Geriatrics - Science topic

A pandemia da COVID-19 trouxe desafios para o monitoramento de usuários de anticoagulantes, sobretudo idosos, sendo o telemonitoramento uma alternativa para dar continuidade aos cuidados para esses pacientes. O presente estudo teve como objetivo descrever a experiência do telemonitoramento de idosos usuários de anticoagulantes na pandemia da COVID-...

A pandemia da COVID-19 trouxe desafios para o monitoramento de usuários de anticoagulantes, sobretudo idosos, sendo o telemonitoramento uma alternativa para dar continuidade aos cuidados para esses pacientes. O presente estudo teve como objetivo descrever a experiência do telemonitoramento de idosos usuários de anticoagulantes na pandemia da COVID-...

A pandemia da COVID-19 trouxe desafios para o monitoramento de usuários de anticoagulantes, sobretudo idosos, sendo o telemonitoramento uma alternativa para dar continuidade aos cuidados para esses pacientes. O presente estudo teve como objetivo descrever a experiência do telemonitoramento de idosos usuários de anticoagulantes na pandemia da COVID-...

A pandemia da COVID-19 trouxe desafios para o monitoramento de usuários de anticoagulantes, sobretudo idosos, sendo o telemonitoramento uma alternativa para dar continuidade aos cuidados para esses pacientes. O presente estudo teve como objetivo descrever a experiência do telemonitoramento de idosos usuários de anticoagulantes na pandemia da COVID-...

I am writing to express my opinion for the establishment of a new field of health informatics called Geriatric Medical Informatics (GMI). As our population ages, the need for specialized medical care for older adults is becoming increasingly important. At the same time, advances in information technology are revolutionizing the way we approach heal...

Objectives Chronic kidney disease (CKD) is a condition characterized by atherosclerosis, cognitive impairment, physical limitations, biochemical abnormalities, and vascular aging. The proportion of those with a diagnosis of CKD in the older is increasing. With comprehensive geriatric assessment, it could be possible to detect the disorders that are...

Background Falls are the most common health problem affecting older people in long-term care facilities (LTCFs), with well-recognised adverse psychological and physical resident outcomes, and high staff burden and financial cost. LTCF staff knowledge and skills can play a vital role in providing and promoting fall prevention care. Methods A descri...

Objectives To assess if nutritional interventions informed by indirect calorimetry (IC), compared to predictive equations, show greater improvements in achieving weight goals, muscle mass, strength, physical and functional performance. Design Quasi-experimental study. Setting and Participants Geriatric rehabilitation inpatients referred to dietit...

Objective Regarding the circadian rhythm regulating an individual’s response to external stimulation, it remains unclear whether older adults engaged in physical activity at different times of day may be differently related to depression symptoms. Thus, this study aimed to investigate the association between overall and timing-specific physical act...

Background: Fall prevention is an important indicator of the quality of patient care. Prevention includes the use of adequate footwear. Our objective is to determine the differences in the number of falls between patients with “adequate footwear” and “non slip socks”, and their associated consequences, to support their use in the prevention of fall...

Purpose Although comprehensive geriatric assessment (CGA) has been used widely, its impact on adverse events in elderly patients has not been fully examined. The present study aimed to investigate the relationships between subcomponents of CGA and adverse events (AEs) in elderly patients undergoing posterior lumbar fusion surgery. Methods A total...

Objective: The aim of this study was to investigate the impact of untreated hand diseases on hand grip strength, a value that is commonly used as a diagnostic parameter for sarcopenia and frailty in geriatric populations. We hypothesized that individuals with untreated hand diseases would have lower grip strength than those without hand diseases. M...

Introduction Although several studies have examined the individual relationships among digital literacy, cognitive function, and depressive symptoms, few have integrated all three factors into a single model. This study aimed to address this gap by investigating the mediating effect of depressive symptoms on the relationship between digital literac...

Background: Determining the risk of grade 3–5 toxicity and early death (ED) is important to plan chemotherapy in older adult patients with cancer. Our objective was to identify factors predicting these complications at the time of treatment initiation. Methods: 234 patients aged ≥70 were subjected to a geriatric assessment and variables related to...

The present study aims to evaluate loneliness in a sample of ambulatory geriatric patients, to understand whether it can be entirely explained in terms of depressive symptoms and social isolation, or not.

Cognitive reserve (CR) represents a model of resilience towards age-related conditions, such as dementia. Despite being a useful conceptual framework for inter-subjective phenotypic differences, there is scant knowledge on how it may correlate with clinical complexity. To our understanding, this is the first study to investigate CR within a rigorou...

Frailty is an age-related and multifactorial condition, the prevalence of which in acute geriatric wards, according to a recent meta-analysis, is 47.4%. Hence, there is a need to intercept early those processes that could contribute to aggravating this frailty, accelerating its trajectory, including the onset of pressure lesions (LDPs). The pathoge...

