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A randomized controlled trial on impact of group exercise programme on fall risk, balance, strength, fear of fall and quality of life of older adults 团体运动对老年人跌倒风险、平衡、力量、跌倒恐惧和生活质量影响的随机对照试验
IF 0.4 Q4 Medicine Pub Date : 2022-12-01 DOI: 10.36150/2499-6564-n540
Nupoor Kulkarni, E. Tsepis, Vaishali V. Phalke, S. Tilekar, Kaliopi Pouliasi, Marina Theodoritzi, Aashirwad A. Mahajan
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引用次数: 0
A drug-induced microscopic colitis in an older woman: a case report 一例老年妇女药物诱导的显微镜下结肠炎
IF 0.4 Q4 Medicine Pub Date : 2022-09-01 DOI: 10.36150/2499-6564-n564
I. Mattioli, Francesca Remelli, M. Brunori, C. delli Gatti, A. Zurlo, S. Volpato
We presented a case of a 87-year-old woman hospitalized for chronic watery diarrhea, affected by multimorbidities. After excluding other causes of diarrhea by biohumoral and microbiological tests, endoscopy was performed without revealing any macroscopic abnormalities, but, at histological examination of random biopsies, the characteristic features of collagenous colitis were found. Lansoprazolo and sertraline, chronically taken by the patient, was discontinued, and budesonide was started with prompt clinical improvement. Collagenous colitis is a rare cause of chronic diarrhea in advanced age, but it should be suspected in patients with polypharmacotherapy, after an accurate differential diagnosis.
我们提出一个病例87岁的妇女住院慢性水样腹泻,由多种疾病的影响。经生物体液和微生物检查排除其他腹泻原因后,行内镜检查,未见宏观异常,但在随机活检的组织学检查中,发现胶原性结肠炎的特征。停用患者长期服用的兰索拉唑和舍曲林,开始使用布地奈德,临床立即改善。胶原性结肠炎是一种罕见的高龄慢性腹泻的病因,但在接受多种药物治疗的患者中,应在准确的鉴别诊断后加以怀疑。
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引用次数: 0
Effects of resistance training on the functional autonomy of middle-aged and older women: a systematic review and meta-analysis of randomized controlled trials 抗阻训练对中老年妇女功能自主性的影响:随机对照试验的系统回顾和荟萃分析
IF 0.4 Q4 Medicine Pub Date : 2022-09-01 DOI: 10.36150/2499-6564-n508
Fábio Batista Miranda, J. B. P. de Castro, Andressa Oliveira Barros dos Santos, Giullio César Pereira Salustiano Mallen da Silva, C. J. Nogueira, Andréa Carmen Guimarães, V. Lima, Rodrigo Vale, E. Dantas
to improve the functional autonomy of middle-aged and older women. However, the interventions need greater standardization and the studies require higher methodological quality to establish further conclusions.
提高中老年妇女的功能自主性。然而,干预措施需要更大程度的标准化,研究需要更高的方法学质量来确定进一步的结论。
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引用次数: 0
Diagnosis of COVID-19 in a geriatric patient hospitalised for fall with initial misinterpreted aspiration pneumonia 新冠肺炎在一名老年患者中的诊断,该患者因最初误解吸入性肺炎住院秋季
IF 0.4 Q4 Medicine Pub Date : 2022-09-01 DOI: 10.36150/2499-6564-n309
Michela Musolino, Wassim Gana, A. Aidoud, Camille Debacq, Joëlle Bleuet, P. Poupin, Sophie Dubnistkiy-Robin, M. Mennecart, M. Rispoli, B. Fougère
Background. SARS-CoV-2 is a virus which is more aggressive in aged patients with associated chronic age-related diseases. Although it is known that clinical picture of COVID-19 is already multifaceted, very little is still known about the infectious syndrome in aged patients. We present a case of an aged patient hospitalized for fall affected from COVID-19 pneumonia, initially misinterpreted for an aspiration pneu-monia. Case presentation. We describe the case of a 92 years patient with chronic heart diseases, hospitalized for fall complicated by head trau-ma. She was diagnosed with an aspiration pneumonia due to the fall so that she was put under antibiotics treatment. Despite four days of antibiotics treatment, the patient presented high fever and dry cough motivating in an epidemic period the nasopharyngeal PCR test for the research of SARS-CoV-2 which resulted positive. Discussion and conclusions. Aspiration pneumonia resulting from a fall is a common finding in geriatric patients, that's why the diagnosis of COVID-19 was delayed. The geriatric population often have an altered clinical presentation of diseases, in particular regarding infectious diseases. The correct interpretation of some suspicious findings such as regular blood tests would have led more quickly to a diagnosis of non-aspiration pneumonia. Inflammatory markers and white blood cell count resulted within the normal range. Moreover, lymphopenia, considered as one of the biological1. The presence of confusion as a sign of persisting infection in an older patient should not be under-estimated, expression of a possible involvement of nervous system in SARS-CoV-2 infection2. The common diagnosis of aspiration pneumonia in the geriatric field, the aspecific signs and symptoms of COVID-19 disease, the complex picture of our patient, prove that in geriatrics an apparently simple diagnosis could instead be insidious and complex. Copyright © by Societa Italiana di Gerontologia e Geriatria (SIGG).
