Pub Date : 2021-04-01DOI: 10.6890/IJGE.202104_15(2).0019
Chung-Ting Liu, Wei Cheng Chen, Ten-Fang Yang
{"title":"Excessive pelvic incidence related anterior dislocation of posterior-approached total hip arthroplasty. A rare case report","authors":"Chung-Ting Liu, Wei Cheng Chen, Ten-Fang Yang","doi":"10.6890/IJGE.202104_15(2).0019","DOIUrl":"https://doi.org/10.6890/IJGE.202104_15(2).0019","url":null,"abstract":"","PeriodicalId":50321,"journal":{"name":"International Journal of Gerontology","volume":"93 1","pages":"180-182"},"PeriodicalIF":0.3,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89889945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.6890/IJGE.202104_15(2).0008
Ha Na Jeong, S. Chang
Background: Disability is an important factor to consider when providing care aimed at improving health-related quality of life (HRQoL) in elderly individuals with diabetes. However, few studies have explored the influence of disability on HRQoL in this group. This study aimed to compare HRQoL among elderly individuals with and without disabilities who were diagnosed with diabetes, and to identify factors related to HRQoL. Method: A sample of 927 participants with diabetes aged from 65 to 98 was obtained from the Korean Health Panel in 2017 (195 were disabled). Differences in HRQoL were assessed among independent samples between participants with disabilities and those without disabilities using t-tests and Chi-square tests. Hierarchical multiple regression analysis determined factors related to HRQoL among participants with disabilities. Results: All dimensions of HRQoL in participants with disabilities were significantly poorer than in those without disabilities. Lower levels of instrumental activities of daily living (β = -0.509, p ＜ 0.001), hypertension (β = -0.152, p = 0.008), arthritis (β = -0.133, p = 0.019), high stress (β = -0.193, p ＜ 0.001), and higher levels of physical activity (β = 0.156, p = 0.006) were significantly associated with HRQoL in elderly participants with both diabetes and disabilities. Conclusion: Elderly individuals with diabetes and disabilities are more likely to have poorer HRQoL than those without disabilities. The results demonstrate HRQoL are associated with lower levels of instrumental activities of daily living, hypertension, arthritis, high stress, and higher levels of physical activity.
背景:残疾是提供旨在改善老年糖尿病患者健康相关生活质量(HRQoL)的护理时需要考虑的一个重要因素。然而，很少有研究探讨残疾对这一群体HRQoL的影响。本研究旨在比较诊断为糖尿病的有残疾和无残疾老年人的HRQoL，并确定与HRQoL相关的因素。方法:2017年从韩国健康小组获得927名年龄在65至98岁之间的糖尿病患者样本(其中195名为残疾)。使用t检验和卡方检验评估独立样本中残疾和非残疾参与者HRQoL的差异。分层多元回归分析确定了残疾参与者HRQoL的相关因素。结果:残疾被试的HRQoL各维度均显著低于无残疾被试。较低水平的日常生活工具活动(β = -0.509, p < 0.001)、高血压(β = -0.152, p = 0.008)、关节炎(β = -0.133, p = 0.019)、高压力(β = -0.193, p < 0.001)和较高水平的身体活动(β = 0.156, p = 0.006)与老年糖尿病和残疾参与者的HRQoL显著相关。结论:老年糖尿病伴残疾患者的HRQoL较无残疾患者差。结果表明，HRQoL与日常生活工具活动水平较低、高血压、关节炎、高压力和高水平的身体活动有关。
