Frailty is a risk factor for mortality and low level of activity of daily living in the elderly within 6 months after elective cardiac surgery

2013 ◽  
Vol 61 (S 01) ◽  
Author(s):  
C Schmidtke ◽  
J Freibrodt ◽  
B Sedemund-Adib ◽  
M Hüppe ◽  
HH Sievers
Keyword(s):  
Cardiac Surgery ◽  
Risk Factor ◽  
Daily Living ◽  
The Elderly ◽  
Activity Of Daily Living ◽  
Elective Cardiac Surgery ◽  
Low Level ◽  
Level Of Activity

scholarly journals Perbedaan Tingkat Activity of Daily Living (ADL) antara Lansia Aktif dengan Lansia Tidak Aktif Melakukan Kunjungan

2020 ◽  
Vol 1 (2) ◽  
pp. 58-64
Author(s):  
Maria Srisuharny ◽  
Maria Diyah ◽  
Erni Yohani Mahtuti
Keyword(s):  
Daily Living ◽  
Research Result ◽  
The Elderly ◽  
Activity Of Daily Living ◽  
Chi Square ◽  
Cross Sectional ◽  
Level Of Activity ◽  
Significant Difference ◽  
Chi Square Test ◽  
Quota Sampling

Increasing one's age will be followed by various changes that will affect the physical and psychological conditions. The older is a person, the more his physical abilities will decline causing the elderly to become dependent on others, including in meeting their ADL needs. Activity of Daily Living (ADL) is a form of measuring one's ability to do ADL independently, which includes bathing, eating, toileting, continents, dressing, and moving. The purpose of this research is to know the differences in the level of Activity of Daily Living (ADL) between the active elderly and the elderly doesn't actively visits to the elderly posyandu in the Tunggulwulung Village of Lowokwaru District. This study used an observational method with a cross sectional approach. The sample in this study amounted to 50 respondents (25 active elderly and 25 inactive elderly). The technique in this study used a purposive quota sampling with analysis of the data using the Chi-Square test. From the research result is obtained ρ: 0,006 ; α: 0,05. Because ρ<α, Ho is rejected, meaning that there is a significant difference in the level of activity of daily living between the active elderly and the elderly doesn’t actively visits to the elderly posyandu. The results of this study are expected to provide motivation to the elderly that making visits to the elderly posyandu is a fom of activity to control, maintain, and improve the health to the elderly which is held once a month at the local posyandu.

A proposal for an abbreviated onco-geriatric assessment in daily practice

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 18565-18565
Author(s):  
V. Girre
Keyword(s):  
Social Environment ◽  
Geriatric Assessment ◽  
Daily Living ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Daily Practice ◽  
The Elderly ◽  
Activity Of Daily Living ◽  
Loss Of Autonomy ◽  
A Prospective Study

18565 Background: In order to describe the elderly population in Institut Curie and to determine if a brief multidimensional assessment may influence our decision to treat elderly patients with cancers we decided to realize a short assessment for each patient, 70 years and older. In a prospective study we evaluated such diverse areas as functional status, comorbidity, nutrition, polypharmacy and the presence or absence of geriatric syndromes. Methods: We studied 105 elderly cancer patients, median age 80 years with solid tumors. In addition to PS, their physical function was assessed by the activity of daily living (ADL) and instrumental activity of daily living (IADL) scales. During consultation comorbidities, Geriatric depression scale (GDS), the number of falls in the past year, concomitant medications, weight measurements and social environment were collected in a questionnaire. Cognitive functions were assesed if troubles were suspected. Blood tests were performed secondary. Results: To date 105 patients were evaluated : 10 % live in institution, 16% have no social environment, 35 % have a loss of autonomy in ADL and 7% were dependant. In the IADL: 30% presented a loss of autonomy and 24% were dependant. The median Body Mass Index (BMI) was 23.8 kg/m2, but the BMI was in 14% < 19kg/m2; 20% of the patients fall more than 2 times in the year and 53% have a suspicion of depression in the GDS in 4 items. 74% take more than 3 drugs per day. The median of comorbidities was 1.3. According to the results the decision of treatment was modified in 28% of patients. Conclusion: This questionnaire is not a replacement for the entire Comprehensive Geriatric assessment but is a reasonable prescreening instrument that may be performed in less than 15 minutes and be helpful to the clinician in his decision. No significant financial relationships to disclose.

scholarly journals Prevalence and Trends in Morbidity and Disability Among Older Mexican Americans in the Southwestern United States, 1993–2013

2017 ◽  
Vol 40 (4) ◽  
pp. 311-339 ◽  
Author(s):  
Marc A. Garcia ◽  
Adriana M. Reyes
Keyword(s):  
Mexican Americans ◽  
Daily Living ◽  
Mexican American ◽  
Age Groups ◽  
The Elderly ◽  
Activity Of Daily Living ◽  
Foreign Born ◽  
Age Cohorts ◽  
And Gender ◽  
Reduced Activity

This study examines the prevalence of morbidity and disability among older Mexican Americans using 5-year age groups. Twenty-year panel data from the Hispanic Established Populations for the Epidemiological Study of the Elderly are used to make detailed comparisons by nativity and gender. Results show that prevalence rates for most chronic conditions for both males and females do not vary by nativity. For disabilities, nativity is a significant predictor of increased instrumental activity of daily living disability for foreign-born females and reduced activity of daily living disability for U.S.-born males. Additionally, results show significant interactions between nativity and age cohorts, with the gap increasing with age for males and decreasing with age for females. These results have important implications for health services and health policy. Given the rapid aging of the Mexican American population, the prevention and treatment of medical conditions, particularly among the foreign-born, should be a major public health priority to reduce dependence from disabilities.

