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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
#1
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
#2
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...
November 8, 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
#3
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
#4
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
#5
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...
September 29, 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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
https://www.readbyqxmd.com/read/27157402/predictors-of-clinical-events-occurring-during-hospital-stay-among-elderly-patients-admitted-to-medical-wards-in-italy
#14
Paolo Dionigi Rossi, Claudio Bilotta, Dario Consonni, Alessandro Nobili, Sarah Damanti, Maura Marcucci, Pier Mannuccio Mannucci, Daniela Mari
BACKGROUND: Clinical events occurring during hospital stay are independent predictors of prolonged hospitalization, in-hospital mortality and readmission among elderly patients admitted to medical wards. PURPOSE: To identify predictors of intercurrent clinical events (ICE) during hospital stay among the main demographic, functional and clinical characteristics assessed at hospital admission in a multicenter sample of elderly inpatients in Italy. METHODS: This observational prospective cohort study was conducted in 66 internal and geriatric medicine hospital wards in 2010...
July 2016: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/27148509/fatigue-in-older-adults-postmyocardial-infarction
#15
Patricia Barton Crane, Jimmy T Efird, Willie Mae Abel
OBJECTIVE: The purpose of this study was to comprehensively examine putative factors that may independently contribute to fatigue and subsequent persistence of fatigue in elderly adults 6-8 months post-myocardial infarction (MI). Studies suggest cardiac function, comorbidities, daytime sleepiness, depression, anemia, interleukins, and social support are correlates of fatigue; however, no studies have systematically examined these factors 6 months post-MI in an aging population. METHODS: Study participants included 49 women and men (N = 98) ages 65-91 who were 6-8 months post-MI...
2016: Frontiers in Public Health
https://www.readbyqxmd.com/read/27114077/inappropriate-prescription-of-low-molecular-weight-heparins-for-thromboprophylaxis-among-older-hospitalized-patients
#16
Sabrina Garasto, Sergio Fusco, Graziano Onder, Federica Sganga, Federica Mammarella, Stefano Volpato, Carmelinda Ruggiero, Angela M Abbatecola, Fabrizia Lattanzio, Andrea Corsonello
AIM: To investigate the prevalence and clinical correlates of overprescribing and underprescribing of low molecular weight heparins (LMWHs) for thromboprophylaxis among older medical inpatients. METHODS: Eight hundred seventy six patients (mean age 81.5 ± 7.6 years, female gender 57.2 %) enrolled in a multicenter observational study of seven acute care wards of geriatric medicine in Italy. The risk of venous thromboembolism was ascertained by calculating the Padua score for each patient...
April 25, 2016: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/27106490/-iron-deficiency-in-the-elderly
#17
Tuur Helsen, Etienne Joosten
Anemia is a common diagnosis in the geriatric population, especially in institutionalized and hospitalized elderly. Most common etiologies for anemia in elderly people admitted to a geriatric ward are iron-deficiency anemia and anemia associated with chronic disease. Determination of serum ferritin is the most used assay in the differential diagnosis, despite low sensitivity and moderate specificity. New insights into iron homeostasis lead to new diagnostic assays such as serum hepcidin, serum transferrin receptor and reticulocyte hemoglobin equivalent...
June 2016: Tijdschrift Voor Gerontologie en Geriatrie
https://www.readbyqxmd.com/read/27051279/anemia-in-the-frail-elderly-patient
#18
REVIEW
Gabriele Röhrig
Anemia and frailty are two common findings in geriatric patients and have been shown to be associated with poor outcomes in this patient group. Recent studies have contributed to the growing evidence of a possible association with the age-related chronic inflammatory status known as "inflammaging". These findings do not only give a better insight into the pathogenesis of anemia in frailty, but also offer new treatment options. The present article focuses on this assumed association between anemia, frailty, and inflammaging and summarizes current management options for anemia in frail patients...
2016: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/27006315/a-call-for-collaboration-improving-cardiogeriatric-care
#19
Nahid A Azad, Lisa Mielniczuk
With the population aging, there is an exponential increase in the prevalence of cardiovascular disease (CVD). Congestive heart failure (CHF) is considered the "poster child" of the blend of CVD, multimorbidity, and frailty in the aging population. Traditionally, from the cardiologist's point of view, the top multimorbidities in CHF are hypertension, ischemic heart disease, hyperlipidemia, anemia, and diabetes. However, the care of these patients is confounded by common geriatric conditions (multimorbidity, dementia, medication intolerance, frailty) contributing to functional disability, reduced quality of life, and increased hospitalization...
September 2016: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/26869151/chronic-kidney-disease-in-aged-cats-clinical-features-morphology-and-proposed-pathogeneses
#20
C A Brown, J Elliott, C W Schmiedt, S A Brown
Chronic kidney disease (CKD) is the most common metabolic disease of domesticated cats, with most affected cats being geriatric (>12 years of age). The prevalence of CKD in cats exceeds that observed in dogs, and the frequency of the diagnosis of CKD in cats has increased in recent decades. Typical histologic features include interstitial inflammation, tubular atrophy, and fibrosis with secondary glomerulosclerosis. In contrast to people and dogs, primary glomerulopathies with marked proteinuria are remarkably rare findings in cats...
March 2016: Veterinary Pathology
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