Pub Date : 2019-10-01DOI: 10.21608/ejgg.2019.139022
Sara A. Hamza, Heba G Saber, Nesma AM Hassan
Background Aging induces many changes in sleep architecture, many studies suggests that older adults are particularly vulnerable (1) . Although changes in sleep architecture are to be expected with increasing age, age itself does not result in disturbed sleep. But it is the ability to sleep that decreases with age, which may be due to other associated factors with aging (2) . Sleep disturbance is common in older adults because aging is associated with an increasing prevalence of multiple morbidities and polypharmacy (3) . Medication use is another factor that may increase risk for sleep disturbances in older adults. Polypharmacy may also contribute to heightened risk for sleep disturbance in older adults (3) . Polypharmacy is associated with adverse outcomes including mortality, falls, adverse drug reactions, increased length of stay in hospital and readmission to hospital soon after discharge (4) . The risk of adverse effects and harm increases with increasing numbers of medications (5) . The use of multiple drugs more than 5 drugs is defined by many authors as polypharmacy (6) . Polypharmacy is really common as age-related morbidities increase, putting the elderly at risk for drug-drug and drugdisease interactions (7) .
{"title":"Relationship between Sleep Disturbance and Polypharmacy among Hospitalized Elderly","authors":"Sara A. Hamza, Heba G Saber, Nesma AM Hassan","doi":"10.21608/ejgg.2019.139022","DOIUrl":"https://doi.org/10.21608/ejgg.2019.139022","url":null,"abstract":"Background Aging induces many changes in sleep architecture, many studies suggests that older adults are particularly vulnerable (1) . Although changes in sleep architecture are to be expected with increasing age, age itself does not result in disturbed sleep. But it is the ability to sleep that decreases with age, which may be due to other associated factors with aging (2) . Sleep disturbance is common in older adults because aging is associated with an increasing prevalence of multiple morbidities and polypharmacy (3) . Medication use is another factor that may increase risk for sleep disturbances in older adults. Polypharmacy may also contribute to heightened risk for sleep disturbance in older adults (3) . Polypharmacy is associated with adverse outcomes including mortality, falls, adverse drug reactions, increased length of stay in hospital and readmission to hospital soon after discharge (4) . The risk of adverse effects and harm increases with increasing numbers of medications (5) . The use of multiple drugs more than 5 drugs is defined by many authors as polypharmacy (6) . Polypharmacy is really common as age-related morbidities increase, putting the elderly at risk for drug-drug and drugdisease interactions (7) .","PeriodicalId":405276,"journal":{"name":"The Egyptian Journal of Geriatrics and Gerontology","volume":"106 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129012386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-01DOI: 10.21608/ejgg.2019.136555
A. Mohammedin, S. Rohaiem
Educational and scientific foundation: ---------------------------------------He enjoyed the highly esteemed Egyptian education in the pre-1952 revolution era. During this period the Egyptian nation was investing many resources in education. One quote by Taha Hussain (1889-1973) the famous Egyptian academic, writer, social reformer and then Minister of Education: "Education is like water and air, essential for life"(2) ii .
