Prescribing patterns and predictors of high-level polypharmacy in the elderly population: A prospective surveillance study from two teaching hospitals in India

2010 ◽  
Vol 8 (3) ◽  
pp. 271-280 ◽  
Author(s):  
Anand Harugeri ◽  
Jinta Joseph ◽  
Gurumurthy Parthasarathi ◽  
Madhan Ramesh ◽  
Shoba Guido
Keyword(s):  
Elderly Population ◽  
The Elderly ◽  
Prescribing Patterns ◽  
Surveillance Study ◽  
Teaching Hospitals ◽  
Prospective Surveillance ◽  
High Level

Digital literacy of the elderly population and digitalization of enterprises: Experience of European countries

2020 ◽  
pp. 104-124
Author(s):  
L. I. Smirnykh
Keyword(s):  
Comparative Analysis ◽  
Research Methodology ◽  
Digital Literacy ◽  
Elderly Population ◽  
Composite Index ◽  
The Elderly ◽  
Eu Countries ◽  
High Level ◽  
Basic Level ◽  
The Eu

The article analyzes the digital literacy of the elderly population and digitalization of enterprises — important indicators of competitiveness — in the EU countries. The research methodology is based on Eurostat data and indicators of the composite index of digitalization of economy and society developed by the European Commission. The results of the comparative analysis show that the digitalization of enterprises and population in transition countries lags behind the developed EU countries. The digital literacy of the elderly population remains the lowest and lags behind the digital literacy of the younger population. At the same time, the higher the share of enterprises with a high level of digitalization in a country, the larger the share of elderly population with a basic level of digital literacy.

Anticholinergic burden in inpatient psychogeriatric population – Do we care?

2016 ◽  
Vol 33 (S1) ◽  
pp. S187-S187
Author(s):  
M. Lee ◽  
A. Warren ◽  
B. Zolotarev ◽  
J. Henderson ◽  
M. George
Keyword(s):  
Mental Health ◽  
Cognitive Impairment ◽  
Elderly Population ◽  
The Elderly ◽  
Prescribing Patterns ◽  
Therapeutic Effects ◽  
Older Person ◽  
Health Records ◽  
Competing Interest ◽  
Anticholinergic Burden

BackgroundAlthough recent studies have found that there is significant association between anticholinergic and cognitive impairment, especially in the elderly population, there seems to be minimal emphasis on anticholinergic burden (ACB) when prescribing medications to the inpatient psychogeriatric population.AimTo evaluate the prescribing patterns in Older Person Mental Health Inpatient Unit (OPMHU), whether the ACB Score on admission has been reviewed for lowest possible ACB while maintaining therapeutic effects. A protocol will be developed to ensure that ACB is reviewed for future admissions and discharges.MethodologyFifty patients admitted and discharged from OPMHU are recruited retrospectively from 30th September 2015, excluding outliers and deceased patients. For those who had multiple admissions during that period, only the most recent admission would be included for evaluation. Individual ACB score is calculated on admission and discharge based on pharmacist final medication summary. Their mental health records are also audited for any documented ACB review by the treating team, while making note for any pre-existing cognitive impairment.ResultACB has not been taken into consideration in all patients by the treating team on admission as well as when prescribing medications on discharge. Hence, it is unsurprising that the ACB score showed an increment of 30% on discharge (3.25) when compared to the admission score (2.5).ConclusionThe study found that although ACB poses significant risks on cognitive impairment, this knowledge has not been employed pragmatically. A protocol should be developed to ensure that ACB is evaluated and managed accordingly.Disclosure of interestThe authors have not supplied their declaration of competing interest.

A pharmacological surveillance study of the tolerability of policosanol in the elderly population

2004 ◽  
Vol 2 (4) ◽  
pp. 219-229 ◽  
Author(s):  
Salome Fernández ◽  
Más Rosa ◽  
Rafael Gamez ◽  
Arquímedes Diaz ◽  
Julio Fernández ◽  
...  
Keyword(s):  
Elderly Population ◽  
The Elderly ◽  
Surveillance Study

scholarly journals Insulin prescribing pattern in geriatric type 2 diabetic mellitus patients of different nutritional status at a tertiary level of health care: a retrospective study

2019 ◽  
Vol 8 (3) ◽  
pp. 584
Author(s):  
Deidre L. Dias ◽  
Edwin J. Gomes
Keyword(s):  
Health Care ◽  
Elderly Population ◽  
The Elderly ◽  
Insulin Analogues ◽  
Prescribing Patterns ◽  
Single Type ◽  
Steady Increase ◽  
Diabetic Patients ◽  
Prescribing Pattern

