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multimorbidity among elderly

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https://www.readbyqxmd.com/read/29456768/hospital-mortality-among-elderly-patients-admitted-with-neurological-disorders-was-not-predicted-by-any-particular-diagnosis-in-a-tertiary-medical-center
#1
Aroldo Bacellar, Telma Assis, Bruno B Pedreira, Gersonita Costa, Osvaldo J M Nascimento
Background: Neurological disorders (NDs) are associated with high hospital mortality. We aimed to identify predictors of hospital mortality among elderly inpatients with NDs. Methods: Patients aged ≥60 years admitted to the hospital between January 1, 2009 and December 31, 2010 with acute NDs, chronic NDs as underpinnings of acute clinical disorders, and neurological complications of other diseases were studied. We analyzed demographic data, NDs, and comorbidities as independent predictors of hospital mortality...
2018: Open Neurology Journal
https://www.readbyqxmd.com/read/29448237/the-effect-of-multimorbidity-on-the-gap-between-global-and-age-comparative-self-rated-health-scores-among-the-korean-elderly
#2
Namsoo Kim, Hyun-Jun Nam, Juhwan Noh, Eun-Cheol Park
Most of the behavior change models regard perceived health status as a motivation for healthy behaviors or chronic disease self-management. The aim of this study was to examine the association between the number of chronic diseases and the difference between global and age-comparative self-rated health scores (GSRH and ASRH). We used national representative survey data pertaining to the elderly in 2011 from the Korea Institute for Health and Social Affairs. In total, 10,003 participants (≥60 years old) were selected from those who had completed the survey in 2008...
January 3, 2018: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29411310/polypharmacy-in-home-care-in-europe-cross-sectional-data-from-the-ibenc-study
#3
Silvia Giovannini, Henriëtte G van der Roest, Angelo Carfì, Harriet Finne-Soveri, Vjenka Garms-Homolová, Anja Declercq, Pálmi V Jónsson, Hein van Hout, Davide L Vetrano, Ester Manes Gravina, Roberto Bernabei, Graziano Onder
BACKGROUND: Home care (HC) patients are characterized by a high level of complexity, which is reflected by the prevalence of multimorbidity and the correlated high drug consumption. This study assesses prevalence and factors associated with polypharmacy in a sample of HC patients in Europe. METHODS: We conducted a cross-sectional analysis on 1873 HC patients from six European countries participating in the Identifying best practices for care-dependent elderly by Benchmarking Costs and outcomes of community care (IBenC) project...
February 6, 2018: Drugs & Aging
https://www.readbyqxmd.com/read/29349230/education-race-ethnicity-and-multimorbidity-among-adults-aged-30-64-in-the-national-health-interview-survey
#4
Vicki Johnson-Lawrence, Anna Zajacova, Rodlescia Sneed
Background: Demographic risk factors for multimorbidity have been identified in numerous population-based studies of older adults; however, there is less data on younger populations, despite the fact that approximately 24% of US adults age 18+ have multimorbidity. Understanding multimorbidity earlier in the life course is critical because of the increased likelihood of long-term disability and loss of productivity associated with chronic disease progression. Objective: To examine the associations of education and race/ethnicity with mutimorbidity among adults aged 30-64 using cross-sectional data from the 2002-2014 National Health Interview Surveys...
December 2017: SSM—Population Health
https://www.readbyqxmd.com/read/29121039/the-prevalence-and-determinants-of-multimorbidity-in-hospitalized-patients-with-heart-failure
#5
Olga Siga, Barbara Wizner, Karolina Piotrowicz, Małgorzata Fedyk-Łukasik, Tomasz Grodzicki
OBJECTIVE: The aim of this study was to assess the prevalence of multimorbidity and co-existed diseases in hospitalized patients with heart failure (HF) in relation to age and gender. METHODS: The nationwide cross-sectional survey had been conducted in Poland (April-November 2013), in 260 randomly selected hospital wards. A trained nurse contacted with one physician, drawn from the list of all doctors working in the selected hospital's wards, who completed the study questionnaires regarding to clinical characteristics of the last five HF patients, who were discharged from an internal or cardiology ward...