背景严重急性呼吸系统综合征冠状病毒2型是一种在患有相关慢性年龄相关疾病的老年患者中更具攻击性的病毒。尽管已知新冠肺炎的临床情况已经是多方面的,但对老年患者的感染综合征知之甚少。我们报告了一例老年患者因新冠肺炎秋季住院,最初被误解为吸入性肺炎。案例介绍。我们描述了一例92岁的慢性心脏病患者,因跌倒并发头部创伤而住院。由于摔倒,她被诊断为吸入性肺炎,因此接受了抗生素治疗。尽管接受了四天的抗生素治疗,患者仍出现高烧和干咳,这促使在一个流行时期进行了鼻咽PCR检测,以研究严重急性呼吸系统综合征冠状病毒2型,结果呈阳性。讨论和结论。跌倒引起的吸入性肺炎在老年患者中很常见,这就是为什么新冠肺炎的诊断被推迟的原因。老年人对疾病的临床表现往往有所改变,尤其是在传染病方面。对一些可疑发现的正确解释,如定期验血,本可以更快地诊断为非吸入性肺炎。炎症标志物和白细胞计数在正常范围内。此外,淋巴细胞减少症,被认为是一种生物学1。不应低估作为老年患者持续感染迹象的困惑的存在,即神经系统可能参与严重急性呼吸系统综合征冠状病毒2型感染的表达。老年医学领域吸入性肺炎的常见诊断、新冠肺炎疾病的具体体征和症状、我们患者的复杂情况证明,在老年医学中,一个看似简单的诊断可能是阴险而复杂的。版权所有©意大利老年医学协会(SIGG)。
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引用次数: 0
Psychotic depression in older adults following the sudden loss of a spouse during the COVID-19 pandemic: a case series COVID-19大流行期间突然失去配偶后老年人的精神病性抑郁症:病例系列
IF 0.4 Q4 Medicine Pub Date : 2022-09-01 DOI: 10.36150/2499-6564-n550
A. Eichenberger, A. Carlew, B. Kelley, Mary E. Camp
Background. Little is known about the relationship between sudden loss, social isolation, and onset of major depressive disorder (MDD) with psychotic features. We report two cases of MDD with psychotic features that developed in older women after the sudden loss of a spouse in the setting of social isolation in the COVID-19 pandemic. Case reports. Both women were brought to stay with family after their symptoms were discovered. Both experienced remission of symptoms on the combination of an antidepressant and a relatively low dose of risperidone (1.5-2 mg daily). Neuropsychological assessments were typical of normal ageing. Conclusions. These cases suggest that unexpected loss and social isolation may precipitate psychotic depression, and providers may want to recommend social engagement for older adults experiencing bereavement. Copyright © by Societa Italiana di Gerontologia e Geriatria (SIGG).