{"title":"Ezzat Hegazy: an Eminent Father of Social Gerontology in The Arabic World","authors":"A. Mohammedin, S. Rohaiem","doi":"10.21608/ejgg.2019.136555","DOIUrl":"https://doi.org/10.21608/ejgg.2019.136555","url":null,"abstract":"Educational and scientific foundation: ---------------------------------------He enjoyed the highly esteemed Egyptian education in the pre-1952 revolution era. During this period the Egyptian nation was investing many resources in education. One quote by Taha Hussain (1889-1973) the famous Egyptian academic, writer, social reformer and then Minister of Education: \"Education is like water and air, essential for life\"(2) ii .","PeriodicalId":405276,"journal":{"name":"The Egyptian Journal of Geriatrics and Gerontology","volume":"129 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134157049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-01DOI: 10.21608/EJGG.2019.139408
Abeer H. M. Matter
Dysnatremia is the most common electrolyte disorder in hospitalized patients; it encompasses hyponatremic and hypernatremic conditions. It is a common finding at Intensive Care Unit (ICU) admission [1-3]. Up to one third of critically ill patients have dysnatremia at ICU admission [2]. Another one-third of critically ill patients will develop an ICU-acquired dysnatremia during ICU stay [4,5]. Prevalence of dysnatremia at ICU admission, however, varies greatly according to the chosen definition [1,2,6,7]. Hyponatremia is a pathologic condition defined as a serum sodium < 135 mmol/L. It is the most common electrolyte disorder in hospitalized patients. Up to 40% of the overall population of hospitalized patients has a hyponatremia at admission [8]. Presence of severe hyponatremia on hospital admission has been demonstrated to be independently associated with an increased risk for ICU admission and poor prognosis [9]. Hyponatremia may be due to chronic organ dysfunctions (that is heart failure or liver dysfunction) but also to diuretic use, syndrome of inappropriate antidiuretic hormone (ADH) secretion, adrenal insufficiency, and cerebral or renal salt wasting syndromes [10,11]. Hypernatremia is defined as a serum sodium > 145 mmol/L. It is generally related to water losses with increase of plasma osmolality. Serum sodium is the main cation of extracellular fluid and plays a key role in serum osmolarity. It is less frequent than hyponatremia [10] with a reported in-hospital prevalence of up to 7.7% [2]. Since thirst and free access to water are the most important mechanisms that prevent hypernatremia, critically ill patients and older patients are at high risk for this disorder [4,11]. Only 2.5% patients have been found to develop moderate to severe hypernatremia in the general in-hospital population of patients. Higher prevalence has been Abstract Background: Dysnatremia is the most common elect roly te disorder in hospi tal ized pat ients ; i t encompasses hyponatremic and hypernat remic condi t ions . Dysnatremia is also a common f inding at In tensive Care Uni t admission. Abnormal serum sodium concentrat ions are known to adversely af fect physiologic funct ion and an increasing evidence suggests that dysnatremia may be associated wi th adverse outcome.
{"title":"Dysnatremia in hospitalized elderly patients","authors":"Abeer H. M. Matter","doi":"10.21608/EJGG.2019.139408","DOIUrl":"https://doi.org/10.21608/EJGG.2019.139408","url":null,"abstract":"Dysnatremia is the most common electrolyte disorder in hospitalized patients; it encompasses hyponatremic and hypernatremic conditions. It is a common finding at Intensive Care Unit (ICU) admission [1-3]. Up to one third of critically ill patients have dysnatremia at ICU admission [2]. Another one-third of critically ill patients will develop an ICU-acquired dysnatremia during ICU stay [4,5]. Prevalence of dysnatremia at ICU admission, however, varies greatly according to the chosen definition [1,2,6,7]. Hyponatremia is a pathologic condition defined as a serum sodium < 135 mmol/L. It is the most common electrolyte disorder in hospitalized patients. Up to 40% of the overall population of hospitalized patients has a hyponatremia at admission [8]. Presence of severe hyponatremia on hospital admission has been demonstrated to be independently associated with an increased risk for ICU admission and poor prognosis [9]. Hyponatremia may be due to chronic organ dysfunctions (that is heart failure or liver dysfunction) but also to diuretic use, syndrome of inappropriate antidiuretic hormone (ADH) secretion, adrenal insufficiency, and cerebral or renal salt wasting