Background: The world, specifically India is witnessing a steady increase in elderly population. The numbers are expected to escalate by 3 million by 2050 considering India alone. Further, the diabetic population is also increasing, and India will be home to the highest population of diabetic patients. It is thus indispensable to understand the prescribing patterns in elderly diabetics where insulin is inevitably added later in the course of diabetes, if not earlier.Methods: Data was extracted from a diabetic registry maintained of patients attending the outpatient departments of a tertiary health care between 2009 to 2012 and having completed one year of regular three-monthly follow ups. Data was entered into MS Excel, analysed using IBM SPSS software and presented in the form of percentages or averages.Results: Out of the total 180 male predominated type 2 diabetics aged 60 years and above, 142 (78.8%) elderly patients received a single type of insulin each day. 102 (56.6%) patients were on human insulins while 82 (45.5%) were receiving analogues. As for premixed insulins, 62 (34.4%) patients were receiving biphasic insulin analogues, while 83 (46.1%) patients were receiving human premixed insulin.Conclusions: The elderly population makes up for a huge proportion and is set to increase in the coming years. The insulin prescribing pattern in them needs to be tailor-made to suit their needs and preferences whilst maintaining a relaxed target of HbA1c control at 8mg% or less. However, it should not be too low so as to avoid unnecessary hypoglycaemic episodes.

Validity and Reliability of the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE)

GeroPsych ◽  
2019 ◽  
Vol 32 (3) ◽  
pp. 145-151
Author(s):  
Mahshid Foroughan ◽  
Zahra Jafari ◽  
Ida Ghaemmagham Farahani ◽  
Vahid Rashedi
Keyword(s):  
Psychometric Properties ◽  
Elderly Population ◽  
Formal Education ◽  
The Elderly ◽  
Cognitive State ◽  
Validity And Reliability ◽  
Internal Reliability ◽  
Dsm Iv ◽  
Test Retest Reliability ◽  
Farsi Version

Abstract. This study examines the psychometric properties of the IQCODE and its applicability in the Iranian elderly population. A group of 95 elderly patients with at least 4 years of formal education who fulfilled the criteria of DSM-IV-TR for dementia were examined by the MMSE and the AMTs. The Farsi version of the IQCODE was subsequently administered to their primary caregivers. Results showed a significant correlation ( p = .01) between the score of the questionnaire and the results of the MMSE ( r = −0.647) and AMTs ( r = −0.641). A high internal reliability of the questionnaire was confirmed by Cronbach’s alpha coefficient (α = 0.927) and test-retest reliability by correlation coefficient ( r = 0.81). This study found that the IQCODE has acceptable psychometric properties and can be used for evaluating the cognitive state in the elderly population of Iran.

Spontaneous Intracerebral Hemorrhage in the Elderly Population

2018 ◽  
Author(s):  
S. Sommaruga ◽  
R. Beekman ◽  
S. Chu ◽  
Z. King ◽  
C. Matouk ◽  
...  
Keyword(s):  
Intracerebral Hemorrhage ◽  
Elderly Population ◽  
The Elderly ◽  
Spontaneous Intracerebral Hemorrhage

Percutaneous Sacroplasty for Sacral Insufficiency Fractures: Case Series and Review of Presentation, Diagnosis, and Treatment

2019 ◽  
Vol 3 ◽  
pp. 4
Author(s):  
Andrew C. Clark ◽  
Devang Butani
Keyword(s):  
Low Back Pain ◽  
Elderly Population ◽  
Case Series ◽  
The Elderly ◽  
Treatment Method ◽  
Open Reduction Internal Fixation ◽  
Low Back ◽  
Insufficiency Fractures ◽  
Invasive Treatment ◽  
Sacral Insufficiency Fractures

Sacral insufficiency fractures (SIFs) are a cause of debilitating low back pain that is often difficult to diagnosis and manage. The diagnosis of SIF is often delayed due to inaccurately attributing symptoms to spondylosis, which is a commonly present in the elderly population where SIFs are most prevalent. Historically, treatment consisted of medical management and open reduction internal fixation reserved for severe cases. However, percutaneous sacroplasty has emerged as a minimally invasive treatment option which provides early pain relief without significant complications. The objective of this article is to raise awareness of SIFs and percutaneous sacroplasty as an effective and safe treatment method.

The New Geriatric Syndromes

2019 ◽  
Vol 15 (1) ◽  
pp. 33-36
Author(s):  
Animesh Gupta ◽  
Soumya K. Inamadar ◽  
Ashish Goel
Keyword(s):  
Health Outcomes ◽  
Sleep Disorders ◽  
Elderly Population ◽  
Oropharyngeal Dysphagia ◽  
The Elderly ◽  
Present Review ◽  
Social Deficits ◽  
Geriatric Syndromes ◽  
Adverse Health Outcomes ◽  
Clinical Conditions

Geriatric syndromes consist of common clinical conditions affecting the elderly population. They lead to multiple, interacting medical and social deficits that increase the risk of adverse health outcomes, including dependence, institutionalization and also death. Research over the last few decades, in this area of medicine, has led to evolution of newer syndromes that pose a greater challenge to the physician. The present review aims to provide a synopsis of some of the newer syndromes like frailty, osteosarcopenia, sleep disorders and oropharyngeal dysphagia that have emerged in geriatric literature in recent times.

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