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https://www.readbyqxmd.com/read/29468958/impact-of-pre-procedural-cerebrovascular-events-on-clinical-outcomes-after-transcatheter-aortic-valve-implantation-in-patients-with-severe-aortic-stenosis
#1
Agata Wiktorowicz, Pawel Kleczynski, Artur Dziewierz, Tomasz Tokarek, Danuta Sorysz, Maciej Bagienski, Lukasz Rzeszutko, Dariusz Dudek
BACKGROUND: Transcatheter aortic valve implantation (TAVI) is an increasingly common treatment of symptomatic severe aortic valve stenosis (AS). Thus, it is reasonable to carefully investigate the impact of individual clinical factors on outcomes after TAVI. OBJECTIVES: We aimed to investigate the impact of the previous cerebro-vascular events (CVEs) on outcomes of patients with severe AS undergoing TAVI. METHODS: A total of 148 consecutive patients scheduled for TAVI were included and stratified as with and without a history of CVEs (stroke or transient ischemic attack)...
February 19, 2018: Current Pharmaceutical Design
https://www.readbyqxmd.com/read/29440802/patients-with-end-stage-oncologic-and-nononcologic-disease-in-emergency-service-of-an-urban-tertiary-hospital
#2
Jose P Amado, Rolando Vasquez, Roberto W Huari, Andrea S Sucari, Teodoro J Oscanoa
Context: In the last decades, patients with chronic terminal diseases have had more frequent visits to emergency services. Aims: This study aims to determine the proportion of terminal illness in patients readmitted to emergency room, to evaluate the use of this service and rate of death. Settings and Design: A cross-sectional study in a tertiary hospital with 120 stretchers which annually reports 160 thousand attentions and 22 thousand admissions...
January 2018: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/29431549/self-paced-cycling-improves-cognition-on-institutionalized-older-adults-without-known-cognitive-impairment-a-15-month-randomized-controlled-trial
#3
Silvia Varela, José M Cancela, Manuel Seijo-Martinez, Carlos Ayán
This study aimed at identifying the effects of self-paced cycling on the cognitive and functional status and fall risk on institutionalized older adults without cognitive impairment. Thirty-nine individuals were randomly assigned to an exercise (EG) or to a control (CG) group. The EG participants cycled at their self-selected intensity at least for 15 minutes daily during 15 months. The CG participants performed recreational activities. The Mini-Mental State Examination, Fuld Object Memory Evaluation, and Symbol Digit Modality Test were used for cognitive assessments...
February 12, 2018: Journal of Aging and Physical Activity
https://www.readbyqxmd.com/read/29408989/modified-predictive-score-based-on-frailty-for-mid-term-outcomes-in-open-total-aortic-arch-surgery
#4
Arudo Hiraoka, Kazuya Saito, Genta Chikazawa, Toshinori Totsugawa, Kentaro Tamura, Atsuhisa Ishida, Taichi Sakaguchi, Hidenori Yoshitaka
OBJECTIVES: The aim of this study was to seek a new predictor of mid-term survival of surgical total aortic arch replacement (SAR) by evaluating indices relevant to frailty. METHODS: Between October 2012 and March 2017, 113 consecutive patients underwent elective surgical total aortic arch replacement with antegrade cerebral perfusion under circulatory arrest at a single cardiovascular institute. In addition to common parameters, Katz index of activities of daily living, nutritional status, skeletal muscle mass volume, swallowing and motor functions were used to evaluate patients' frailty...
February 2, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29385454/assessing-functional-status-after-intensive-care-unit-stay-the-barthel-index-and-the-katz-index
#5
Leda Tomiko Yamada da Silveira, Janete Maria da Silva, Júlia Maria Pavan Soler, Carolina Yea Ling Sun, Clarice Tanaka, Carolina Fu
Objective: To assess the functional status of post-ICU patients using the Barthel Index (BI) and the Katz Index (KI) and to assess which is more suitable for this population. Design: Retrospective longitudinal study. Setting: Public tertiary hospital in São Paulo (Brazil). Participants: Patients aged ≥18 years old, admitted to ICU, who were treated with mechanical ventilation (MV) ≥ 24 h and were discharged to ward...
