[P-165]: DHA and cognitive function in the elderly: A systematic review of the literature

2005 ◽  
Vol 1 ◽  
pp. S62-S62 ◽  
Author(s):  
Kay Noel ◽  
James Hoffman ◽  
Lorie Ellis ◽  
Karin Yurko-Mauro ◽  
Catherine Cella ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cognitive Function ◽  
The Elderly ◽  
Review Of The Literature

scholarly journals Tools for evaluation of restriction on auditory participation: systematic review of the literature

CoDAS ◽  
2015 ◽  
Vol 27 (4) ◽  
pp. 400-406 ◽  
Author(s):  
Valquíria Conceição Souza ◽  
Stela Maris Aguiar Lemos
Keyword(s):  
Systematic Review ◽  
Hearing Aids ◽  
Observational Studies ◽  
Web Of Science ◽  
The Elderly ◽  
Review Of The Literature ◽  
Aural Rehabilitation ◽  
Isi Web Of Science ◽  
Hearing Handicap ◽  
Bibliographic Collection

PURPOSE: To systematically review studies that used questionnaires for the evaluation of restriction on auditory participation in adults and the elderly.RESEARCH STRATEGY: Studies from the last five years were selected through a bibliographic collection of data in national and international journals in the following electronic databases: ISI Web of Science and Virtual Health Library - BIREME, which includes the LILACS and MEDLINE databases.SELECTION CRITERIA: Studies available fully; published in Portuguese, English, or Spanish; whose participants were adults and/or the elderly and that used questionnaires for the evaluation of restriction on auditory participation.DATA ANALYSIS: Initially, the studies were selected based on the reading of titles and abstracts. Then, the articles were fully and the information was included in the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist.RESULTS: Three-hundred seventy studies were found in the researched databases; 14 of these studies were excluded because they were found in more than one database. The titles and abstracts of 356 articles were analyzed; 40 of them were selected for full reading, of which 26 articles were finally selected. In the present review, nine instruments were found for the evaluation of restriction on auditory participation.CONCLUSION: The most used questionnaires for the assessment of the restriction on auditory participation were the Hearing Handicap Inventory for the Elderly (HHIE), Hearing Handicap Inventory for Adults (HHIA), and Hearing Handicap Inventory for the Elderly - Screening (HHIE-S). The use of restriction on auditory participation questionnaires can assist in validating decisions in audiology practices and be useful in the fitting of hearing aids and results of aural rehabilitation.

Loneliness and cognitive function in the older adult: a systematic review

2015 ◽  
Vol 27 (4) ◽  
pp. 541-553 ◽  
Author(s):  
Lisa Boss ◽  
Duck-Hee Kang ◽  
Sandy Branson
Keyword(s):  
Systematic Review ◽  
Cognitive Function ◽  
The Elderly ◽  
Preliminary Evidence ◽  
Research Report ◽  
Exact Nature ◽  
Immediate Recall ◽  
Wide Range ◽  
Aging Populations ◽  
Human Participants

ABSTRACTBackground:Loneliness is a significant concern among the elderly, particularly in societies with rapid growth in aging populations. Loneliness may influence cognitive function, but the exact nature of the association between loneliness and cognitive function is poorly understood. The purpose of this systematic review was to synthesize current findings on the association between loneliness and cognitive function in older adults.Method:A comprehensive, electronic review of the literature was performed. Criteria for inclusion were original quantitative or qualitative research, report written in English, human participants with a mean age ≥ 60 years, and published from January 2000 through July 2013. The total number of studies included in this systematic review was ten.Results:Main findings from the ten studies largely indicate that loneliness is significantly and negatively correlated with cognitive function, specifically in domains of global cognitive function or general cognitive ability, intelligence quotient (IQ), processing speed, immediate recall, and delayed recall. However, some initial correlations were not significant after controlling for a wide range of demographic and psychosocial risk factors thought to influence loneliness.Conclusions:Greater loneliness is associated with lower cognitive function. Although preliminary evidence is promising, additional studies are necessary to determine the causality and biological mechanisms underlying the relationship between loneliness and cognitive function. Findings should be verified in culturally diverse populations in different ages and settings using biobehavioral approaches.

