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Publications related to Geriatrics (10,000)
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COVID-19 pandemic required community shutdowns and social distancing, with profound implications on medical education where pre-clerkship instruction shifted to a web-based format. Virtual learning lacks the personal contact and abrogates learning that often comes from “the hidden curriculum (HC)”. COVID-19 pandemic also emphasized the importance o...
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This Special Issue in Geriatrics is devoted to recent findings on “Determinants of Periodontal Disease among the Geriatric Population”. This issue will make a substantial contribution to the assessment of various factors that influence periodontal disease among the geriatric population around the globe and provide an insight for concerned authoriti...
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Introduction The current service metrics used to evaluate quality in emergency care do not account for specific healthcare outcome goals for older people living with frailty. These have previously been classified under themes of ‘Autonomy’ and ‘Functioning’. There is no person-reported outcome measure (PROM) for older people with frailty and emerge...
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Background: Polypharmacy is the administration of an excessive number of medicines and a significant irrational medicine use practice. Little is known about this practice in South Africa. This study aimed to determine the level of polypharmacy and potential drug-drug interactions amongst the geriatric patient population in a facility in South Afri...
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Background Falls are a common cause of emergency department (ED) visits for the older population. If osteoporosis is present, even falls from standing height can lead to unusual fractures normally associated with high-energy trauma. In this report, we analyze a rare case of an isolated sternal fracture with an unusual mechanism of injury. Our discu...
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Background The benefits of a high plasma-to-red blood cell (RBC) ratio on the survival of injured patients who receive massive transfusions remain unclear, especially in older patients. We aimed to investigate the interaction of age with the plasma-to-RBC ratio and clinical outcomes of trauma patients. Methods In this retrospective study conducted...
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Background Clinical management in orthogeriatric units and outcome indicators are similar for extracapsular fragility hip fractures, without discriminating between subtrochanteric and pertrochanteric fractures. Hypothesis Geriatric patients, 75 years or older, with subtrochanteric fractures have worse clinical and functional outcomes than those wi...
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Purpose of Review Malicious or accidental radiation exposure increases risk for the hematopoietic acute radiation syndrome (H-ARS) and the delayed effects of acute radiation exposure (DEARE). Radiation medical countermeasure (MCM) development relies on robust animal models reflective of all age groups and both sexes. This review details critical co...
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Background Frail older people are at higher risk of further deterioration if their needs are not acknowledged when they are acutely ill and admitted to hospital. Mental health comprises one area of needs assessment. Aims The aims of this study were threefold: to investigate the prevalence of depression in frail hospital patients, to identify facto...
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Objective To investigate the circumstances that lead to acute exacerbation readmission of elderly patients with chronic obstructive pulmonary disease (COPD) within 30 days and to explore the influencing factors of readmission using a structural equation model to provide evidence for medical staff so that effective intervention measures can be taken...
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Purpose of Review Syncope in the geriatric population remains a considerable diagnostic challenge due to its often atypical presentation and multifactorial etiology. This is compounded by the rising incidence of coexisting medical conditions, frailty, and polypharmacy in this population. Patients who have a history of cardiovascular disease or whos...
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Resumen La pandemia por Coronavirus puede y debe servir como oportunidad para repensar la atención sanitaria en nuestras residencias de mayores. El Hospital Universitario 12 de Octubre, como todos en la Comunidad de Madrid, tuvo en Geriatría un apoyo de incalculable valor en la gestión durante todas las olas de la pandemia. Además, otros especialis...
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Aims Living alone, a reality in an increasing number of older adults recently, is a risk factor for low quality of life. This study identified the predictors of quality of life in older adults living alone based on mental health and the International Classification of Functioning, Disability, and Health. Methods This secondary data analysis used i...
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Objective There is variability across individuals in cognitive aging. To investigate the associations of several modifiable factors with high and low cognitive performance. Methods Data came from 17,724 community-dwelling individuals aged 65–98 years. Global cognition, verbal fluency, episodic memory, and psychomotor speed were assessed over up to...
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Objectives This systematic review and meta-analysis was conducted to identify the potential risk factors for postoperative delirium in geriatric patients with hip fracture. Methods PubMed, EMBASE, and Cochrane Library were searched from inception until December 31st, 2021. A combined searching strategy of subject words and free words was adopted....