syndromes [10,11]. Hypernatremia is defined as a serum sodium > 145 mmol/L. It is generally related to water losses with increase of plasma osmolality. Serum sodium is the main cation of extracellular fluid and plays a key role in serum osmolarity. It is less frequent than hyponatremia [10] with a reported in-hospital prevalence of up to 7.7% [2]. Since thirst and free access to water are the most important mechanisms that prevent hypernatremia, critically ill patients and older patients are at high risk for this disorder [4,11]. Only 2.5% patients have been found to develop moderate to severe hypernatremia in the general in-hospital population of patients. Higher prevalence has been Abstract Background: Dysnatremia is the most common elect roly te disorder in hospi tal ized pat ients ; i t encompasses hyponatremic and hypernat remic condi t ions . Dysnatremia is also a common f inding at In tensive Care Uni t admission. Abnormal serum sodium concentrat ions are known to adversely af fect physiologic funct ion and an increasing evidence suggests that dysnatremia may be associated wi th adverse outcome.","PeriodicalId":405276,"journal":{"name":"The Egyptian Journal of Geriatrics and Gerontology","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131534537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-29DOI: 10.21608/ejgg.2019.16461.1019
Abeer mohamed matter
{"title":"Dysnatremia in hospitalized elderly patients","authors":"Abeer mohamed matter","doi":"10.21608/ejgg.2019.16461.1019","DOIUrl":"https://doi.org/10.21608/ejgg.2019.16461.1019","url":null,"abstract":"","PeriodicalId":405276,"journal":{"name":"The Egyptian Journal of Geriatrics and Gerontology","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133464306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-03-01DOI: 10.21608/EJGG.2019.30901
M ElbeheryH, S MohammedinA, A AbdelgawadM, M EbeidS, M FaridT, S SweedH
AbstractBackground: The increasing number of elderly population has made it more important to focus on elderly function and independent living. Chronic diseases represent a major threat to elderly independence and the Care Dependency Scale is considered a comprehensive tool for assessment of functional status in elderlyAim: To study the effect of chronic diseases on functional independence in elderly using the Care Dependency Scale Methods: One-hundred twenty seven community-dwelling elderly Egyptians were enrolled in the study. Cases were selected by convenient sampling regarding age, sex, governorate, religion, educational level, socioeconomic status, marital status and working status. This was based on data supplied by the Egyptian Central Agency for Public Mobilization and Statistics (CAPMAS) report of 2013 supplied to the National Center for Social and Criminological Research (NCSCR)Results: In the current study sample, visual impairment, hypertension and DM were the most prevalent chronic diseases with a prevalence of 53.5, 44.1, 31.5 respectively. While cerebrovascular accidents were the least prevalent recording 4.7% of the study sample. Insomnia, chronic kidney diseases (CKD), heart failure and previous hospitalization were significantly related to lower CDS scores in the current study. The mean CDS in our study sample was 74.9Conclusions: Insomnia, CKD, heart failure and previous hospitalization are related to higher rates of care dependency in elderly Egyptians.
{"title":"The Effect of Chronic Diseases on Functional Status measured by the Care Dependency Scale in a Sample of Community-dwelling Elderly Egyptians","authors":"M ElbeheryH, S MohammedinA, A AbdelgawadM, M EbeidS, M FaridT, S SweedH","doi":"10.21608/EJGG.2019.30901","DOIUrl":"https://doi.org/10.21608/EJGG.2019.30901","url":null,"abstract":"AbstractBackground: The increasing number of elderly population has made it more important to focus on elderly function and independent living. Chronic diseases represent a major threat to elderly independence and the Care Dependency Scale is considered a comprehensive tool for assessment of functional status in elderlyAim: To study the effect of chronic diseases on functional independence in elderly using the Care Dependency Scale Methods: One-hundred twenty seven community-dwelling elderly Egyptians were enrolled in the study. Cases were selected by convenient sampling regarding age, sex, governorate, religion, educational level, socioeconomic status, marital status and working status. This was based on data supplied by the Egyptian Central Agency for Public Mobilization and Statistics (CAPMAS) report of 2013 supplied to the National Center