Search results for " Geriatric assessment"

showing 10 items of 43 documents

Acute decompensated heart failure: Decision pathways for older people

2015

Introduction: Acute decompensated heart failure (ADHF) is a common condition in older people, but little research has been conducted on the appropriate decision pathways for this population. The aim of this review was to explore ADHF management in older people, paying particular attention to the comprehensive geriatric assessment (CGA). Material and methods: A search was run in the PubMed literature database, combining the term "acute heart failure" with "management", "geriatric" "multidisciplinary", "co-management", "co-care", "approach", and "comprehensive geriatric assessment", from the databases inception to 1st January 2015. A manual check was also conducted on the reference lists in t…

medicine.medical_specialtyeducation.field_of_studyAcute decompensated heart failureacute heart failurebusiness.industryMortality ratePopulationEmergency departmentcomprehensive geriatric assessmentmedicine.diseaseMultidisciplinary approachHeart failureIntensive caremedicineGeriatrics and GerontologyDisease management (health)Intensive care medicinebusinesseducationGerontologyEuropean Geriatric Medicine
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Long-term outcomes of percutaneous coronary interventions or coronary artery bypass grafting for left main coronary artery disease in octogenarians (…

2014

Percutaneous coronary intervention (PCI) with drug-eluting stents is an accepted alternative to surgery for the treatment of unprotected left main coronary artery (ULMCA) disease, but the long-term outcome in elderly patients is unclear. Aim of our study was to compare the clinical outcomes of octogenarians with ULMCA disease treated either with PCI with drug-eluting stents or coronary artery bypass grafting (CABG). The primary study end point was the composite of death, cerebrovascular accident, and myocardial infarction at follow-up. A total of 304 consecutive patients with ULMCA stenosis treated with PCI or CABG and aged 80 years were selected and analyzed in a large multinational regist…

Malemedicine.medical_treatmentMedizinCoronaryKaplan-Meier EstimateCoronary AngiographyCohort StudiesPostoperative Complications80 and overMyocardial infarctionHospital MortalityRegistriesSurvivorsAngioplasty Balloon CoronaryCoronary Artery BypassAged 80 and overEjection fractionHazard ratioAge FactorsAge Factors; Aged 80 and over; Angioplasty Balloon Coronary; Cohort Studies; Coronary Angiography; Coronary Artery Bypass; Coronary Stenosis; Coronary Vessels; Female; Geriatric Assessment; Hospital Mortality; Humans; Kaplan-Meier Estimate; Male; Percutaneous Coronary Intervention; Postoperative Complications; Prognosis; Propensity Score; Registries; Retrospective Studies; Risk Assessment; Survival Analysis; Survivors; Treatment Outcome; Drug-Eluting Stents; Cardiology and Cardiovascular MedicineDrug-Eluting StentsPrognosisCoronary Vesselssurgical procedures operativeTreatment OutcomeDrug-eluting stentCardiologyFemaleCardiology and Cardiovascular Medicinemedicine.medical_specialtyRevascularizationRisk AssessmentPercutaneous Coronary InterventionInternal medicineAngioplastymedicineHumanscardiovascular diseasesPropensity ScoreGeriatric AssessmentAgedRetrospective Studiesbusiness.industryAngioplastyCoronary StenosisPercutaneous coronary interventionmedicine.diseaseSurvival AnalysisSurgeryConventional PCIbusinessBalloon
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Handgrip Strength Cannot Be Assumed a Proxy for Overall Muscle Strength

2018

OBJECTIVES: Dynapenia, low muscle strength, is predictive for negative health outcomes and is usually expressed as handgrip strength (HGS). Whether HGS can be a proxy for overall muscle strength and whether this depends on age and health status is controversial. This study assessed the agreement between HGS and knee extension strength (KES) in populations differing in age and health status.DESIGN: Data were retrieved from 5 cohorts.SETTING AND PARTICIPANTS: Community, geriatric outpatient clinics, and a hospital. Five cohorts (960 individuals, 49.8% male) encompassing healthy young and older individuals, geriatric outpatients, and older individuals post hip fracture were included.MEASURES: …

medicine.medical_specialtyCross-sectional studyIntraclass correlationgeriatric assessment[SDV]Life Sciences [q-bio]PopulationStandard score03 medical and health sciences0302 clinical medicineHand strengthmedicineOutpatient clinic030212 general & internal medicineeducationNursing (all)2901 Nursing (miscellaneous)General NursingHip fractureeducation.field_of_studybusiness.industryMuscle strengthHealth Policymittausta3141General Medicineknee extension strengthmedicine.diseaseaged; geriatric assessment; knee extension strength; Muscle strength; Nursing (all)2901 Nursing (miscellaneous); Health Policy; Geriatrics and GerontologyagedCohortSDG 1 - No PovertyPhysical therapyGeriatrics and Gerontologybusiness030217 neurology & neurosurgeryikääntyneet/dk/atira/pure/sustainabledevelopmentgoals/no_povertylihasvoima
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A Comparison of Objective Physical Performance Tests and Future Mortality in the Elderly People.