{"title":"Health-Related Quality of Life among Elderly Individuals with Both Diabetes and Disabilities in Korea: Results from a Nationally Representative Survey","authors":"Ha Na Jeong, S. Chang","doi":"10.6890/IJGE.202104_15(2).0008","DOIUrl":"https://doi.org/10.6890/IJGE.202104_15(2).0008","url":null,"abstract":"Background: Disability is an important factor to consider when providing care aimed at improving health-related quality of life (HRQoL) in elderly individuals with diabetes. However, few studies have explored the influence of disability on HRQoL in this group. This study aimed to compare HRQoL among elderly individuals with and without disabilities who were diagnosed with diabetes, and to identify factors related to HRQoL. Method: A sample of 927 participants with diabetes aged from 65 to 98 was obtained from the Korean Health Panel in 2017 (195 were disabled). Differences in HRQoL were assessed among independent samples between participants with disabilities and those without disabilities using t-tests and Chi-square tests. Hierarchical multiple regression analysis determined factors related to HRQoL among participants with disabilities. Results: All dimensions of HRQoL in participants with disabilities were significantly poorer than in those without disabilities. Lower levels of instrumental activities of daily living (β = -0.509, p ＜ 0.001), hypertension (β = -0.152, p = 0.008), arthritis (β = -0.133, p = 0.019), high stress (β = -0.193, p ＜ 0.001), and higher levels of physical activity (β = 0.156, p = 0.006) were significantly associated with HRQoL in elderly participants with both diabetes and disabilities. Conclusion: Elderly individuals with diabetes and disabilities are more likely to have poorer HRQoL than those without disabilities. The results demonstrate HRQoL are associated with lower levels of instrumental activities of daily living, hypertension, arthritis, high stress, and higher levels of physical activity.","PeriodicalId":50321,"journal":{"name":"International Journal of Gerontology","volume":"25 1","pages":"128-132"},"PeriodicalIF":0.3,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83208677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-01DOI: 10.6890/IJGE.202104_15(2).0004
Yu-Ju Chen, Yingying Wen, Peixuan Chen
Background: In Long-term Care (LTC) Plan 2.0, the Taiwanese government built several dementia-integrated care centers (DICCs). DICC is a service platform providing case management for dementia people. The present analytical descriptive study aimed to analyze the integrated data of dementia patients in DICC of a tertiary medical center in Northern Taiwan, and to compare the severity and types of dementia according to LTC services subjects receiving. Methods: A total of 635 were collected from the system of dementia case management of the Department of Health, New Taipei City Government. They were diagnosed with having dementia by neurologists in Mackay Memorial Hospital between January 1, 2017, and November 30, 2019. Chi-square test was used to compare the differences in LTC services, dementia type and severity. Results: Alzheimer's disease (AD)was the most common type of dementia the subjects suffered. Nearly 90% of subjects received LTC services. According to the type of LTC service subjects receiving, there was a significant difference (p = 0.032) between subjects with clinical dementia rating (CDR) ≤ 1 and CDR ＞ 1. In subjects with non-AD, there was a significantly (p = 0.04) higher proportion (71.2%) of subjects with CDR ≤ 1 receiving LTC services. Conclusion: Although the receiving rate of LTC services was high in the DICC, there were differences in the type of LTC service subjects receiving according to the severity of dementia. Regardless of the dementia type, subjects with CDR ≤ 1 tend to receive more LTC services.