for Social and Criminological Research (NCSCR)Results: In the current study sample, visual impairment, hypertension and DM were the most prevalent chronic diseases with a prevalence of 53.5, 44.1, 31.5 respectively. While cerebrovascular accidents were the least prevalent recording 4.7% of the study sample. Insomnia, chronic kidney diseases (CKD), heart failure and previous hospitalization were significantly related to lower CDS scores in the current study. The mean CDS in our study sample was 74.9Conclusions: Insomnia, CKD, heart failure and previous hospitalization are related to higher rates of care dependency in elderly Egyptians.","PeriodicalId":405276,"journal":{"name":"The Egyptian Journal of Geriatrics and Gerontology","volume":"11 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134481465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-03-01DOI: 10.21608/EJGG.2019.30899
N. Elkholy, Tawfik M, Ebeid S, Hamza A, Madkor E
AbstractBackground: Dementia prevalence is increasing, becoming a public health problem in geriatric population requiring early diagnosis. The MMSE is the most commonly used screening method in the diagnosis and assessment of dementia severity in clinical and research fields; however cut off points in Egyptian population with its different levels of education are not clear.Aim: To review MMSE cut-off values adjusted for schooling in an Arabic speaking sample of Egyptian elderly.Methods: The study was conducted on 159 male and female community-dwelling participants aged ≥ 60 years, cut-off points were determined according to DSM-IV criteria for dementia after defining the participants according to their level of education.Results: Overall the sample, the cut-off score of MMSE for diagnosing dementia was 23 points (sensitivity=95%, specificity= 73.83%). For participants with > 9 years education cut off point was ≤ 22 (sensitivity=94%, specificity=70.2%) while for those with for participants ≤ 9 years education cut off point was ≤ 21 (sensitivity= 91%, specificity=33.3%).Conclusions: New cut off points for MMSE became now available for both educated and low educated geriatric people. The new cut-off scores are ≤ 22 for subjects > 9 years education and ≤ 21 for illiterate subjects and those with <9 years education.
{"title":"Defining Cut-off Scores for MMSE in an Educated and Illiterate Arabic Speaking Egyptian Elderly Population","authors":"N. Elkholy, Tawfik M, Ebeid S, Hamza A, Madkor E","doi":"10.21608/EJGG.2019.30899","DOIUrl":"https://doi.org/10.21608/EJGG.2019.30899","url":null,"abstract":"AbstractBackground: Dementia prevalence is increasing, becoming a public health problem in geriatric population requiring early diagnosis. The MMSE is the most commonly used screening method in the diagnosis and assessment of dementia severity in clinical and research fields; however cut off points in Egyptian population with its different levels of education are not clear.Aim: To review MMSE cut-off values adjusted for schooling in an Arabic speaking sample of Egyptian elderly.Methods: The study was conducted on 159 male and female community-dwelling participants aged ≥ 60 years, cut-off points were determined according to DSM-IV criteria for dementia after defining the participants according to their level of education.Results: Overall the sample, the cut-off score of MMSE for diagnosing dementia was 23 points (sensitivity=95%, specificity= 73.83%). For participants with > 9 years education cut off point was ≤ 22 (sensitivity=94%, specificity=70.2%) while for those with for participants ≤ 9 years education cut off point was ≤ 21 (sensitivity= 91%, specificity=33.3%).Conclusions: New cut off points for MMSE became now available for both educated and low educated geriatric people. The new cut-off scores are ≤ 22 for subjects > 9 years education and ≤ 21 for illiterate subjects and those with <9 years education.","PeriodicalId":405276,"journal":{"name":"The Egyptian Journal of Geriatrics and Gerontology","volume":"182 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115550610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-03-01DOI: 10.21608/EJGG.2019.30888
S. Hamza, R. E. Akkad, E. Abdelrahman, Sherief A. Abd elghany
