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https://www.readbyqxmd.com/read/27896146/determination-of-functional-prognosis-in-hospitalized-patients-following-an-intensive-care-admission
#1
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
#2
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
#3
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
#4
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
#5
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...
October 5, 2016: 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
#6
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...
October 6, 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
#7
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...
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
#8
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
#9
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
https://www.readbyqxmd.com/read/27321604/comparison-of-effect-of-two-exercise-programs-on-activities-of-daily-living-in-individuals-with-dementia-a-9-week-randomized-controlled-trial
#10
Willem J R Bossers, Lucas H V van der Woude, Froukje Boersma, Tibor Hortobágyi, Erik J A Scherder, Marieke J G van Heuvelen
OBJECTIVES: To compare the effects of two exercise programs on proxy- and performance-based measures of activities of daily living (ADLs) and to explore potential motor and cognitive mediators underlying ADL improvements in individuals with dementia. DESIGN: A parallel, three-group, single-blind, randomized, controlled trial. SETTING: Psychogeriatric wards. PARTICIPANTS: Individuals with dementia (mean age 85.6 ± 5...
June 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27309411/care-burden-and-social-support-levels-of-caregivers-of-patients-with-chronic-obstructive-pulmonary-disease
#11
Songül Göriş, Züleyha Klç, Ferhan Elmal, Nuri Tutar, Özlem Takc
This descriptive study was conducted to determine the care burden and social support levels of caregivers to patients with chronic obstructive pulmonary disease (COPD). The primary caregivers of 112 patients with COPD hospitalized in the chest diseases service of a university hospital were involved in the study. Data of the study were collected by using the Patient and Caregiver Information Form, which was prepared by reviewing the literature, Katz Index of Independence in Activities of Daily Living, Zarit Burden Interview, and Multidimensional Scale of Perceived Social Support...
July 2016: Holistic Nursing Practice
https://www.readbyqxmd.com/read/27140202/assessment-of-continuity-of-care-among-patients-with-multiple-chronic-conditions-in-italy
#12
Francesco Napolitano, Paola Napolitano, Luca Garofalo, Marianna Recupito, Italo F Angelillo
The aims of the present study were to evaluate the extent of continuity of care and to investigate its association with several factors among a sample of outpatients with chronic diseases in Italy. The survey was conducted, using face to face interview, from March to December 2014 in a random sample of 633 outpatients with chronic conditions who were going in cardiology, metabolic disorders, and respiratory ambulatory center of four hospitals. A multivariate ordered logistic regression model was used to identify factors associated with the outpatients continuity of care...
2016: PloS One
https://www.readbyqxmd.com/read/27117637/impact-of-frailty-and-sociodemographic-factors-on-hospital-admission-from-an-emergency-department-observation-unit
#13
Michael J Zdradzinski, Michael P Phelan, Sharon E Mace
Understanding factors associated with an increased risk of hospital admission from emergency department (ED) observation units (OUs) could be valuable in disposition decisions. To evaluate the impact of frailty and sociodemographic factors (SDFs) on admission risk, patients in an ED OU were surveyed. Survey measures included SDFs, social habits, and frailty measured by the Katz Index of Independence in Activities of Daily Living. Of 306 surveyed, 18% were admitted and 82% were discharged. Demographics were similar between groups...
April 26, 2016: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/26923262/-determining-factors-for-the-use-of-anxiolytic-and-hypnotic-drugs-in-the-elderly
#14
Juan M Téllez-Lapeira, Jesús López-Torres Hidalgo, Luis Gálvez-Alcaraz, Ignacio Párraga-Martínez, Clotilde Boix-Gras, Antonio García-Ruiz
INTRODUCTION: To estimate the prevalence of self-reported anxiety/hypnotics use in adults 65 years and older and identify potential factors that determine the use of these drugs. MATERIAL AND METHODS: Cross-sectional study conducted on a study population of 1,161 non-institutionalised adults 65 years old and older with enough ability to conduct a personal interview. Participants were randomly selected from health care registers. The main outcomes of interest included consumption of anxiolytics, hypnotics and other drugs (filed by ATC classification system), mood (based on the Yesavage geriatric depression scale), cognitive status (Pfeiffer questionnaire), physical-functional assessment of basic activities of daily living (Katz index), health problems (ICPC-2 classification WONCA), and sociodemographic variables...
