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Archives of Gerontology and Geriatrics

Jae-Hyun Kim, Yunhwan Lee
This population-based time series study aimed to examine the effects of the long-term care insurance (LTCI) program on hospital utilization in Korea. Health insurance claim data and LTCI data were combined into a database of 92,596 individuals who were enrolled in Health Insurance at baseline. They were made of people who applied to LTCI program at least once since July 2008, and their hospital utilization records since 2002 were observed. Estimates of length of hospital stay (LOS) after the introduction of LTCI program were calculated using a segmented regression analysis...
July 9, 2018: Archives of Gerontology and Geriatrics
Wei-Qiang Chen, Na Guo, Shan-Shan Wang, Ren Wang, Fei Huang, Shang-Rong Li
OBJECTIVE: To compare the perioperative outcomes and hemodynamic effects at induction of general laryngeal mask airway (LMA) anesthesia with lumbar plexus-sciatic nerve block (LPSB) and general anesthesia with endotracheal intubation (ET) in elderly patients undergoing hip surgery. METHODS: A total of 63 patients having open reduction internal fixation of an intertrochanteric fracture were randomly assigned to receive LMA anesthesia with LPSB or general anesthesia with ET...
July 7, 2018: Archives of Gerontology and Geriatrics
Ja-Kyung Lee, Soong-Nang Jang
Previous research has revealed that many people wish to die at home; however, most die in healthcare institutions. This study explored factors related to the place of death and gender differences in this regard among older adults in South Korea. Participants included older adults from the Korean Longitudinal Study of Ageing. Multinomial logistic regression was used to examine relationships between place of death and relevant factors. Most older adults died in hospitals, followed by at home and in assisted living residences...
July 7, 2018: Archives of Gerontology and Geriatrics
Luís Midão, Anna Giardini, Enrica Menditto, Przemyslaw Kardas, Elísio Costa
Polypharmacy, a common condition among the elderly, is associated with adverse outcomes, including increased healthcare costs, due to higher mortality, falls and hospitalizations rates, adverse drug reactions, drug-drug reactions and medication nonadherence. This study aims to evaluate the prevalence and factors related to polypharmacy in older adults across 17 European countries, plus Israel. In this cross-sectional analysis, we used data from participants aged 65 or more years from Wave 6 of the Survey of Health, Ageing, and Retirement in Europe (SHARE) database...
June 30, 2018: Archives of Gerontology and Geriatrics
E H Mizrahi, N Harel, A D Heymann, E Lubart, A Leibovitz, E Malik Gadot, R B Barkan
The purpose of the present study was focused on the relationship between change in cognition and the functional outcome during rehabilitation in demented and non-demented adult hip fracture patients. We studied seventy consecutive adult patients with hip fracture admitted to our rehabilitation wards. Functional outcome was assessed by the Functional Independence Measure (FIM). The gain in cognition during the rehabilitation process was measured by the difference in Mini Mental State Examination scores at admission and discharge...
June 30, 2018: Archives of Gerontology and Geriatrics
Orapin Laosee, Cheerawit Rattanapan, Ratana Somrongthong
BACKGROUND: The size of elderly populations is growing in most areas of the world. The Thai Eleventh National Economic and Social Development Plan revealed an increase in the elderly, while numbers of younger, working-age adults decreased. Thailand has become an aging society since 2015, which is significant in that senior adults have a higher risk of involvement in motor vehicle accidents and are more susceptible to injuries and fatalities. This study investigated the role of physical and cognitive function with regard to road traffic injury in senior drivers...
June 30, 2018: Archives of Gerontology and Geriatrics
Nuworza Kugbey, Theodore Atsu Nortu, Bright Akpalu, Martin Amogre Ayanore, Francis Bruno Zotor
BACKGROUND: Ageing comes with its own associated physical and psychosocial challenges. Depression is reported as one of the most prevalent psychopathology found among elderly people. However, there is dearth of literature in Ghana regarding mental health and its associated risk and protective factors among Ghanaians who are aged 65years and above. This study examined the prevalence and factors associated with depression among the aged in Ghana. METHODS: A cross-sectional survey design was employed and a total of 262 elderly people (65+years) were sampled...