AbstractBackground: Hypertension is an important public health challenge worldwide. Non-adherence to antihypertensive treatment is a big obstacle in blood pressure control and predispose to disease progression to complications.Aim: to determine adherence to antihypertensive medications among elderly patients, and to elicit factors associated with poor adherence among elderly hypertensive.Methods: A cross sectional study was done on 160 elderly hypertensive patients gathered from el Demerdash outpatient clinic, Ain Shams university hospital, Cairo, Egypt. The Hill bone scale was used to assess adherence to antihypertensive drugs.Results: According to Hill Bone Scale for assessment of adherence to anti-hypertensive medications the prevalence was 62.7% of the studied cases were non adherent to medications, while 37.3% were adherent to their antihypertensive medications.The findings of this study show that the significant factors that influence antihypertensive treatment adherence are sociodemographic factors such as Age marital status, education, income, occupation ,health-related factors, patients’ knowledge about hypertension and antihypertensive medication adherence.Conclusions: Advocacy of adherence to antihypertensive drugs should be inculcated in each and every hypertensive patient along with regular and uninterrupted drug supply and high quality health care service in all health care organizations where health education and counseling gets the highest priority
{"title":"Non adherence to Antihypertensive medications among hypertensive elderly patients in outpatient geriatric clinic","authors":"S. Hamza, R. E. Akkad, E. Abdelrahman, Sherief A. Abd elghany","doi":"10.21608/EJGG.2019.30888","DOIUrl":"https://doi.org/10.21608/EJGG.2019.30888","url":null,"abstract":"AbstractBackground: Hypertension is an important public health challenge worldwide. Non-adherence to antihypertensive treatment is a big obstacle in blood pressure control and predispose to disease progression to complications.Aim: to determine adherence to antihypertensive medications among elderly patients, and to elicit factors associated with poor adherence among elderly hypertensive.Methods: A cross sectional study was done on 160 elderly hypertensive patients gathered from el Demerdash outpatient clinic, Ain Shams university hospital, Cairo, Egypt. The Hill bone scale was used to assess adherence to antihypertensive drugs.Results: According to Hill Bone Scale for assessment of adherence to anti-hypertensive medications the prevalence was 62.7% of the studied cases were non adherent to medications, while 37.3% were adherent to their antihypertensive medications.The findings of this study show that the significant factors that influence antihypertensive treatment adherence are sociodemographic factors such as Age marital status, education, income, occupation ,health-related factors, patients’ knowledge about hypertension and antihypertensive medication adherence.Conclusions: Advocacy of adherence to antihypertensive drugs should be inculcated in each and every hypertensive patient along with regular and uninterrupted drug supply and high quality health care service in all health care organizations where health education and counseling gets the highest priority","PeriodicalId":405276,"journal":{"name":"The Egyptian Journal of Geriatrics and Gerontology","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122998274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-03-01DOI: 10.21608/EJGG.2019.30889
S. Aly, H. Tawfik, W. Bichari, M. El-Sadany, M. H. E. Banouby
AbstractBackground: Sarcopenia is devastating health problem in geriatric population in general and in patients with chronic kidney disease in particular.Aim: to assess the risk of falls in chronic kidney disease patients with sarcopenia.Methods: : A case control study was conducted, including 80 male and female elderly population aged 60 years old and above, at different stages of CKD including patients on hemodialysis, who were admitted to Ain Shams University Hospitals. They were divided into 41 cases and 39 controls according to the presence or absence of sarcopenia. History was taken, calf circumference was measured and blood sample was withdrawn for measuring creatinine level, parathyroid hormone and hemoglobin level. Risk of falls was assessed using gait speed and timed up and go test.Results: participants with sarcopenia had higher risk of falls, lower muscle mass, hand grip strength, gait speed and calf circumference. Calf circumference was associated with low gait speed, greater time in timed up and go test in chronic kidney disease participants with sarcopenia. Anemia was associated with low gait speed and hyperparathyroidism with higher score in timed up and go test.Conclusions: chronic kidney disease patients with sarcopenia have higher risk of falls. Calf circumference, anemia, and hyperparathyroidism are associated with higher risk of falls in these patients.