2017: Folia Medica Cracoviensia
https://www.readbyqxmd.com/read/29096228/multimorbidity-and-health-related-quality-of-life-among-the-community-dwelling-elderly-a-longitudinal-study
#6
Jiayi Gu, Jianqian Chao, Wenji Chen, Hui Xu, Ruizhi Zhang, Tingting He, Lin Deng
OBJECTIVES: Multimorbidity is a growing public health problem. The objective of this study was to investigate the impact of multimorbidity on health-related quality of life (HRQoL) of the elderly. METHODS: A 24-month longitudinal study was conducted on the community-dwelling elderly. There were 411 elderly persons with complete follow-up. Information on thirteen chronic conditions was collected at baseline. Via a multi-dimensional scale, HRQoL was measured at baseline, 18 and 24 months post-baseline, respectively...
October 28, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28977377/fnih-defined-sarcopenia-predicts-adverse-outcomes-among-community-dwelling-older-people-in-taiwan-results-from-i-lan-longitudinal-aging-study
#7
Ting-Ching Tang, An-Chun Hwang, Li-Kuo Liu, Wei-Ju Lee, Liang-Yu Chen, Yi-Hui Wu, Chung-Yu Huang, Cheng-Hao Hung, Chih-Jen Wang, Ming-Hsien Lin, Li-Ning Peng, Liang-Kung Chen
Background: To evaluate the predictive validity of sarcopenia defined by the Foundation for the National Institutes of Health (FNIH) Sarcopenia Project among Asian older adults. Methods: Data of the I-Lan Longitudinal Aging Study were obtained for analysis. Overall, 1,839 community-dwelling people aged 50 years and older, capable of completing a 6-m walk, with life expectancy of more than 6 months, and not institutionalized at time of data collection were enrolled for study...
July 25, 2017: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://www.readbyqxmd.com/read/28928324/health-related-quality-of-life-after-laparoscopic-liver-resection
#8
Christian Benzing, Felix Krenzien, Daniel Gohlke, Andreas Andreou, Philipp Haber, Simon Wabitsch, Matthias Biebl, Ricardo Zorron, Georgi Atanasov, Benjamin Strücker, Nathanael Raschzok, Marcus Bahra, Robert Öllinger, Johann Pratschke, Moritz Schmelzle
BACKGROUND: Potential benefits of laparoscopic liver resections (LLRs) over open liver resections (OLRs) such as the clinical outcome and health-related quality of life (HRQoL) have not convincingly been investigated, yet. PATIENTS AND METHODS: All patients who had undergone LLR and OLR at our department between 1 June 2014 and 10 October 2016 were identified. HRQoL was assessed using the short form 36 (SF-36). All patients who returned the surveys were then retrospectively analysed with regards to the perioperative outcome...
September 20, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28833527/hip-fracture-comorbidity-and-the-risk-of-myocardial-infarction-and-stroke-a-danish-nationwide-cohort-study-1995-2015
#9
Alma B Pedersen, Vera Ehrenstein, Szimonetta K Szépligeti, Henrik T Sørensen
We evaluated risks of MI and stroke in elderly patients with hip fracture compared with general population. We also examined the interaction between hip fracture and comorbidity with respect to risks of MI or stroke, defined as excess of risk explained by combining risks of hip fracture and comorbidity. We conducted a population-based cohort study using Danish health registries, in 1995-2015 including 110,563 hip fracture patients and 552,774 members of the comparison cohort from the general population. Thirty-day cumulative incidences of MI were 1...
August 21, 2017: Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research
https://www.readbyqxmd.com/read/28714659/are-patients-referred-to-rehabilitation-diagnosed-accurately
#10
Piotr Tederko, Marek Krasuski, Izabella Nyka, Jerzy Mycielski, Beata Tarnacka
BACKGROUND: An accurate diagnosis of the leading health condition and comorbidities is a prerequisite for safe and effective rehabilitation. The problem of diagnostic errors in physical and rehabilitation medicine (PRM) has not been addressed sufficiently. The responsibility of a referring physician is to determine indications and contraindications for rehabilitation. AIM: To assess the rate of and risk factors for inaccurate referral diagnoses (RD) in patients referred to a rehabilitation facility...