{"title":"Long-Term Care Service in Dementia: Experience from a Dementia-Integrated Care Center in Taiwan","authors":"Yu-Ju Chen, Yingying Wen, Peixuan Chen","doi":"10.6890/IJGE.202104_15(2).0004","DOIUrl":"https://doi.org/10.6890/IJGE.202104_15(2).0004","url":null,"abstract":"Background: In Long-term Care (LTC) Plan 2.0, the Taiwanese government built several dementia-integrated care centers (DICCs). DICC is a service platform providing case management for dementia people. The present analytical descriptive study aimed to analyze the integrated data of dementia patients in DICC of a tertiary medical center in Northern Taiwan, and to compare the severity and types of dementia according to LTC services subjects receiving. Methods: A total of 635 were collected from the system of dementia case management of the Department of Health, New Taipei City Government. They were diagnosed with having dementia by neurologists in Mackay Memorial Hospital between January 1, 2017, and November 30, 2019. Chi-square test was used to compare the differences in LTC services, dementia type and severity. Results: Alzheimer's disease (AD)was the most common type of dementia the subjects suffered. Nearly 90% of subjects received LTC services. According to the type of LTC service subjects receiving, there was a significant difference (p = 0.032) between subjects with clinical dementia rating (CDR) ≤ 1 and CDR ＞ 1. In subjects with non-AD, there was a significantly (p = 0.04) higher proportion (71.2%) of subjects with CDR ≤ 1 receiving LTC services. Conclusion: Although the receiving rate of LTC services was high in the DICC, there were differences in the type of LTC service subjects receiving according to the severity of dementia. Regardless of the dementia type, subjects with CDR ≤ 1 tend to receive more LTC services.","PeriodicalId":50321,"journal":{"name":"International Journal of Gerontology","volume":"125 1","pages":"107-110"},"PeriodicalIF":0.3,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89883543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.6890/IJGE.202101_15(1).0007
Su-Fei Huang, Ya-Mei Tzeng, Shueh-Fen Chen
Background: It is important to understand the elderly's subjective beliefs, attitudes, and behaviors regarding fall prevention. This study used the Health Belief Model (HBM) as a theoretical framework to develop a prediction model for the likelihood of fall prevention actions in community-dwelling older adults. Methods: Subjects were 704 elderly in the communities of a county in northern Taiwan. Descriptive analysis, item analysis, factor analysis and Pearson's correlations were used for the statistical analysis. Structural equation modeling was used to verify the fit of the overall model and the amount of variance explained. Results: The results showed good overall model fit. Perceived severity (β= 0.144, p ＜ 0.01), Perceived benefit (β = 0.109, p ＜ 0.05), Self-efficacy (β= 0.408, p ＜ 0.01), and Cue to action (β= 0.212, p ＜ 0.01) can effectively predict the likelihood of the community elderly taking action to prevent falls. Self-efficacy had the largest influence, followed by Cue to action, Perceived severity, and Perceived benefit. The overall predictive power was 39.0%. Conclusion: The results provide evidence that the HBM is suitable for exploring the likelihood of fall prevention actions by community-dwelling older adults and identifying the significant influencing factors and the influence paths between factors. Understanding the impact process can help in the development of more effective interventions.
背景:了解老年人对预防跌倒的主观信念、态度和行为是非常重要的。本研究以健康信念模型(HBM)为理论框架，建立社区居住老年人预防跌倒行动可能性的预测模型。方法:以台湾北部某县社区704名老年人为研究对象。采用描述性分析、项目分析、因子分析和Pearson相关进行统计分析。结构方程模型用于验证整体模型的拟合和解释的方差量。结果:模型整体拟合良好。感知严重程度(β= 0.144, p < 0.01)、感知获益(β= 0.109, p < 0.05)、自我效能感(β= 0.408, p < 0.01)和提示行动(β= 0.212, p < 0.01)能有效预测社区老年人采取预防跌倒行动的可能性。自我效能感的影响最大，其次是行动提示、感知严重性和感知利益。总体预测能力为39.0%。结论:HBM适用于探讨社区居住老年人预防跌倒行为的可能性，识别显著影响因素及各因素之间的影响路径。了解影响过程有助于制定更有效的干预措施。