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Introduction Treatment advances in metastatic renal cell carcinoma (mRCC) have improved overall survival (OS) in mRCC patients over the last two decades. This single center retrospective analysis assesses if the purported survival benefits are also applicable in elderly mRCC patients. Methods 401 patients with mRCC treated at Hannover Medical Scho...
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Background Small bowel obstruction (SBO) is a common disease affecting all segments of the population, including the frail elderly. Recent retrospective data suggest that earlier operative intervention may decrease morbidity. However, management decisions are influenced by surgical outcomes. Our goal was to determine the current surgical management...
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Abstract Background Readmission in older adults is typically complex with multiple contributing factors. We aim to examine how two prevalent and potentially modifiable geriatric conditions – depressive symptoms and malnutrition – relate to other geriatric syndromes and 30-day readmission in hospitalized older adults. Methods Consecutive admissions...
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Objective: Despite oncology providers' significant roles in patient care, few studies have been conducted to investigate oncology providers' understanding of financial toxicity. This study aimed to explore oncology providers' perceptions and practices relating to the financial toxicity of older cancer survivors in China. Methods: A qualitative s...
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Efforts are being made to ensure that COVID-19 vaccination among older adults is as complete as possible. Dialogue-based interventions tailored to patients’ specific concerns have shown potential for effectiveness in promoting vaccination. We implemented a quality improvement project intended to help patients in an outpatient geriatrics clinic over...
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Background Geriatric psoriasis, due to its unusual clinical manifestations and higher rates of systemic complications in this age group, is a challenging issue for dermatologists. Therefore, we aimed to provide an overview of the epidemiological, clinical and therapeutic consequences among patients aged over 60 years with psoriasis in a referral ce...
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Background Stimulant prescriptions increased by 250% in the United States from 2006-2016 while diagnoses for ADHD minimally increased. There is insufficient data regarding who may be the recipients of these new stimulant prescriptions and safety of stimulants have come under scrutiny in some populations. We aim to describe trends in stimulant presc...
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Background/objectives The Mini Nutritional Assessment Short-Form (MNA-SF) is the recommended screening tool for older persons. Data on interrater reliability in clinical routine are rare. Thus, we wanted to quantify the interrater reliability of the MNA-SF in hospital. Subjects/methods This observational cross-sectional study was undertaken retros...
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Opinion statement Treatment of older adults with acute myeloid leukemia (AML) is challenging. Therapy decisions must be guided by multiple factors including aging-related conditions (e.g., comorbidities, functional impairment), therapy benefits and risks, patient preferences, and disease characteristics. Balancing these factors requires understandi...
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Purpose Regular primary care may be important to prevent ambulatory care-sensitive hospitalizations among older individuals living with breast cancer. The current study aimed to examine the relationship between preventable hospitalizations and primary care among Medicare beneficiaries diagnosed with breast cancer. Methods We used SEER-Medicare to...
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Objective: Conducting research in the emergency department (ED) is often complicated by patients' acute and chronic illnesses, which can adversely affect cognition and subsequently capacity to consent for research, especially in older adults. Validated screening tools to assess capacity to consent for research exist, but neither the frequency of u...
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Aim We estimated the proportion and severity of cognitive disorders in an unselected population of patients referred for transcatheter aortic valve implantation (TAVI). Second, we describe clinical and cognitive outcomes at 1 year. Methods Eligible patients were aged ≥ 70 years, with symptomatic aortic stenosis and an indication for TAVI. The Mont...
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Hospital accidental falls are serious incidents relating to patient safety. Thus falls are very common among older adults who are cared for in-hospital health care facilities, rehabilitation facilities or acute hospitals. In the world, the death rate of the elderly is one of the most serious health problems of this period due to the increased morbi...
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Older men undergoing robot-assisted radical prostatectomy (RARP) have been thought to have worse perioperative, functional and oncological outcomes than younger men. However, there is a dearth of matched studies on this subject in the currently available literature. Our study is a matched pair analysis of perioperative, oncological and functional o...
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Background Malnutrition is common in patients with gastrointestinal cancer. The first step in the diagnosis of malnutrition is to evaluate the malnutrition risk by validated screening tools according to the Global Leadership Initiative on Malnutrition (GLIM). This study aimed to determine the best nutritional screening tool for identifying GLIM mal...