June 28, 2018: Archives of Gerontology and Geriatrics
Manon Marquet, Mohamed Boutaayamou, Cédric Schwartz, Médéa Locquet, Olivier Bruyère, Jean-Louis Croisier, Stéphane Adam
This study investigated the way negative stereotypes influence older adults' physical performance and how old they feel mentally and physically. Sixty-four older adults aged 65 years and older performed different physical tasks using a 3D optoelectronic system under a low or high stereotype threat condition. Self-perceptions of aging were considered as a moderator of the effects of threat. Overall, the effects of threat on physical performance were mostly not significant across tasks. However, threat condition influenced older adults' mental subjective age after they had performed the physical tests; people in the high-threat condition felt closer to their chronological age...
June 26, 2018: Archives of Gerontology and Geriatrics
Stephen Aichele, Patrick Rabbitt, Paolo Ghisletta
It is well established that cerebral white matter lesions (WML), present in the majority of older adults, are associated with cardiovascular and cerebrovascular diseases and also with cognitive decline. However, much less is known about how WML are related to other important individual characteristics and about the generality vs. brain region-specificity of WML. In a longitudinal study of 112 community-dwelling adults (age 50-71 years at study entry), we used a machine learning approach to evaluate the relative strength of 52 variables in association with WML burden...
June 23, 2018: Archives of Gerontology and Geriatrics
Fei Wang, Li-Rong Meng, Qinge Zhang, Lu Li, Bernice O C Lam Nogueira, Chee H Ng, Gabor S Ungvari, Cai-Lan Hou, Lianqi Liu, Wei Zhao, Fu-Jun Jia, Yu-Tao Xiang
There are limited available data on elder abuse and its impact on quality of life (QOL) in China. This study investigated the prevalence of elder abuse in nursing homes and its associated demographic, clinical factors and QOL in Macau and Guangzhou, China. A total of 681 subjects (244 in Macau and 437 in Guangzhou) were consecutively recruited. The prevalence of elder abuse was 11.48% and 8.24% in Macau and Guangzhou, respectively. Multivariate analyses revealed that having a religion and depressive symptoms were independently and positively associated with elder abuse...
June 22, 2018: Archives of Gerontology and Geriatrics
Stephanie Sakr, Souheil Hallit, Maria Haddad, Lydia Rabbaa Khabbaz
OBJECTIVE: To assess and compare, according to Beers and STOPP criteria, the frequency and causes of potentially inappropriate medications (PIMs) in elderly, as well as the relationship between PIMs use and patient's treatment satisfaction, evaluated using the Treatment Satisfaction Questionnaire for Medications (TSQM). METHOD: 350 patients (mean age = 73.49 years), taking a total of 1893 medications, were enrolled from community pharmacies. RESULTS: 6...
June 22, 2018: Archives of Gerontology and Geriatrics
Lilach Samuel, Miri Cohen
AIM: A clear gap exists in regard to emotional eating and the effects of affect and expressive suppression on emotional eating among older individuals. The aim was to compare the emotional eating patterns of younger and older individuals and assess the role of expressive suppression in the association between affectivity and emotional eating in each of the age groups. METHODS: Participants were 210 individuals recruited by means of a convenience sampling, which intentionally included a wide age range, along with varied socio-economic and education levels...
June 22, 2018: Archives of Gerontology and Geriatrics
Jukka K Rönneikkö, Esa R Jämsen, Matti Mäkelä, Harriet Finne-Soveri, Jaakko N Valvanne
BACKGROUND: Unplanned hospitalizations and emergency room visits occur frequently among home care clients The aim of this study was to identify typical discharge diagnoses and their associations with patient characteristics among a total of 6812 Finnish home care clients aged ≥63 years who were hospitalized within one year of their first home care assessment. METHODS: A register-based study based on Resident Assessment Instrument-Home Care (RAI-HC) assessments and nationwide hospital discharge records...
