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https://www.readbyqxmd.com/read/28544166/clinical-features-of-extremely-elderly-patients-with-heart-failure
#1
Tetsuro Yokokawa, Akiomi Yoshihisa, Yuki Kanno, Takamasa Sato, Satoshi Suzuki, Tomofumi Misaka, Masayoshi Oikawa, Atsushi Kobayashi, Takayoshi Yamaki, Hiroyuki Kunii, Kazuhiko Nakazato, Hitoshi Suzuki, Shu-Ichi Saitoh, Yasuchika Takeishi
AIM: To investigate the clinical features of heart failure in extremely elderly patients. METHODS: We analyzed 1163 consecutive hospitalized heart failure patients. The patients were divided into an extremely elderly group (≥85 years-of-age, n = 88) and a non-extremely elderly group (<85 years-of-age, n = 1075). RESULTS: The extremely elderly group had higher rates of hypertension, chronic kidney disease, anemia, higher systolic blood pressure and lower body mass index, and lower use of β-blockers and anticoagulants compared with the non-extremely elderly group...
May 21, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28386804/-current-insights-into-anemia-in-old-age-summary-of-the-symposium-anemia-in-old-age-on-the-occasion-of-the-annual-congress-of-the-german-society-for-geriatrics-dgg-2016-in-stuttgart
#2
Gabriele Röhrig, Ines Gütgemann, Gero von Gersdorff, Maria Cristina Polidori, Adrian Lupescu, Florian Lang, Gerald Kolb
Anemia in advanced age is often a multifactorial condition requiring an interdisciplinary approach. The contributions to the opening interdisciplinary symposium on anemia in older subjects focused on physiological and histopathological as well as on nephrological and neurogeriatric aspects and on the therapeutic implications of this underdiagnosed, yet highly frequent disease. The symposium was the kick-off event for the founding of the German Geriatric Society special interest group on anemia in advanced age...
April 6, 2017: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/28244583/the-application-of-the-diagnostic-therapeutic-care-pathway-for-the-geriatric-patient-with-anemia-at-the-hospital-of-cosenza-italy-a-management-tool-or-a-quality-project
#3
M Loizzo, O Cuccurullo, F Gallo
BACKGROUND: Many studies in literature, indicate that the prognosis of hospitalized elderly patients is substantially related to the presence of concomitant diseases (multi-morbidity) along with physical, cognitive, biological and social functional impairments. These patients, therefore, require the expertise of a multi-professional and multi-disciplinary team operating in a Multi Dimensional Rating (MDR). MDR explores the multiple facets of the elderly and it is considered the tool of choice to define prognosis, especially in the case of compromised elderly patients with clinical or functional problems...
March 2017: Annali di Igiene: Medicina Preventiva e di Comunità
https://www.readbyqxmd.com/read/28195648/hematology-and-biochemistry-of-aging-evidence-of-anemia-of-the-elderly-in-old-dogs
#4
Lauren B Radakovich, Stephen C Pannone, Matthew P Truelove, Christine S Olver, Kelly S Santangelo
BACKGROUND: Effects of aging on hematologic and biochemical variables are well described in people. Anemia of the elderly is attributed to iron deficiency, anemia of chronic disease, chronic kidney disease, myelodysplasia, or idiopathic causes. Limited studies have examined these variables in aging dogs, but they have typically examined single breeds in research settings. OBJECTIVE: The objective of this study was to identify differences in CBC and biochemistry values between adult and aged dogs of many breeds...
March 2017: Veterinary Clinical Pathology
https://www.readbyqxmd.com/read/28188967/prevalence-of-anemia-and-iron-deficiency-in-older-portuguese-adults-an-empire-substudy
#5
António Robalo Nunes, Cândida Fonseca, Filipa Marques, Aurora Belo, Dialina Brilhante, José Cortez
AIM: The present study aimed to characterize the prevalence of anemia and iron deficiency in older Portuguese adults, and to compare it with the prevalence in younger individuals. METHODS: A population-based, cross-sectional study (EMPIRE study) enrolling a representative sample of 6267 adults aged <65 years and 1617 adults aged ≥65 years was carried out. Hemoglobin, ferritin, creatinine and C-reactive protein levels were measured by Point-of-Care tests. RESULTS: Anemia was more prevalent (P < 0...
