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elderly inpatients

Yusuke Sasabuchi, Hiroki Matsui, Alan Kawarai Lefor, Kiyohide Fushimi, Hideo Yasunaga
INTRODUCTION: Although early surgery for elderly patients with hip fracture is recommended in existing clinical guidelines, the results of previous studies are inconsistent. The aim of this study was to compare postoperative outcomes of early and delayed surgery for elderly patients with hip fracture. MATERIALS AND METHODS: In this retrospective study using a national inpatient database in Japan, patients aged 65 years or older who underwent surgery for hip fracture between July 2010 and March 2014 were included...
July 27, 2018: Injury
Andrew B Crocker, Alexander Zeymo, Kitty Chan, David Xiao, Lynt B Johnson, Nawar Shara, Thomas DeLeire, Waddah B Al-Refaie
BACKGROUND: While pre-Affordable Care Act expansions in Medicaid eligibility led to increased utilization of elective inpatient procedures, the impact of the Affordable Care Act on such preference-sensitive procedures (also known as discretionary procedures) versus time-sensitive non-discretionary procedures remains unknown. As such, we performed a hospital-level quasi-experimental evaluation to measure the differential effects of the Affordable Care Act's Medicaid expansion on utilization of discretionary procedures versus non-discretionary procedures...
August 4, 2018: Surgery
Akifumi Uehara, Hiroaki Obata, Hiroshi Watanabe, Yuki Izumi, Yorio Suzuki, Tohru Izumi
The discharge of elderly patients from hospital on the basis of their independent gait program (DOPPO) is a new rehabilitation strategy for physically frail hospitalized elderly that aims to recover independent gait and to achieve ambulatory discharge. We retrospectively investigated baseline determinants of physical measures associated closely with the 6-min walking distance (6MWD) after DOPPO. Participants were 137 consecutive elderly inpatients, irrespective of the causative disease (mean age: 82±7 years; 76 women), who had a Short Physical Performance Battery (SPPB) score of less than 12 and low independent walking capacity...
August 6, 2018: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
T D R Hortencio, A P B S Golucci, F A L Marson, A F Ribeiro, R J Nogueira
BACKGROUND: Parenteral nutrition (PN)-dependent adults and elderly individuals who are admitted to hospital treatment are potentially susceptible to mineral disorder complications due to depleted physiological reserves, loss of lean body mass, and increased fat mass, thus worsening inflammation. AIM: The purpose of this study is to evaluate the prevalence of hypophosphatemia, hypokalemia, and hypomagnesaemia prior and within the first 7 days of PN infusion. Furthermore, whether malnutrition and old age are associated with these disorders was also investigated...
2018: Journal of Nutrition, Health & Aging
Anthony O Asemota, A Karim Ahmed, Taylor E Purvis, Peter G Passias, C Rory Goodwin, Daniel M Sciubba
BACKGROUND: Cervical spine (C-spine) injuries cause significant morbidity and mortality among the elderly. Although the population of older-adults ≥65 years in the US is expanding, estimates of the burden and outcome of C-spine injury are lacking. METHODS: The Nationwide Inpatient Sample 2001-2010 was analyzed. International Classification of Diseases codes identified patients with isolated C-spine fractures (ICF) and C-spine fractures with spinal cord injury (CSCI)...
August 2, 2018: World Neurosurgery
Jun Murai, Hitoshi Nishizawa, Akihito Otsuka, Shiro Fukuda, Yoshimitsu Tanaka, Hirofumi Nagao, Yasuna Sakai, Masahide Suzuki, Shinji Yokota, Hidetoshi Tada, Mayumi Doi, Yuya Fujishima, Shunbun Kita, Tohru Funahashi, Norikazu Maeda, Tadashi Nakamura, Iichiro Shimomura
BACKGROUND: Although obesity-related type 2 diabetes mellitus (T2DM) and sarcopenia in the elderly have been increasing worldwide, the associations among visceral fat accumulation, skeletal muscle indices (mass, strength, and quality) and cardiovascular diseases in T2DM remain poorly investigated. METHODS: We enrolled 183 Japanese T2DM inpatients (126 men, 57 women; mean age 64.7 ± 12.6 years, ± SD). The estimated-visceral fat area (eVFA) and skeletal muscle mass were measured by each device using bioelectrical impedance analysis method...