2017

Background: Physical performance is an important predictor of mortality, but little is known on the comparative prognostic utility of different objective physical performance tests in community-dwelling older adults. We compared the prognostic usefulness of several objective physical performance tests on mortality, adjusting our analyses for potential confounders. Methods: Among 3,099 older community-dwelling participants included in the Progetto Veneto Anziani study, 2,096 were followed for a mean of 4.4 years. Physical performance tests measured were Short Physical Performance Battery (SPPB), 4-meter gait speed, chair stands time, leg extension and flexion, handgrip strength, and 6-Minute…

Malemedicine.medical_specialtyAgingMortality—Physical activity—Physical performancePoison controlPhysical examinationNOPhysical performance03 medical and health sciences0302 clinical medicinePredictive Value of TestsInjury prevention80 and overMedicineHumans030212 general & internal medicineMortalityMortality; Physical activity; Physical performance; Aged; Aged 80 and over; Female; Geriatric Assessment; Humans; Male; Mortality; Physical Examination; Predictive Value of Tests; Prognosis; Aging; Geriatrics and GerontologyGeriatric AssessmentPhysical ExaminationAgedMortality; Physical activity; Physical performanceAged 80 and overmedicine.diagnostic_testbusiness.industryPhysical activityConfoundingPrognosisConfidence intervalPreferred walking speedQuartilePredictive value of testsPhysical therapyFemaleGeriatrics and Gerontologybusinesshuman activities030217 neurology & neurosurgery
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Role of comprehensive geriatric assessment in the management of osteoporotic hip fracture in the elderly: an overview

2013

Purpose: To highlight the advantages of comprehensive geriatric assessment (CGA) over usual care in the management of elderly patients with fragility hip fractures in terms of reducing the related mortality and disability. Method: An overview of publications on the topic was conducted using the MEDLINE and EMBASE databases. Results: Several models of geriatric and orthopedic comanagement have been developed in recent years, all characterized by a variable degree of integration, and they have been shown to reduce complications, disability and mortality in elderly hip-fracture patients. Preoperatively, CGA should identify the comorbidities that need to be treated in view of surgery, so as to …

medicine.medical_specialtyHealth Services for the AgedMEDLINEComprehensive geriatric assessmentPatient Care PlanningElderlyHumansMedicineFunctional declineGeriatric AssessmentAgedAged 80 and overPatient Care TeamHip fractureHip Fracturesbusiness.industryRehabilitationGeriatric assessmentRecovery of FunctionLength of Staymedicine.diseaseFunctional recoveryHip fracture.Orthopedic surgeryUsual carePhysical therapyOsteoporosisEarly mobilizationComprehensive Health CarebusinessOsteoporotic Fractures
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Multidimensional Frailty Predicts Mortality Better than Physical Frailty in Community-Dwelling Older People: A Five-Year Longitudinal Cohort Study

2021

Frailty is a common syndrome in older people that carries an increased risk of mortality. Two main models describe frailty, either as a loss of physical functions or as an accumulation of multiple deficits. The aim of our study was to compare the physical frailty index developed in the Cardiovascular Health Study (CHS) with a multidimensional frailty tool, the Multidimensional Prognostic Index (MPI), in predicting death in community-dwelling older subjects. Four hundred and seven community-dwelling older subjects were enrolled. Each subject underwent a comprehensive geriatric assessment (CGA) with calculation of the MPI and CHS index. Mortality was recorded over the following 5 years. In th…

GerontologyMaleHealth Toxicology and MutagenesisCardiovascular healthFrail ElderlyFrailty IndexArticleCohort StudiesMedicineHumansLongitudinal StudiesLongitudinal cohortGeriatric AssessmentAgedAged 80 and overFrailtybusiness.industrySignificant differencePublic Health Environmental and Occupational HealthRMean ageGeriatric assessmentmortalityFrailty Mortality Multidimensional prognostic index Prognosis Aged Aged 80 and over Cohort Studies Female Frail Elderly Geriatric Assessment Humans Independent Living Longitudinal Studies Male Frailtymultidimensional prognostic indexIncreased riskfrailty; multidimensional prognostic index; prognosis; mortalityMedicineFemaleIndependent LivingprognosisOlder peoplebusinessInternational Journal of Environmental Research and Public Health; Volume 18; Issue 23; Pages: 12435
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Multidimensional frailty and quality of life: data from the English Longitudinal Study of Ageing