Primary care offers good conditions for the detection and care of dementia. Nevertheless, the effectiveness in this setting is repeatedly criticized. So far, only a few studies have attempted to provide a holistic picture of the status quo of GP-based dementia care and to focus on the experience and action perspective of general practitioners (GPs)...

Aim Malnutrition, which increases the risk of liver disease-related events and mortality, is a serious complication in cirrhosis. This study aimed to investigate whether the geriatric nutritional risk index (GNRI) could predict the long-term prognosis in patients with cirrhosis. Methods We retrospectively evaluated 266 patients with cirrhosis and...

Background While high blood pressure has been linked to cognitive impairment, the relationship between low blood pressure, especially hypotension, and cognitive impairment has not been well studied. Therefore, this study aimed to assess the prevalence of hypotension and cognitive impairment in the seniors of China, and the association between hypot...

Possible sarcopenia, the loss of handgrip strength in the older population, can lead to poor functional prognosis after stroke. In this retrospective study, we aimed to elucidate the clinical risk factors for possible sarcopenia at discharge in 152 hospitalized patients with subacute stroke. Univariable and multivariable logistic regression analysi...

Background Mortality is high in older patients hospitalized with COVID-19. Previous studies observed lower mortality during the Omicron wave, yet no data is available on older patients. The objective was to compare in-hospital mortality between the Omicron and previous waves in older patients hospitalized with COVID-19. Methods This retrospective...

Background: Cognitive impairment (CI) is a growing concern among the elderly population in India and worldwide, often overlooked and underestimated in society. Cognitive Impaired are ten times more likely to develop dementia than healthy adults. In addition to having a higher risk of dementia, these people are more than twice as likely to die from...

Background The timely integration of palliative care is important for patients suffering from various advanced diseases with limited prognosis. While a German S-3-guideline on palliative care exists for patients with incurable cancer, a recommendation for non-oncological patients and especially for integration of palliative care into intensive care...

Advances in cardiovascular therapies and cancer treatments result in longer patient survival. The coexistence of cancer and cardiovascular disease has been recognized as a complex clinical scenario. Beside cardiovascular disease, older people with cancer are at greater risk of experiencing multimorbidity and the geriatric syndromes such as frailty....

Malnutrition could profoundly affect older adults’ oral health and quality of life, whereas oral health might, in turn, impact dietary intake and nutritional status. The present study aimed to investigate the association between general and oral health and nutritional status among older adults attending nutrition clinics at two main medical centers...

Colorectal cancer (CRC) is among the most common malignancies in Western countries. It is the second most commonly diagnosed cancer in women and the third in men, with 1,340,000 new diagnoses worldwide. In Italy, around 45,000 new cases are diagnosed each year, likely related to the increased life expectancy, since aging plays a significant causati...

Background: Population aging is observed worldwide. As per Census 2011, elderly constitutes 7.4% population of India. It is expected to increase to 19% in 2050. The geriatric assessment is a multidimensional, multidisciplinary assessment designed to evaluate an older person's functional ability Objectives: to determine the functional status of elde...

Objective: To assess the nutritional status and depression of the elderly forcibly displaced Myanmar nationals (FDMN) in Bangladesh and determine the associated factors of geriatric depression (GD). Design: This was a community-based, cross-sectional study among elderly FDMN. Results: The mean age and BMI were 71·7(±7·8) years and 21·94(±2·6) kg/m...

Aim The aim of the study was to assess the suffering of patients on oncologic treatment and of those no longer on treatment. Preliminarily, we aimed to confirm the psychometric properties of Edmonton Symptom Assessment System–Total Care (ESAS-TC) in different stages of the disease. The ESAS-TC screens physical and psychological symptoms, but also s...

BACKGROUND Aortic valve stenosis (AS) is a representative geriatric disease, and there is an anticipated rise in the number of patients requiring non-cardiac surgeries in patients with AS. However, there is still a lack of research on the primary predictors of non-cardiac perioperative complications in patients with asymptomatic significant AS. MET...

Background Potentially inappropriate medication (PIM) use is a highly prevalent problem among older people, making it challenging to improve patient safety. The aim of this study was to assess the use of PIMs among geriatric outpatients (OUTs) in the Slovak Republic according to the EU(7) PIM list and to identify the differences in PIM prescription...

Objective: To analyze the association of self-perceived depressive feelings and cognitive performance with prevalence of depressive symptoms among quilombola elderly people. Methods: Cross-sectional study conducted with elderly people from 11 communities in Bequimão-MA. Socioeconomic and health conditions, self-perception of depressive feelings, co...