August 4, 2018: Cardiovascular Diabetology
Qian Chen, Ju-Hong Guo, Xiao-Feng Xu, Yan Zhou, Yin Zhang, Xiu-Ying Hu
BACKGROUND: While many studies have examined multidisciplinary interventions for swallowing disorder, most have focused on acute stroke patients. It is essential to confirm the efficacy of multidisciplinary interventions for all causes of swallowing disorder. PURPOSE: To investigate the efficacy of a nurse-led, multi-disciplinary intervention for hospitalized elderly patients with swallowing disorder. METHODS: One hundred and forty-five elderly patients with swallowing problems from a well-respected affiliate hospital of a university were studied...
August 2018: Hu Li za Zhi the Journal of Nursing
G Liotta, M C Inzerilli, L Palombi, A Bianchini, L Di Gennaro, O Madaro, M C Marazzi
INTRODUCTION: The paper describes the impact on Hospital Admissions of a program targeting the community-dwelling older citizens with social interventions aimed at managing frailty and reducing social isolation. STUDY DESIGN: The study is quasi-experimental intervention program. METHODS: A randomized sample made up by 207 participants (cases) to the Long Live the Elderly program is compared with a cohort of 308 older adults (controls) followed up since 2014 by the University of Tor Vergata...
September 2018: Annali di Igiene: Medicina Preventiva e di Comunità
Junpei Komagamine, Kenichi Sugawara, Miho Kaminaga, Shinpei Tatsumi
INTRODUCTION: Given that polypharmacy and potentially inappropriate prescribing are common in elderly orthopaedic patients, pharmacist interventions to improve medication practices among this population are important. However, past studies have reported mixed results regarding the effectiveness of pharmacist-led interventions in inpatient elderly care. Furthermore, few randomised controlled trials have evaluated patient-relevant outcomes as a primary endpoint. Therefore, we will evaluate whether a pharmacist-led intervention could reduce readmission of hospitalised elderly orthopaedic patients with polypharmacy or potentially inappropriate prescribing...
July 30, 2018: BMJ Open
Xiaofan Guo, Robert M Hayward, Eric Vittinghoff, Yamin Liu, Sun Yong Lee, Mark J Pletcher, Byron K Lee
Cardiac devices are increasingly an element of treatment for the elderly, leading to more frequent transvenous lead removal (TLR) procedures in this population. Data on TLR in very elderly patients, especially nonagenarians, is scarce. We used Healthcare Cost and Utilization Project Nationwide Inpatient Sample to identify a total of 36,099 patients ≥70 years who underwent TLR from 2005 to 2012, with outcomes including in-hospital mortality and complications. The in-hospital mortality rate was significantly higher in nonagenarians without device infection (0...
June 2, 2018: American Journal of Cardiology
Ahmed S Yassin, Ahmed Subahi, Hossam Abubakar, Emmanuel Akintoye, Rashid Alhusain, Oluwole Adegbala, Abdelrahman Ahmed, Adel Elmoughrabi, Eihab Subahi, Mohit Pahuja, Ali Sahlieh, Mahir Elder, Amir Kaki, Theodore Schreiber, Tamam Mohamad
Comparative outcomes of transcatheter aortic valve implantation (TAVI) in patients with and without liver cirrhosis are scarce. This study aimed to assess the clinical outcomes and impact of liver cirrhosis on patients who underwent TAVI. Patient with liver cirrhosis who underwent TAVI 2011 to 2014 were identified in the National Inpatient Sample database using the International Classification of Diseases, ninth revision, Clinical Modification (ICD-9-CM). The primary outcome was the effect of liver cirrhosis on inpatient mortality...
May 1, 2018: American Journal of Cardiology
Oluyemisi Amoda, Virendrasinh Ravat, Sorabh Datta, Bipin Saroha, Rikinkumar S Patel
Objective This study determines trends in demographics and hospitalization outcomes among patients admitted for systemic sclerosis (SScl) and evaluates the differences between comorbidities. Methods The study used data from the Nationwide Inpatient Sample (NIS) for the years 2010-2014. We identified SScl as the primary diagnosis and the associated medical and psychiatric comorbidities using validated International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes. The differences in comorbidities and in-hospital mortality were quantified using multinomial logistic regression (odds ratio (OR))...
May 14, 2018: Curēus
Kağan Özkuk, Bilal Uysal, Zeynep Ateş, Burcu Metin Ökmen, Refia Sezer, Gamze Dilek
This study aimed to investigate the effect of inpatient vs outpatient spa therapy on pain, quality of life, and anxiety in elderly patients with generalized osteoarthritis. A total of 150 patients were randomized into three groups. Group I was given medical treatment, group II was treated as outpatients, and group III was treated as inpatient spa therapy. Assessments were made using the Pain (VAS), EQ-5D-3L Scale, and State and Trait Anxiety Inventory (STAI) at the beginning of treatment (W0), at the end of treatment (W2), and at the fourth week after treatment (W6)...
