, Mukaila Raji, Yong Fang Kuo

{"title":"Improving Hurricane Preparedness Among Galveston County Older Adults: Description of a Successful Community-Based Quality Improvement Model.","authors":"Jennifer Young, Jessica den Herder, Tammie Michael, Diana P Bernardez, Zachary Carson, Mukaila Raji, Yong Fang Kuo","doi":"10.1177/23337214241278550","DOIUrl":"10.1177/23337214241278550","url":null,"abstract":"Older adults are at high risk of experiencing injury, exacerbations of their chronic conditions, and death when evacuations are ordered because of hurricanes or natural disasters. The Homebound seniors residing in Galveston County are at a particularly high risk of morbidity and mortality during evacuations for hurricanes. This paper described the impact of a quality improvement intervention designed and implemented by nurse practitioners during the 2022 and 2023 hurricane season. The education program aimed at increasing the hurricane preparedness of the home-bound patients. Of these patients, 190 returned pre and post surveys. Interventions showed a 43% increase in patients having an evacuation plan in the event of a hurricane, 633% increase in STEAR registration, 16% increase in patients having access to emergency supplies, and 34% increase in patients having an emergency contact list with up-to-date medication list. All improvements on hurricane preparedness items were significant (p < .0001) except for the need for assistance in case of an evacuation. Our findings suggest a need for continuous hurricane preparedness education in the community to ensure safe evacuation, improve hurricane preparation, and increase the number of seniors who registered with the State of Texas Emergency Assistance Registry.","PeriodicalId":52146,"journal":{"name":"Gerontology and Geriatric Medicine","volume":"10 ","pages":"23337214241278550"},"PeriodicalIF":2.1,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11418349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309113","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

Health Care Access and Quality of Life of Community-Dwelling Senior Citizens in Pampanga, Philippines. 菲律宾邦板牙省居住在社区的老年人获得医疗保健的机会和生活质量。

IF 2.1

Gerontology and Geriatric Medicine Pub Date : 2024-09-17 eCollection Date: 2024-01-01 DOI: 10.1177/23337214241280851

Rogie Royce Carandang, Ann Dreyko Olea, Precious Kaila Legaspi, Yessamin Quimen, Ma Niña Ebrada, Kevin Jace Miranda

{"title":"Health Care Access and Quality of Life of Community-Dwelling Senior Citizens in Pampanga, Philippines.","authors":"Rogie Royce Carandang, Ann Dreyko Olea, Precious Kaila Legaspi, Yessamin Quimen, Ma Niña Ebrada, Kevin Jace Miranda","doi":"10.1177/23337214241280851","DOIUrl":"10.1177/23337214241280851","url":null,"abstract":"This study examined the association between healthcare access and quality of life (QOL) among senior citizens in Pampanga, Philippines. We conducted a cross-sectional study among 410 community-dwelling senior citizens aged 60 and above. Using validated scales, we assessed both healthcare access and QOL. Descriptive statistics were employed to characterize the senior citizens, and multiple linear regression was used to examine the association between healthcare access and QOL. Senior citizens, averaging 69 years old, were predominantly women, single/widowed, and with comorbidities. They reported high healthcare access (mean = 120.13) and moderate QOL (mean = 70.79). Environmental health scored highest in QOL domains, while social relationships scored lowest. Overall healthcare access was positively associated with overall QOL (B [unstandardized beta] = .22, 95% CI [confidence interval] 0.10, 0.33) and its domains. Significant associations with overall QOL were observed for accessibility (B = 1.95, 95% CI 0.98, 2.91) and affordability (B = -1.60, 95% CI -2.46, -0.74). Filipino senior citizens in Pampanga demonstrated high healthcare access and moderate QOL. The study highlights the importance of healthcare access in enhancing senior citizens' QOL, particularly regarding accessibility and affordability. Further research is needed to explore the nuanced relationships between healthcare access subscales and specific QOL domains.","PeriodicalId":52146,"journal":{"name":"Gerontology and Geriatric Medicine","volume":"10 ","pages":"23337214241280851"},"PeriodicalIF":2.1,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11440559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332101","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 Wellbeing Index for Persons with Dementia-An Observational Study Based on the Group Observational Measurement of Engagement (GOME). 痴呆症患者幸福指数--基于参与度团体观察测量（GOME）的观察研究。

