Is functional mobility an independent mortality risk factor in subjects with dementia?
Abstract Objective To investigate whether functional mobility is a predictor of 12-month mortality in elderly subjects with dementia. Study design Prospective multicentre study performed in nine French university hospitals. Patients aged 75 years or more and hospitalised in medical wards via the emergency department were eligible. Those with a diagnosis of dementia were considered in the analyses. Main outcome measures Patients’ characteristics obtained through comprehensive geriatric assessment performed during the first week of hospitalisation. Functional mobility was assessed using the timed “Up & Go” test. The main outcome was time to death within the 12 months of follow-up. Bivariable …
What could have caused this weight loss?
International audience; Achalasia is rare and often diagnosed late.It is characterized by functional gastro-oesophageal sphincter obstruction.Aspiration pneumonia may complicate the achalasia.Intrasphincteric botulinum toxin injection is one of the main treatments for achalasia.
Faut-il réaliser un « Mini-Mental State Examination » chez tout sujet âgé hypertendu ?
Hypertension constitutes a recognized risk factor of vascular dementia but also of Alzheimer-type dementia. Various longitudinal studies showed that midlife blood pressure level is one of the factors conditioning the onset of dementia syndrome in late life. The high risk of dementia is linked to leukoaraiosis, vascular rigidity, microcirculation disorders, oxidative stress, blood pressure fluctuations including orthostatic hypotension and strokes, all of those being associated with hypertension. Numerous clinical trials showed the positive effect of effective treatment of hypertension on the prevention of cognitive disorders and dementias. Thus, screening and early management of dementia an…
Évaluation de la prescription du furosémide chez la personne âgée de 75 ans et plus dans un service de gériatrie aiguë
Resume Introduction Le furosemide est tres prescrit en France. Il serait responsable d’effets indesirables non negligeables surtout chez la personne âgee. Afin de limiter son mesusage et un surcout pour la securite sociale, la Societe europeenne de cardiologie a edite des recommandations de prescription strictes. Nous avons conduit une etude dans une population âgee dont l’objectif principal etait de determiner le taux de prescription du furosemide chez la personne âgee hors recommandations. Methode Il s’agissait d’une etude prospective, monocentrique et observationnelle portant sur des personnes d’âge ≥ 75 ans, admises dans un service de geriatrie aigue sur une periode de 6 mois. La preval…