February 11, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28131609/geriatric-syncope-and-cardiovascular-risk-in-the-emergency-department
#6
Nissa J Ali, Shamai A Grossman
BACKGROUND: Syncope is a transient loss of consciousness that is caused by a brief loss in generalized cerebral blood flow. OBJECTIVE: This article reviews the background, epidemiology, etiologies, evaluation, and disposition considerations of geriatric patients with syncope, with a focus on cardiovascular risk. DISCUSSION: Although syncope is one of the most common symptoms in elderly patients presenting to the emergency department, syncope causes in geriatric patients can present differently than in younger populations, and the underlying etiology is often challenging to discern...
April 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27999879/-perioperative-patient-management-in-orthogeriatrics
#7
P Moldzio, J Peters
The management of major orthopedic surgery in the elderly prototypically reflects the perioperative risks of geriatric, often very frail patients reflecting an aging population. To improve outcome, the risks of anesthesia and surgery as well as of patient comorbidities must be thoroughly assessed and balanced using a multidisciplinary approach. Particular risks include cardiopulmonary morbidity, anemia, risk of hemorrhage and the management by anticoagulation, cerebral impairments as well as frailty and limited physiological reserves in general...
January 2017: Der Orthopäde
https://www.readbyqxmd.com/read/27843851/predictors-of-outcome-in-patients-admitted-with-acute-exacerbation-of-chronic-obstructive-pulmonary-disease-in-a-rural-tertiary-care-center
#8
Abraham M Ittyachen, Smitha Krishnamoorthy, Arun N Bhatt, Shanavas Abdulla, Jijo Oommen Roy, M Sugathan, Kevin Ambadan, Jelty Kuriakose
BACKGROUND: Chronic obstructive pulmonary disease (COPD) is associated with a high degree of mortality and morbidity around the world with the burden of the disease being more in the developing countries. In the Indian context data is limited. This study was carried out to determine the predictors of outcome in patients admitted with acute exacerbation of COPD in a rural Tertiary Care Center in the state of Kerala. MATERIALS AND METHODS: This was a prospective cohort study...
April 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/27835718/low-hemoglobin-levels-and-risk-of-developing-depression-in-the-elderly-results-from-the-prospective-pro-v-a-study
#9
Caterina Trevisan, Nicola Veronese, Francesco Bolzetta, Marina De Rui, Christoph U Correll, Sabina Zambon, Estella Musacchio, Leonardo Sartori, Egle Perissinotto, Gaetano Crepaldi, Marco Solmi, Enzo Manzato, Giuseppe Sergi
OBJECTIVE: Low hemoglobin negatively affects health in the elderly, but research about the association with risk for depression is limited. We investigated the association between baseline hemoglobin concentrations and incident depression in a cohort of nondepressed elderly individuals. METHODS: As part of the Northern Italian Progetto Veneto Anziani (PRO.V.A.) study, randomly drawn, community-dwelling subjects aged ≥ 65 years underwent prospective clinical and laboratory assessments between October 1995 and December 2002...
December 2016: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/27832329/burden-of-multimorbidity-and-outcome-in-ambulatory-geriatric-hemodialysis-patients-report-from-the-qin-registry-in-germany
#10
Gabriele Röhrig, Maria Cristina Polidori, Katherine Rascher, Mathias Schaller, Thomas Benzing, Gero von Gersdorff
BACKGROUND: Patients with end-stage renal disease (ESRD) requiring hemodialysis are typically characterized by multimorbidity and increasingly by advanced age; however, there are few data on their geriatric needs. OBJECTIVE: The aim of the study was to evaluate the clinical characteristics of a large cohort of incident patients in ambulatory hemodialysis units with a particular focus on those aged over 80 years in Germany. METHODS: The electronic patient registry of the Board of Trustees (Kuratorium) for Dialysis and Kidney Transplantation (KfH) was searched for all patients who began hemodialysis in 1 of the 191 units between 2007 and 2013 and were 65 years and older...
