Evolution of Psychiatric Admissions for Dementia in the Last Decade

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
R. Touzon ◽  
P. Rico-Villademoros ◽  
E. Garnica
Keyword(s):  
Psychiatric Hospital ◽  
Medical Records ◽  
Elderly Population ◽  
The Elderly ◽  
Psychiatric Unit ◽  
Psychiatric Admissions ◽  
Number Of Patients ◽  
Accompanying Symptoms ◽  
Consequent Increase

Aims:To describe the admissions due to dementia in an acute psychiatric unit in the last decade, in patients aged over seventy.Method:Medical records of all patients over seventy admitted in an acute unit of a Psychiatric Hospital in 1997 and 2007 are analyzed.Results:Over the last ten years, the percentage of patients diagnosed with dementia compared to the total number of patients over seventy admitted in this acute unit, has hardly decreased.Conclusions:Despite the fact that in the last decade neurologists have widespread the use of various drugs in the treatment of dementia, the number of patients admitted to our psychiatric unit, in order to control the accompanying symptoms (delusions, abnormal conduct, etc), remains stable.Moreover, given the progressive aging of the population and the consequent increase in the number of cases of dementia among the elderly population, perhaps the fact that the number of admissions in the unit has not increased is positive itself.

Description of the Elderly Psychiatric Admissions in Recent Years

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
P. Rico-Villademoros ◽  
R. Touzon ◽  
E. Garnica
Keyword(s):  
Elderly Population ◽  
Average Length ◽  
The Elderly ◽  
Assistive Devices ◽  
Psychiatric Unit ◽  
Average Length Of Stay ◽  
Psychiatric Admissions ◽  
Number Of Patients ◽  
Stay Time ◽  
Acute Patients

Aims:To analyze the characteristics of the admissions of elderly patients in an acute psychiatric unit in recent years, to see if there have been any changes in the number, the average stay or in their referral from the hospital.Method:Details of all admissions in a psychiatric unit for acute patients aged over 65 since 1999 are collected by means of a computer system. the number of admissions, the average length of stay and where they go when discharged are taken into account.Results:In recent years the number of patients over 65 entering our unit has remained relatively stable. the average stay time remains high over all the studied years. It is proved that a large number of patients need to be moved to residences or other assistive devices when discharged.Conclusions:Despite the increase in elderly population, the number of patients over 65 who enter this unit has not significantly increased. their average stay remains always high over the years. It is striking the number of patients who can no longer go home when discharged, once they have been admitted.

Description of the Elderly Psychiatric Admissions in Recent Years

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
P. Rico-Villademoros ◽  
R. Touzon ◽  
E. Garnica
Keyword(s):  
Elderly Population ◽  
Average Length ◽  
The Elderly ◽  
Assistive Devices ◽  
Psychiatric Unit ◽  
Average Length Of Stay ◽  
Psychiatric Admissions ◽  
Number Of Patients ◽  
Stay Time ◽  
Acute Patients

Aims:To analyze the characteristics of the admissions of elderly patients in an acute psychiatric unit in recent years, to see if there have been any changes in the number, the average stay or in their referral from the hospital.Method:Details of all admissions in a psychiatric unit for acute patients aged over 65 since 1999 are collected by means of a computer system. The number of admissions, the average length of stay and where they go when discharged are taken into account.Results:In recent years the number of patients over 65 entering our unit has remained relatively stable. The average stay time remains high over all the studied years. It is proved that a large number of patients need to be moved to residences or other assistive devices when discharged.Conclusions:Despite the increase in elderly population, the number of patients over 65 who enter this unit has not significantly increased. Their average stay remains always high over the years. It is striking the number of patients who can no longer go home when discharged, once they have been admitted.

scholarly journals Letter to the Editor: Microbiota in the Respiratory System—A Possible Explanation to Age and Sex Variability in Susceptibility to SARS-CoV-2

2021 ◽  
Vol 14 ◽  
pp. 117863612098860
Author(s):  
Vishal Shah
Keyword(s):  
Respiratory System ◽  
Elderly Population ◽  
Age Groups ◽  
The Elderly ◽  
Elderly Adult ◽  
Human Respiratory Tract ◽  
System A ◽  
Number Of Patients ◽  
Children And Young Adults ◽  
Age And Sex

The Human respiratory tract is colonized by a variety of microbes and the microbiota change as we age. In this perspective, literature support is presented for the hypothesis that the respiratory system microbiota could explain the differential age and sex breakdown amongst COVID-19 patients. The number of patients in the older and elderly adult group is higher than the other age groups. The perspective presents the possibility that certain genera of bacteria present in the respiratory system microbiota in children and young adults could be directly or through eliciting an immune response from the host, prevent full-fledged infection of SARS-CoV-2. The possibility also exists that the microbiota in older adults and the elderly population have bacteria that make it easier for the virus to cause infection. I call upon the scientific community to investigate the link between human microbiota and SARS-CoV-2 susceptibility to further understand the viral pathogenesis.

scholarly journals Characteristics of geriatric neurology patients treated at the central hospital of Sanglah Denpasar in 2019