IF 2.1

Gerontology and Geriatric Medicine Pub Date : 2024-09-15 eCollection Date: 2024-01-01 DOI: 10.1177/23337214241274883

Jiska Cohen-Mansfield, Rinat Cohen

{"title":"The Wellbeing Index for Persons with Dementia-An Observational Study Based on the Group Observational Measurement of Engagement (GOME).","authors":"Jiska Cohen-Mansfield, Rinat Cohen","doi":"10.1177/23337214241274883","DOIUrl":"https://doi.org/10.1177/23337214241274883","url":null,"abstract":"The Group Observational Measurement of Engagement (GOME) was developed to capture the impact of group recreational activities on the engagement and general wellbeing of persons with dementia. The psychometric properties of the GOME were originally described in a study of group activities conducted at one large Canadian geriatric center. Continuing this work in Israel, this article reports on further psychometric properties of the GOME based on observations of 115 persons with dementia from 10 geriatric units, of which four were senior day center units (in three institutions) and six were nursing units (representing five other institutions). Very good inter-rater reliability between research observers was found. Factor analysis suggests that the GOME's four individual-level outcomes can be combined into one indicator, the Wellbeing Index. Validity, examined via agreement between research observers and group activity leaders who were staff members in the facilities where the group activities were conducted, also showed high levels of positive correlations. The GOME provides a practical tool for assessing wellbeing in the context of group activities. It can be useful in clarifying the relative impact of process variables on participants' general wellbeing.","PeriodicalId":52146,"journal":{"name":"Gerontology and Geriatric Medicine","volume":"10 ","pages":"23337214241274883"},"PeriodicalIF":2.1,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11403567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300547","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

Assessment of Subnutritional Indices and Associated Risk Factors of Malnutrition Among Older Adults. 评估老年人亚营养指标及相关营养不良风险因素。

IF 2.1

Gerontology and Geriatric Medicine Pub Date : 2024-09-15 eCollection Date: 2024-01-01 DOI: 10.1177/23337214241279636

Idongesit KokoAbasi Isong, Kingsley John Emmanuel, Glory Okoi Abam, Iya Eze Bassey, Mercy Etim Jackson, Unwana Paul Obadare, Ifure Uwem KokoAbasi

{"title":"Assessment of Subnutritional Indices and Associated Risk Factors of Malnutrition Among Older Adults.","authors":"Idongesit KokoAbasi Isong, Kingsley John Emmanuel, Glory Okoi Abam, Iya Eze Bassey, Mercy Etim Jackson, Unwana Paul Obadare, Ifure Uwem KokoAbasi","doi":"10.1177/23337214241279636","DOIUrl":"https://doi.org/10.1177/23337214241279636","url":null,"abstract":"Malnutrition is a multifactorial problem affecting older adults especially in developing countries like Nigeria. Eighty-five subjects which comprise 55 older adults and 30 controls were recruited. Total protein, Albumin, Calcium, Vitamin-C and Vitamin D were estimated using Biuret's method, Bromo-Cresol Green method, O-Cresolphthalein-Complexone, High performance liquid chromatography, and ELISA methods respectively. Cognitive and nutritional status information were obtained using Mini-Cog test and MNA-short form. Data were analyzed at p < .05. Activities of daily living (ADL) was observed to be associated with nutritional status in older adults. The prevalence of older adults at risk of malnutrition was found to be 58.2%. Blood pressure, albumin and total protein were significantly higher in older adults (p < .05) compared to the younger adults. Total protein was significantly higher in older female subjects (p < .05) compared to older male subjects. It was also significantly higher in non- institutionalized older adults than in those who were institutionalized. Calf circumference was significantly lower (p < .05) in those with poor cognitive status. BMI and calcium were significantly lower in the malnourished older adults. It is concluded that older adults who are dependent, most of which are institutionalized may be more exposed to malnutrition, frailty and cognitive impairment.","PeriodicalId":52146,"journal":{"name":"Gerontology and Geriatric Medicine","volume":"10 ","pages":"23337214241279636"},"PeriodicalIF":2.1,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11403568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300590","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