November 10, 2016: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/27803723/cognitive-impairment-among-elderly-patients-with-chronic-heart-failure-and-related-factors
#11
Zohreh Taraghi, Ahmad-Ali Akbari Kamrani, Mahshid Foroughan, Jamshid Yazdani, Ali Mahdavi, Seied Kazem Baghernejad
BACKGROUND: Patients with heart failure (HF) older than 65 years have a two-fold increased risk of cognitive impairment than elders without HF. Identifying factors affecting cognitive impairment in HF may present targets for intervention. OBJECTIVES: The aim of the present study was to determine cognitive function and related factors among elderly patients with heart failure. PATIENTS AND METHODS: In this cross-sectional study, 184 elderly patients with heart failure were selected from four Mazandaran University of Medical Sciences teaching hospitals using convenience sampling...
June 2016: Iranian Journal of Psychiatry and Behavioral Sciences
https://www.readbyqxmd.com/read/27694063/appropriate-proton-pump-inhibitors-use-in-elderly-outpatients-according-to-recommendations
#12
Claire Schonheit, Hélène Le Petitcorps, Éric Pautas
Proton pump inhibitors (PPI) are widely prescribed, particularly in elderly patients, and their side effects are underestimated. Recommendations of the french health authorities, some specific to the elderly, specify their indications. The main objective of this descriptive and prospective study was to assess in elderly patients the adequacy of PPI prescriptions to these recommendations and to the marketing authorization. METHODS: Analysis of all patients hospitalized in an acute geriatric unit over a period of 2 years for which the drug prescription on admission included a PPI...
December 1, 2016: Gériatrie et Psychologie Neuropsychiatrie du Vieillissement
https://www.readbyqxmd.com/read/27499322/less-invasive-surgery-using-external-fixator-for-the-treatment-of-subtrochanteric-femur-fracture-in-a-high-risk-geriatric-patient
#13
O Şahap Atik, Fatih I Can, M Selçuk Şenol, Toygun K Eren
A 90-year-old female patient was admitted to our clinic complaining of pain in her left hip which occurred due to fall from a chair. Her medical history included memory loss and mental changes associated with Alzheimer's disease and depression. Patient's cooperation and orientation were weak. Range of motion of the left hip was restricted and painful. Radiographs of the left hip demonstrated subtrochanteric comminuted fracture of femur. Laboratory tests revealed anemia and liver insufficiency. Departments of internal medicine and anesthesiology reported high risk for surgery...
August 2016: Eklem Hastalıkları Ve Cerrahisi, Joint Diseases & related Surgery
https://www.readbyqxmd.com/read/27499303/malnutrition-in-very-old-hospitalized-patients-a-new-etiologic-factor-of-anemia
#14
E Frangos, A Trombetti, C E Graf, V Lachat, N Samaras, U M Vischer, D Zekry, R Rizzoli, F R Herrmann
BACKGROUND: Anemia and malnutrition are highly prevalent, frequently concomitant and associated with negative outcomes and mortality in the elderly. OBJECTIVES: To evaluate the association between these two entities, and test the hypothesis that protein-energy deficit could be etiology of anemia. DESIGN: Prospective case-control study. SETTING: Geriatric and Rehabilitation Hospital, Geneva University Hospitals, Switzerland...
2016: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/27455795/-supplementation-of-trace-elements-in-the-general-medicine
#15
REVIEW
Satoru Miyata
Trace elements are the essential nutrients. Now, 9 elements, Fe, Zn, Cu, Se, I, Go, Cr, Mn, Mo, are recognized as essential trace elements. Serum concentration of Fe, Zn and Cu are about 100 μg/dL, and have important physiological roles. Zinc needs special care because over 300 enzymes contain Zn, and zin deficiency cause various disorders. In advancing age serum Zn concentration decrease. Although the daily requirement of zinc is 10-15 mg in adults, it is necessary to supply much more zinc than adult, by the reason of low intake and low absorption in the elderly...
