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https://www.readbyqxmd.com/read/28291801/early-diagnosis-of-mild-cognitive-impairment-and-mild-dementia-through-basic-and-instrumental-activities-of-daily-living-development-of-a-new-evaluation-tool
#1
Elise Cornelis, Ellen Gorus, Ingo Beyer, Ivan Bautmans, Patricia De Vriendt
BACKGROUND: Assessment of activities of daily living (ADL) is paramount to determine impairment in everyday functioning and to ensure accurate early diagnosis of neurocognitive disorders. Unfortunately, most common ADL tools are limited in their use in a diagnostic process. This study developed a new evaluation by adopting the items of the Katz Index (basic [b-] ADL) and Lawton Scale (instrumental [i-] ADL), defining them with the terminology of the International Classification of Human Functioning, Disability and Health (ICF), adding the scoring system of the ICF, and adding the possibility to identify underlying causes of limitations in ADL...
March 2017: PLoS Medicine
https://www.readbyqxmd.com/read/28267475/impact-of-frailty-on-mortality-after-transcatheter-aortic-valve-implantation
#2
Pawel Kleczynski, Artur Dziewierz, Maciej Bagienski, Lukasz Rzeszutko, Danuta Sorysz, Jaroslaw Trebacz, Robert Sobczynski, Marek Tomala, Maciej Stapor, Dariusz Dudek
BACKGROUND: We sought to investigate the relation between frailty indices and 12-month mortality after transcatheter aortic valve implantation (TAVI). METHODS: We included 101 consecutive patients with severe aortic stenosis who have undergone TAVI. Frailty indices according to Valve Academic Research Consortium-2 recommendations (5-m walk test [5MWT] and hand grip strength) as well as other available scales of frailty (Katz index, Elderly Mobility Scale [EMS], Canadian Study of Health and Aging [CSHA] scale, Identification of Seniors at Risk [ISAR] scale) were assessed at baseline...
March 2017: American Heart Journal
https://www.readbyqxmd.com/read/28244554/body-mass-index-and-its-relationship-with-disability-chronic-diseases-and-frailty-in-older-people-a-comparison-of-the-lipschitz-and-who-classifications
#3
F P A S Pessanha, L P Lustosa, J A O Carneiro, K Pfrimer, P G Fassini, N M C Alves, T L Pontes, J C Moriguti, N K C Lima, E Ferriolli
BACKGROUND: Anthropometric parameters are closely associated with the pathophysiology of frailty and with clinic and functional parameters assessed for its diagnosis. OBJECTIVE: To evaluate the possible association of the nutritional status of older people as assessed by Body Mass Index (BMI) and functional disability, self-reported chronic diseases and frailty, comparing the use of two different classifications of BMI. DESIGN: Cross-sectional study...
2017: Journal of Frailty & Aging
https://www.readbyqxmd.com/read/28226049/predictors-for-the-functional-incapacity-of-the-elderly-in-primary-health-care
#4
Lívia Carvalho Pereira, Maria do Livramento Fortes Figueiredo, Cinara Maria Feitosa Beleza, Elaine Maria Leite Rangel Andrade, Maria Josefina da Silva, Antonio Francisco Machado Pereira
Objectives: to assess the predictors for the functional incapacity of the elderly in primary health care. Method: cross-sectional study, of which 388 older people participated, conducted in three Primary health care Units, using the Katz index and Lawton's scale. The research project was approved by the Research Ethics Committee. Results: regarding the degree of dependency for Basic Activities, 90.2% were less independent for dressing themselves; and for Instrumental Activities, 77...
January 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/28159513/functional-status-decline-in-older-patients-with-breast-and-colorectal-cancer-after-cancer-treatment-a-prospective-cohort-study
#5
Doris van Abbema, Arnée van Vuuren, Franchette van den Berkmortel, Marjan van den Akker, Laura Deckx, Frank Buntinx, Roel van Kampen, Els Lambooij, Maaike de Boer, Judith de Vos-Geelen, Vivianne C Tjan-Heijnen
OBJECTIVES: The aim of the present study was to disentangle the impact of age and that of cancer diagnosis and treatment on functional status (FS) decline in older patients with cancer. MATERIALS AND METHODS: Patients with breast and colorectal cancer aged 50-69years and aged ≥70years who had undergone surgery, and older patients without cancer aged ≥70years were included. FS was assessed at baseline and after 12months follow-up, using the Katz index for activities of daily living (ADL) and the Lawton scale for instrumental activities of daily living (IADL)...