{"title":"Validation of a Prediction Model for Likelihood of Fall Prevention Actions in Community-Dwelling Older Adults: Application of the Health Belief Model","authors":"Su-Fei Huang, Ya-Mei Tzeng, Shueh-Fen Chen","doi":"10.6890/IJGE.202101_15(1).0007","DOIUrl":"https://doi.org/10.6890/IJGE.202101_15(1).0007","url":null,"abstract":"Background: It is important to understand the elderly's subjective beliefs, attitudes, and behaviors regarding fall prevention. This study used the Health Belief Model (HBM) as a theoretical framework to develop a prediction model for the likelihood of fall prevention actions in community-dwelling older adults. Methods: Subjects were 704 elderly in the communities of a county in northern Taiwan. Descriptive analysis, item analysis, factor analysis and Pearson's correlations were used for the statistical analysis. Structural equation modeling was used to verify the fit of the overall model and the amount of variance explained. Results: The results showed good overall model fit. Perceived severity (β= 0.144, p ＜ 0.01), Perceived benefit (β = 0.109, p ＜ 0.05), Self-efficacy (β= 0.408, p ＜ 0.01), and Cue to action (β= 0.212, p ＜ 0.01) can effectively predict the likelihood of the community elderly taking action to prevent falls. Self-efficacy had the largest influence, followed by Cue to action, Perceived severity, and Perceived benefit. The overall predictive power was 39.0%. Conclusion: The results provide evidence that the HBM is suitable for exploring the likelihood of fall prevention actions by community-dwelling older adults and identifying the significant influencing factors and the influence paths between factors. Understanding the impact process can help in the development of more effective interventions.","PeriodicalId":50321,"journal":{"name":"International Journal of Gerontology","volume":"40 1","pages":"34-38"},"PeriodicalIF":0.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77380086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.6890/IJGE.202101_15(1).0020
M. Annear
{"title":"Rethinking resilience in aging societies ahead of the next global pandemic","authors":"M. Annear","doi":"10.6890/IJGE.202101_15(1).0020","DOIUrl":"https://doi.org/10.6890/IJGE.202101_15(1).0020","url":null,"abstract":"","PeriodicalId":50321,"journal":{"name":"International Journal of Gerontology","volume":"33 1","pages":"88"},"PeriodicalIF":0.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76201636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.6890/IJGE.202110_15(4).0003
I. Song
{"title":"Characteristics and Secondary Infections among Elderly Patients with COVID-19","authors":"I. Song","doi":"10.6890/IJGE.202110_15(4).0003","DOIUrl":"https://doi.org/10.6890/IJGE.202110_15(4).0003","url":null,"abstract":"","PeriodicalId":50321,"journal":{"name":"International Journal of Gerontology","volume":"78 1","pages":"309-313"},"PeriodicalIF":0.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82845617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.6890/IJGE.202101_15(1).0004
Yang-Tzu Li, Pei-En Chen, Chia-Yu Liu, Wu-Hsiung Chien, T. Tung
Background: To investigate the association between quality of life and nursing home facility for the elderly population. Methods: We searched the PubMed, Medline, and Cochrane Library for relevant perspective studies without language limitations from inception to 17^(th) June 2020 for relevant publications with a priori defined inclusion and exclusion criteria. Two authors independently selected studies, assessed risk of bias, and extracted data. The disagreement was resolved by discussion with a third author. Results: There are 18 articles involved in the final meta-analysis. The disparities were found of accessing the quality of life (World Health Organization Quality-of-Life, Quality of Life in Last-Stage Dementia, Nottingham Health Profile-Turkish Version, EUROPE Health Interview Survey-QoL , Visual analogue Scales, Flanagan Quality of Life Scale) and the level of independence (Barthel Index, Kahoku Aging Longitudinal Study Scale, Visual Analogue Scales, Activities of Daily Living Scales, Instrumental Activities of Daily Living Scales). Conclusion: The available limited, very low-quality evidence does not support a significant association between quality of life and nursing home facility for the elderly population. Further rigorous and long-term follow-up studies should be conducted with more objective measures.