{"title":"Sarcopenia and Risk of Falls in Patients with Chronic Kidney Disease, a Meet of Three Geriatric Giants","authors":"S. Aly, H. Tawfik, W. Bichari, M. El-Sadany, M. H. E. Banouby","doi":"10.21608/EJGG.2019.30889","DOIUrl":"https://doi.org/10.21608/EJGG.2019.30889","url":null,"abstract":"AbstractBackground: Sarcopenia is devastating health problem in geriatric population in general and in patients with chronic kidney disease in particular.Aim: to assess the risk of falls in chronic kidney disease patients with sarcopenia.Methods: : A case control study was conducted, including 80 male and female elderly population aged 60 years old and above, at different stages of CKD including patients on hemodialysis, who were admitted to Ain Shams University Hospitals. They were divided into 41 cases and 39 controls according to the presence or absence of sarcopenia. History was taken, calf circumference was measured and blood sample was withdrawn for measuring creatinine level, parathyroid hormone and hemoglobin level. Risk of falls was assessed using gait speed and timed up and go test.Results: participants with sarcopenia had higher risk of falls, lower muscle mass, hand grip strength, gait speed and calf circumference. Calf circumference was associated with low gait speed, greater time in timed up and go test in chronic kidney disease participants with sarcopenia. Anemia was associated with low gait speed and hyperparathyroidism with higher score in timed up and go test.Conclusions: chronic kidney disease patients with sarcopenia have higher risk of falls. Calf circumference, anemia, and hyperparathyroidism are associated with higher risk of falls in these patients.","PeriodicalId":405276,"journal":{"name":"The Egyptian Journal of Geriatrics and Gerontology","volume":"90 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115076791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-03-01DOI: 10.21608/EJGG.2019.30887
M. Azzam, S. Ebeid, S. Said
AbstractBackground: There is a steady progression in the number of the elderly population, with increase burden of their own problems; one of these problems is hospitalization with its drawbacks. This emerge the importance of developing prognostic tools which predict the outcome of the hospitalized elderly patient, one of these tools is MPI.Aim: To investigate whether the MPI is an effective predictor of intra-hospital functional decline, longer length of hospital stay and intra-hospital mortality after admission to Ain shams university hospital medical wardsMethods: One hundred and sixty elderly were enrolled in the study, they were recruited from Ain Shams University Hospital, the following was done for them after taking consent, Comprehensive Geriatric Assessment, applying MPI toolResults: showed significant relationship between MPI with polypharmacy, cohabitational status, number of drugs, comprehensive geriatric tools, simple basic laboratory data including hemoglobin levels, hematocrit and sodium levels. Age , sex, and cause of admission was found to irrelevant to functional decline and length of hospital stay and multidimensional prognostic index score. Depression and cognitive impairment were closely associated with higher MPI scores, prolonged length of hospital stay and increased incidence of mortality and finally Multidimensional prognostic index was found to be highly related to the outcome of hospitalized elderly patients.Conclusions: Multidimensional prognostic index showed excellent specificity and sensitivity as a prognostic index among hospitalized elderly patients. So its study on larger size of participants is recommended
{"title":"Evaluation of MPI as a prognostic tool among the hospitalized elderly patients at Ain-Shams University hospital","authors":"M. Azzam, S. Ebeid, S. Said","doi":"10.21608/EJGG.2019.30887","DOIUrl":"https://doi.org/10.21608/EJGG.2019.30887","url":null,"abstract":"AbstractBackground: There is a steady progression in the number of the elderly population, with increase burden of their own problems; one of these problems is hospitalization with its drawbacks. This emerge the importance of developing prognostic tools which predict the outcome of the hospitalized elderly patient, one of these tools is MPI.Aim: To investigate whether the MPI is an effective predictor of intra-hospital functional decline, longer length of hospital stay and intra-hospital mortality after admission to Ain shams university hospital medical wardsMethods: One hundred and sixty elderly were enrolled in the study, they were recruited from Ain Shams University Hospital, the following was done for them after taking consent, Comprehensive