Mortality in elderly patients with hyperostotic disease of the cervical spine after fracture: an age- and sex-matched study

2011 ◽  
Vol 11 (4) ◽  
pp. 257-264 ◽  
Author(s):  
Andrew J. Schoenfeld ◽  
Mitchel B. Harris ◽  
Kevin J. McGuire ◽  
Natalie Warholic ◽  
Kirkham B. Wood ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Elderly Patients ◽  
Matched Study ◽  
Age And Sex

scholarly journals ORAL FRAILTY IS ASSOCIATED WITH MULTIFACETED FRAILTY IN ELDERLY OUTPATIENTS AT COMMUNITY DENTAL CLINICS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S147-S147
Author(s):  
Misa Nishimoto ◽  
Tomoki Tanaka ◽  
Yutaka Watanabe ◽  
Hirohiko Hirano ◽  
Takeshi Kikutani ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Healthy Aging ◽  
Confounding Factors ◽  
Multiple Functions ◽  
Oral Motor ◽  
Dental Clinics ◽  
Elderly Outpatients ◽  
Chewing Ability ◽  
Oral Frailty ◽  
Age And Sex

Abstract Aim For achieving healthy aging, frailty prevention is essential. Because it is reported that accumulated declines in multiple oral functions (i.e. oral frailty) could lead to frailty progression, detailed countermeasures for oral frailty are currently required. However, dentists of community dental clinics don’t even know a prevalence of oral frailty among outpatients. Thus, we aimed to identify the prevalence of oral frailty and to examine the association with frailty in outpatients at community dental clinics. Methods The subjects were elderly outpatients at dental clinics in Kanagawa, Japan. Frailty was assessed using the Kihon checklists (KCL); those with ≥8 KCL score were classified as frailty. Furthermore, multiple functions (physical, nutrition, and oral) were assessed using subscale of the KCL. Oral frailty was defined as ≥3 deteriorations out of 5 oral status (remaining teeth, chewing ability, articulatory oral motor skill, subjective difficulties in eating and swallowing). Results Of 1,699 outpatients (mean age, 75 ± 6.3 years old; 40% men), 12% were frailty and 21% were oral frailty. When adjusted by confounding factors such as age and sex, those with oral frailty were associated with higher prevalence of frailty (OR, 3.25; 95%CI, 2.34-4.53), decreased physical and oral functions (OR, 1.53; 95%CI, 1.07-2.16: OR, 8.14; 95%CI, 6.05-10.95, respectively). Conclusions Oral frailty was associated with multi-faceted frailty in outpatients at community dental clinics. In addition to the importance of maintenance of whole oral functions including treating teeth, our findings suggest that it is also indispensable to consider the multi-faceted frailty for elderly patients.

scholarly journals Mortality in Elderly Patients After Cervical Spine Fractures

2010 ◽  
Vol 92 (3) ◽  
pp. 567-574 ◽  
Author(s):  
Mitchel B Harris ◽  
William M Reichmann ◽  
Christopher M Bono ◽  
Kim Bouchard ◽  
Kelly L Corbett ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Elderly Patients ◽  
Spine Fractures ◽  
Cervical Spine Fractures

Microsurgery of the cervical spine in elderly patients Part 2: Surgery of malignant tumourous disease

1994 ◽  
Vol 131 (3-4) ◽  
pp. 241-246 ◽  
Author(s):  
V. Seifert ◽  
F. M. van Krieken ◽  
S. D. Bao ◽  
D. Stolke ◽  
M. Zimmermann
Keyword(s):  
Cervical Spine ◽  
Elderly Patients

Age- and sex-dependent force-related function of the cervical spine

1994 ◽  
Vol 3 (3) ◽  
pp. 155-161 ◽  
Author(s):  
H. -W. Staudte ◽  
N. Dühr
Keyword(s):  
Cervical Spine ◽  
Related Function ◽  
Age And Sex

scholarly journals C1-C2 fractures in asymptomatic elderly patients with minor head trauma: evaluation with a dedicated head CT protocol

