Simona Loddo, D. Costaggiu, Antonella Palimodde, Elisa Cogoni, Stefano Putzu, Luca Serchisu, Rosanna Laconi, A. Scuteri, A. Mandas
Background & aims. The older adults have very frequent access to the Emergency Department (ED). The aim of this study is to explore the ability of some geriatric screening tools validated for the ED to predict outcomes (mortality, hospitalization, ED readmission and institutionalization) at 6 months.Methods. Older adults consecutively admitted to Cagliari University’s ED between May and December of 2017 were enrolled. In ED older patients were screened with three tools: Identification of Seniors at Risk tool (ISAR); Triage Risk Screening Tool (TRST); International Resident Assessment Instrument Emergency Department Screener (InterRAI ED Screener). At 6 months patients were contacted by phone to verify: mortality, ED readmission, hospital admission, and institutionalization.Results. Of the 421 patients (median age 77, Interquartile Range 71-83; 55.8% women) enrolled, 72.4% were positive at the ISAR, 50.1% at the TRST; moreover 44.9% of enrolled subjects needed a urgent geriatric evaluation at the InterRAI ED Screener. The dead subjects had ISAR, TRST and InterRAI ED Screener with greater severity compared to the alive ones. The ISAR and the TRST were also more severe in subjects who had ED readmission, while those hospitalized, in addition to the ISAR, had the more severe Inter- RAI ED Screener. However, applying stepwise logistic regression, of the three tools used, only the ISAR was a predictor for hospitalization (OR = 1.23; CI = 1.03- 1.48; P = 0.02; AUC = 0.63).Conclusions. The association of ISAR and InterRAI ED Screener may be useful in ED to intercept both critical issues typical of the elderly, and the need and priority of the geriatric evaluation.
背景和目标。老年人经常去急诊室。本研究的目的是探索一些经验证的ED老年筛查工具在6个月时预测结果（死亡率、住院率、ED再次入院和住院）的能力。方法。2017年5月至12月连续考入卡利亚里大学ED的老年人被录取。在ED中，使用三种工具对老年患者进行筛查：老年高危人群识别工具（ISAR）；分类风险筛查工具；国际驻地评估仪器急诊部筛查员（InterRAI ED筛查员）。在6个月时，通过电话联系患者以核实：死亡率、ED再次入院、住院和住院情况。后果在421名入选患者（中位年龄77岁，四分位数区间71-83；55.8%为女性）中，72.4%在ISAR中呈阳性，50.1%在TRST中呈阳性；此外，44.9%的入选受试者需要在InterRAI ED Screener进行紧急老年评估。死亡受试者的ISAR、TRST和InterRAI ED Screener的严重程度高于活着的受试者。再入院受试者的ISAR和TRST也更严重，而住院受试者，除了ISAR，还有更严重的RAI间ED筛查。然而，应用逐步逻辑回归，在使用的三种工具中，只有ISAR是住院的预测因素（OR=1.23；CI=1.03-1.48；P=0.02；AUC=0.63）。
{"title":"Emergency department: risk stratification in the elderly","authors":"Simona Loddo, D. Costaggiu, Antonella Palimodde, Elisa Cogoni, Stefano Putzu, Luca Serchisu, Rosanna Laconi, A. Scuteri, A. Mandas","doi":"10.36150/2499-6564-n352","DOIUrl":"https://doi.org/10.36150/2499-6564-n352","url":null,"abstract":"Background & aims. The older adults have very frequent access to the Emergency Department (ED). The aim of this study is to explore the ability of some geriatric screening tools validated for the ED to predict outcomes (mortality, hospitalization, ED readmission and institutionalization) at 6 months.Methods. Older adults consecutively admitted to Cagliari University’s ED between May and December of 2017 were enrolled. In ED older patients were screened with three tools: Identification of Seniors at Risk tool (ISAR); Triage Risk Screening Tool (TRST); International Resident Assessment Instrument Emergency Department Screener (InterRAI ED Screener). At 6 months patients were contacted by phone to verify: mortality, ED readmission, hospital admission, and institutionalization.Results. Of the 421 patients (median age 77, Interquartile Range 71-83; 55.8% women) enrolled, 72.4% were positive at the ISAR, 50.1% at the TRST; moreover 44.9% of enrolled subjects needed a urgent geriatric evaluation at the InterRAI ED Screener. The dead subjects had ISAR, TRST and InterRAI ED Screener with greater severity compared to the alive ones. The ISAR and the TRST were also more severe in subjects who had ED readmission, while those hospitalized, in addition to the ISAR, had the more severe Inter- RAI ED Screener. However, applying stepwise logistic regression, of the three tools used, only the ISAR was a predictor for hospitalization (OR = 1.23; CI = 1.03- 1.48; P = 0.02; AUC = 0.63).Conclusions. The association of ISAR and InterRAI ED Screener may be useful in ED to intercept both critical issues typical of the elderly, and the need and priority of the geriatric evaluation.","PeriodicalId":42690,"journal":{"name":"Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48470473","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}
N. Palliyil, R. Dhake, Badmus Olakunle, Elen Evans, K. Salem, O. Sahota
Significant dilemma exists in literature regarding the management (surgical vs conservative) of elderly patients with significant comorbidities presenting with spinal injuries. An 82 years old female patient with significant comorbidities and a background of ankylosing spondylitis presented with unstable fractures of the thoracic spine. Multidisciplinary team approach with medical optimisation, early surgical intervention followed by rehabilitation was offered to her. She made an uneventful recovery and returned back to her baseline mobility.