January 31, 2017: Journal of Geriatric Oncology
https://www.readbyqxmd.com/read/28143509/a-protective-personal-factor-against-disability-and-dependence-in-the-elderly-an-ordinal-regression-analysis-with-nine-geographically-defined-samples-from-spain
#6
Javier Virues-Ortega, Saturio Vega, Manuel Seijo-Martinez, Pedro Saz, Fernanda Rodriguez, Angel Rodriguez-Laso, Susana Perez de Las Heras, Raimundo Mateos, Pablo Martinez-Martin, Ignacio Mahillo-Fernandez, Josep Garre-Olmo, Jordi Gascon, Francisco Jose Garcia-Garcia, Manuel Fernandez-Martinez, Felix Bermejo-Pareja, Alberto Bergareche, Julian Benito-Leon, Jesus de Pedro-Cuesta
BACKGROUND: Sense of Coherence (SOC) is defined as a tendency to perceive life experiences as comprehensible, manageable and meaningful. The construct is split in three major domains: Comprehensibility, Manageability, and Meaningfulness. SOC has been associated with successful coping strategies in the face of illness and traumatic events and is a predictor of self-reported and objective health in a variety of contexts. In the present study we aim to evaluate the association of SOC with disability and dependence in Spanish elders...
January 31, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28104446/factors-associated-with-fear-of-falling-in-community-dwelling-older-adults-with-and-without-diabetes-mellitus-findings-from-the-frailty-in-brazilian-older-people-study-fibra-br
#7
Bruno de Souza Moreira, Rosana Ferreira Sampaio, Juliano Bergamaschine Mata Diz, Alessandra de Carvalho Bastone, Eduardo Ferriolli, Anita Liberalesso Neri, Roberto Alves Lourenço, Rosângela Corrêa Dias, Renata Noce Kirkwood
PURPOSE: This study aimed to investigate the associated factors with fear of falling in community-dwelling older adults with and without diabetes mellitus. METHODS: Data from the Frailty in Brazilian Older People Study (FIBRA-BR), involving 4449 individuals aged 65years or older (19.2% with diabetes), were analyzed. The potential factors associated with fear of falling included sociodemographic data, chronic diseases, health-related variables and functional capacity measures...
January 16, 2017: Experimental Gerontology
https://www.readbyqxmd.com/read/27943245/variability-of-delirium-motor-subtype-scale-defined-delirium-motor-subtypes-in-elderly-adults-with-hip-fracture-a-longitudinal-study
#8
Rikie M Scholtens, Barbara C van Munster, Dimitrios Adamis, Annemarieke de Jonghe, David J Meagher, Sophia E J A de Rooij
OBJECTIVES: To examine changes in motor subtype profile in individuals with delirium. DESIGN: Observational, longitudinal study; substudy of a multicenter, randomized controlled trial. SETTING: Departments of surgery and orthopedics, Academic Medical Center and Tergooi Hospital, the Netherlands. PARTICIPANTS: Elderly adults acutely admitted for hip fracture surgery who developed delirium according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, for 2 days or longer (n = 76, aged 86...
February 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27923347/subjective-burden-among-spousal-and-adult-child-informal-caregivers-of-older-adults-results-from-a-longitudinal-cohort-study
#9
Marloes Oldenkamp, Mariët Hagedoorn, Joris Slaets, Ronald Stolk, Rafael Wittek, Nynke Smidt
BACKGROUND: Pressures on informal caregivers are likely to increase due to increasing life expectancy and health care costs, which stresses the importance of prevention of subjective burden. The present study examined the correlates of overall subjective burden and multiple burden dimensions among spousal and adult-child caregivers of Dutch older adults, both cross-sectional and longitudinal (12-months follow-up). METHODS: In 2010 and 2011 baseline and follow-up data was collected in a sample of informal caregivers and care recipients in the Northern provinces of the Netherlands...
December 7, 2016: BMC Geriatrics
https://www.readbyqxmd.com/read/27919768/proximal-femoral-fractures-in-centenarians-a-retrospective-analysis-of-39-patients
#10
A Morice, N Reina, G Gracia, P Bonnevialle, J-M Laffosse, K Wytrykowski, E Cavaignac, N Bonnevialle
BACKGROUND: A corollary of the current population ageing in France is an increase in proximal femoral fractures (PFFs), particularly among centenarians. The outcomes of PFFs in centenarians in France are unknown. We therefore conducted a retrospective study of centenarians with PFFs both to assess: (1) assess clinical outcomes according to geriatric and trauma scores, (2) and to determine whether routine surgery is warranted. HYPOTHESIS: Morbidity and mortality in a single-centre cohort of centenarians with surgically treated PFFs are consistent with previous reports...