January 27, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29316721/predictors-of-a-change-and-correlation-in-activities-of-daily-living-after-hip-fracture-in-elderly-patients-in-a-community-hospital-in-poland-a-six-month-prospective-cohort-study
#6
Maria Ganczak, Krzysztof Chrobrowski, Marcin Korzeń
OBJECTIVES: The consequences of hip fractures (HFs) in elderly persons include a deterioration in functional capacity to perform activities that enable independent living. Since prior research into this issue in Central Europe is rather scant, this study sought to assess the change in activities and instrumental activities of daily living (ADL/IADL) after HF surgery among Polish patients, to study predictors of regaining pre-fracture functional status three and six months later, and to evaluate the correlation between ADL and IADL limitations over time...
January 8, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29225254/observational-study-of-infective-endocarditis-at-a-community-based-hospital-dominance-of-elderly-patients-with-comorbidity
#7
Tomoo Nagai, Yoshiyuki Takase, Akira Hamabe, Hirotsugu Tabata
Objective The purpose of this study was to present the recent clinical profiles and the real-world management of infective endocarditis (IE). Methods All medical records of patients with IE were reviewed retrospectively for their clinical data, including clinical presentation, laboratory results, blood cultures, echocardiographic findings, treatments and complications. Using the clinical data collected, we calculated the EuroSCORE II, the European risk score for adult cardiac surgery, the Charlson Comorbidity Index as a surrogate of comordibity, and the Katz Index as a surrogate of frailty...
December 8, 2017: Internal Medicine
https://www.readbyqxmd.com/read/29197259/a-high-sense-of-coherence-protects-from-the-burden-of-caregiving-in-older-spousal-caregivers
#8
Florence Potier, Jean-Marie Degryse, Séverine Henrard, Geneviève Aubouy, Marie de Saint-Hubert
OBJECTIVES: Caregiving is often associated with burden and chronic stress. Sense of coherence (SOC) may help the caregivers in coping with their stress and was identified as a positive factor for health outcomes and quality of life. We aimed to study the links between SOC, burden, depression and positive affects among caregivers of frail older patients. METHODS: Seventy-nine spousal caregivers were recruited via the geriatric outpatient clinic. DATA COLLECTED: Zarit Burden Inventory, SOC-13, Geriatric Depression Scale, Caregiver Reaction Assessment (CRA), sleep, time of supervision, Katz Index, Global Deterioration Scale and Neuropsychiatric Inventory...
November 24, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29164376/evaluation-of-quality-of-life-in-caregivers-who-are-providing-home-care-to-cancer-patients
#9
Mahcube Cubukcu
PURPOSE: The author aimed to evaluate the quality of life and the factors affecting the caregivers of cancer patients receiving home care. METHODS: This cross-sectional descriptive study was performed in 48 cancer patients who were served from home care unit and 48 caregivers between 01 and 28 February 2014. Patients' functional status was evaluated with Katz Index for Activities of Daily Living and the Lawton Scale for Instrumental Activities of Daily Living. The levels of quality of life of caregivers of patients with cancer were determined with Caregiver Quality of Life Index-Cancer (CQOLC)...
November 21, 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29162472/-self-perception-of-disease-in-patients-with-chronic-diseases
#10
L Adrián-Arrieta, J M Casas-Fernández de Tejerina
OBJECTIVE: The aim of this study is to assess the self-perception of disease by patients with chronic diseases and determine factors related to their perception of disease. MATERIAL AND METHODS: Cross-sectional descriptive study performed between September 2014 and April 2015 in nine (6 urban and 3 rural) Health Centres of Navarra, Spain. The participants were recruited by convenience sampling of 196 patients aged over 65 years with at least one chronic disease...