{"title":"Clinical dilemma in the management of an unstable spinal fracture in a frail older patient with multiple comorbidities-conservative versus non-conservative care. A case report","authors":"N. Palliyil, R. Dhake, Badmus Olakunle, Elen Evans, K. Salem, O. Sahota","doi":"10.36150/2499-6564-n342","DOIUrl":"https://doi.org/10.36150/2499-6564-n342","url":null,"abstract":"Significant dilemma exists in literature regarding the management (surgical vs conservative) of elderly patients with significant comorbidities presenting with spinal injuries. An 82 years old female patient with significant comorbidities and a background of ankylosing spondylitis presented with unstable fractures of the thoracic spine. Multidisciplinary team approach with medical optimisation, early surgical intervention followed by rehabilitation was offered to her. She made an uneventful recovery and returned back to her baseline mobility.","PeriodicalId":42690,"journal":{"name":"Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48307214","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}
Dysphagia refers either to the difficulty someone may have with the initial phases of a swallow (usually described as oropharyngeal dysphagia, “OD”) or to the sensation that foods and or liquids are somehow being obstructed in their passage from the mouth to the stomach (usually described as “esophageal dysphagia”). In patients with no indication of a somatic disease or abnormality, psychiatric conditions must be considered as a possible cause of OD. Moreover, diagnosis and treatment of dysphagia are not standardized. There is no universal standard tool for screening or clinical assessment of OD. Education of health professionals on early diagnosis and improvement of therapeutic strategies are mainstays to allow maximal recovery potential in this population. Future studies, clinical trials, clinical evidence and clear guidelines are needed to manage this condition.
{"title":"Dysphagia: what we know? A minireview","authors":"T. Ciarambino, G. Sansone, O. Para, M. Giordano","doi":"10.36150/2499-6564-n241","DOIUrl":"https://doi.org/10.36150/2499-6564-n241","url":null,"abstract":"Dysphagia refers either to the difficulty someone may have with the initial phases of a swallow (usually described as oropharyngeal dysphagia, “OD”) or to the sensation that foods and or liquids are somehow being obstructed in their passage from the mouth to the stomach (usually described as “esophageal dysphagia”). In patients with no indication of a somatic disease or abnormality, psychiatric conditions must be considered as a possible cause of OD. Moreover, diagnosis and treatment of dysphagia are not standardized. There is no universal standard tool for screening or clinical assessment of OD. Education of health professionals on early diagnosis and improvement of therapeutic strategies are mainstays to allow maximal recovery potential in this population. Future studies, clinical trials, clinical evidence and clear guidelines are needed to manage this condition.","PeriodicalId":42690,"journal":{"name":"Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46542682","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}
Adriana Medina, Geraldine Altamar, D. Fernández-Ávila, J. A. Leal, Edgar Castro, Alejandra Rivera, Amparo Gómez, L. F. García, Andrés Lancheros, Rodolfo Páez, Lina Vélez, María Claudia Rivera, Walter Chaparro, Daniel Suárez, C. Rodríguez, V. Filizzola, Saúl Martinez, Emilio A. Riveros, C. Olarte, D. Morales, Óscar Rosero, Carlos Alberto Castro
Background & aims. Fragility fractures are those caused by low-energy trauma or falls from standing height. The mortality after the first year of suffering a hip fracture ranges from 15 to 30%. This problem has been addressed through the creation of interdisciplinary programs for fragility fracture early diagnosis and prevention. Describing the clinical characteristics of a cohort of patients diagnosed with fragility fractures in 10 fracture liaison services in Colombia. Methods. Led by the Asociaci n Colombiana de Osteoporosis y Metabolismo Mineral, this is a cross-sectional descriptive study, in patients with a diagnosis of fragility fracture in 10 fracture liaison services. Demographic and clinical variables were described for one year from the diagnosis of the fracture. Results. were analyzed 1699 records of patient fractures between 50 and 101 years of age, 1334 were women (76.5%), 581/1484 (39.1%) had previous fragility fractures, 570/1599 (35.7%) had a previous diagnosis of osteoporosis. Of these, 70/1051 (7%) received anti-osteoporosis medication, and 311/733 (42.4%) received it post-fracture. Of the total records with information, 65/707 (9.2%) died the following year of the fracture. Conclusions. Fracture prevention programs in institutions allow for de16 A. Medina et al. tecting patients with fragility fractures, clinical characteristics of these, in addition to strengthening the conditions of a centralized national registry, based on the parameters of the International Osteoporosis Foundation - Capture the Fracture program, through strategies with multidisciplinary personnel.