Enhancing Telehealth Accessibility for Older Adults in Underserved Areas: A 4M Framework Approach. 提高服务欠缺地区老年人的远程保健可及性：4M 框架方法。

IF 2.1

Gerontology and Geriatric Medicine Pub Date : 2024-09-15 eCollection Date: 2024-01-01 DOI: 10.1177/23337214241277045

Soohyoung Rain Lee, Andrea Maxi, Laurie Kim, Yihyun Kim, Ian Choe, Chelin Hong, Pearl Kim, Peter S Reed, Yonsu Kim, Jay Shen, Ji Won Yoo

{"title":"Enhancing Telehealth Accessibility for Older Adults in Underserved Areas: A 4M Framework Approach.","authors":"Soohyoung Rain Lee, Andrea Maxi, Laurie Kim, Yihyun Kim, Ian Choe, Chelin Hong, Pearl Kim, Peter S Reed, Yonsu Kim, Jay Shen, Ji Won Yoo","doi":"10.1177/23337214241277045","DOIUrl":"https://doi.org/10.1177/23337214241277045","url":null,"abstract":"Background: Telehealth has emerged as a vital alternative to traditional healthcare delivery, particularly for rural and underserved populations. While efforts to enhance telehealth accessibility have primarily focused on technological solutions, the effectiveness of its telehealth and the role of physician training in bridging racial and ethnic disparities in telehealth usage remains underexplored. This study evaluates the impact of a trained-physician-delivered, age-friendly telehealth model on healthcare accessibility and outcomes. Methods: A retrospective analysis was conducted on 214 older patients (60+) at an urban primary care facility in Nevada, USA. Patients received telehealth services from either trained or non-trained physicians, with the trained group utilizing a 4M-based telehealth model focusing on Medication, Mentation, Mobility, and What Matters. Results: Findings revealed lower exposure to both general and 4M-based telehealth among Hispanic and Asian patients compared to their white counterparts. Telehealth usage did not significantly reduce hospital or emergency department visits overall. However, certain types of 4M-based telehealth, such as What Matters and Medications, reduced hospital and ED visits. Implications: The development and implementation of telehealth education curricula for healthcare providers could make telehealth more accessible to minority patients, potentially reducing unnecessary emergency department visits and addressing disparities in telehealth access.","PeriodicalId":52146,"journal":{"name":"Gerontology and Geriatric Medicine","volume":"10 ","pages":"23337214241277045"},"PeriodicalIF":2.1,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11403561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300544","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

Bridging the Gap: A Comparative Analysis of Healthcare Quality Perceptions Between the Older People and Healthcare Providers. 缩小差距：老年人与医疗服务提供者对医疗质量看法的比较分析。

IF 2.1

Gerontology and Geriatric Medicine Pub Date : 2024-09-15 eCollection Date: 2024-01-01 DOI: 10.1177/23337214241280047

Željka Karin, Roberta Matković, Danira Matijaca, Pietro Hiram Guzzi, Efthalia Angelopoulou, Chrysanthi Kiskini, Danica Stevović, Vlatka Martinović, Mitja Luštrek, Katarina Vukojević