2019 ◽  
Vol 52 (1) ◽  
pp. 17-23 ◽  
Author(s):  
Silvia Squarza ◽  
Carla Luisa Uggetti ◽  
Marco Angelo Politi ◽  
Lorenzo Carlo Pescatori ◽  
Raffaele Bisogno ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Elderly Patients ◽  
Head Trauma ◽  
Upper Cervical Spine ◽  
Minor Head Trauma ◽  
Cervical Spine Injuries ◽  
Head Ct ◽  
Ct Protocol ◽  
Spine Injuries ◽  
Upper Cervical

Abstract Objective: To evaluate the frequency and types of upper cervical spine injuries in asymptomatic elderly patients undergoing computed tomography (CT) for the investigation of minor head trauma. Materials and Methods: This was a prospective study of 2613 asymptomatic elderly patients with minor head trauma seen between January 2015 and December 2016. We adopted a dedicated head CT protocol that included the C1-C2 region. Results: Of the 2613 patients analyzed, 33 (1.26%) had upper cervical spine injuries, corresponding to 8.37% of the 394 patients with trauma-related findings. Of those 33 patients, 6 had C1 fractures and 27 had C2 fractures. The use of 16- and 128-slice scanners increased the CT dose by 25.0% and 23.7%, respectively. Conclusion: Inclusion of the C1-C2 region in head CT scans allowed us to identify upper cervical spine injuries in 1.26% of asymptomatic elderly patients with minor head trauma. The protocol evaluated helps detect potentially life-threatening injuries and could be adopted for routine use in elderly individuals with minor head trauma.

scholarly journals Prevalence and type of cervical deformities among adults with Parkinson's disease: a cross-sectional study

2016 ◽  
Vol 24 (4) ◽  
pp. 527-534 ◽  
Author(s):  
Bong Ju Moon ◽  
Justin S. Smith ◽  
Christopher P. Ames ◽  
Christopher I. Shaffrey ◽  
Virginie Lafage ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Logistic Regression ◽  
Regression Analysis ◽  
Cervical Spine ◽  
Logistic Regression Analysis ◽  
Control Group ◽  
Spine Deformities ◽  
Sagittal Malalignment ◽  
Age And Sex

OBJECT To identify the characteristics of cervical deformities in Parkinson's disease (PD) and the role of severity of PD in the development of cervical spine deformities, the authors investigated the prevalence of the cervical deformities, cervical kyphosis (CK), and cervical positive sagittal malalignment (CPSM) in patients with PD. They also analyzed the association of severity of cervical deformities with the stage of PD in the context of global sagittal spinopelvic alignment. METHODS This study was a prospective assessment of consecutively treated patients (n = 89) with PD. A control group of the age- and sex-matched patients was selected from patients with degenerative cervical spine disease but without PD. Clinical and demographic parameters including age, sex, duration of PD, and Hoehn and Yahr (H&Y) stage were collected. Full-length standing radiographs were used to assess spinopelvic parameters. CK was defined as a C2–7 Cobb angle < 0°. CPSM was defined as C2–7 sagittal vertical axis (SVA) > 4 cm. RESULTS A significantly higher prevalence of CPSM (28% vs 1.1%, p < 0.001), but not CK (12% vs 10.1%, p = 0.635), was found in PD patients compared with control patients. Among patients with PD, those with CK were younger (62.1 vs 69.0 years, p = 0.013) and had longer duration of PD (56.4 vs 36.2 months, p = 0.034), but the severity of PD was not significantly different. Logistic regression analysis revealed that the presence of CK was associated with younger age, higher mismatch between pelvic incidence and lumbar lordosis, and lower C7–S1 SVA. The patients with CPSM had significantly greater thoracic kyphosis (TK) (p < 0.001) and a trend toward more advanced H&Y stage (p = 0.05). Logistic regression analysis revealed that CPSM was associated with male sex, greater TK, and more advanced H&Y stage. CONCLUSIONS Patients with PD have a significantly higher prevalence of CPSM compared with age- and sex-matched control patients with cervical degenerative disease but without PD. Among patients with PD, CK is not associated with the severity of PD but is associated with overall global sagittal malalignment. In contrast, the presence of CPSM is associated more with the severity of PD than it is with the presence of global sagittal malalignment. Collectively, these data suggest that the neuromuscular pathogenesis of PD may affect the development of CPSM more than of CK.