背景和目标。脆性骨折是指由低能量创伤或站立高处坠落引起的骨折。髋部骨折第一年后的死亡率在15%到30%之间。这个问题已经通过创建脆性骨折早期诊断和预防的跨学科项目得到了解决。描述哥伦比亚10家骨折联络服务机构诊断为脆性骨折的患者队列的临床特征。方法。由Asociaci领导 在Colombiana de Osteporosis y Metabolismo Mineral，这是一项横断面描述性研究，针对10家骨折联络服务机构诊断为脆性骨折的患者。对骨折诊断后一年的人口统计学和临床变量进行了描述。后果分析了1699例50至101岁的骨折患者记录，1334例为女性（76.5%），581/1484例（39.1%）有脆性骨折病史，570/1599例（35.7%）有骨质疏松症病史。其中，70/1051（7%）接受了抗骨质疏松药物治疗，311/733（42.4%）在骨折后接受了治疗。在有信息的总记录中，65/707（9.2%）在第二年死于骨折。结论。机构中的骨折预防计划允许de16 A.Medina等人根据国际骨质疏松基金会的参数，通过多学科人员的策略，保护脆性骨折患者及其临床特征，并加强国家集中登记的条件。
{"title":"Clinical characteristics and impact of treatment gap of fragility fractures in Colombia: experience of 10 Fracture Liaison Services (FLS)","authors":"Adriana Medina, Geraldine Altamar, D. Fernández-Ávila, J. A. Leal, Edgar Castro, Alejandra Rivera, Amparo Gómez, L. F. García, Andrés Lancheros, Rodolfo Páez, Lina Vélez, María Claudia Rivera, Walter Chaparro, Daniel Suárez, C. Rodríguez, V. Filizzola, Saúl Martinez, Emilio A. Riveros, C. Olarte, D. Morales, Óscar Rosero, Carlos Alberto Castro","doi":"10.36150/2499-6564-n307","DOIUrl":"https://doi.org/10.36150/2499-6564-n307","url":null,"abstract":"Background & aims. Fragility fractures are those caused by low-energy trauma or falls from standing height. The mortality after the first year of suffering a hip fracture ranges from 15 to 30%. This problem has been addressed through the creation of interdisciplinary programs for fragility fracture early diagnosis and prevention. Describing the clinical characteristics of a cohort of patients diagnosed with fragility fractures in 10 fracture liaison services in Colombia. Methods. Led by the Asociaci n Colombiana de Osteoporosis y Metabolismo Mineral, this is a cross-sectional descriptive study, in patients with a diagnosis of fragility fracture in 10 fracture liaison services. Demographic and clinical variables were described for one year from the diagnosis of the fracture. Results. were analyzed 1699 records of patient fractures between 50 and 101 years of age, 1334 were women (76.5%), 581/1484 (39.1%) had previous fragility fractures, 570/1599 (35.7%) had a previous diagnosis of osteoporosis. Of these, 70/1051 (7%) received anti-osteoporosis medication, and 311/733 (42.4%) received it post-fracture. Of the total records with information, 65/707 (9.2%) died the following year of the fracture. Conclusions. Fracture prevention programs in institutions allow for de16 A. Medina et al. tecting patients with fragility fractures, clinical characteristics of these, in addition to strengthening the conditions of a centralized national registry, based on the parameters of the International Osteoporosis Foundation - Capture the Fracture program, through strategies with multidisciplinary personnel.","PeriodicalId":42690,"journal":{"name":"Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42829783","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}
Annalisa Paglia, Anna Grazia Angeletti, Vera Conte, G. Serviddio, A. Romano
Emphysematous Cystitis (EC) is a rare form of complicated urinary tract infection, characterized by the presence of gas in the bladder and in its wall. Diabetes Mellitus (DM) is the major risk factor. Clinical manifestations in EC can range from asymptomatic form to severe sepsis and fatal events. Abdominal imaging is requested to diagnose EC and evaluate its severity. Early diagnosis and appropriate management improve the outcome. We report a case of incidental EC diagnosis in an 82-yearold diabetic male who was investigated for severe anemia.
