Zeitschrift fur Gerontologie最新文献_第4页

[Medical management and social status of elderly Parkinson patients]. 老年帕金森患者的医疗管理与社会地位

Zeitschrift fur Gerontologie Pub Date : 1994-07-01

P Vieregge, D Körtke, C Meyer-Bornsen

{"title":"[Medical management and social status of elderly Parkinson patients].","authors":"P Vieregge, D Körtke, C Meyer-Bornsen","doi":"","DOIUrl":"","url":null,"abstract":"Seventy-four in- and out-patients (mean age 71.9 years) with Parkinsonian syndromes (summarized as \"PS\": idiopathic Parkinson's disease, vascular pseudo Parkinsonian syndrome (VPS), and Parkinson-dementia (PDK)) were prospectively evaluated as to present clinical state according to usual rating scales, as to clinical syndrome and physician's diagnosis and treatment at the start of the illness, and as to current medical and social care. 54% of the patients had history and findings of tremor, 14% had visual hallucinations, 19% had depression. Ratings on part II of the \"Unified Parkinson's Disease Rating Scale\" (UPDRS) describing \"activities of daily living\" correlated highly with the ratings of part III (\"motor evaluation\") and with another activity of daily living scale according to Schwab and England. The mean difference between time of diagnosis and start symptoms (the \"diagnostic delay\") was nearly 21 months. Initial symptoms did not show an impact on this difference. 68% of patients were presently treated by general physicians and were significantly older than those treated by neurologists. 59% were in-patients during the study and were more likely to carry a diagnosis of VPS or PDK. 75% of those patients who were ever in-patients during their illness had the disease for up to six years before they were first hospitalized. 77% of the patients had drug treatment; 88% of these took L-Dopa preparations. 23% of patients with drug treatment had L-Dopa-associated motor complications. 15% of patients lived alone, 66% with their family, and 19% in a nursing home. 24% of patients had assistance in their household by a professional caretaker. 16% of patients retired early from work. The long-term care of older Parkinsonian patients is a task for general medicine based on neurogeriatric expertise.","PeriodicalId":76845,"journal":{"name":"Zeitschrift fur Gerontologie","volume":"27 4","pages":"260-9"},"PeriodicalIF":0.0,"publicationDate":"1994-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18971446","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

[Epidemiology and therapy of Parkinson disease in inpatient nursing homes]. [住院疗养院帕金森病的流行病学与治疗]。

Zeitschrift fur Gerontologie Pub Date : 1994-07-01

S Evers, M Obladen

引用次数: 0

[Documentation and computer-assisted evaluation of basic data in a geriatric clinic]. [老年诊所基本数据的记录和计算机辅助评估]。

Zeitschrift fur Gerontologie Pub Date : 1994-07-01

W Bergemann, H Tölle

{"title":"[Documentation and computer-assisted evaluation of basic data in a geriatric clinic].","authors":"W Bergemann, H Tölle","doi":"","DOIUrl":"","url":null,"abstract":"We analyzed data of our clinic by a computer program for discharge letters developed by us. Structure of patients, types of diseases, and success in rehabilitation were recorded. The average age of our patients was 80 years. The biggest group have been the 80-85 years old ones. Two-thirds have been female. Our department is divided into three sections. Admissions made to the section treating patients with acute diseases were made in two-thirds of the cases from surgeries and in one-third from accidents. The section where patients are rehabilitated received only patients who had been admitted before. Two-thirds of them were suffering from surgical diseases (especially orthopedic/traumatic problems). One-third from medical or neurological diseases--especially stroke. In the section for long-term treatment we transferred patients with chronic diseases, mainly from our own sections for acute care and rehabilitation. Twenty percent came from other departments and other hospitals. Discharge: Fifty-one percent of patients treated in the section for acute care were discharged. More than one-fourth were transferred to the section for long-term treatment. Thirteen percent died. Two-thirds of the rehabilitated patients were discharged home. Sixteen percent were treated long-term; about seven percent died. From our section for long-term treatment one-third of the patients were discharged home. Nineteen percent were discharged to nursing homes or other homes for seniors. Forty-one percent died. Younger patients could more likely be discharged without home nursing care and to a household with other members. More than fifty percent of patients of 80 years and older lived alone and required homecare.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":76845,"journal":{"name":"Zeitschrift fur Gerontologie","volume":"27 4","pages":"276-84"},"PeriodicalIF":0.0,"publicationDate":"1994-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18971450","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

[Social aspects in diagnosis and therapy of very elderly patients. Initial experiences with a newly developed questionnaire within the scope of geriatric assessment]. 老年患者诊断和治疗中的社会因素。在老年评估范围内新开发的问卷的初步经验]。

Zeitschrift fur Gerontologie Pub Date : 1994-07-01

T Nikolaus, N Specht-Leible, M Bach, P Oster, G Schlierf

{"title":"[Social aspects in diagnosis and therapy of very elderly patients. Initial experiences with a newly developed questionnaire within the scope of geriatric assessment].","authors":"T Nikolaus, N Specht-Leible, M Bach, P Oster, G Schlierf","doi":"","DOIUrl":"","url":null,"abstract":"To evaluate social aspects of elderly patients which are important for diagnosis and therapy within geriatric assessment, a questionnaire was developed and validated. Raters showed a high degree of agreement on the scale, which contains social contacts and support, activities, economic situation, and housing conditions (0.92-0.97; p < 0.05). Compared to the interrater reliability the test-retest reliability was somewhat lower (0.75), but also significant at the 5% level. The internal consistency showed high values between 0.72-0.89. In order to evaluate the validity of the screening test the answers of the patients were compared with the assessment of the therapeutic team. The team had information from a home visit, patients spouse, relatives, neighbors, community nurses and/or general practitioners. There was a significant relationship (p < 0.01) between therapeutic assessment and the scale (r = 0.51). Sensitivity, specificity, and total efficiency also attained sufficiently high values at a cut-off of 16/17 for the complete scale (max. 25 points). The test is easily and quickly performed; its acceptance is high. Social data relevant for treatment and discharge planning can thus be obtained and patients can be identified, for whom a home visit seems to be useful.","PeriodicalId":76845,"journal":{"name":"Zeitschrift fur Gerontologie","volume":"27 4","pages":"240-5"},"PeriodicalIF":0.0,"publicationDate":"1994-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18970872","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

[Changes in parameters of lipid metabolism and anti-oxidative potentials in elderly hyperlipoproteinemic patients treated with omega-3 fatty acids]. [ω -3脂肪酸治疗老年高脂血症患者脂质代谢参数及抗氧化电位的变化]。