Laparoscopic major hepatectomy for colorectal liver metastases in elderly patients: a single-center, case-matched study

2014 ◽  
Vol 29 (6) ◽  
pp. 1368-1375 ◽  
Author(s):  
Takeo Nomi ◽  
David Fuks ◽  
Yoshikuni Kawaguchi ◽  
Frederic Mal ◽  
Yoshiyuki Nakajima ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Liver Metastases ◽  
Colorectal Liver Metastases ◽  
Major Hepatectomy ◽  
Single Center ◽  
Matched Study ◽  
Laparoscopic Major Hepatectomy

scholarly journals Surgery for meningioma in the elderly and long-term survival: comparison with an age- and sex-matched general population and with younger patients

2017 ◽  
Vol 126 (4) ◽  
pp. 1201-1211 ◽  
Author(s):  
Benjamin Brokinkel ◽  
Markus Holling ◽  
Dorothee Cäcilia Spille ◽  
Katharina Heß ◽  
Cristina Sauerland ◽  
...  
Keyword(s):  
General Population ◽  
Elderly Patients ◽  
Older Patients ◽  
The Elderly ◽  
Spinal Tumors ◽  
Subtotal Resection ◽  
High Grade ◽  
Younger Patients ◽  
Age And Sex

OBJECTIVE The purpose of this study was to compare long-term prognosis after meningioma surgery in elderly and younger patients as well as to compare survival of elderly patients with surgically treated meningioma to survival rates for the general population. METHODS Five hundred meningioma patients (median follow-up 90 months) who underwent surgery between 1994 and 2009 were subdivided into “elderly” (age ≥ 65 years, n = 162) and “younger” (age < 65 years, n = 338) groups for uni- and multivariate analyses. Mortality was compared with rates for the age- and sex-matched general population. RESULTS The median age at diagnosis was 71 in the elderly group and 51 years in the younger group. Sex, intracranial tumor location, grade of resection, radiotherapy, and histopathological subtypes were similar in the 2 groups. High-grade (WHO Grades II and III) and spinal tumors were more common in older patients than in younger patients (15% vs 8%, p = 0.017, and 12% vs 4%, p = 0.001, respectively). The progression-free interval (PFI) was similar in the 2 groups, whereas mortality at 3 months after surgery was higher and median overall survival (OS) was shorter in older patients (7%, 191 months) than in younger patients (1%, median not reached; HR 4.9, 95% CI 2.75–8.74; p < 0.001). Otherwise, the median OS in elderly patients did not differ from the anticipated general life expectancy (HR 1.03, 95% CI 0.70–1.50; p = 0.886). Within the older patient group, PFI was lower in patients with high-grade meningiomas (HR 24.74, 95% CI 4.23–144.66; p < 0.001) and after subtotal resection (HR 10.57, 95% CI 2.23–50.05; p = 0.003). Although extent of resection was independent of perioperative mortality, the median OS was longer after gross-total resection than after subtotal resection (HR 2.7, 95% CI 1.09–6.69; p = 0.032). CONCLUSIONS Elderly patients with surgically treated meningioma do not suffer from impaired survival compared with the age-matched general population, and their PFI is similar to that of younger meningioma patients. These data help mitigate fears concerning surgical treatment of elderly patients in an aging society.

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