December 2, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27919767/internal-fixation-of-intra-capsular-proximal-femoral-fractures-in-patients-older-than-80-years-still-relevant-multivariate-analysis-of-a-prospective-multicentre-cohort
#11
N Reina, P Bonnevialle, B Rubens Duval, P Adam, F Loubignac, T Favier, P Massin
BACKGROUND: Arthroplasty is now widely used to treat intra-capsular proximal femoral fractures (PFFs) in older patients, even when there is little or no displacement. However, whether arthroplasty is associated with lower mortality and complication rates in non-displaced or mildly displaced PFFs is unknown. The objectives of this prospective study were: (1) to evaluate early mortality rates with the two treatment methods, (2) to identify risk factors for complications, (3) and to identify predictors of functional decline...
December 2, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27896146/determination-of-functional-prognosis-in-hospitalized-patients-following-an-intensive-care-admission
#12
Natália A Ferreira, Agnaldo José Lopes, Arthur S Ferreira, George Ntoumenopoulos, Jerffesson Dias, Fernando S Guimaraes
AIM: To investigate the factors associated with the functional progress of hospitalized patients following an intensive care admission. METHODS: Retrospective study including data from a cohort of 198 hospitalized patients following an intensive care admission and not requiring mechanical ventilation in a single tertiary referral hospital. A generalized linear model was used to identify the main effects of clinical and demographic variables on the outcomes of functionality (KATZ Index of Independence in Activities of Daily Living) and muscle strength (MRC Scale)...
November 4, 2016: World Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/27855633/care-recipients-physical-frailty-is-independently-associated-with-subjective-burden-in-informal-caregivers-in-the-community-setting-a-cross-sectional-study
#13
Thom J Ringer, Afeez Abiola Hazzan, Courtney C Kennedy, Sarah Karampatos, Christopher Patterson, Sharon Marr, Brian Misiaszek, Tricia Woo, George Ioannidis, Alexandra Papaioannou
BACKGROUND: Physical frailty is associated with significant morbidity and mortality in community-dwelling older adults. Burden in informal caregivers of older adults causes significant physical and psychological distress. However, the relationship between these two clinical phenomena has not been extensively studied. This cross-sectional study evaluated the relationship between physical frailty of community-dwelling older adults attending an outpatient geriatric clinic and the subjective burden reported by their informal caregivers...
November 17, 2016: BMC Geriatrics
https://www.readbyqxmd.com/read/27849279/oral-health-status-and-functional-capacity-in-the-elderly-a-longitudinal-population-based-study
#14
Yan Nogueira Freitas, Kenio Costa Lima, Diviane Alves da Silva
Introduction: The study of oral health conditions and functional dependency in elderly people represents an important step toward the comprehension of the intervenient factors in the health care of this population. Purpose: This methodological note described strategies and methods adopted in a longitudinal study which has been analyzing the association of oral health conditions with functional dependence among the elderly population in a city located in the countryside of Northeastern Brazil...
July 2016: Revista Brasileira de Epidemiologia, Brazilian Journal of Epidemiology
https://www.readbyqxmd.com/read/27803967/active-surveillance-for-incidental-renal-mass-in-the-octogenarian
#15
Kenan E Celtik, Paras H Shah, Vinay R Patel, Daniel M Moreira, Arvin K George, Valerio Iacovelli, Manaf Alom, Andrew Ng, Amin Herati, Simpa S Salami, Hannah Bierwiler, Michael J Schwartz, Lee Richstone, Joph Steckel, Manish A Vira, Louis R Kavoussi
OBJECTIVE: To evaluate the oncologic outcomes among a large cohort of octogenarian patients placed on active surveillance for a localized renal mass. METHODS: We retrospectively reviewed patients ≥80 years of age presenting for asymptomatic, incidentally detected clinically localized stage T1 renal mass between 2006 and 2013 who were followed by active surveillance (AS). The primary endpoint was development of metastatic renal cell carcinoma. Secondary outcomes included intervention-free survival, cancer-specific survival, and overall survival...
