Search results for "observational study"

showing 10 items of 776 documents

Sex-differential effect of frailty on long-term mortality in elderly patients after an acute coronary syndrome.

2020

Background The potential sex-differential effect of frailty in patients with acute coronary syndromes (ACS) has not been well-evaluated. We sought to examine the sex-differential association between frailty status on long-term mortality in elderly patients with an ACS. Methods and results This is a prospective observational single-center study that included 488 elderly patients (>65 years) hospitalized for ACS who survived the index hospitalization. Multivariate Cox regression was used to determine the association among the exposures (interaction of sex with Fried score and sex with Fried ≥ 3) and all-cause mortality. The mean age of the sample was 78 ± 7 years; 41% were female and the medi…

Malemedicine.medical_specialtyAcute coronary syndromeTime Factorsfrailty030204 cardiovascular system & hematology03 medical and health sciences0302 clinical medicineSex FactorsInternal medicinemedicineHumansacute coronary syndromesIn patient030212 general & internal medicineProspective StudiesAcute Coronary SyndromeSex DistributionAgedFrailtyProportional hazards modelbusiness.industryIncidenceAge FactorsMean agemedicine.diseasePrognosisSurvival RateSpainLong term mortalityObservational studyFemalewomenprognosisCardiology and Cardiovascular MedicinebusinessIndex hospitalizationFollow-Up StudiesInternational journal of cardiology
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Outcomes of hospitalized patients with COVID-19 according to level of frailty

2021

Background The complications from coronavirus disease 2019 (COVID-19) have been the subject of study in diverse scientific reports. However, many aspects that influence the prognosis of the disease are still unknown, such as frailty, which inherently reduces resistance to disease and makes people more vulnerable. This study aimed to explore the complications of COVID-19 in patients admitted to a third-level hospital and to evaluate the relationship between these complications and frailty. Methods An observational, descriptive, prospective study was performed in 2020. A sample of 254 patients from a database of 3,112 patients admitted to a high-level hospital in Madrid, Spain was analyzed. …

medicine.medical_specialtyComplicationsCoronavirus disease 2019 (COVID-19)lcsh:MedicineDiseaseGeneral Biochemistry Genetics and Molecular Biologylaw.invention03 medical and health sciences0302 clinical medicinelawStatistical significanceInternal MedicinemedicineCoronavirus infection030212 general & internal medicineMortalityProspective cohort studyAgedFrailtybusiness.industrySARS-CoV-2General NeuroscienceMortality ratelcsh:RCOVID-19General MedicinePrognosisIntensive care unitGeriatricsEmergency medicineDeliriumObservational studyPublic Healthmedicine.symptomGeneral Agricultural and Biological Sciencesbusiness030217 neurology & neurosurgery
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Copenhagen consensus statement 2019: physical activity and ageing

2019

From 19th to 22nd November 2018, 26 researchers representing nine countries and a variety of academic disciplines met in Snekkersten, Denmark, to reach evidence-based consensus about physical activity and older adults. It was recognised that the term ‘older adults’ represents a highly heterogeneous population. It encompasses those that remain highly active and healthy throughout the life-course with a high intrinsic capacity to the very old and frail with low intrinsic capacity. The consensus is drawn from a wide range of research methodologies within epidemiology, medicine, physiology, neuroscience, psychology and sociology, recognising the strength and limitations of each of the methods. …

GerontologyAdultMale2314DenmarkCopenhagen Consensusphysical activityPhysical Therapy Sports Therapy and RehabilitationDiseaseliikuntaHealthy Aging03 medical and health sciences0302 clinical medicineCognitionaging/ageingHumansOrthopedics and Sports Medicine030212 general & internal medicineCognitive skill1506Exercise1507Sport and Fitness SciencesAgedIdrottsvetenskapConsensus StatementL390 Sociology not elsewhere classifiedFlexibility (personality)Cardiorespiratory fitnessCognitionBody movement030229 sport sciencesGeneral Medicinenäyttöön perustuvat käytännötMiddle AgedikääntyminenPhysical FitnessEvidence-Based PracticeObservational studyFemaleSedentary Behaviorfyysinen aktiivisuusB120 Physiology
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Association of a single nucleotide polymorphism of RANK gene with blood pressure in Spanish women