{"title":"The Association between Quality of Life and Nursing Home Facility for the Elderly Population: A Systematic Review and Meta-Analysis","authors":"Yang-Tzu Li, Pei-En Chen, Chia-Yu Liu, Wu-Hsiung Chien, T. Tung","doi":"10.6890/IJGE.202101_15(1).0004","DOIUrl":"https://doi.org/10.6890/IJGE.202101_15(1).0004","url":null,"abstract":"Background: To investigate the association between quality of life and nursing home facility for the elderly population. Methods: We searched the PubMed, Medline, and Cochrane Library for relevant perspective studies without language limitations from inception to 17^(th) June 2020 for relevant publications with a priori defined inclusion and exclusion criteria. Two authors independently selected studies, assessed risk of bias, and extracted data. The disagreement was resolved by discussion with a third author. Results: There are 18 articles involved in the final meta-analysis. The disparities were found of accessing the quality of life (World Health Organization Quality-of-Life, Quality of Life in Last-Stage Dementia, Nottingham Health Profile-Turkish Version, EUROPE Health Interview Survey-QoL , Visual analogue Scales, Flanagan Quality of Life Scale) and the level of independence (Barthel Index, Kahoku Aging Longitudinal Study Scale, Visual Analogue Scales, Activities of Daily Living Scales, Instrumental Activities of Daily Living Scales). Conclusion: The available limited, very low-quality evidence does not support a significant association between quality of life and nursing home facility for the elderly population. Further rigorous and long-term follow-up studies should be conducted with more objective measures.","PeriodicalId":50321,"journal":{"name":"International Journal of Gerontology","volume":"76 1","pages":"16-24"},"PeriodicalIF":0.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83591496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.6890/IJGE.202101_15(1).0011
Shih-Jung Cheng, W. Hsu, Yea-Ru Yang, Yan Liu, H. Kuo, Ray-Yau Wang
{"title":"Gait performance and brain activities during cognitive and motor dual task in prefrail elderly","authors":"Shih-Jung Cheng, W. Hsu, Yea-Ru Yang, Yan Liu, H. Kuo, Ray-Yau Wang","doi":"10.6890/IJGE.202101_15(1).0011","DOIUrl":"https://doi.org/10.6890/IJGE.202101_15(1).0011","url":null,"abstract":"","PeriodicalId":50321,"journal":{"name":"International Journal of Gerontology","volume":"222 1","pages":"53-57"},"PeriodicalIF":0.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77428903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.6890/IJGE.202101_15(1).0015
B. G. Yavuz, Ş. Çolak, R. Guven, Metin Öner, Burcu Bayramoglu
Background: Pneumonia severity index (PSI) estimates the risk of 30-day mortality in patients with pneumonia. In this study, we aim to develop a simplified version of the PSI (G-PSI) to estimate the risk of mortality in geriatric patients with community-acquired pneumonia (CAP). Methods: This retrospective study included 186 patients aged 65 and older with a diagnosis of CAP. PSI score and 30-day mortality rate of each patient were calculated. PSI parameters were analyzed using univariate regression analysis and the G-PSI scoring system was established to predict 30-day mortality and compared with PSI. Results: Significant effectiveness of the values of cancer (odds ratio (OR) = 3.67; 95% confidence interval (CI): 1.42-9.48), altered mental status (OR = 0.79; 95% CI: 0.68-0.92), systolic blood pressure (OR = 0.98; 95% CI: 0.97-1.00), haematocrit (Hct) (OR = 0.87; 95% CI: 0.81-0.93) and blood urea nitrogen (BUN) (OR = 1.04; 95% CI: 1.02-1.06) were observed for predicting mortality in univariate regression analysis. G-PSI scoring system, like PSI score (if cancer + 30 points, if altered mental status +20 points, if systolic blood pressure ＜ 90mmHg+ 20 points, if Hct ＜ 30% + 10 points and if BUN ≥ 30 mg/dl + 30 points) was created. The area under the receiver operating characteristic curve (AUC)was 0.762 (95% CI 0.673-0.851), revealing the excellent discriminatory ability of the G-PSI model. The AUC for the PSI score was 0.719 (95% CI 0.631-0.806).When G-PSI and PSI were compared, G-PSI had a high level of significance in predicting 30-day mortality. Conclusion: Calculated with only five parameters from standard PSI information, G-PSI accurately displays the 30-day mortality risk of geriatric patients with CAP. The applicability of the G-PSI is easier in a busy emergency service environment with similar prognostic accuracy and clinical prediction.