November 18, 2017: Semergen
https://www.readbyqxmd.com/read/29125982/disability-in-activities-of-daily-living-among-adults-with-cancer-a-systematic-review-and-meta-analysis
#11
REVIEW
Josephine Neo, Lucy Fettes, Wei Gao, Irene J Higginson, Matthew Maddocks
INTRODUCTION: People with cancer frequently report limitation in Activities of Daily Living (ADLs); essential activities required to live independently within society. Although several studies have assessed ADL related disability, variability in assessment, setting, and population means evidence is difficult to interpret. We aimed to determine the prevalence of ADL related disability, overall and by setting, and the most commonly affected ADLs in people living with cancer. METHODS: We searched twelve databases to June 2016 for observational studies assessing ADL disability in adults with cancer...
December 2017: Cancer Treatment Reviews
https://www.readbyqxmd.com/read/28962952/recovery-of-patients-with-pure-diffuse-axonal-injury-who-remained-in-a-coma-for-six-hours-or-more
#12
Rita de Cássia Almeida Vieira, Wellingson Silva Paiva, Daniel Vieira de Oliveira, Vinícius Monteiro de Paula Guirado, Ellen de Fátima Caetano Lança, Regina Márcia Cardoso de Sousa
BACKGROUND: Diffuse axonal injury (DAI) is a traumatic brain injury and one of the most common causes of unfavorable outcome and death. The aim of this study was to investigate the recovery of patients with pure DAI who remained in a coma for 6 hours or more after brain injury. METHODS: This was a follow-up study of 75 patients diagnosed with pure DAI, aged 18 to 60 years, with a Glasgow Coma Scale score ≤8 at hospital admission. Patient data were collected at hospital admission, hospital discharge, and 3 and 6 months after DAI...
September 26, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28952148/relationship-between-depressive-symptoms-and-activity-of-daily-living-dependence-in-older-japanese-the-kurabuchi-study
#13
Takahiro Nakamura, Takehiro Michikawa, Haruhiko Imamura, Toru Takebayashi, Yuji Nishiwaki
BACKGROUND/OBJECTIVES: Few published studies have investigated the possibility of an association between depressive symptoms and dependence in activities of daily living (ADLs) in elderly adults. The objective of the study was to examine the association between depressive symptoms and future ADL dependence and to investigate how this association varies according to living circumstances and marital status. DESIGN: Community-based prospective observational study. SETTING: Kurabuchi Town, Gunma Prefecture, Japan...
September 27, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28942076/assessment-of-commonly-used-frailty-markers-for-high-and-extreme-risk-patients-undergoing-transcatheter-aortic-valve-replacement
#14
Jessica Forcillo, Jose F Condado, Yi-An Ko, Michael Yuan, Jose N Binongo, Nnaemeka M Ndubisi, John J Kelly, Vasilis Babaliaros, Robert A Guyton, Chandan Devireddy, Bradley G Leshnower, James P Stewart, Louis P Perrault, Paul Khairy, Vinod H Thourani
BACKGROUND: The effect of frailty on outcomes after transcatheter aortic valve replacement (TAVR) remains incompletely understood. The objective of this study was to evaluate the performance of four commonly used frailty markers as predictors of early and late outcomes among patients undergoing TAVR. METHODS: A review was performed of 361 high- and extreme-risk patients undergoing TAVR from 2011 to 2015. Four frailty variables were assessed: serum albumin (g/dL), 5-m walk (seconds), grip strength (kg), and Katz index of independence in activities of daily living...
September 21, 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/28882623/-patients-assessment-of-their-chronic-illness-care
#15
Leyre Adrián-Arrieta, Juan Manuel Casas Fernández de Tejerina
OBJECTIVE: The aim of this study is to assess the care received by chronic patients from their point of view and objectify the factors related with a better assessment of care. DESIGN: Cross-sectional descriptive study realized between September 2014 and April 2015. LOCATION: Nine Health Centers of Navarra (6 urban and 3 rural), Spain. PARTICIPANTS: Sampling opportunity of 196 patients aged over 65years presenting at least one chronic disease...
