Prediction of Death with the Frail-NH in Institutionalized Older Adults: A Longitudinal Study from a Middle-Income Country

2020 ◽  
Vol 24 (8) ◽  
pp. 817-820
Author(s):  
C. Vasconcellos Romanini ◽  
P. Vilas Boas ◽  
J. F. Cecato ◽  
E. Robello ◽  
M. K. Borges ◽  
...  
Keyword(s):  
Older Adults ◽  
Longitudinal Study ◽  
Middle Income Country ◽  
Income Country ◽  
Middle Income

Prevalence, diagnostic criteria, and factors associated with sarcopenic obesity in older adults from a low middle income country: A systematic review

2020 ◽  
Author(s):  
Maria Sortênia Alves Guimarães ◽  
Carolina Araújo dos Santos ◽  
Joice da Silva Castro ◽  
Leidjaira Lopes Juvanhol ◽  
Fabiane Aparecida Canaan Rezende ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Diagnostic Criteria ◽  
Middle Income Country ◽  
Income Country ◽  
Sarcopenic Obesity ◽  
Middle Income ◽  
Factors Associated

Frailty Could Predict Death in Older Adults after Admission at Emergency Department? A 6-month Prospective Study from a Middle-Income Country

2019 ◽  
Vol 23 (7) ◽  
pp. 641-647 ◽  
Author(s):  
Ivan Aprahamian ◽  
G. V. Aricó de Almeida ◽  
C. F. de Vasconcellos Romanin ◽  
T. Gomes Caldas ◽  
N. T. Antunes Yoshitake ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Prospective Study ◽  
Middle Income Country ◽  
Income Country ◽  
Middle Income

scholarly journals Proposal for Modifications to the Bangkok Urban Health System that would Improve the Quality of Health, Independent Living, and Maintenance of Older Adults with Fall-related Trauma (Bangkok Falls Study)

2021 ◽  
Author(s):  
Jiraporn Sri ◽  
Thiti Kredarunsooksree ◽  
Thitiwan Paksophis ◽  
Khemika Rojtangkom ◽  
Rapeeporn Rojsaengroeng ◽  
...  
Keyword(s):  
Older Adults ◽  
Cohort Study ◽  
Fall Risk ◽  
Population Based ◽  
Middle Income Country ◽  
Home Healthcare ◽  
Income Country ◽  
Hydration Status ◽  
Baseline Characteristic ◽  
Middle Income

Abstract BackgroundThe Bangkok falls study aimed to identify fall-associated factors, including home healthcare hazards, nutritional status, hydration status, sarcopenia, frailty, locomotive syndrome, and health status of urban older adults in a middle-income country.Methods This was a population-based cohort study that enrolled adults who lived in Bangkok, Thailand. Our study recruited older adults aged ≥ 60 years old, able to walk, and expected to live in the community for at least 2 years. The study had three phases included; phase 1: subject identification and terminology clarification. Phase 2: we collected data at community sites on baseline characteristic and fall risk identification. Examinations and laboratory investigations were scheduled for one month later. Phase 3: telephone follow up for falls rate, functional status and death at 3, 6, 12 months.Results A total 1,001(51.84%) people were enrolled for our study. The average age of our study was 69.9 years old (SD, 6.8), and two-thirds were female. Using “Stopping Elderly Accidents, Death and Injuries” (STEADI) screening fall risk, our study found that 37.7% had scores ≥ 4, which means that there is a risk of fall. In addition, the risk of falls increased among older adults aged 75–84 years (49.5%) and older adults aged ≥ 85 years (67.7%) (P-value < 0.001).ConclusionThis study demonstrated the feasibility of conducting a population-based cohort study among urban older adults in a middle-income country using the local community healthcare system. Our study have a tendency to provide data source for fall risk factors and disability in older adults.

POLYPHARMACY BUT NOT POTENTIAL INAPPROPRIATE PRESCRIPTION WAS ASSOCIATED WITH FRAILTY IN OLDER ADULTS FROM A MIDDLE-INCOME COUNTRY OUTPATIENT CLINIC

2018 ◽  
pp. 1-5
Author(s):  
I. APRAHAMIAN ◽  
M.M. BIELLA ◽  
G. VANO ARICÓ DE ALMEIDA ◽  
F. PEGORARO ◽  
A.V. ALVES PEDRINI ◽  
...  
Keyword(s):  
Older Adults ◽  
Binary Logistic Regression ◽  
Middle Income Country ◽  
Income Country ◽  
Inappropriate Prescription ◽  
Research Staff ◽  
Cross Sectional ◽  
Middle Income ◽  
Outpatient Center ◽  
Study Setting

Objectives: the aims of the present study were: (1) investigate the prevalence and association of polypharmacy and pre-frailty or frailty in a middle-income country sample of older adults; and (2) evaluate the prevalence of potential inappropriate prescription (PIP) and its association with pre-frailty or frailty. Design: Cross-sectional observational study. Setting: Outpatient center at a university-based hospital in the state of São Paulo, Brazil. Participants: 629 older adults from both sexes evaluated between June 2014 and July 2016. Measurements: Frailty was identified through the FRAIL scale. All medications received were analyzed by research staff. Presence of PIP was evaluated according to the 2015 updated Beers list. Binary logistic regression tested the association between 4 definitions of polypharmacy (≥ 3, 4, 5, and 6 drugs), and presence of PIP, and the dependent variable pre-frailty and frailty. Results: 15.7% of participants were frail. Polypharmacy was present in 219 (34.8%), and PIP was observed in 184 (29.3%) older adults. All definitions of polypharmacy were significantly associated with frailty (OR between 2.05 to 2.34, p < 0.001). Polypharmacy with 4 or 5 or more drugs were associated with pre-frailty (OR 1.53 and 1.47, respectively). PIP was not associated with frailty (OR 1.47, p = 0.149). Conclusions: Several definitions of polypharmacy were associated with frailty, but only two were associated with pre-frailty. The presence of PIP was not associated with pre-frailty or frailty.

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