背景。关于突然丧失、社会孤立和重性抑郁障碍(MDD)发作与精神病性特征之间的关系,我们知之甚少。我们报告了两例具有精神病性特征的重度抑郁症,这些病例发生在COVID-19大流行期间突然失去配偶的老年妇女中。案例报告。这两名妇女在发现症状后被带回家与家人住在一起。在联合使用抗抑郁药和相对低剂量的利培酮(每日1.5-2毫克)后,两例患者的症状均得到缓解。神经心理评估是典型的正常衰老。结论。这些案例表明,意外的损失和社会孤立可能会导致精神病性抑郁症,提供者可能希望为经历丧亲之痛的老年人推荐社会参与。意大利老年医学协会(SIGG)版权所有©。
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引用次数: 0
Delirium in hip fractured patients 髋部骨折患者的谵妄
IF 0.4 Q4 Medicine Pub Date : 2022-09-01 DOI: 10.36150/2499-6564-n544
A. Sala, Aurora Vitali, Francesca Remelli, A. Zurlo, S. Volpato
The current clinical case concerns the mixed delirium in a 70-year-old man with hip fracture, following a fall at home. In his medical history, the patient reported several comorbidities, among which also sarcopenia. De-lirium was already diagnosed by the geriatrician on hospital admission. The patient underwent hip endoprosthesis surgery after 24 hours without any intra-operative complications. However, in the post-operative period delirium persisted, causing a prolonged hospital stay, a delayed physio-therapy rehabilitation with poor functional recovery, and subsequent institutionalization. The prevalence of delirium in older people with hip fracture is extremely high and it is associated with several negative outcomes. De-lirium is considered a multifactorial disorder, and, in particular, sarcopenia appears directly linked to the development of delirium. The systematic assessment of sarcopenia should be performed in hospitalized older patients with hip fracture, together with the other predisposing risk factors for delirium, to timely identify people at higher risk for both delirium and disability.
目前的临床病例涉及一名70岁男性髋部骨折,在家中跌倒后出现混合性谵妄。在他的病史中,病人报告了一些合并症,其中也有肌肉减少症。入院时,老年病专家已经诊断出患有谵妄。患者于24小时后接受髋关节内假体手术,无任何术中并发症。然而,术后谵妄持续存在,导致住院时间延长,物理治疗康复延迟,功能恢复不佳,随后住院。老年髋部骨折患者谵妄的患病率极高,并伴有一些不良后果。谵妄被认为是一种多因素疾病,特别是肌肉减少症似乎与谵妄的发展直接相关。对住院老年髋部骨折患者进行肌肉减少症的系统评估,并结合其他谵妄的易感危险因素,及时识别谵妄和残疾的高危人群。
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引用次数: 0
The “Personhood in Dementia Questionnaire”: Italian translation and validation for the assessment of the level of personality attributed to people with senile dementia by health care personnel "痴呆症人格调查表":保健人员对老年痴呆症患者人格水平评估的意大利语翻译和验证
IF 0.4 Q4 Medicine Pub Date : 2022-09-01 DOI: 10.36150/2499-6564-n531
E. Vitale, R. Lupo, Marta Visconti, M. Babini, M. Carvello, L. Conte, Ivan Rubbi
Objective . To validate a survey tool in Italian, useful for assessing the perceptions and beliefs of healthcare professionals with respect to the person with dementia, with particular attention to the levels of dignity and personality (Personhood) that operators address to residents of facilities for the elderly. Methods . Data collection took place in two distinct periods, the first (T1) from May 2021 to July 2021; the second starting from December 2021 to February 2022 (T2). Results . The test-retest stability in the two measurements performed was confirmed by the value of the correlation coefficient Rho, very high and statistically significant (p < .05) in the comparison of each item at T1 and T2, respectively. Conclusions . The validity of the construct of the tool could be studied by future research through a more widespread use able to provide data and food for thought to enrich the debate currently underway.