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Background Delirium superimposed on dementia (DSD) is associated with adverse outcomes in older adults. Nonetheless, little is known about the association between inflammatory markers and clinical outcomes of DSD. Aims This research investigated the predictive value of the neutrophil-to-lymphocyte ratio (NLR) for short- and long-term mortality amo...
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Aim To gain insight into which elements of the interpersonal care relationship (IPCR) are perceived as occurring (less) frequently and as (not) disturbing from the perspective of hospitalized older patients. Design A cross‐sectional study in three Belgian hospitals. Methods A convenience sample of patients aged 75 years or older admitted to a non...
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Medical and pathology records were reviewed for 161 Critically Endangered Livingstone's fruit bats Pteropus livingstonii (LFBs) held at Jersey Zoo and Bristol Zoological Gardens between 1992 and 2017, representing over 95% of the historical population managed at these institutions. The association of mortality and morbidity in relation to age (imma...
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A 14-years old German Shepherd male dog was presented with the history of large swollen tibial joint of left hind limb with not weight bearing on corresponding limb since from past 20-30 days. Radiological investigation revealed periosteal proliferative and lytic reaction. Cytological examination revealed the presence of multinucleated giant cells...
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Background. the ministry of health guidelines in Indonesia establish a protocol for administering vitamin d to people with COVID-19 as being 1,000 to 5,000 IU per day, both for adults and older adults. Objectives. This systematic review aims to investigate how much the optimal dose for patient COVID-19 within high-risk vitamin D deficiency is eithe...
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Aging is a process that includes natural and time-dependent changes in the body. Dogs whose quality of life is not adversely affected are classified as healthy elderly dogs. Behavioral and cognitive status should be taken into consideration together with blood analyzes in the health evaluation of old dogs. Therefore, it was aimed to evaluate hemato...
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Aging of adults usually involves cognitive decline due to various neuronal pathologies and neurophyonsiological changes, resulting in the so-called “geriatric syndrome” in aging. This puts older adults beyond a certain age at a high risk of getting lost and of falling due to declined attention levels, memorization, visuospatial processing and judgm...
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As the older population increases, the number of elderly accessing the emergency department following a trauma increases accordingly. High-level trauma enters together with the identification of predictive parameters for poor outcome and mortality, may result in a death rate improvement of up to 30% in this group of patients. This study analyzes th...
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Introduction: Elderly population is vulnarable to experience a great number of dermatological diseases thanks to the intrinsic and extrinsic process of aging. Objectives: The aim of this study is to retrospectively investigate the prevalence of dermatological diseases in geriatric patients, their distribution by age and gender, and to provide a re...
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Surgical fixation of distal femur fractures in geriatric patients is an evolving topic. Unlike hip fractures, treatment strategies for distal femur fractures are ill-defined and lack substantive high-quality evidence. With an increasing incidence and an association with significant morbidity and mortality, it is essential to understand existing tre...
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Background Existing evidence links hearing loss to depressive symptoms, with the extent of association and underlying mechanisms remaining inconclusive. We conducted a cross-sectional study to examine the association of hearing loss with depressive symptoms and explored whether social isolation mediated the association. Methods Eight thousand nine...
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Although the regular administration of antihypertensive drugs is a risk factor for falls in older adults, whether their anti-inflammatory effects confer a survival benefit in older adults remains unknown. This single-center retrospective cohort study examined patients with trauma aged ≥ 65 admitted to our hospital between January 2018 and December...
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Abstract Aim: In the literature, there are clinical and histopathological differences in elderly breast cancer patients compared to younger patients. In our study, we compared elderly breast cancer patients treated in our hospital with younger patients in terms of clinical and histopathological features. Material and Methods: In our study, the resu...
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Background/Purpose: Older patients have multiple comorbidities that result in adverse health outcomes. However, factors predicting mortality in subacute geriatric population is lacking. The study aims to identify factors and develop a scoring system to predict 1 year all-cause mortality of older patients in subacute geriatric unit. Methods: Thi...
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Background Motor dysfunctions, such as slower walking speed, precede the occurrence of dementia and mild cognitive impairment, suggesting that walking parameters are effective biomarkers for detecting early sub-clinical cognitive risk. It is often also concurrent with self-complained cognitive dysfunction, called motoric cognitive risk (MCR) syndro...