{"title":"Emphysematous cystitis in an elderly male diabetic patient: a case report. A complicated urinary tract infection","authors":"Annalisa Paglia, Anna Grazia Angeletti, Vera Conte, G. Serviddio, A. Romano","doi":"10.36150/2499-6564-n341","DOIUrl":"https://doi.org/10.36150/2499-6564-n341","url":null,"abstract":"Emphysematous Cystitis (EC) is a rare form of complicated urinary tract infection, characterized by the presence of gas in the bladder and in its wall. Diabetes Mellitus (DM) is the major risk factor. Clinical manifestations in EC can range from asymptomatic form to severe sepsis and fatal events. Abdominal imaging is requested to diagnose EC and evaluate its severity. Early diagnosis and appropriate management improve the outcome. We report a case of incidental EC diagnosis in an 82-yearold diabetic male who was investigated for severe anemia.","PeriodicalId":42690,"journal":{"name":"Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42178181","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}
G. Ruotolo, Elvira Bonacci, R. Cerra, Carmen Ruberto, A. Lavecchia, A. Castagna
Thyroid cancer is the most common malignancy of the endocrine system, with an increasing incidence in the past three decades. The present case report describes an elderly subjects affected by follicular thyroid cancer associated with hyperthyroidism identified with a bone metastasis.
{"title":"Histological confirmation of a rare case of hyperfunctioning thyroid cancer with bone metastasis in elderly patient","authors":"G. Ruotolo, Elvira Bonacci, R. Cerra, Carmen Ruberto, A. Lavecchia, A. Castagna","doi":"10.36150/2499-6564-n264","DOIUrl":"https://doi.org/10.36150/2499-6564-n264","url":null,"abstract":"Thyroid cancer is the most common malignancy of the endocrine system, with an increasing incidence in the past three decades. The present case report describes an elderly subjects affected by follicular thyroid cancer associated with hyperthyroidism identified with a bone metastasis.","PeriodicalId":42690,"journal":{"name":"Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46144588","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}
Marica Scotellaro, Maila Ruggeri, Victoria d'Inzeo, E. D. Simone, M. D. Muzio, S. Dionisi, N. Giannetta
{"title":"Multidimensional assessment using a modified S.Va.M.A scale, a pilot study in patients aged 65 or older","authors":"Marica Scotellaro, Maila Ruggeri, Victoria d'Inzeo, E. D. Simone, M. D. Muzio, S. Dionisi, N. Giannetta","doi":"10.36150/2499-6564-N358","DOIUrl":"https://doi.org/10.36150/2499-6564-N358","url":null,"abstract":"","PeriodicalId":42690,"journal":{"name":"Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41538622","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}
Ambra Bertola, S. Damanti, R. Scotti, G. D. Lucca, E. Bozzolo, M. Tresoldi
Methods. Describing the complications that an older patient under- went during his hospital stay.Results. An 87-year-old man was admitted to the San Raffaele Hos- pital for a transient loss of consciousness (LOC). He was hospitalized for assessing the causes of the LOC. The LOC lasted 2 minutes, was associated with bilateral upper limb clonus and subsequent confu- sion. The patient was severely comorbid: he suffered from metabolic syndrome, chronic kidney failure, hemodynamically significant carotid atheromasia, anemia, and he had a dubious history of epilepsy. More- over, the patient was cognitively impaired and many episodes of LOC were reported in his medical history. During the hospital stay the patient developed many complications: a fall, nosocomial pneumonia, urinary retention and deconditioning.Conclusions. Global aging poses several challenges to society and public health systems. The traditional models of care are not suitable to face the complex needs of frail older people for whom standard deci- sional algorithms are seldom applicable. The context of hospitalization, though necessary, may be hazardous risky for the health of older peo- ple, especially the frailer ones.