{"title":"The Effectiveness of Geriatric Pneumonia Severity Index in Predicting Mortality","authors":"B. G. Yavuz, Ş. Çolak, R. Guven, Metin Öner, Burcu Bayramoglu","doi":"10.6890/IJGE.202101_15(1).0015","DOIUrl":"https://doi.org/10.6890/IJGE.202101_15(1).0015","url":null,"abstract":"Background: Pneumonia severity index (PSI) estimates the risk of 30-day mortality in patients with pneumonia. In this study, we aim to develop a simplified version of the PSI (G-PSI) to estimate the risk of mortality in geriatric patients with community-acquired pneumonia (CAP). Methods: This retrospective study included 186 patients aged 65 and older with a diagnosis of CAP. PSI score and 30-day mortality rate of each patient were calculated. PSI parameters were analyzed using univariate regression analysis and the G-PSI scoring system was established to predict 30-day mortality and compared with PSI. Results: Significant effectiveness of the values of cancer (odds ratio (OR) = 3.67; 95% confidence interval (CI): 1.42-9.48), altered mental status (OR = 0.79; 95% CI: 0.68-0.92), systolic blood pressure (OR = 0.98; 95% CI: 0.97-1.00), haematocrit (Hct) (OR = 0.87; 95% CI: 0.81-0.93) and blood urea nitrogen (BUN) (OR = 1.04; 95% CI: 1.02-1.06) were observed for predicting mortality in univariate regression analysis. G-PSI scoring system, like PSI score (if cancer + 30 points, if altered mental status +20 points, if systolic blood pressure ＜ 90mmHg+ 20 points, if Hct ＜ 30% + 10 points and if BUN ≥ 30 mg/dl + 30 points) was created. The area under the receiver operating characteristic curve (AUC)was 0.762 (95% CI 0.673-0.851), revealing the excellent discriminatory ability of the G-PSI model. The AUC for the PSI score was 0.719 (95% CI 0.631-0.806).When G-PSI and PSI were compared, G-PSI had a high level of significance in predicting 30-day mortality. Conclusion: Calculated with only five parameters from standard PSI information, G-PSI accurately displays the 30-day mortality risk of geriatric patients with CAP. The applicability of the G-PSI is easier in a busy emergency service environment with similar prognostic accuracy and clinical prediction.","PeriodicalId":50321,"journal":{"name":"International Journal of Gerontology","volume":"30 1","pages":"73-77"},"PeriodicalIF":0.3,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90298552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.6890/IJGE.202104_15(2).0009
D. Başer, I. Fidancı, H. Aksoy, M. Çevik, M. Cankurtaran
Background: As countries are affected by COVID-19, the elderly population will be told to self-isolate for "a very long time" in Turkey and a lot of countries. The aim of study was to evaluate the biopsychosocial needs of elderly individuals in the COVID-19 outbreak. Methods: In this qualitative research in-depth interviewwas used. A total of 20 participants aged 65 and over were interviewed. The interviews went on until no new data was obtained. All interviews were recorded digitally and the records were transcribed and coded by two independent researchers, who identified major themes by relevance. Results: According to the in-depth interviews with elderly: all elderly people were exposed to fear and anxiety in this process and elderly living in rural areas were found to be less biopsychosocially affected by the pandemic process and it was observed that most elderly people were afraid to apply to health centers during pandemic even if they have a disease condition. The majority of the participants stated that they did not meet anyone outside the home during this period. Conclusion: It is of great importance to evaluate these people within the framework of the biopsychosocial approach. Our study confirmed this need with in-depth interviews with the elderly. We are concerned about the effects of the curfew on elderly people appropriate;effective campaigns should be done to promote healthy life behaviors and physiological needs of them. Copyright (C) 2021, Taiwan Society of Geriatric Emergency & Critical Care Medicine.
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