The study aimed to compare cognitive performance, depressive symptoms, and the incidence of falls in Brazilian older women with and without a confirmed history of COVID-19. This cross-sectional study included 188 women (60–89 years), divided into two groups: one with a history of COVID-19 (n = 139), and one without any history of COVID-19 (n = 49)....

Background Machine learning-based prediction models have the potential to have a considerable positive impact on geriatric care. Design Systematic review and meta-analyses. Participants Older adults (≥ 65 years) in any setting. Intervention Machine learning models for predicting clinical outcomes in older adults were evaluated. A random-effects...

RESUMEN Introducción: la demencia es uno de los trastornos cerebrales orgánicos más importantes. Se manifiesta de forma crónica y progresiva, con presencia de alteraciones en funciones cognitivas como la memoria, el pensamiento, la orientación, el cálculo, el lenguaje y la capacidad de aprendizaje sin tener que producir, en principio, un trastorno...

Subarachnoid hemorrhage (SAH) is a type of hemorrhagic stroke resulting from the rupture of an arterial vessel within the brain. Unlike other stroke types, SAH affects both young adults (mid-40s) and the geriatric population. Patients with SAH often experience significant neurological deficits, leading to a substantial societal burden in terms of l...

Background A reduction in mortality risk of COVID-19 throughout the first wave of the pandemic has been reported, but less is known about later waves. This study aimed to describe changes in hospitalizations and mortality of patients receiving inpatient geriatric care for COVID-19 or other causes during the pandemic. Methods Patients 70 years and...

This study aimed to detect the functional and emotional impact of COVID‐19 lockdown on institutionalized older adults with sarcopenia during a 15‐month follow‐up. A prospective longitudinal cohort study was conducted in a nursing home. Participants were screened for sarcopenia, and those with a score of ≥4 points according to SARC‐F questionnaire w...

Background An accurate evaluation of cognitive function, physical health, and psychological health is fundamental for assessing health problems in the elderly population, and it is important to identify the necessity of early therapeutic intervention. The objective of this study was to evaluate the states of mental and physical functions and to inv...

This comprehensive review offers a detailed look at atopic dermatitis (AD) treatment in Italy, focusing primarily on the use of biologics and small molecules. In response to advancing knowledge of AD's causes and treatments, there's a global need for updated guidelines to provide physicians with a more comprehensive clinical perspective, facilitati...

Measurement of patient-to-staff violence (PSV) is essential for the institution to prevent negative outcomes and provide effective interventions. Although there are several approaches to doing this in psychiatry, little is known about how well they adapt to different types of wards. The role of gender and age also needs further investigation. The p...

Hesitancy to Covid-19 vaccine is a global challenge despite the compelling evidence of the value of vaccine in preventing disease and saving lives. It is suggested that context-specific strategies can enhance acceptability and decrease hesitancy to Covid-19 vaccine. Hence, the study determined uptake and determinants of Covid-19 vaccine following a...

O município de Paulínia iniciou em 2020 o programa Farmácia Viva “Remédio do Mato” na rede municipal de saúde. O objetivo deste projeto foi a geração de autonomia e autocuidado, diminuição do número de consultas e o uso racional de medicamentos fitoterápicos; compartilhando informações sobre o uso seguro das plantas e proporcionando o envolvimento...

Purpose Investigate the association between the neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and systemic immune-inflammation index (SII) about the presence of postoperative pneumonia (POP) in geriatric patients with hip fractures. Compare the predictive value of these biomarkers for POP and assess their potential for e...

Background and Objectives: The global population is undergoing rapid aging, resulting in an increase in geriatric syndromes and hidden health issues such as elder abuse. However, the prevalence of elder abuse varies across different settings. The objective of this study is to determine the prevalence and factors associated with elder abuse at the o...

Background Prompt recognition of delirium is the first key step in its proper management. A previous study has demonstrated that nurses’ delirium screening using the usual paper version assessment tool has no effect on clinical outcomes. Clinical decision assessment systems have been demonstrated to improve patients’ adherence and clinical outcomes...

We conducted a bibliometric analysis on leadership research in formal caregivers within geriatric environments, examining the association between these professionals and leadership. Our study aimed to identify trends and indicators by examining articles published on the Web of Science (WoS) platform from 1990 to 2022. Data from the WoS platform wer...

Aim Research shows that professionals in healthcare and social work are crucial for reaching older adults but often do not refer them to local PA programs. Multidisciplinary collaboration, including sports professionals, is challenging. In The Netherlands interlocal differences in collaboration are large due to influence of local policy. Our aim wa...

Purpose Negative mental well-being may hinder, and positive mental well-being facilitate physical activity (PA) when one’s daily routines are compromised. COVID-19 posed challenges to both mental well-being and PA, in Finland especially for those over 70, who faced the strictest restrictions. Therefore, the aim was to investigate the relationships...