June 22, 2018: Archives of Gerontology and Geriatrics
Toshimasa Sone, Naoki Nakaya, Yasutake Tomata, Masayuki Hoshi, Ichiro Tsuji
INTRODUCTION: This cross-sectional study aimed to determine association between partners' functional disability and community activity in an elderly Japanese population. METHODS: A baseline survey was conducted between December 1 st and December 15th, 2006 and included 6600 participants from whom we collected data regarding their participation in community activity and functional disability among their partners. We defined functional disability as receiving certification for long-term care insurance in Japan, and frequent community activity as engaging in community activity more than once a month...
June 19, 2018: Archives of Gerontology and Geriatrics
Bruno Bessa, Oscar Ribeiro, Tiago Coelho
INTRODUCTION: Different concepts of frailty have resulted in different assessment tools covering distinct dimensions. Despite the growing recognition that there is an association between frailty and social factors, there's a lack of clarity on what is being assessed in terms of "social aspects" of frailty. OBJECTIVE: This paper provides a review of frailty assessment instruments (screening tools and severity measures) with a special focus on their social components...
June 18, 2018: Archives of Gerontology and Geriatrics
Utako Shimizu, Hagiko Aoki, Momoe Sakagami, Kohei Akazawa
BACKGROUND: Hemodialysis patients in Japan are aging, but the influence of lifestyle factors on EuroQoL 5-Dimension 5-Level (EQ-5D-5 L) scores in older hemodialysis patients is unclear. This study aimed to measure health-related quality of life using the EQ-5D-5 L for older hemodialysis patients and to identify the lifestyle factors affecting EQ-5D-5 L scores in Japan. METHODS: Outpatients aged 65 years or older who had been receiving maintenance hemodialysis for more than 5 years were selected to determine their EQ-5D-5 L scores...
June 18, 2018: Archives of Gerontology and Geriatrics
L R Tavares, M R Barbosa
BACKGROUND: Geriatric depression is a common and debilitating psychopathology, but evidence supports the efficacy of psychotherapy in its treatment. Group therapy provides advantages over individual interventions. However, only three systematic reviews have focused specifically on the efficacy of group therapy for geriatric depression. OBJECTIVE: To ascertain the effects of group psychotherapy on geriatric depression in people aged 60 years and older, compared with alternative treatments or no treatment...
June 18, 2018: Archives of Gerontology and Geriatrics
S Ganhão-Arranhado, C Paúl, R Ramalho, P Pereira
Nutritional status is important to elders to live without disabilities. Food Insecurity (FI) is a risk factor associated with poorer nutritional status among elderly as well as a social determinant. This research aimed to identify FI prevalence and to explore the relation between FI, weight status and socio-demographic factors. METHODS: This cross-sectional study was conducted from September 2015 to February 2016 in Lisbon. Malnutrition was determined using Mini Nutritional Assessment (MNA)...
June 13, 2018: Archives of Gerontology and Geriatrics
Kazuhiro Harada, Sangyoon Lee, Sungchul Lee, Seongryu Bae, Kenji Harada, Hiroyuki Shimada
BACKGROUND: Older adults with cognitive impairment are at higher risk for various health problems. Although previous studies have suggested going outdoors more frequently might be effective to promote health, no longitudinal studies have examined objectively measured outdoor time in this population. This study examined the relationships between changes in objectively measured outdoor time and physical, psychological, and cognitive functions among older adults with cognitive impairments...
June 11, 2018: Archives of Gerontology and Geriatrics
Kai-Ting Chang, Chih-Hao Chen, Hai-Hua Chuang, Yu-Chung Tsao, Yan-An Lin, Pu Lin, Yun-Hung Chen, Wei-Chung Yeh, I-Shiang Tzeng, Jau-Yuan Chen
BACKGROUND AND AIMS: The aim was to investigate the relationships between visceral fat rating scale (VFR), waist circumference (WC), body mass index (BMI) and cardiovascular disease (CVD) risk. METHODS: In this cross-sectional, community-based study, participants completed questionnaire that included personal and medical history, and underwent anthropometric measurement and blood sampling. The 2008 general CVD risk model was used to predict CVD risk. Associations between CVD risk and VFR, WC, BMI were evaluated by means of analysis of covariance (ANCOVA) with gender as covariate, Chi-squared test, Pearson's correlation, Cochran-Armitage test, multivariate logistic regression and receiver operating characteristic curves...
June 11, 2018: Archives of Gerontology and Geriatrics
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