2020 ◽  
Vol 7 (2) ◽  
pp. 245
Author(s):  
Stephanie Elizabeth Gunawan ◽  
Anak Agung Ayu Putri Laksmidewi
Keyword(s):  
Medical Records ◽  
Elderly Population ◽  
Neurological Diseases ◽  
Head Injuries ◽  
Elderly Person ◽  
The Elderly ◽  
World Health ◽  
Central Hospital ◽  
The World ◽  
Health Organization

Background: According to the World Health Organization (WHO), an elderly person is someone who has entered the age of 60 years and above whose percentage tends to increase along with decreasing morbidity of the elderly. Geriatric Neurology itself is the study of a group of neurological diseases in the elderly. Based on 2012 data, the proportion of elderly population in Indonesia is 7.59%. This is accompanied by an increase in the dependency ratio of the productive age population to the non-productive age population. The results of the 2013 Basic Health Research showed an increase in the prevalence of neurological disease in the elderly which was the main cause of death in 15 regencies in 2011. It is to find out the 5 most neurological diseases in the elderly, clinical characteristics and outcomes of geriatric neurology patients treated at the Central Hospital of Sanglah.Methods: It is a retrospective study using no control by looking at medical records in geriatric neurology patients aged 60 years and over who visited the Central Hospital of Sanglah in the March to May 2019 period.Results: A total of 200 patients consisted of 111 men (55.5%) and 89 women (44.5%) who were divided into 5 most geriatric neurology diseases which included 1. ischemic stroke, 2. bleeding stroke, 3. brain tumor, 4. injury head, and 5. epilepsy. The number of deaths was 16, of which 7 cases were caused by sepsis and pneumonia.Conclusions: Stroke, tumors, head injuries and epilepsy are the dominant neurological diseases found. The focus of care and supervision of elderly neurology patients is expected to be further enhanced to prevent side effects that will extend the patient’s treatment period in the hospital which will automatically increase the burden on the hospital itself.

scholarly journals Laparoscopic Cholecystectomy in the Elderly: An Experience at a Tertiary Care Hospital in Western Nepal

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Tika Ram Bhandari ◽  
Sudha Shahi ◽  
Rajeev Bhandari ◽  
Rajesh Poudel
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Elderly Patients ◽  
Medical Records ◽  
Elderly Population ◽  
Tertiary Care ◽  
Young Patients ◽  
The Elderly ◽  
Young Group ◽  
Perioperative Outcomes ◽  
Care Hospital

Background. The incidence of gallstone increases with increasing age. No studies have been reported in the elderly population with laparoscopic cholecystectomy from developing nations. The aim of this study was to compare perioperative outcomes of laparoscopic cholecystectomy between the elderly (≥60 years old) and the young (<60 years old).Methods. From July 2015 to June 2016, a retrospective review of medical records of 78 elderly patients (≥60 years old) and 164 young patients (<60 years old) who underwent laparoscopic cholecystectomy was done. The patients’ demographics and perioperative outcomes were analyzed.Results. Median ages were 65 years (range: 60–80) and 45 years (range: 21–59) for the elderly group and the young group. The majority of patients were female (62.8 and 72%). There were no significant differences in the conversion rate (9 and 7.9%,P=0.78), postoperative complications (17.9 and 14.6%,P=0.50), and length of stay in the hospital (4 days for both groups,P=0.35) between the two groups. There was no mortality in either of the groups.Conclusion. Our results of laparoscopic cholecystectomy in elderly patients are comparable with those in young patients. Therefore, laparoscopic cholecystectomy is safe even in the elderly population.

scholarly journals Falls and Fractures in the Elderly with Sinus Node Disease: The Impact of Pacemaker Implantation

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Nazmi Krasniqi ◽  
Diana Segalada ◽  
Thomas F. Lüscher ◽  
Kurt Lippuner ◽  
Laurent Haegeli ◽  
...  
Keyword(s):  
Medical Records ◽  
Assessment Tool ◽  
Sinus Node ◽  
Pacemaker Implantation ◽  
Osteoporotic Fractures ◽  
The Elderly ◽  
Relative Reduction ◽  
Number Of Patients ◽  
Fracture Risk Assessment Tool ◽  
The Impact

Background. Falls and fractures in the elderly are among the leading causes of disability. We investigated whether pacemaker implantation prevents falls in patients with SND in a large cohort of patients.Methods. Patient demographics and medical history were collected prospectively. Fall history was retrospectively reconstituted from available medical records. The 10-year probability for major osteoporotic fractures was calculated retrospectively from available medical records using the Swiss fracture risk assessment tool FRAX-Switzerland.Results. During a mean observation period of 2.3 years after implantation, the rates of fallers and injured fallers with fracture were reduced to 15% and 6%, respectively. This corresponds to a relative reduction in the number of fallers of 75% (P<0.001) and of injured fallers of 63% (P=0.014) after pacemaker implantation. Similarly, the number of falls was reduced from 60 (48%) before pacemaker implantation to 22 (18%) thereafter (relative reduction 63%,P=0.035) and the number of falls with injury from 22 (18%) to 7 (6%), which corresponds to a relative reduction of 67%,P=0.013.Conclusion. In patients with SND, pacemaker implantation significantly reduces the number of patients experiencing falls, the total number of falls, and the risk for osteoporotic fractures.