July 17, 2017: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/28570109/management-of-long-term-conditions-and-dementia-the-role-of-the-admiral-nurse
#11
Cathy Knight, Karen Harrison Dening
As life expectancy increases so people often develop a range of conditions and disabilities in the years before death. Multimorbidity represents the most common 'disease pattern' found among the elderly and is characterised by complex interactions of co-existing diseases where a medical approach focused on a single disease does not suffice. People with dementia who also have other comorbidities do not always have their comorbid conditions managed as those without dementia which often lead to a high number of hospital admissions with longer lengths of stay and greater treatment costs...
June 2, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/28566447/management-of-endocrine-disease-l-thyroxine-replacement-therapy-in-the-frail-elderly-a-challenge-in-clinical-practice
#12
REVIEW
R M Ruggeri, F Trimarchi, B Biondi
The number of elderly people, mostly aged over 85 years (the 'oldest old'), is increasing worldwide. As a consequence, accompanying morbidity and disability have been increasing, and frailty, defined as an age-related condition of decline of physiological reserves and vulnerability, represents an emerging problem. Caring for older frail people may represent a challenge, since the elderly differ significantly from younger adults in terms of comorbidity, polypharmacy, pharmacokinetics and greater vulnerability to adverse drug reactions...
October 2017: European Journal of Endocrinology
https://www.readbyqxmd.com/read/28492761/hospitalization-in-older-adults-association-with-multimorbidity-primary-health-care-and-private-health-plan
#13
Bruno Pereira Nunes, Mariangela Uhlmann Soares, Louriele Soares Wachs, Pâmela Moraes Volz, Mirelle de Oliveira Saes, Suele Manjourany Silva Duro, Elaine Thumé, Luiz Augusto Facchini
OBJECTIVE: Evaluate the association of multimorbidity, primary health care model and possession of a private health plan with hospitalization. METHODS: A population-based cross-sectional study with 1,593 elderly individuals (60 years old or older) living in the urban area of the city of Bagé, State of Rio Grande do Sul, Brazil. The outcome was hospitalization in the year preceding the interview. The multimorbidity was evaluated through two cut-off points (≥ 2 and ≥ 3)...
May 4, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/28376838/associations-between-multimorbidity-and-additional-burden-for-working-age-adults-with-specific-forms-of-musculoskeletal-conditions-a-cross-sectional-study
#14
Dianne B Lowe, Michael J Taylor, Sophie J Hill
BACKGROUND: Multiple health conditions are increasingly a problem for adults with musculoskeletal conditions. However, multimorbidity research has focused primarily on the elderly and those with a limited subset of musculoskeletal disorders. We sought to determine whether associations between multimorbidity and additional burden differ with specific forms of musculoskeletal conditions among working-age adults. METHODS: Data were sourced from a nationally representative Australian survey...
April 4, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28332222/multinomial-additive-hazard-model-to-assess-the-disability-burden-using-cross-sectional-data
#15
Renata T C Yokota, Herman Van Oyen, Caspar W N Looman, Wilma J Nusselder, Martin Otava, Yimer Wasihun Kifle, Geert Molenberghs
Population aging is accompanied by the burden of chronic diseases and disability. Chronic diseases are among the main causes of disability, which is associated with poor quality of life and high health care costs in the elderly. The identification of which chronic diseases contribute most to the disability prevalence is important to reduce the burden. Although longitudinal studies can be considered the gold standard to assess the causes of disability, they are costly and often with restricted sample size. Thus, the use of cross-sectional data under certain assumptions has become a popular alternative...