scholarly journals The efficacy of cystoperitoneal shunting for the surgical management of intracranial arachnoid cysts in the elderly: A systematic review of the literature

2021 ◽  
Vol 12 ◽  
pp. 624
Author(s):  
Joseph Merola ◽  
Susruta Manivannan ◽  
Setthasorn Ooi ◽  
Wen Li Chia ◽  
Milan Makwana ◽  
...  
Keyword(s):  
Systematic Review ◽  
Complication Rate ◽  
The Elderly ◽  
Chronic Subdural Haematoma ◽  
Arachnoid Cysts ◽  
Surgical Approaches ◽  
Review Of The Literature ◽  
Cystoperitoneal Shunting ◽  
Elderly Cohort ◽  
Neurosurgical Intervention

Background: Intracranial arachnoid cysts (AC) are benign, cerebrospinal fluid filled spaces within the arachnoid layer of the meninges. Neurosurgical intervention in children and young adults has been extensively studied, but the optimal strategy in the elderly remains unclear. Therefore, we performed a single center retrospective study combined with a systematic review of the literature to compare cystoperitoneal (CP) shunting with other surgical approaches in the elderly cohort. Methods: Retrospective neurosurgical database search between January 2005 and December 2018, and systematic review of the literature using PRISMA guidelines were performed. Inclusion criteria: Age 60 years or older, radiological diagnosis of intracranial AC, neurosurgical intervention, and neuroradiological (NOG score)/clinical outcome (COG score). Data from both sources were pooled and statistically analyzed. Results: Our literature search yielded 12 studies (34 patients), which were pooled with our institutional data (13 patients). CP shunts (7 patients; 15%), cyst fenestration (28 patients; 60%) and cyst marsupialisation/resection (10 patients; 21%) were the commonest approaches. Average duration of follow-up was 23.6, 26.9, and 9.5 months for each approach, respectively. There was no statistically significant association between choice of surgical intervention and NOG score (P = 0.417), COG score (P = 0.601), or complication rate (P = 0.955). However, CP shunting had the lowest complication rate, with only one patient developing chronic subdural haematoma. Conclusion: CP shunting is a safe and effective surgical treatment strategy for ACs in the elderly. It has similar clinical and radiological outcomes but superior risk profile when compared with other approaches. We advocate CP shunting as first line neurosurgical intervention for the management of intracranial ACs in the elderly.

scholarly journals A systematic review: comparative analysis of the effects of propofol and sevoflurane on postoperative cognitive function in elderly patients with lung cancer

BMC Cancer ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Haitao Sun ◽  
Guohua Zhang ◽  
Bolun Ai ◽  
Huimin Zhang ◽  
Xiangyi Kong ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Systematic Review ◽  
Adverse Effect ◽  
Cognitive Impairment ◽  
Cognitive Function ◽  
Elderly Patients ◽  
Meta Analysis ◽  
The Elderly ◽  
Independent Effect ◽  
Related Phenomenon