scholarly journals A Home Based TeleHealth System for the Elderly with Alzheimer’s

2017 ◽  
Vol 2 (1) ◽  
Keyword(s):  
Chronic Diseases ◽  
Elderly Population ◽  
Vital Signs ◽  
The Elderly ◽  
World Health ◽  
Elderly Individuals ◽  
Home Based ◽  
Number Of Patients ◽  
Health Organization ◽  
Staying At Home

By 2020 it is predicted that chronic diseases will account for almost three quarters of all deaths. According to the World Health Organization the elderly population is expected to become 1.2 billion in 2025. This aging problem contributes greatly to chronic diseases like Alzheimer’s; Elderly are suffering from Alzheimer’s. The major implications of Alzheimer’s are patient safety and care. The aim of this paper is to develop a Telehealth system, based on IoT technology, for monitoring elderly individuals suffering from Alzheimer’s. We describe a working prototype that is able to capture the vital signs and deliver the desired data remotely for elderly individuals staying at home, using a wearable ECG wireless sensor. In addition, an Active wearable RFID wristband, with IR room locators are used to monitor the whereabouts of the elderly at room level. This prototype was successfully tested on a number of patients at KFUPM Medical Centre in Saudi Arabia.

scholarly journals Prevalence of frontotemporal dementia in community-based studies in Latin America: A systematic review

2013 ◽  
Vol 7 (1) ◽  
pp. 27-32 ◽  
Author(s):  
Nilton Custodio ◽  
Eder Herrera-Perez ◽  
David Lira ◽  
Rosa Montesinos ◽  
Liliana Bendezu
Keyword(s):  
Latin America ◽  
Elderly Population ◽  
The Elderly ◽  
Epidemiological Studies ◽  
Community Dwelling ◽  
Age Group ◽  
Inclusion Criteria ◽  
Community Based ◽  
Consequent Increase ◽  
Epidemiological Information

ABSTRACT Latin America (LA) is experiencing a rise in the elderly population and a consequent increase in geriatric problems such as dementia. There are few epidemiological studies assessing the magnitude of dementia and dementia subtypes in LA. Objective: To identify published community-based studies on the prevalence of FTD in LA countries. Methods: A database search for door-to-door studies on FTD prevalence in LA was performed. The search was carried out on Medline, Embase, and LILACS databases for research conducted between 1994 and 2012. The main inclusion criteria were: use of any internationally accepted diagnostic criteria and investigation of community samples. Results: Four hundred and ninety two articles were found, of which 26 were initially pre-selected by title or abstract review. Five studies from 3 different countries were included. The FTD prevalence rates in community-dwelling elderly were 1.2 (Venezuela), 1.3 (Peru) and 1.7-1.8 (Brazil) per thousand persons, depending on age group. Conclusion: The FTD prevalence in LA studies showed values mid-way between those observed in western and in oriental populations. Despite the magnitude of this problem, epidemiological information on FTD remains scarce in LA.

scholarly journals The assessment and management of pain in the demented and non-demented elderly patient

2011 ◽  
Vol 69 (2b) ◽  
pp. 387-394 ◽  
Author(s):  
D C Andrade ◽  
J W V Faria ◽  
P Caramelli ◽  
L Alvarenga ◽  
R Galhardoni ◽  
...  
Keyword(s):  
Elderly Population ◽  
The Elderly ◽  
Behavioral Observation ◽  
Self Report ◽  
Pharmacological Management ◽  
Pain Evaluation ◽  
Drug Classes ◽  
Pain Scales ◽  
Painful Syndrome ◽  
Consequent Increase

Persistent pain is a frequent health problem in the elderly. Its prevalence ranges from 45% to 80%. Chronic diseases, such as depression, cardiovascular disease, cancer and osteoporosis have a higher prevalence in aged individuals and increase the risk of developing chronic pain. The presence of pain is known to be associated with sleep disorders in these patients, as well as functional impairment, decreased sociability and greater use of the health system, with consequent increase in costs. Alzheimer's disease patients seem to have a normal pain discriminative capacity and they may probably have weaker emotional and affective experience of pain when compared to other types of dementia. Many patients have language deficits and thus cannot properly describe its characteristics. In more advanced cases, it becomes even difficult to determine whether pain is present or not. Therefore, the evaluation of these patients should be performed in a systematic way. There are three ways to measure the presence of pain: by direct questioning (self-report), by direct behavioral observation and by interviews with caregivers or informants. In recent years, many pain scales and questionnaires have been published and validated specifically for the elderly population. Some are specific to patients with cognitive decline, allowing pain evaluation to be conducted in a structured and reproducible way. The next step is to determine the type of painful syndrome and discuss the bases of the pharmacological management, the use of multiple medications and the presence of comorbidities demand the use of smaller doses and impose contra-indications against some drug classes. A multiprofessional approach is the rule in the management of these patients.

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