July 18, 2018: International Journal of Biometeorology
Athanasios E Chantzaras, John N Yfantopoulos
BACKGROUND: Harsh funding cutbacks along with measures shifting cost to patients have been implemented in the Greek health system in recent years. Our objective was to investigate the evolution of financial protection of Greek households against out-of-pocket payments (OOPP) during the economic crisis. METHODS: National representative data of 33,091 households were derived from the Household Budget Surveys for the period 2008-2015. Financial protection was assessed by applying the approaches of catastrophic (CHE) and impoverishing OOPP...
August 2018: Social Science & Medicine
Ulrich J Spiegl, Brian M Devitt, Ihor Kasivskiy, Jan-Sven Jarvers, Christoph Josten, Christoph-Eckhard Heyde, Hannes M Fakler
INTRODUCTION: Surgical treatment of unstable burst fractures of the thoracolumbar spine in the elderly population is highly variable with combined posterior and anterior stabilization (CPAS) and posterior augmented stabilization with cementation of the vertebral body (hybrid) being two commonly used techniques. The aim of this study was to compare the clinical and radiographic outcomes of CPAS versus hybrid stabilization for the treatment of unstable burst fractures of the thoracolumbar spine in patients aged between 60 and 70 years...
July 14, 2018: Archives of Orthopaedic and Trauma Surgery
Neehar D Parikh, Yu-Hui Chang, Elliot B Tapper, Amit K Mathur
INTRODUCTION: The population of patients with cirrhosis is growing and shifting toward a more elderly demographic and thus are at risk of developing orthopedic complications. There is lack of data on safety of orthopedic procedures in this population. METHODS: We performed an analysis of the Nationwide Inpatient Sample from 2005 to 2011 for patients undergoing hip arthroplasty, knee arthroplasty, and spinal laminectomy/fusion, stratified by presence of cirrhosis...
July 11, 2018: Journal of Clinical Gastroenterology
Y Q Chen, J Du, Y H Liu, Z G Sun, Y Ma, W Shu, X Y Lyu, X Z Tian, L Li, W W Gao
Objective: To study the relationship between the weight change trend of initial treatment patients with pulmonary tuberculosis and the dose change trend of isoniazid, and therefore to analyze the appropriate dose of isoniazid. Methods: Data of initial treatment inpatients with pulmonary tuberculosis from May 1955 to December 2012 were retrospectively analyzed. Elderly patients with pulmonary tuberculosis, patients with drug-resistant tuberculosis, extrapulmonary tuberculosis and those with complications were excluded from the study...
July 12, 2018: Chinese Journal of Tuberculosis and Respiratory Diseases
Oliver Lasry, Nandini Dendukuri, Judith Marcoux, David L Buckeridge
BACKGROUND: Traumatic brain injury surveillance provides information for allocating resources to prevention efforts. Administrative data are widely available and inexpensive but may underestimate traumatic brain injury burden by misclassifying cases. Moreover, previous studies evaluating the accuracy of administrative data surveillance case definitions were at risk of bias by using imperfect diagnostic definitions as reference standards. We assessed the accuracy (sensitivity/specificity) of traumatic brain injury surveillance case definitions in administrative data, without using a reference standard, to estimate incidence accurately...
July 9, 2018: Epidemiology
Fernando de Bortoli Pereira, Marcos Antonio Lopes
In Brazil there is scarce data about the occurrence of delirium among hospitalized elderly patients. Objective: This study aimed to evaluate the prevalence of delirium among elderly patients hospitalized in clinical wards. Methods: This cross-sectional study examined a sample of elderly inpatients admitted to three clinical wards of a general hospital between July 2011 and May 2012. The presence of delirium was detected by applying the Confusion Assessment Method (CAM)...
April 2018: Dementia & Neuropsychologia
Zhiwei Liu, Parag Mahale, Eric A Engels
Background: Sepsis is an important cause of mortality among older adults in the United States. The association between sepsis and subsequent risk of cancer is poorly understood. Methods: We conducted a case-control study in US adults using the Surveillance, Epidemiology, and End Results (SEER)-Medicare linked database. We included 1,801,156 cases with a first cancer diagnosis in SEER during 1992-2013 (ages 66-115 years) and 200,000 cancer-free controls from a 5% random sample of Medicare beneficiaries...
July 4, 2018: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
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