September 4, 2017: Atencion Primaria
https://www.readbyqxmd.com/read/28835870/preoperative-factors-influencing-decision-between-hemiarthroplasty-and-total-hip-arthroplasty-in-femoral-neck-fractures-in-indian-patients-retrospective-single-center-study
#16
Prakash Selvam, Sivamurugan Soundarapandian, Ravisubramaniam Soundarapandian, Cheralathan Senguttuvan
INTRODUCTION: The percentage of elderly population is increasing worldwide, with increasing incidence of femoral neck fractures. An increasing trend of arthroplasty for femoral neck fracture is observed. We aim to retrospectively analyze the preoperative factors that seem to influence the decision between hemiarthroplasty and total hip arthroplasty for managment of the same. MATERIALS AND METHODS: Patients admitted with femoral neck fracture during January 2010 to March 2015 in our institute were included in the study...
September 2017: Geriatric Orthopaedic Surgery & Rehabilitation
https://www.readbyqxmd.com/read/28793114/elderly-who-take-care-of-elderly-a-study-on-the-frailty-syndrome
#17
Ariene Angelini Dos Santos-Orlandi, Tábatta Renata Pereira de Brito, Ana Carolina Ottaviani, Estefani Serafim Rossetti, Marisa Silvana Zazzetta, Sofia Cristina Iost Pavarini
Objective: Identifying prevalence of frailty in elderly caregivers inserted in a high social vulnerability context and its correlation with sociodemographic and health aspects. Method: Descriptive, correlational and cross-sectional study. Forty elderly caregivers were evaluated with: questionnaire for caregiver characterization, Mini Mental State Examination, Katz Index, Lawton instrumental activities of daily living scale, Geriatric Depression Scale and the frailty phenotype proposed by Fried...
July 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/28793099/factors-associated-with-the-functional-capacity-of-older-adults-with-leprosy
#18
Paula Sacha Frota Nogueira, Marilia Braga Marques, Janaina Fonseca Victor Coutinho, Juliana Cunha Maia, Maria Josefina da Silva, Escolástica Rejane Ferreira Moura
Objective: to investigate the association between socio-demographic and clinical factors and the functional capacity of older adults with leprosy. Method: cross-sectional analytical study conducted in Fortaleza, Ceará, Brazil, with 77 older adult patients with leprosy in a referral service, through interview, medical records and application of the Katz Index and the Lawton and Brody Scale. Results: the mean age was 68.23 years, with prevalence of men, in stable union/married, with mean monthly family income of 2...
July 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/28783470/differences-in-fitness-level-between-women-aged-60-and-over-participating-in-three-different-supervised-exercise-programs-and-a-sedentary-group
#19
Maria Viladrosa, Ana Lavedán, Pilar Jürschik, Sebastià Mas-Alòs, Antoni Planas-Anzano, Olga Masot
The aim of this study was to compare fitness levels in women aged 60 and over participating in a supervised exercise program (involving tai chi, recreational gymnastics, and/or aquatic fitness) with those in a sedentary group. An observational, descriptive, cross-sectional study was performed on a total of 171 women aged from 60 to 92 who attended public community clubs for older adults. The instruments used included the Senior Fitness Test, the Tinetti Balance Assessment Tool, the Katz Index, and the Lawton & Brody Activities of Daily Living Scale...
August 7, 2017: Journal of Women & Aging
https://www.readbyqxmd.com/read/28614524/family-vulnerability-index-to-disability-and-dependence-fvi-dd-by-social-and-health-conditions
#20
Fernanda Amendola, Márcia Regina Martins Alvarenga, Maria do Rosário Dias de Oliveira Latorre, Maria Amélia de Campos Oliveira
The Family Vulnerability Index to Disability and Dependence (FVI-DD) aims to summarize the dimensions of vulnerability to disability and dependence using family data monitored by Family Health Strategy (ESF) teams. This study aims to analyze the FVI-DD according to the social and health vulnerability, to validate and extract a cutoff point for each dimension. The FVI-DD was built with a sample of 248 families living in a region of São Paulo. The dimension related to health conditions was validated with good internal consistency, with respect to the Katz Index and the Lawton Scale, whereas the dimension related to social conditions was only validated in relation to Lawton Scale...
June 2017: Ciência & Saúde Coletiva
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