{"title":"A cascade of complications in a hospitalized frail older patient: is a better management possible?","authors":"Ambra Bertola, S. Damanti, R. Scotti, G. D. Lucca, E. Bozzolo, M. Tresoldi","doi":"10.36150/2499-6564-N340","DOIUrl":"https://doi.org/10.36150/2499-6564-N340","url":null,"abstract":"Methods. Describing the complications that an older patient under- went during his hospital stay.Results. An 87-year-old man was admitted to the San Raffaele Hos- pital for a transient loss of consciousness (LOC). He was hospitalized for assessing the causes of the LOC. The LOC lasted 2 minutes, was associated with bilateral upper limb clonus and subsequent confu- sion. The patient was severely comorbid: he suffered from metabolic syndrome, chronic kidney failure, hemodynamically significant carotid atheromasia, anemia, and he had a dubious history of epilepsy. More- over, the patient was cognitively impaired and many episodes of LOC were reported in his medical history. During the hospital stay the patient developed many complications: a fall, nosocomial pneumonia, urinary retention and deconditioning.Conclusions. Global aging poses several challenges to society and public health systems. The traditional models of care are not suitable to face the complex needs of frail older people for whom standard deci- sional algorithms are seldom applicable. The context of hospitalization, though necessary, may be hazardous risky for the health of older peo- ple, especially the frailer ones.","PeriodicalId":42690,"journal":{"name":"Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43600822","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}
L. Tagliafico, M. N. Parodi, P. Odetti, A. Nencioni, F. Monacelli
This is an open access article distributed in accordance with the CC-BY-NC-ND (Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International) license. The article can be used by giving appropriate credit and mentioning the license, but only for non-commercial purposes and only in the original version. For further information: https://creativecommons.org/licenses/by-nc-nd/4.0/deed.en CliniCal GeriatriCs OriGinal investiGatiOn
{"title":"Safety and tolerability of intravenous ferric carboxymaltose in the oldest old patients: a prospective cohort study in a University Italian Geriatrics Department","authors":"L. Tagliafico, M. N. Parodi, P. Odetti, A. Nencioni, F. Monacelli","doi":"10.36150/2499-6564-N001","DOIUrl":"https://doi.org/10.36150/2499-6564-N001","url":null,"abstract":"This is an open access article distributed in accordance with the CC-BY-NC-ND (Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International) license. The article can be used by giving appropriate credit and mentioning the license, but only for non-commercial purposes and only in the original version. For further information: https://creativecommons.org/licenses/by-nc-nd/4.0/deed.en CliniCal GeriatriCs OriGinal investiGatiOn","PeriodicalId":42690,"journal":{"name":"Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42582837","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}
Background & aims. A large proportion of deaths from SARS-CoV-2 infections worldwide occur among nursing home residents. The aim of this research is to study the association between age and comorbidities and the likelihood of hospitalization and death in patients with SARS-CoV-2 infection in an Italian province, taking into account the residential setting. Methods. Retrospective cohort study based on multiple anonymous administrative health databases. Multinomial logistic regression was used to assess the association of sex, age, comorbidities, nursing home residency, calendar time with likelihood of hospitalization (with no death) and death, adjusting for mutual confounding. Results. Older subjects had increased likelihood of both outcomes. Congestive heart failure and hypothyroidism significantly increased the likelihood of death. Neurological diseases and hypertension increased the risk of hospitalization. Nursing home residents were over-represent-ed in the cohort. They had reduced likelihood of hospitalization, but mortality was analogous of that of other persons of the same age and clinical conditions. Conclusions. Efforts should be done to protect elderly and frail people from SARS-CoV-2, regardless of the residential setting.
{"title":"Age, comorbidities, nursing home stay and outcomes of SARS-CoV-2 infection in a Northern Italian cohort","authors":"F. Valent","doi":"10.36150/2499-6564-N291","DOIUrl":"https://doi.org/10.36150/2499-6564-N291","url":null,"abstract":"Background & aims. A large proportion of deaths from SARS-CoV-2 infections worldwide occur among nursing home residents. The aim of this research is to study the association between age and comorbidities and the likelihood of hospitalization and death in patients with SARS-CoV-2 infection in an Italian province, taking into account the residential setting. Methods. Retrospective cohort study based on multiple anonymous administrative health databases. Multinomial logistic regression was used to assess the association of sex, age, comorbidities, nursing home residency, calendar time with likelihood of hospitalization (with no death) and death, adjusting for mutual confounding. Results. Older subjects had increased likelihood of both outcomes. Congestive heart failure and hypothyroidism significantly increased the likelihood of death. Neurological diseases and hypertension increased the risk of hospitalization. Nursing home residents were over-represent-ed in the cohort. They had reduced likelihood of hospitalization, but mortality was analogous of that of other persons of the same age and clinical conditions. Conclusions. Efforts should be done to protect elderly and frail people from SARS-CoV-2, regardless of the residential setting.","PeriodicalId":42690,"journal":{"name":"Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44438044","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}
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