Search results for "geriatric"
showing 10 items of 1602 documents
Predictors of Adherence to the Use of Hip Protectors in Nursing Home Residents
2004
Objectives: To assess predictors of hip-protector use in nursing home residents under usual-care conditions and after intervention consisting of structured education of nurses and nursing home residents and provision of free hip protectors. Design: Nested cohort analyses within a cluster randomized, controlled trial with 18 months follow-up. Setting: Forty-nine nursing home clusters in Hamburg, Germany. Participants: Residents with at least one fall during the study period (intervention group, n=237; usual-care group, n=274). Measurements: Use of hip protector while falling. Regression analyses were performed for each of the two cohorts of fallers using the time to the first fall without hi…
Brotes de gastroenteritis aguda vírica en residencias de ancianos: Sistema de Detección por Umbral de Prevalencia (SiDUP)
2009
Javier Buesa Gómez (Javier.Buesa@uv.es) Se describen las intervenciones llevadas a cabo en una unidad de epidemiología local, durante varios años, relacionadas con la epidemiología de la gastroenteritis por norovirus en residencias de ancianos de Castellón. Desde varios brotes acaecidos en un mismo geriátrico, hasta el estudio de los casos esporádicos que determinan la situación endémica en varias residencias. Este trabajo se centra en el análisis de esa situación endémica de síntomas digestivos en periodos de silencio epidémico y la propuesta de un método sencillo para detectar el inicio de brotes de GEA de transmisión progresiva (persona-persona) que hemos denominado Sistema de Detección …
Comorbidities Alone Do Not Explain the Undertreatment of Colorectal Cancer in Older Adults: A French Population-Based Study
2011
OBJECTIVES: To investigate the influence of comorbidities on treatment modalities of colorectal cancer according to the age of patients and French recommendations. DESIGN: Population-based study SETTING: French Digestive Cancer Registry, Burgundy. PARTICIPANTS: Two thousand nine hundred twenty-one incident colorectal cancers diagnosed between 2004 and 2007. MEASUREMENTS: The independent influence of comorbidities (recorded according to the Charlson index) on treatment was analyzed using multivariate logistic regressions controlling for age, sex, and their interaction. RESULTS: The association between comorbidities and resection for cure was significant only in patients younger than 75 (P in…
AGING IN EUROPE AND GERIATRIC CARE
2017
Europeans are living longer than ever, and this pattern is expected to continue. The increased life expectancy is a remarkable achievement, which however poses obvious challenges for health care and geriatric assistance. There is a progressive increase of older persons living alone and in need of assistance. European countries are handling these challenges with very different approaches. There are countries and regional differences in social policies and sanitary assistance, in providers of care, in quality of the assistance and in lodging costs. The long term care models are also very different (cash benefits, public provision of care services, or hybrid rather than pure models of care). T…
Factors associated with fear of falling among frail older adults
2021
Some factors increase the fear of falling in frail older adults. Our aim is to quantify the influence of these factors. This cross-sectional study involved 229 community-dwelling prefrail and frail older adults aged 70 years and older. Fear of falling was moderate in 38.9% of our sample and high in 12.2%. Higher values were observed in women, those living alone, and those meeting criteria for slowness and feelings of exhaustion. A linear regression showed that being a woman, a history of falls, and depressive symptoms were related to higher fear of falling, while high levels of independence in basic and instrumental activities of daily living, along with good gait and balance, were associat…
Predicting risk and outcomes for frail older adults: an umbrella review of frailty screening tools
2017
EXECUTIVE SUMMARY Background A scoping search identified systematic reviews on diagnostic accuracy and predictive ability of frailty measures in older adults. In most cases, research was confined to specific assessment measures related to a specific clinical model. Objectives To summarize the best available evidence from systematic reviews in relation to reliability, validity, diagnostic accuracy and predictive ability of frailty measures in older adults. Inclusion criteria Population Older adults aged 60 years or older recruited from community, primary care, long-term residential care and hospitals. Index test Available frailty measures in older adults. Reference test Cardiovascular Health…
Assessing competence: The European survey on aging protocol (ESAP)
2003
<i>Objectives:</i> The main goal of this research project was to translate and adapt the European Survey on Ageing Protocol (ESAP) to 7 European countries/cultures. This article presents preliminary results from the ESAP, the basic assessment instrument of EXCELSA (European Longitudinal Study of Aging). <i>Methods:</i> 672 individuals aged 30–85, selected through quota sampling (by age, gender, education and living conditions), participated in this study, with 96 subjects from each of the 7 European countries. The basic research protocol for assessing competence and its determinants was designed to be administered in a 90-min in-home face-to-face interview. It contai…
Psychomotor speed in a random sample of 7,979 subjects aged 30 years and over.
2011
Background and aims: Slowing of psychomotor speed among older individuals has been shown in numerous studies. However, in most cases these studies were based on small and selected groups of people and, in some cases, the test procedures did not allow separation of decision time and motor components of the overall performance. The purpose of the present study was to analyse in a large, randomly selected population sample the differences in decision and movement times in simple and multiple-choice test conditions. The association of educational background with psychomotor speed was also examined. Methods: Data on psychomotor speed were collected from a representative nation-wide sample of the…
Nutritional screening of patients at a memory clinic--association between patients' and their relatives' self-reports.
2015
Aims and objectives To compare individual reports by patients and relatives (proxy) of the Nutritional Form For the Elderly and relate the Nutritional Form For the Elderly scores to Mini Mental Status Examination scores, weight loss, Body Mass Index, five-point Clock Drawing Test and background variables. Background Undernutrition or risk of undernutrition is a significant problem among people with dementia. A poor nutritional state increases the risk of infections, delayed convalescence after acute illness and reduced quality of life. Design A cross-sectional study. Method Application of the Nutritional Form For the Elderly in addition to clinical nutrition parameters and cognitive tests i…
Perceived stress symptoms in midlife predict disability in old age: a 28-year prospective cohort study.
2013
Background Stress has damaging effects on individual's health. However, information about the long-term consequences of mental stress is scarce. Methods This 28-year prospective cohort study examined on the associations between midlife stress and old age disability among 2,994 Finnish municipal professionals aged 44-58 years at baseline. Self-reported stress symptoms were assessed at baseline in 1981 and 4 years later in 1985 and perceived disability in 2009. For the baseline data, principal component analysis was used for differentiation into stress symptom profiles. The regression coefficient estimates for self-care disability (activities of daily living) and instrumental activities of da…