Optimizing the functional status of patients of any age is a major global public health goal. Rehabilitation is a process in which a person with disabilities is accompanied to achieve the best possible physical, functional, social, intellectual, and relational outcomes. The Intermediate Care Unit within the O.U. of Geriatrics and Gerontology of the...

The purpose of this study was to examine the association between sleep quality, frailty, and human relationships in Japanese older adults (aged 65 years and above, excluding those certified as requiring long-term care). This cross-sectional study used a questionnaire survey to gather demographic information, data on frequency of conversation and co...

Nutritional Status of geriatric patients

Aim to assess the frequency of disability in instrumental activities of daily living (IADLs) and to analyze its associations with other geriatric syndromes in persons aged 65 years. Material and methods. The study involved 4,308 people (30% male) living in 11 regions of the Russian Federation, aged 65 to 107 years (average age 78 8 years). The majo...

(1) Background: A major problem affecting geriatric patients is pain. In addition to pain, a significant problem of old age is dementia and depression, which can hinder the diagnosis and treatment of pain. The aim of this study was to analyse the prevalence of pain in patients treated in a geriatric outpatient clinic and the treatment used. (2) Met...

This study aims to test an integrated model of physical health, economic status, social relations, and geriatric depression, and in particular to examine the stress-buffering role of social relations on the negative psychological effects of declining physical health and worsening economic status. Data from 5,316 older adults (≥60 years) from a nati...

Delirium is an acute neurological disorder that involves attention and cognition. It is associated with a high risk of morbidity and mortality among older people (>65 years old). In the context of the Emergency Department (ED), it is frequently experienced by patients but often not recognized. Literature studies have identified some screening instr...

Introduction Older patients are frequently re-admitted to the hospital after attending the emergency department (ED). We investigated whether direct admission to the hospital was associated with a lower risk of readmission at 30 days compared to admission via the ED, in patients aged ≥ 75 years. Methods Retrospective multicenter cohort study from...

Aim To evaluate the clinical findings of nonfunctional pituitary adenomas (NFA) in the geriatric population, functional status, cognitive function, quality of life and frailty. Material-Method We evaluated operated NFA cases aged 65 years and older followed up in our clinic between 2010 and 2022. Patients seen in the geriatric outpatient clinic wit...

Background: Insulin resistance (IR) negatively affects several risk factors of chronic kidney disease (CKD). This cross-sectional study investigated whether the triglyceride-glucose (TyG) index, which reflects IR, was independently associated with CKD in a geriatric population, regardless of obesity and sex. Methods: The analysis included 7326 i...

Background: A previous systematic review by our team (2012) undertook comprehensive geriatric assessment (CGA) in breast cancer and concluded there was not sufficient evidence to instate CGA as mandatory practice. SIOG/EUSOMA guidelines published in 2021 advocate the use of CGA in breast cancer patients. The aim is to perform an updated systematic...

No studies have focused on the trajectory of the average relative dose intensity (ARDI) during cycles of first-line chemotherapy for patients with diffuse large B-cell lymphoma. To evaluate the impact of attenuating ARDI during cycles on overall survival, we conducted a multi-centre, longitudinal, observational retrospective study. A total of 307 a...

Background Regional cerebral oxygen saturation (rSO 2 ) monitoring is a real-time and non-invasive technique for estimating the balance of regional cerebral oxygen supply and consumption. Despite the growing popularity of this monitoring technique, data regarding outcome benefits remain sparse and contradictory. This study was conducted to explore...

Aims: Malnutrition is prevalent among patients with heart failure (HF); however, the effects of coexisting malnutrition and frailty on prognosis are unknown. This study examines the impact of malnutrition and frailty on the prognosis of patients with HF. Methods and results: We examined 1617 patients with HF aged 65 years or older (age: 78.6 ± 7...

This study focuses on the concrete role of the presence of a ward’s service climate in cultivating nurses’ collaboration with family members. Accordingly, this study examined the moderating role of the service climate in the link between nurses’ attitudes toward the family and their collaboration with family members in the care process. This is the...

Background: Pneumonia is a respiratory infection with an increasing incidence with age. However, limited evidence has identified factors associated with its outcome among different age groups, especially in the elderly and in the emergency department (ED) setting. We aimed to identify clinical factors associated with in-hospital mortality in elder...

Over the past 50 years, socioeconomic development has brought a reduction in birth rates, an increase in life expectancy and consequently in the elderly population. For this reason, there has been an increasing focus on physical and mental health of the elderly, promoting the concept of healthy aging. The aim of this study was to explore the associ...

Objective: To verify the prevalence and factors associated with a disability unit for assisted elderly (USF) in Vitória-ES. Method: Cross-sectional study carried out with a probability sample of 241 elderly people enrolled in a USF. Information was collected regarding sociodemographic profile, life habits and health conditions (independent variable...