2020

Abstract In addition to governing key functions in bone metabolism and the immune system, the RANK/RANKL/OPG system plays a role in the vascular system, particularly in vascular calcification and atherosclerosis. Given that these 2 phenotypes are considered a major cause of high blood pressure (BP), in this study we analyzed the association of SNPs in RANK and OPG genes with blood pressure. An observational study was conducted of 2 SNPs in the RANK gene (rs884205 and rs78326403) and 1 in the OPG gene (rs4876869) with systolic (SBP) and diastolic blood pressure (DBP) in a cohort of 695 women. Data analysis revealed a statistically significant association between the SNP rs884205 and BP press…

medicine.medical_specialty3400Observational StudySingle-nucleotide polymorphismGenome-wide association studyassociation studyPolymorphism Single NucleotidepolymorphismRANK and osteoprotegerin genes03 medical and health sciencessymbols.namesake0302 clinical medicinePolymorphism (computer science)Internal medicineGenotypeHumansMedicineSNP030212 general & internal medicineAlleleReceptor Activator of Nuclear Factor-kappa Bbusiness.industryOsteoprotegerinblood pressureGeneral MedicineMiddle AgedEndocrinologyBonferroni correctionBlood pressureSpain030220 oncology & carcinogenesissymbolsFemalebusinessGenome-Wide Association StudyResearch ArticleMedicine
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The effect of exposure to radiofrequency fields on cancer risk in the general and working population: A protocol for a systematic review of human obs…

2021

Highlights • RF-EMF was classified by IARC as possibly carcinogenic to humans (2B) in May 2011 • A systematic review of all subject-relevant epidemiological studies is now needed. • A detailed protocol ensures the review's transparency, utility and credibility. • Original study validity will be evaluated with a customized OHAT risk of bias tool. • Internal coherence and external plausibility will inform conclusions.

Adultmedicine.medical_specialtyEpidemiologyRadio WavesMEDLINEBase stationsCase-control studiesPituitary tumoursBrain cancerRadiofrequency electromagnetic fieldsArticleElectromagnetic FieldsMeta-Analysis as TopicNeoplasmsEpidemiologymedicineSalivary gland tumoursLeukaemiaHumansMedical physicsMobile phonesGE1-350Internal validityBroadcast transmittersChildMicrowavesGeneral Environmental Sciencebusiness.industryBrain NeoplasmsAcoustic neuromaCase-control studyChildhood leukaemiaEnvironmental exposureGliomaEnvironmental ExposureOccupational exposureEnvironmental sciencesSystematic review protocolCohortCordless phonesCohort studiesObservational studybusinessMeningiomaCell PhoneCohort studyEnvironment International
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Oxidative stress and exceptional human longevity: Systematic review.

2020

Oxidative stress (OS) has been previously linked to the aging process, as have some diseases and geriatric syndromes as frailty and sarcopenia. The aim of the present study was to perform a systematic review on oxidative stress activity and extreme longevity in humans.We conducted a systematic literature review following the PRISMA guidelines. Observational studies assessing OS-biomarkers and/or antioxidants in long-lived individuals (97 years old or over) comparing them to those of one or more age groups, (at least one of which from comprising elderly subjects) were considered for inclusion. A narrative synthesis was planned. Quality of selected studies was assessed using the Newcastle-Ott…

0301 basic medicineGerontologyAdultAgingmedia_common.quotation_subjectLongevitymedicine.disease_causeBiochemistryAntioxidants03 medical and health sciencesYoung Adult0302 clinical medicinePhysiology (medical)Plasma lipidsmedicineHumansmedia_commonAgedAged 80 and overbusiness.industrySuperoxide DismutaseLongevityMiddle Agedmedicine.diseaseOxidative Stress030104 developmental biologySystematic reviewSarcopeniaHuman longevityExtreme longevity trackingObservational studyLipid Peroxidationbusiness030217 neurology & neurosurgeryOxidative stressFree radical biologymedicine
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Ophthalmic manifestations in IgG4-related disease

2017

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AdultAged 80 and overMaleEye Diseases3600Anti-Inflammatory AgentsObservational StudyMiddle AgedEyeYoung AdultrituximabImmune System DiseasesImmunoglobulin GComputingMethodologies_DOCUMENTANDTEXTPROCESSINGHumansPrednisoneFemaleIgG4-related diseaseorbital inflammatory pseudo-tumorIgG4-related dacryoadenitisIgG4-related ophthalmic diseaseResearch ArticleAgedRetrospective StudiesMedicine
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The effect of resistance training programs on lean body mass in postmenopausal and elderly women: a meta-analysis of observational studies