{"title":"Bridging the Gap: A Comparative Analysis of Healthcare Quality Perceptions Between the Older People and Healthcare Providers.","authors":"Željka Karin, Roberta Matković, Danira Matijaca, Pietro Hiram Guzzi, Efthalia Angelopoulou, Chrysanthi Kiskini, Danica Stevović, Vlatka Martinović, Mitja Luštrek, Katarina Vukojević","doi":"10.1177/23337214241280047","DOIUrl":"https://doi.org/10.1177/23337214241280047","url":null,"abstract":"In our study aimed at improving the healthcare system for the aging population, we compared healthcare quality evaluations between 96 older individuals and 30 healthcare providers in Split-Dalmatia County (Croatia). Using nonparametric analyses such as the Mann-Whitney and Wilcoxon tests on Likert scale questionnaire scores, we found most participants highlighted challenges such as healthcare affordability, long wait times, reliance on private care, poor public transportation, and insufficient rural healthcare services. Healthcare providers rated these quality indicators even more negatively. Both groups rated healthcare for dementia patients notably lower, while emergency response, treatment quality, and hospitalization ease were generally rated positively. The heightened awareness among healthcare providers raises the question: why is there a significant delay between recognizing these problems and implementing effective solutions to address them?","PeriodicalId":52146,"journal":{"name":"Gerontology and Geriatric Medicine","volume":"10 ","pages":"23337214241280047"},"PeriodicalIF":2.1,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11406663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300543","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

Smartphones Helping Memory-Impaired Individuals Overcome Inconveniences During Daily Living. 智能手机帮助记忆力受损者克服日常生活中的不便。

IF 2.1

Gerontology and Geriatric Medicine Pub Date : 2024-09-10 eCollection Date: 2024-01-01 DOI: 10.1177/23337214241278501

Kira Masaki, Teruo Yokoi, Takayasu Fukuma, Takaaki Ishiyama

引用次数: 0

Comparison of Quantile Regression and Gaussian (Z-scores) Percentiles to BSA in Growth Charts With a Pakistani Population. 在巴基斯坦人口的成长图表中，将量值回归和高斯（Z-分数）百分位数与 BSA 进行比较。

IF 2.1

Gerontology and Geriatric Medicine Pub Date : 2024-09-06 eCollection Date: 2024-01-01 DOI: 10.1177/23337214241273189

Waqas Ghulam Hussain, Farrukh Shehzad, Atif Akbar

{"title":"Comparison of Quantile Regression and Gaussian (Z-scores) Percentiles to BSA in Growth Charts With a Pakistani Population.","authors":"Waqas Ghulam Hussain, Farrukh Shehzad, Atif Akbar","doi":"10.1177/23337214241273189","DOIUrl":"10.1177/23337214241273189","url":null,"abstract":"Introduction: In the current study, we construct growth charts of body surface area (BSA) for adults using the quantile regression (QR) approach and growth charts of different Gaussian Percentiles (Z-scores) against age. Methods: A cross-sectional data consisting of 3,473 individuals aged 5 or more, both males and females were taken from Multan city. Quantile regression (QR) was used to construct BSA growth charts. Growth charts for different Z-scores were also constructed. Results: For our data set, the mean BSA is 0.48750. The BSA percentiles show a trending higher after the age of 5 until the age of 22, then decrease between age 22 and 35, and then finally increase after age 35. The Z-score curve increases slightly after age 5 and then proceeds higher until age 22. After age 22 and before 35 it plateaus and then increases slightly after age 35. Conclusion: Since the use of empirical BSA percentiles and Z-scores with grouped age provides a discrete approximation for the population percentiles and Z-scores, it is more accurate to use continuous BSA percentile and Z-score, curves against given ages while using quantile regression and Z-score approach. Furthermore, this approach can also be adopted to construct many other growth charts for physiological and medical sciences.","PeriodicalId":52146,"journal":{"name":"Gerontology and Geriatric Medicine","volume":"10 ","pages":"23337214241273189"},"PeriodicalIF":2.1,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11380118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156635","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