February 25, 2016: Revista Española de Geriatría y Gerontología
https://www.readbyqxmd.com/read/26903146/what-are-the-determinants-of-specialized-outpatient-and-dental-care-use-in-adults-with-disabilities-living-in-institutions-findings-from-a-national-survey-in-france
#15
Diane Naouri, Clémence Bussière, Nathalie Pelletier-Fleury
OBJECTIVE: To explore the determinants of specialized outpatient care use (general practitioners excluded) in people with disabilities living in institutions. DESIGN: Cross-sectional study. SETTING: National health and disability survey. PARTICIPANTS: People (N=2528) living in institutions for adults with cognitive, sensory, and mobility disabilities. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: We used different measures of disability severity available in the survey: (1) the continuous score of limitations based on a measure we constructed according to self-reported level of difficulty performing 18 tasks without aid; (2) the Katz Index; and (3) the respondent's self-reported perception of functional limitations...
August 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/26882111/comprehensive-geriatric-assessment-and-transitional-care-in-acutely-hospitalized-patients-the-transitional-care-bridge-randomized-clinical-trial
#16
RANDOMIZED CONTROLLED TRIAL
Bianca M Buurman, Juliette L Parlevliet, Heather G Allore, Willem Blok, Bob A J van Deelen, Eric P Moll van Charante, Rob J de Haan, Sophia E de Rooij
IMPORTANCE: Older adults acutely hospitalized are at risk of disability. Trials on comprehensive geriatric assessment (CGA) and transitional care present inconsistent results. OBJECTIVE: To test whether an intervention of systematic CGA, followed by the transitional care bridge program, improved activities of daily living (ADLs) compared with systematic CGA alone. DESIGN, SETTING, AND PARTICIPANTS: This study was a double-blind, multicenter, randomized clinical trial conducted at 3 hospitals with affiliated home care organizations in the Netherlands between September 1, 2010, and March 1, 2014...
March 2016: JAMA Internal Medicine
https://www.readbyqxmd.com/read/26812504/does-low-body-mass-index-matter-relationship-between-body-mass-index-and-subjective-well-being-among-long-lived-women-over-95-years-of-age
#17
Z Liu, J Huang, D Qian, F Chen, J Xu, S Li, L Jin, X Wang
OBJECTIVES: To examine the relationship between body mass index (BMI) and subjective well-being (SWB) among long-lived women over 95 years of age and evaluate whether this relationship is mediated by functional ability. DESIGN: Retrospective cohort study. SETTING: Data from the Rugao longevity cohort, a population-based study in Rugao, China. PARTICIPANTS: A sample of 342 long-lived women (mean age 97.4 ± 2.1, range 95-107) whose SWB and other covariates were available were included in this study...
February 2016: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/26730227/evaluating-outcomes-from-an-integrated-health-service-for-older-patients
#18
Kyle D Severinsen, Anne Tufton, Emma Hannan, Jessica S Schwind, Dana Schmucker, Allison Cutler
BACKGROUND: Hospital-associated disability is the loss of the ability to complete one activity of daily living (ADL), with this decline occurring between the onset of acute illness and discharge from the hospital. Approximately 30% of patients who are >70 years old and admitted to hospitals are discharged with an ADL disability. Comprehensive geriatric assessment (CGA) models use a multidimensional, interdisciplinary process of diagnosis and treatment with the goal of improving outcomes and decreasing lengths of stay...
2015: Ochsner Journal
https://www.readbyqxmd.com/read/26632506/direct-and-indirect-costs-and-resource-use-in-dementia-care-a-cross-sectional-study-in-patients-living-at-home
#19
Marta Farré, Josep Maria Haro, Belchin Kostov, Carme Alvira, Ester Risco, Susana Miguel, Ester Cabrera, Adelaida Zabalegui
BACKGROUND: Due to the high prevalence of dementia, health care needs are increasing beyond existing formal resources. In Spain, it is the family that takes care of this disease. AIMS: To analyze the direct (health and non-health) and indirect economic costs related to care of people with dementia living with their informal caregiver in the home care/community environment, from the perspective of illness severity, associated comorbidity and social impact. DESIGN: Multicentric, descriptive study...
March 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/26543669/study-of-factors-determining-caregiver-burden-among-primary-caregivers-of-patients-with-intracranial-tumors
#20
Manju Dhandapani, Sandhya Gupta, Sivashanmugam Dhandapani, Prabhjot Kaur, Kanwaljit Samra, Kirti Sharma, Kunchok Dolma, Manju Mohanty, Navneet Singla, Sunil K Gupta
BACKGROUND: Caregivers of patients with intracranial tumors handle physical, cognitive, and behavioral impairments of patients. The purpose of this study was to assess the magnitude of burden experienced by primary caregivers of patients operated for intracranial tumors and evaluate factors influencing it. METHODS: Descriptive cross-sectional design was used to assess home-care burden experienced by primary caregivers of patients operated for intracranial tumors...
2015: Surgical Neurology International
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