0000000000038515

AUTHOR

Irene De Ronch

showing 4 related works from this author

Body mass index as a predictor of all-cause mortality in nursing home residents during a 5-year follow-up.

2013

Background: Body mass index (BMI) is considered a short-term mortality predictor, but a consensus has not been reached on its role and that of other nutritional parameters in predicting long-term mortality in nursing home residents. Objectives: To correlate BMI, Mini Nutritional Assessment scores, and serum albumin levels with the 5-year mortality rate in institutionalized elderly subjects. Methods: A total of 181 nursing home residents aged ≥70 years were included in a 5-year longitudinal study. Data were collected on all participants' nutritional, health, cognitive, and functional status by means of a comprehensive geriatric assessment. Data on the participants' vital status were obtained…

GerontologyMaleLongitudinal studyComorbiditySeverity of Illness IndexBody Mass IndexPredictive Value of TestsCause of DeathMedicineHumansLongitudinal StudiesBody mass index nursing home mortality elderly nutritionGeriatric AssessmentGeneral NursingSurvival analysisCause of deathAgedProportional Hazards ModelsAged 80 and overbusiness.industryProportional hazards modelHealth PolicyMortality rateGeneral Medicinemedicine.diseaseComorbidityNursing HomesPredictive value of testsLinear ModelsFemaleGeriatrics and GerontologybusinessBody mass indexDemographyFollow-Up StudiesJournal of the American Medical Directors Association
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Predictors of emergency department referral in patients using out-of-hours primary care services

2016

Background Out of hours (OOH) doctors could manage many cases limiting the inappropriate accesses to ED. However the possible determinants of referral to ED by OOH doctors are poorly studied. We aimed to characterize patients referred from the OOH to ED service in order to explore the gate-keeping role of OOH service for hospital emergency care and to facilitate future research in improving its cost-effectiveness. Methods A retrospective study was made through data collection of 5217 contacts in a local OOH service in the North-East of Italy (from 10/01/2012 to 03/31/2013). Results Only 8.7% (=454 people) of the total contacts were referred to ED. In the multivariate analysis, the significa…

MaleMultivariate analysisReferralPopulationContext (language use)Emergency department; Gate-keeping; Out-of-hours primary careHealth Services AccessibilityOut-of-hours primary care03 medical and health sciences0302 clinical medicineAfter-Hours CareGate-keepingHumansMedicine030212 general & internal medicineeducationReferral and ConsultationRetrospective Studieseducation.field_of_studyPrimary Health Carebusiness.industryEmergency department030503 health policy & servicesHealth PolicyAge FactorsRetrospective cohort studyOvercrowdingEmergency departmentOdds ratioMiddle Agedmedicine.diseaseNursing HomesItalyFemaleMedical emergencyEmergency Service Hospital0305 other medical sciencebusiness
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Effect of Oral Beta-Hydroxy-Beta-Methylbutyrate (HMB) Supplementation on Physical Performance in Healthy Old Women Over 65 Years: An Open Label Rando…

2015

Although older people are particularly liable to sarcopenia, limited research is available on beta-hydroxy-beta-methylbutyrate (HMB) supplementation in this population, particularly in healthy subjects. In this parallel-group, randomized, controlled, open-label trial, we aimed to evaluate whether an oral supplement containing 1.5 g of calcium HMB for 8 weeks could improve physical performance and muscle strength parameters in a group of community-dwelling healthy older women. Eighty healthy women attending a twice-weekly mild fitness program were divided into two equal groups of 40, and 32 of the treated women and 33 control completed the study. We considered a change in the Short Physical …

OralGenetics and Molecular Biology (all)medicine.medical_specialtyAbsorptiometry Photon; Administration Oral; Aged; Aged 80 and over; Female; Humans; Valerates; Dietary Supplements; Hand Strength; Physical Fitness; Agricultural and Biological Sciences (all); Biochemistry Genetics and Molecular Biology (all); Medicine (all)Strength trainingPopulationPhysical fitnessAdministration Orallcsh:MedicineIsometric exerciseBiochemistrynot knownlaw.inventionAbsorptiometry PhotonRandomized controlled triallawHand strength80 and overValeratesmedicineHumansAbsorptiometrylcsh:ScienceeducationAgedAged 80 and overGeriatricseducation.field_of_studyMultidisciplinaryHand Strengthbusiness.industryMedicine (all)lcsh:Rmedicine.diseasePhotonAgricultural and Biological Sciences (all)Physical FitnessSarcopeniaAdministrationDietary SupplementsPhysical therapyFemalelcsh:Qbusinesshuman activitiesResearch ArticlePLOS ONE
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Role of out of hours primary care service in limiting inappropriate access to emergency department

2017

Out of hours (OOH) doctors can have an important gate-keeping role over the access to the emergency department (ED), but the outcome and the quality of their ED referrals have been poorly studied. We aimed to investigate the outcome of patients referred to ED from OOH service and the determinants of admission or short-stay dispositions. We collected retrospectively data about referrals to ED from a local OOH service in the north-east of Italy using the OOH paper register and the ED electronic database, over the period of 01/10/2012 to 31/03/2013. Out of 5217 patients accessing the OOH service, 408 referrals were included in our analysis. 45.3% (185) of the referrals were admitted to hospita…

AdultMalemedicine.medical_specialtyPalliative careAdolescentNational Health ProgramsReferralPsychological interventionPrimary careconsultation AppropriatenessAfter-hours care03 medical and health sciencesGate keeping0302 clinical medicineOut of hoursInternal MedicineHumansMedicineAppropriateness030212 general & internal medicineChildAgedRetrospective StudiesAfter-hours care; Appropriateness; Emergency service; Gate keeping; Primary health care; Referral and consultation; Internal Medicine; Emergency MedicinePrimary health careEmergency service Gate keeping Referral andService (business)business.industry030503 health policy & servicesReferral and consultationLimitingEmergency departmentMiddle AgedItalyChild PreschoolEmergency medicineEmergency MedicineAfter-hours care Primary health careFemaleEmergency Service Hospital0305 other medical sciencebusinessEmergency serviceInternal and Emergency Medicine
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