Abstract Background The potential risk for cognitive impairment following surgery and anesthesia is a common concern, especially in the elderly and more fragile patients. The risk for various neurocognitive effects is thus an area of importance. The independent impact of surgery and anesthesia is still not known. Likewise, the independent effect of different drugs used during anesthesia is a matter of debate, as is the number and amounts of drugs used and the “depth of anesthesia.” So, understanding the drug-related phenomenon and mechanisms for postoperative cognitive impairment is essential. This meta-analysis aims to compare the effects of propofol and sevoflurane anesthesia on postoperative cognitive function in elderly patients with lung cancer. Methods This study is a systematic review and meta-analysis for controlled clinical studies. Public-available online databases were searched to identify eligible randomized placebo-controlled trials or prospective cohort studies concerning the effects of propofol and sevoflurane on postoperative cognitive function. The primary endpoints are postoperative mini-mental state examination (MMSE) scores at various time points; the secondary endpoint is the serum S100beta concentration 24 h after surgery. Standard mean differences (SMDs) along with 95% confidence intervals (CIs) were extracted and analyzed using random or fixed-effects models. Analyses regarding heterogeneity, risk of bias assessment, and sensitivity were performed. Results We searched 1626 eligible publications and 14 studies of 1404 patients were included in the final analysis. The majority of included studies had been undertaken in Asian populations. Results suggested that propofol has a greater adverse effect on cognitive function in the elderly patients with lung cancer than sevoflurane. There were significant differences in issues of MMSE 6 h (11 studies; SMD -1.391, 95% CI -2.024, − 0.757; p < 0.001), MMSE 24 h (14 studies; SMD -1.106, 95% CI -1.588, − 0.624; p < 0.001), MMSE 3d (11 studies; SMD -1.065, 95% CI -1.564, − 0.566; p < 0.001), MMSE 7d (10 studies; SMD -0.422, 95% CI -0.549, − 0.295; p < 0.001), and serum S100beta concentration at 1 day after surgery (13 studies; SMD 0.746, 95% CI 0.475, 1.017; p < 0.001). Conclusion Propofol has a more significant adverse effect on postoperative cognitive function in elderly patients with lung cancer than sevoflurane.

Diagnosis and prognostic value of restrictive ventilatory disorders in the elderly: A systematic review of the literature

2012 ◽  
Vol 47 (4) ◽  
pp. 281-289 ◽  
Author(s):  
Simone Scarlata ◽  
Luisa Costanzo ◽  
Renato Giua ◽  
Claudio Pedone ◽  
Raffaele Antonelli Incalzi
Keyword(s):  
Systematic Review ◽  
Prognostic Value ◽  
The Elderly ◽  
Review Of The Literature

Sociodemographic, socioeconomic, and clinical determinants of survival in patients with cancer: A systematic review of the literature focused on the elderly

2018 ◽  
Vol 9 (1) ◽  
pp. 6-14 ◽  
Author(s):  
Angéline Galvin ◽  
Fleur Delva ◽  
Catherine Helmer ◽  
Muriel Rainfray ◽  
Carine Bellera ◽  
...  
Keyword(s):  
Systematic Review ◽  
The Elderly ◽  
Review Of The Literature ◽  
Patients With Cancer

The effect of cognitive impairment on prosthesis use in older adults who underwent amputation due to vascular-related etiology: A systematic review of the literature

2017 ◽  
Vol 42 (2) ◽  
pp. 144-152 ◽  
Author(s):  
Daniel Joseph Lee ◽  
Matthew C. Costello
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Cognitive Impairment ◽  
Cognitive Function ◽  
Outcome Measures ◽  
Lower Limb ◽  
Clinical Decision Making ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Review Of The Literature

Background:Older adults with amputations secondary to vascular etiologies may additionally present with cognitive impairment. Cognition plays an important role in the adoption of a prosthetic limb, although the degree and type of impact are debated. Previous literature reviews have not been directed at the specific population of older adults who underwent vascular-related lower limb amputation.Objectives:First, to assess extant literature for relationships between cognitive function and prosthesis-related outcomes in older adults who underwent lower limb amputation for vascular-related etiologies. Second, to perform a critical analysis of prosthesis-related outcomes and cognitive assessments performed in the studies.Study design:Systematic literature review.Methods:A systematic review of the literature was performed in databases using keyword combinations. A total of nine articles were selected to be included in this review.Results:Seven of the nine included studies found a relationship between decreased cognitive function and reduced performance on a prosthesis-related outcome. There were eight different prosthesis-related outcome measures, with only one study utilizing a comprehensive outcome measure.Conclusion:Cognitive impairment can negatively impact successful prosthesis use in older adults with lower limb amputation secondary to vascular complications. Future studies should utilize comprehensive outcome measures that represent the multifaceted constructs of cognition and prosthesis use.Clinical relevanceCognitive assessment of older adults who have undergone lower limb amputation secondary to diabetes related complications or vascular disease can be used to inform clinical decision-making. Clinicians should consider selecting prosthesis-related outcome measures that capture the full breadth of prosthesis use when evaluating patients with cognitive impairment.

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