November 1, 2016: World Journal of Urology
https://www.readbyqxmd.com/read/27720414/rotator-cuff-surgery-in-patients-older-than-75-years-with-large-and-massive-tears
#16
Hong Jun Jung, Gyeong-Bo Sim, Kun Hyung Bae, Aashay L Kekatpure, Jae-Myeung Chun, In-Ho Jeon
BACKGROUND: The purpose of this study was to evaluate whether rotator cuff repair improves subjective and functional outcomes in patients aged ≥75 years. METHODS: From May 2005 to March 2013, 121 elderly patients who underwent rotator cuff repair for large and massive rotator cuff tears were evaluated retrospectively. Patients with an American Society of Anesthesiologists physical status classification system grade ≥4 were excluded. The patients were evaluated using visual analog scales, subjective satisfaction surveys, American Shoulder and Elbow Surgeons scores, and Constant scores...
February 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27711952/are-thyroid-hormone-values-obtained-in-hospitalized-elderly-patients-reproducible-a-cohort-study
#17
E Mandell, A Weiss, Y Beloosesky, Z Shohat, E Robenshtok, A Grossman
It is unclear whether TSH should be obtained in elderly hospitalized patients as several factors associated with hospitalization influence these levels, which may not truly represent the thyroid status of the individual. All patients≥65 years old hospitalized in a geriatric ward in the years 2012-2014 had TSH measured irrespective of the cause for hospitalization. All patients in whom TSH levels were performed in an ambulatory setting 2-12 months following hospitalization were identified and these TSH levels were correlated with levels recorded during hospitalization...
December 2016: Hormone and Metabolic Research, Hormon- und Stoffwechselforschung, Hormones et Métabolisme
https://www.readbyqxmd.com/read/27580565/state-of-health-and-quality-of-life-of-women-at-advanced-age
#18
Jarosław Pinkas, Mariusz Gujski, Ewa Humeniuk, Dorota Raczkiewicz, Przemysław Bejga, Alfred Owoc, Iwona Bojar
BACKGROUND Evaluation of the state of health, quality of life, and relationship between the level of the quality of life and health status in a group of women at advanced age (90 and more years) in Poland. MATERIAL AND METHODS The study was conducted in 2014 in an all-Polish sample of 870 women aged 90 and over. The research instruments were: the author's questionnaire, and standardized tests: Katz index of independence in Activities of Daily Living (ADL), Abbreviated Mental Test Score (AMTS), The World Health Organization Quality of Life (WHOQOL) - BREF...
September 1, 2016: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/27537071/activity-limitations-in-brazilian-institutionalized-older-adults
#19
Javier Jerez-Roig, Jéssica Fernandes de Medeiros, Kalyne do Nascimento Moreira Fidélis, Bartolomeu Fagundes de Lima Filho, Nayara Priscila Dantas de Oliveira, Fabienne Louise Juvêncio Paes de Andrade, Lidiane Maria de Brito Macedo Ferreira, Dyego Leandro Bezerra Souza, Kenio Costa Lima
BACKGROUND AND PURPOSE: Although functional assessments and programs to prevent activity limitations are fundamental for efficient geriatric evaluations and interventions, these procedures have not been satisfactorily explored at nursing homes in Brazil. Literature is scarce on the evaluation of disability in Brazilian institutionalized older people. METHODS: A cross-sectional study was conducted in 10 nursing homes in the city of Natal (Northeast Brazil). Sociodemographic and health data were collected and activity limitations were assessed by the Katz Index...
August 17, 2016: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/27419678/validity-of-the-katz-index-to-assess-activities-of-daily-living-by-informants-in-neuropathological-studies
#20
Renata Eloah de Lucena Ferretti-Rebustini, Marcos Alencar Abaide Balbinotti, Wilson Jacob-Filho, Flávio Rebustini, Claudia Kimie Suemoto, Carlos Augusto Gonçalves Pasqualucci, José Marcelo Farfel, Renata Elaine Paraizo Leite, Lea Tenenholz Grinberg, Ricardo Nitrini
OBJECTIVE: To analyze the evidences of construct validity of the Katz Index for the retrospective assessment of activities of daily living (ADL) by informants, to assist neuropathological studies in the elderly. METHOD: A cross-sectional study analyzed the functional ability of ADL measure by the Katz Index, of 650 cases randomly selected from the Brazilian Brain Bank of the Ageing Brain Study Group (BBBABSG) database. Sample was divided in two subsamples for the analysis (N=325, each) and then stratified according to cognitive decline assessed by the Clinical Dementia Rating Scale (CDR)...
December 2015: Revista da Escola de Enfermagem da U S P
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