客观的验证意大利语调查工具,该工具有助于评估医疗保健专业人员对痴呆症患者的看法和信念,特别关注运营商对老年设施居民的尊严和人格(人格)水平。方法。数据收集分为两个不同的时期,第一个时期(T1)为2021年5月至2021年7月;第二次从2021年12月至2022年2月(T2)。后果相关系数Rho的值证实了两次测量中的重测稳定性,在T1和T2的每个项目的比较中,该值非常高且具有统计学意义(p<0.05)。结论。未来的研究可以通过更广泛的使用来研究该工具结构的有效性,从而提供数据和思考的食物,丰富目前正在进行的辩论。
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引用次数: 0
Personal barriers to physical practice by older adults in different socio-economic locations: a qualitative study 不同社会经济地区老年人体育锻炼的个人障碍:一项定性研究
IF 0.4 Q4 Medicine Pub Date : 2022-09-01 DOI: 10.36150/2499-6564-n520
R. Martín-Moya, P. Ruiz-Montero, Enrique Rivera García
Objective . This study was conducted to try to understand the barriers encountered by Spanish older adults participating in the study when joining programs or maintaining the practice of physical exercise based on their perceptions
目标。本研究旨在了解参与研究的西班牙老年人在参加项目或坚持体育锻炼时所遇到的障碍
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引用次数: 0
Potentially Inappropriate Prescriptions and Hospital Outcome among Geriatric Patients 老年患者可能不适当的处方和医院结果
IF 0.4 Q4 Medicine Pub Date : 2022-09-01 DOI: 10.36150/2499-6564-n558
K. Elsorady, L. Matter, Dina S Abdelrahim
Background and aims . High risk medications use is common at hospitals and poses a major risk for frail older adults. The study aims to determine the association between Potentially Inappropriate Prescrip-tions (PIPs) and hospital outcome among geriatric patients. Methods . A retrospective cohort study including 152 older adults (age ≥ 60 years). These patients were admitted to the intensive care unit (ICU) at Geriatrics hospital from August 1 st , 2021 to January 1 st , 2022. Age, sex, clinical data and medications used throughout admission were extracted for each patient. The target outcome was in-hospital mortality. PIPs were identified in accordance with Screening Tool of Older Per-sons’ potentially inappropriate Prescriptions version 2 (STOPP v. 2). Logistic regression analysis was done to test the association between use of PIPs and in-hospital mortality. Descriptive statistics was performed for PIPs and medications use near the end of life. Results . PIPs occurred in 67.8% (103 patients) of participants. Multi-variate regression analysis revealed independent predictors of mortality including older age (OR = 1.075; 95% CI: 1.020-1.134; P .007), delirium/ altered mental status on admission (OR = 2.688; 95% CI: 1.086-6.651; P .032), and utilizing of ≥ 3 PIPs (OR = 4.049; 95% CI: 1.320-12.421; P .014). Use of anticholinergics in patients with delirium or dementia was the most frequently reported PIPs among participants. Conclu-sions. PIPs are common and significantly associated with mortality among hospitalized older adults. The study provides an overview for high risk medications and recommends a structured medication reviews and de-prescribing practice for frail older adults.
背景和目的。高风险药物的使用在医院很常见,对体弱的老年人构成重大风险。该研究旨在确定老年患者潜在不适当处方(pip)与医院预后之间的关系。方法。一项包括152名老年人(年龄≥60岁)的回顾性队列研究。患者于2021年8月1日至2022年1月1日入住老年医院重症监护病房(ICU)。提取每位患者的年龄、性别、临床资料和入院期间使用的药物。目标结果是住院死亡率。根据老年人潜在不适当处方筛选工具第2版(STOPP v. 2)确定pip。进行Logistic回归分析以检验pip使用与院内死亡率之间的关联。对pip和接近生命末期的药物使用进行描述性统计。结果。67.8%(103例)的参与者出现pip。多因素回归分析显示,年龄较大是死亡率的独立预测因素(OR = 1.075;95% ci: 1.020-1.134;P .007),入院时谵妄/精神状态改变(OR = 2.688;95% ci: 1.086-6.651;P .032),使用≥3个pip (OR = 4.049;95% ci: 1.320-12.421;.014页)。谵妄或痴呆患者使用抗胆碱能药物是参与者中最常见的pip。结论。pip在住院老年人中很常见,且与死亡率显著相关。该研究概述了高风险药物,并建议对体弱多病的老年人进行结构化的药物审查和取消处方实践。
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引用次数: 0
Presbyphagia: the importance of an early diagnosis in the aging population 先兆子痫:老龄化人群早期诊断的重要性
IF 0.4 Q4 Medicine Pub Date : 2022-07-01 DOI: 10.36150/2499-6564-n502
Giada Cavallaro, Marco Pontrelli, M. Sammali, Emer Nelson, N. Quaranta, M. Fiorella
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引用次数: 1
期刊
Journal of Gerontology and Geriatrics
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