September 2017: Biometrical Journal. Biometrische Zeitschrift
https://www.readbyqxmd.com/read/28332012/-frequency-of-falls-among-clients-of-home-care-services-the-importance-of-care-related-and-social-risk-factors
#16
A Rommel, J Kottner, R Suhr, N Lahmann
BACKGROUND: Among the elderly falls frequently result in injuries, increase the need for long-term care and pose a challenge for the quality assurance in nursing care. We describe the frequency and risk factors of falls among care-dependent persons using home care services in Germany. METHODS: The participants of the study "Nursing-related health problems in home care" (n = 880) were recruited based on a list of the officially accredited nursing services. Data collection followed a standardized study protocol...
March 22, 2017: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/28257087/risk-factors-for-chronic-diseases-and-multimorbidity-in-a-primary-care-context-of-central-argentina-a-web-based-interactive-and-cross-sectional-study
#17
David E V Olivares, Frank R V Chambi, Evelyn M M Chañi, Winston J Craig, Sandaly O S Pacheco, Fabio J Pacheco
Global health agencies estimate an increase of chronic diseases in South America. Nevertheless, few studies have investigated chronic diseases and their risk factors in the perspective of multimorbidity. This research aimed to identify these aspects in a primary health care setting of central Argentina. The Pan America version of the STEP wise approach surveillance (STEPS) instrument of the World Health Organization was applied to 1044 participants, 365 men and 679 women, with a mean age of 43 years. High prevalence of overweight (33...
March 2, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/27884811/how-professionals-share-an-e-care-plan-for-the-elderly-in-primary-care-evaluating-the-use-of-an-e-communication-tool-by-different-combinations-of-professionals
#18
Catharina C de Jong, Wynand Jg Ros, Mia van Leeuwen, Guus Schrijvers
BACKGROUND: Home-dwelling elderly patients with multimorbidity are at risk of fragmentation of care because of the many different professionals involved and a potentially unclear level of communication. Multidisciplinary communication seems to occur incidentally. Mutual feedback is needed for a professional team to provide consistent care and adequate support to the patient system. eHealth technology can improve outcomes. OBJECTIVE: The aim of this study was to evaluate the use of a tool, Congredi, for electronic communication by professionals for the care of home-dwelling elderly patients...
November 24, 2016: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/27883167/frailty-is-a-geriatric-syndrome-characterized-by-multiple-impairments-a-comprehensive-approach-is-needed
#19
L-K Chen, A-C Hwang, L-K Liu, W-J Lee, L-N Peng
OBJECTIVE: To evaluate the prevalence of frailty and the associated multimorbidity and functional impairments among community-dwelling middle-aged and elderly people in Taiwan. DESIGN: a cross-sectional study. SETTING: communities in I-Lan County of Taiwan. PARTICIPANTS: 1839 community-dwelling people aged 50 years and older. INTERVENTION: None. MEASUREMENTS: Frailty defined by Fried's criteria, Charlson's comorbidity index (CCI), Functional Autonomy Measurement System (SMAF), Center for Epidemiologic Studies Depression Scale (CES-D), Mini-Nutrition Assessment (MNA), Mini-Mental State Examination (MMSE), and Short Form-12 quality of life questionnaire...
2016: Journal of Frailty & Aging
https://www.readbyqxmd.com/read/27882453/-implementation-of-a%C3%A2-proactive-integrated-primary-care-program-for-frail-older-people-from-science-to-evidence-based-practice
#20
Nienke Bleijenberg, Artine de Jonge, Morris P Brand, Caitriona O'Flynn, Marieke J Schuurmans, Niek J de Wit
BACKGROUND: Multimorbidity, functional impairment and frailty among community-dwelling older people are causing increasing complexity in primary care. A proactive integrated primary care approach is therefore essential. Between October 2014-2015, an evidence-based proactive care program for frail older people was implemented in the region Noord-West Veluwe en Zeewolde, the Netherlands. This study evaluated the feasibility of the implementation, having a strong focus on the collaboration between the medical and social domain...
December 2016: Tijdschrift Voor Gerontologie en Geriatrie
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