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Objective The aim of this study was to investigate the longitudinal impact of depressive symptoms on utilization of healthcare in terms of GP visits as well as specialist visits and hospital admission in late life among community-dwelling individuals. Methods Longitudinal data (baseline and follow-up) were derived from the German multicentre, pros...
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The red panda is an endangered forest species distributed on the edge of the Qinghai Tibet Plateau. The species has been conserved in ex-situ in many countries and its survival is threatened by many diseases. Its immune system is vulnerable to age-associated alterations, which accumulate and result in a progressive deterioration that leads to an in...
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Objective Previous research shows that depression and personality are independently associated with self- and informant-reports of the ability to perform instrumental activities of daily living (IADLs). However, less is known about the association between depression and personality and performance-based measures of IADLs. We aimed to determine how...
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Background Surgical management of geriatric hip fractures yields improved functional outcomes with decreased morbidity and mortality. Cohort studies have suggested that the older patients within the geriatric age group have worse outcomes with surgery, However, these studies inherently report inflated risks due to poor handling of confounders and h...
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Background: A large number of CT brain (CTB) scans are ordered in the ED for older patients with a confirmed or possible head strike but no ongoing symptoms of a head injury. This study aimed to evaluate the effect of the Canadian CT head rule supplemented by the original published minimum inclusion criteria to assist clinician assessment of the n...
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Background The geriatric population and advanced knee osteoarthritis are rapidly increasing in Korea, and the socioeconomic burden of total knee arthroplasty (TKA) is increasing. This study aimed to analyze the demographic, clinical and socioeconomic characteristics of patients who underwent TKA and to differentiate the factors affecting participat...
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Cognitive function can be affected by cancer and/or its treatment, and older patients are at a particular risk. In a prospective observational study including patients ≥65 years referred for radiotherapy (RT), we aimed to investigate the association between patient- and cancer-related factors and cognitive function, as evaluated by the Montreal Cog...
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Aim The aims of this study were to assess the survival benefit of optimal vs suboptimal management in elderly patients presenting with upper aerodigestive tract (UADT) cancer for which surgery was the standard of care, and determine if comprehensive geriatric assessment (CGA) was a prognostic factor for survival. Materials and methods This single-...
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This study was an exploratory prospective observational study in a cohort of patients on admission with COVID-19 in some health institutions in Nigeria. Patients within the age group of less than 25 years to greater than 50 years of age with PCR-confirmed diagnosis of SARS-CoV-2 infection, involved only those who gave consent. Ethical concern was h...
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Aims: To investigate nurses' self-efficacy and attitudes of providing oral care in geriatric care facilities (GCFs) and compare differences between individuals, facilities and countries. Design: A cross-sectional and multicentre study. Methods: Data were collected from 852 nurses in 42 GCFs using two scales, "Self-Efficacy for Providing Mouth...
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It is commonplace to state that dementia is a complex condition. Such complexity involves the limits between pathological and normal aging, diagnosis with no simple organic causation, and the use of psychiatric medication that does not cure but generates hope to alleviate symptoms such as forgetfulness and delirium. Based on an ethnography of one y...
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Background and aims: Hepatocellular cancer (HCC) often occurs in geriatric patients. The aim of our study was to compare overall survival and progression-free survival between geriatric patients (>75 years) and patients younger than 75 years and to identify predictive factors of survival in geriatric patients with HCC. Material and methods: We p...
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Background The study aimed to evaluate the feasibility of using a comprehensive geriatric assessment (CGA) in a residential transition care setting to measure older adults’ functional outcomes. Methods A convenience sample of older adults ( n = 10) and staff ( n = 4) was recruited. The feasibility of using assessment tools that comprise a CGA to c...
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The age pyramid in Brazil is changing due to a reduction in younger age groups and increase in the proportion of elderly people. It is estimated that by 2050 the number of elderly people will be double the current. If, on the one hand, the increase in life expectancy is a good indicator of population health, the increase in the prevalence of non-co...
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Background: There is ongoing uncertainty regarding transmission chains and the respective roles of healthcare workers (HCWs) and elderly patients in nosocomial outbreaks of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in geriatric settings. Methods: We performed a retrospective cohort study including patients with nosocomial corona...