2021

AbstractAging and menopause are associated with morphological and functional changes which may lead to loss of muscle mass and therefore quality of life. Resistance training (RT) is an effective training mode to increase muscle mass. We reviewed the existing literature to identify studies implementing RT protocols and evaluating muscle hypertrophy exclusively in healthy, postmenopausal and elderly women. Participants’ age range was comprised between 50 and 80 years. The primary outcome observed was muscle hypertrophy. Fat mass was also evaluated, if available. PubMed and Web of Science were the screened database, and original articles written in English and published from 2000 up to 2020 we…

Agingmedicine.medical_specialty030209 endocrinology & metabolismReviewMuscle massMuscle hypertrophy03 medical and health sciences0302 clinical medicineElderly; Hypertrophy; Post-menopausal; Resistance training; Woman; Aged; Aged 80 and over; Exercise; Female; Humans; Muscle Strength; Muscle Skeletal; Postmenopause; Quality of Life; Resistance TrainingElderlyQuality of lifeWomanmedicinePost-menopausal80 and overHumansMuscle StrengthMuscle SkeletalExerciseAgedAged 80 and overbusiness.industryResistance trainingResistance Training030229 sport sciencesHypertrophySkeletalmedicine.diseaseMenopausePostmenopauseMeta-analysisPhysical therapyLean body massQuality of LifeMuscleObservational studyElderly Hypertrophy Post-menopausal Resistance training WomanFemaleGeriatrics and GerontologybusinessSettore M-EDF/01 - Metodi E Didattiche Delle Attivita' Motorie
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Hyperosmolar therapy for acute brain injury: study protocol for an umbrella review of meta-analyses and an evidence mapping

2020

Introduction Acute brain injury is a challenging public health problem worldwide. Elevated intracranial pressure is a common complication after acute brain injury. Hyperosmolar therapy is one of the main therapeutic strategies for the management of intracranial hypertension. This study protocol outlines an umbrella review of meta-analyses which will investigate the benefits and harms of hyperosmolar therapy routinely used for the management of acute brain injury in the intensive care. Methods and analysis We will search PubMed/MEDLINE, EMBASE and the Cochrane Database of Systematic Reviews. We will include meta-analyses of primary research studies (eg, randomised controlled trials, observat…

meta-analysilaw.inventionAnaesthesia0302 clinical medicineHypertonic salinesystematic reviewlawBrain Injuries TraumaticProtocolMedicineMannitol1506030212 general & internal medicineBrain injuryRandomized Controlled Trials as TopicEvidence-Based MedicineRGeneral MedicineIntensive care unit3. Good healthTreatment OutcomeSystematic reviewResearch DesignMeta-analysisMedicinehyperosmolar therapy1682medicine.medical_specialtyCritical CareMEDLINE03 medical and health sciencesMeta-Analysis as TopicIntensive careHumansHyperosmolar therapyCerebral perfusion pressureIntensive care medicineSaline Solution HypertonicDroitbusiness.industrymannitolbrain injuryHypertonic salinemeta-analysisMeta-analysisSystematic reviewFluid TherapyObservational studyIntracranial Hypertensionbusiness030217 neurology & neurosurgeryhypertonic saline
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Analysis of the Impact of Disease Acceptance, Demographic, and Clinical Variables on Adherence to Treatment Recommendations in Elderly Type 2 Diabete…

2021

This project aimed to analyze the impact of disease acceptance and selected demographic and clinical factors on the adherence to treatment recommendations in elderly type 2 diabetes mellitus patients. The observational study was performed using standardized research questionnaires: the Acceptance of Illness Scale (AIS), the Self-Care of Diabetes Inventory (SCODI), and the Adherence in Chronic Diseases Scale (ACDS). Two hundred patients with T2DM were studied (age M = 70.21 years, SD = 6.63 years). The median degree of disease acceptance was 29 (min–max = 8–40) and the median level of adherence was 24 (min–max = 13–28). Disease acceptance was a significant (p = 0.002) independent predictor o…

Biopsychosocial modelmedicine.medical_specialtytype 2 diabetes mellitusHealth Toxicology and MutagenesisPsychological interventionDiseasecomplianceArticleMedication AdherenceSurveys and QuestionnairesDiabetes mellitusInternal medicineHumansMedicineadherenceDemographyGlycemicbusiness.industryPublic Health Environmental and Occupational HealthRType 2 Diabetes Mellitusmedicine.diseaseSelf CareagedDiabetes Mellitus Type 2PillMedicineObservational studybusinessInternational Journal of Environmental Research and Public Health
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