Geriatric Assessment, applying MPI toolResults: showed significant relationship between MPI with polypharmacy, cohabitational status, number of drugs, comprehensive geriatric tools, simple basic laboratory data including hemoglobin levels, hematocrit and sodium levels. Age , sex, and cause of admission was found to irrelevant to functional decline and length of hospital stay and multidimensional prognostic index score. Depression and cognitive impairment were closely associated with higher MPI scores, prolonged length of hospital stay and increased incidence of mortality and finally Multidimensional prognostic index was found to be highly related to the outcome of hospitalized elderly patients.Conclusions: Multidimensional prognostic index showed excellent specificity and sensitivity as a prognostic index among hospitalized elderly patients. So its study on larger size of participants is recommended","PeriodicalId":405276,"journal":{"name":"The Egyptian Journal of Geriatrics and Gerontology","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130981993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-03-01DOI: 10.21608/EJGG.2019.30890
Sanad T, Ali H, Alsadany A, El Banouby H
AbstractBackground: Sarcopenia is a common clinical condition among elderly population. Sarcopenia is characterized by progressive generalized loss of skeletal muscle mass and strength with an increased risk of adverse outcomes as physical disability, poor quality of life, and death.Aim: To evaluate prevalence of sarcopenia in hospitalized elderly patients.Methods: A cross sectional study, included 127 elderly participants, men and women, 60 years old and above, who were admitted to geriatric department in Ain Shams University Hospital (El-Demerdash). Sarcopenia was defined according to EWGSOP criteria (European Working Groups on Sarcopenia in Older People) as low skeletal mass with either low hand grip strength or slow gait speed. Muscle mass was measured by bioelectrical impedance analysis (BIA).Results: Sarcopenia was found in 31% of all the study participants. Prevalence of sarcopenia was 47% among men and 14% among women. Sarcopenic participants had more functional decline and poor nutritional status. Malnutrition was present in 80% of sarcopenic men and 77% of sarcopenic women. Sarcopenia was associated with an increased risk of fall that was 90% among men and 88.9% among women. Elderly with sarcopenia had lower serum total protein and albumin levels.Conclusions: Sarcopenia is highly prevalent among elderly Egyptian hospitalized patients. It is a hidden, although common, medical condition among elderly that can compromise their health, functional ability, and quality of life.
{"title":"Prevalence of Sarcopenia among Hospitalized Elderly Patients","authors":"Sanad T, Ali H, Alsadany A, El Banouby H","doi":"10.21608/EJGG.2019.30890","DOIUrl":"https://doi.org/10.21608/EJGG.2019.30890","url":null,"abstract":"AbstractBackground: Sarcopenia is a common clinical condition among elderly population. Sarcopenia is characterized by progressive generalized loss of skeletal muscle mass and strength with an increased risk of adverse outcomes as physical disability, poor quality of life, and death.Aim: To evaluate prevalence of sarcopenia in hospitalized elderly patients.Methods: A cross sectional study, included 127 elderly participants, men and women, 60 years old and above, who were admitted to geriatric department in Ain Shams University Hospital (El-Demerdash). Sarcopenia was defined according to EWGSOP criteria (European Working Groups on Sarcopenia in Older People) as low skeletal mass with either low hand grip strength or slow gait speed. Muscle mass was measured by bioelectrical impedance analysis (BIA).Results: Sarcopenia was found in 31% of all the study participants. Prevalence of sarcopenia was 47% among men and 14% among women. Sarcopenic participants had more functional decline and poor nutritional status. Malnutrition was present in 80% of sarcopenic men and 77% of sarcopenic women. Sarcopenia was associated with an increased risk of fall that was 90% among men and 88.9% among women. Elderly with sarcopenia had lower serum total protein and albumin levels.Conclusions: Sarcopenia is highly prevalent among elderly Egyptian hospitalized patients. It is a hidden, although common, medical condition among elderly that can compromise their health, functional ability, and quality of life.","PeriodicalId":405276,"journal":{"name":"The Egyptian Journal of Geriatrics and Gerontology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129094017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：