July 2016: Nihon Rinsho. Japanese Journal of Clinical Medicine
https://www.readbyqxmd.com/read/27364876/association-of-anemia-with-functional-and-nutritional-status-in-the-german-multicenter-study-gerianaemie2013
#16
Gabriele Röhrig, Ymkje Rücker, Ingrid Becker, Ralf-Joachim Schulz, Romana Lenzen-Großimlinghaus, Peter Willschrei, Sybille Gebauer, Mirja Modreker, Martin Jäger, Rainer Wirth
OBJECTIVES: Anemia and malnutrition are risk factors for frailty in older people but data from multicenter studies among German geriatric inpatients are lacking. This analysis evaluated data from the multicenter study "GerAnaemie2013" commissioned by the German Geriatric Society. PATIENTS AND METHODS: The study involved an analysis of the 579 geriatric inpatients recruited in the context of the German multicenter study "GeriAnaemie2013". Study parameters: Barthel index (BI), handgrip strength, nutritional data (e...
June 30, 2016: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/27342609/supportive-care-in-older-adults-with-cancer-across-the-continuum
#17
REVIEW
Thuy Koll, Mackenzi Pergolotti, Holly M Holmes, Huibrie C Pieters, G J van Londen, Zachary A Marcum, Amy R MacKenzie, Christopher B Steer
Supportive care is an essential component of anticancer treatment regardless of age or treatment intent. As the number of older adults with cancer increases, and supportive care strategies enable more patients to undergo treatment, greater numbers of older patients will become cancer survivors. These patients may have lingering adverse effects from treatment and will need continued supportive care interventions. Older adults with cancer benefit from geriatric assessment (GA)-guided supportive care interventions...
August 2016: Current Oncology Reports
https://www.readbyqxmd.com/read/27321601/what-constitutes-normal-hemoglobin-concentrations-in-community-dwelling-older-adults
#18
Chen-Yi Wu, Hsiao-Yun Hu, Yiing-Jenq Chou, Nicole Huang, Yi-Chang Chou, Chung-Pin Li
OBJECTIVES: To assess the relationship between hemoglobin concentration and cause-specific mortality. DESIGN: Cohort study. SETTING: Data from the government-sponsored Annual Geriatric Health Examination Program. PARTICIPANTS: Community-dwelling Taipei citizens aged 65 and older followed up between 2006 and 2010 (N = 77,532). MEASUREMENTS: Mortality was determined by matching participants' medical records with national death files...
June 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27282792/association-between-hematologic-parameters-and-functional-impairment-among-geriatric-inpatients-data-of-a-prospective-cross-sectional-multicenter-study-geripr%C3%A3-valenz2013
#19
MULTICENTER STUDY
Gabriele Röhrig, Ingrid Becker, Ralf-Joachim Schulz, Romana Lenzen-Großimlinghaus, Peter Willschrei, Sybille Gebauer, Mirja Modreker, Martin Jäger, Rainer Wirth
OBJECTIVES: Objective of this study was to analyse the association between impairment of Barthel Index items and hematologic parameters in geriatric inpatients. METHODS: Patient recruitment of the "GeriPrävalenz2013" study has been described before. INCLUSION CRITERIA: in-patient aged>=70years; exclusion criteria: actual cancer disease or cancer associated treatment. Anemia was defined according to WHO criteria. Physical impairment was assessed by Barthel Index (BI)...
August 2016: Maturitas
https://www.readbyqxmd.com/read/27221100/readmission-and-mortality-one-year-after-acute-hospitalization-in-older-patients-with-explained-and-unexplained-anemia-a-prospective-observational-cohort-study
#20
Jenny Foss Abrahamsen, Anne-Lise Bjorke Monsen, Francesco Landi, Cathrine Haugland, Roy Miodini Nilsen, Anette Hylen Ranhoff
BACKGROUND: Few studies have examined whether specific subtypes of anemia in older persons are more related to adverse outcomes such as hospital readmissions and death after acute hospitalization and post-acute care. METHODS: An observational prospective cohort study was conducted between 2011 and 2014. A total of 884 community-dwelling patients, ≥70 years of age were transferred from acute medical and orthopaedic hospital departments to a skilled nursing home where they were examined by comprehensive geriatric assessment and had laboratory tests taken for the investigation of anemia...
2016: BMC Geriatrics
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