2022

Abstract Purpose Frailty has been found to be associated with poor quality of life (QoL) in older people, but data available are limited to cross-sectional studies. We therefore aimed to assess the association between multidimensional frailty, determined by Multidimensional Prognostic Index (MPI), with mortality and good QoL expectancy (GQoLE) in a large representative sample of older adults, over 10 years of follow-up. Methods In the English Longitudinal Study of Ageing, using the data from 2004–2005 and 2014–2015, MPI was calculated using a weighted score of domains of comprehensive geriatric assessment, i.e., number of difficulties in activities of daily living (ADL) and instrumental ADL…

Quality of lifeMaleAgingFrailtyPublic Health Environmental and Occupational HealthELSAELSA Frailty Mortality Multidimensional prognostic index Quality of lifeELSA; Frailty; Mortality; Multidimensional prognostic index; Quality of life; Activities of Daily Living; Aged; Aging; Cross-Sectional Studies; Female; Geriatric Assessment; Humans; Longitudinal Studies; Male; Quality of Life; FrailtyCross-Sectional StudiesMultidimensional prognostic indexActivities of Daily LivingHumansFemaleLongitudinal StudiesMortalityGeriatric AssessmentAged
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FUNCTIONAL ASSESSMENT OF OLDER PERSONS: ROLE OF COMPREHENSIVE GERIATRIC ASSESSMENT IN GERIATRIC ONCOLOGY

2010

COMPREHENSIVE GERIATRIC ASSESSMENT CANCER AGING FUNCTIONAL DECLINE ADL IADLSettore MED/09 - Medicina Interna
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Multidimensional prognostic index (MPI) predicts successful application for disability social benefits in older people

2020

Aim: The economic recognition of disability is of importance in daily practice, but the tools used in older people are still limited. Therefore, we aimed to investigate the effectiveness of the multidimensional prognostic index (MPI) to identify frail older subjects to be submitted to civil invalidity application for disability benefits including Attendance Allowance (AA) indemnity, Carer’s Leave (Law 104) and/or Parking Card for people with disabilities. Methods: From March 2018 to January 2019, 80 older people were included. The MPI was calculated from comprehensive geriatric assessment information including eight different domains. Civil benefits included attendance allowance (AA) indemn…

GerontologyAgingIndex (economics)Social benefitsGeriatric assessmentIndemnityPrognosisSocial SecuritySocial security03 medical and health sciences0302 clinical medicineDisability Geriatric assessment Multidimensional prognostic index Disability beneftsDisability benefitsHumansDisabled Persons030212 general & internal medicineGeriatrics and GerontologyAttendance AllowancePsychologyOlder peopleGeriatric Assessment030217 neurology & neurosurgeryAgedAging Clinical and Experimental Research
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Development and Validation of a Self-Administered Multidimensional Prognostic Index to Predict Negative Health Outcomes in Community-Dwelling Persons

2019

The multidimensional prognostic index (MPI) is a comprehensive geriatric assessment (CGA)-based tool that accurately predicts negative health outcomes in older subjects with different diseases and settings. To calculate the MPI several validated tools are assessed by health care professionals according to the CGA, whereas self-reported information by the patients is not available, but it could be of importance for the early identification of frailty. We aimed to develop and validate a self-administered MPI (SELFY-MPI) in community-dwelling subjects. For this reason, we enrolled 167 subjects (mean age = 67.3, range = 20-88 years, 51% = men). All subjects underwent a CGA-based assessment to c…

Male0301 basic medicineGerontologySelf-assessmentendocrine systemAgingIndex (economics)Self AdministrationHealth outcomes03 medical and health sciences0302 clinical medicineall-cause mortality risk factor multidimensional prognostic index self-assessment comprehensive geriatric assessment socioeconomic analysissocioeconomic analysisActivities of Daily LivingHumansMedicineRisk factorAgedAged 80 and overbusiness.industryGeriatric assessmentOriginal ArticlesMiddle Agedcomprehensive geriatric assessmentPrognosisself-assessmentmultidimensional prognostic index030104 developmental biologyrisk factorSelf-Administeredall-cause mortalityFemaleIndependent LivingPublic HealthGeriatrics and Gerontologybusiness030217 neurology & neurosurgeryAll cause mortality
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