scholarly journals The Activity of Daily Living (ADL) subgroups and Health impairment among Chinese elderly:A Latent Profile Analysis

2020 ◽  
Author(s):  
Yangchang Zhang ◽  
Yang Xiong ◽  
Qiuhua Yu ◽  
Shisi Shen ◽  
Li Chen ◽  
...  
Keyword(s):  
Daily Living ◽  
Latent Profile Analysis ◽  
Profile Analysis ◽  
Oldest Old ◽  
The Elderly ◽  
Elderly Subjects ◽  
Depression Symptom ◽  
Activity Of Daily Living ◽  
Adl Disability ◽  
Latent Profile

Abstract Background Disability in aged people became one of the major challenges in China due to the acceleration of population aging, yet appropriate methods are limited to discriminate the degree of combined basic activity of daily living (BADL) and instrumental activity of daily living (IADL).The present study explored an empirical typology of the activity of daily living (ADL) and its association with health status among the elderly in China. Methods Data throughout the Chinese Longitudinal Healthy Longevity Survey (CLHLS) was retrieved and Latent profile analysis (LPA) was conducted to identify the subgroups of ADL for included elderly subjects. Multinomial regression was performed to detect the effect of identified characteristics with class subgroups, and restricted cubic spine was drawn to show the relationship between ADL disability with age and BMI. Results The overall participants (n = 8108) were divided into three ADL classes by LPA - ‘no BADL limitation- IADL impairment’ (Class one, n = 1526, 19%), ‘no BADL limitation-no IADL limitation’ (Class two, n = 6062, 75%) and ‘BADL impairment- IADL impairment’ (Class three, n = 520, 6%). Compared with the participants in Class two, the oldest-old, living without spouse, lacking exercise and social activity, having experience of falls, having comorbidity of diabetes, heart disease, stroke, decreased cognitive function, depression symptom were highly associated with BADL/IADL difficulties in Class one and Class three,. Additionally, malnutrition and asthma were associated with combined ADL/IADL impairment (Class three), and illiteracy only was associated with IADL impairment (Class one). Furthermore, a significant U-shape relation was detected between age and BMI with ADL disability. The elderly with IADL impairment was less likely to evolve combined BADL/IADL impairment aged at 80–90, and the elderly with underweight or obese may have higher risk of combined BADL/IADL impairment. Conclusion A novel ADL assessment was explored using LPA, by which elderly people could be defined as three distinct classes of combined ADL/IADL. The predictors identified in the ADL classes could enlighten targeted intervention to address the onset of functional disability and consequent problems with the elderly.

scholarly journals The Albumin-to-Fibrinogen Ratio Independently Predicts Acute Kidney Injury in Infants With Ventricular Septal Defect Undergoing Cardiac Surgery With Cardiopulmonary Bypass

2021 ◽  
Vol 9 ◽  
Author(s):  
Fan Cao ◽  
Xinxin Chen ◽  
Guodong Huang ◽  
Wenhua Liu ◽  
Na Zhou ◽  
...  
Keyword(s):  
Risk Factors ◽  
Acute Kidney Injury ◽  
Cardiac Surgery ◽  
Risk Factor ◽  
Cardiopulmonary Bypass ◽  
Ventricular Septal Defect ◽  
Independent Risk Factor ◽  
Septal Defect ◽  
Kidney Injury ◽  
Elective Cardiac Surgery

Background: Acute kidney injury (AKI) is a common and serious complication faced by children following ventricular septal defect (VSD) surgery with cardiopulmonary bypass (CPB). The objective of this study was to explore potential predictors inherent to AKI.Methods: VSD infants who were scheduled for elective cardiac surgery with CPB from 2017 to 2020 were enrolled in this study. Based on the Pediatric Risk, Injury, Failure, Loss, End-Stage Renal Disease (pRIFLE) criteria, patients were divided into AKI and non-AKI groups. Univariate and multivariate logistic regression analyses were carried out in order to evaluate potential risk factors for AKI. Receiver operating characteristic (ROC) curves were generated to evaluate the predictive probabilities of risk factors for AKI.Results: Of all the 338 enrolled VSD infants, 49 manifested AKI with an incidence of 14.5% (49/338). The ROC curve indicated that albumin-to-fibrinogen ratio (AFR) during CPB was a significant predictor of AKI [area under the curve (AUC), 0.711; p &lt; 0.001]. Based on the univariate and multivariate logistic analyses, AFR during CPB [odds ratio (OR), 1.89; 95% confidence interval (CI), 1.22–2.76, p = 0.011] was the only independent risk factor for AKI.Conclusions: This study demonstrated that a low AFR (&lt;9.35) during CPB was an independent risk factor for AKI in VSD infants following cardiac surgery with CPB.

scholarly journals GAMBARAN TINGKAT KEMANDIRIAN LANSIA DALAM PEMENUHAN ACTIVITY OF DAILY LIVING (ADL) DI ROJINHOME THINSAGUNO IE ITOMAN OKINAWA JEPANG

2021 ◽  
Vol 3 (2) ◽  
pp. 15-20
Author(s):  
Nanjar Widiastuti ◽  
Tri Sumarni ◽  
Reni Dwi Setyaningsih
Keyword(s):  
Old Age ◽  
Barthel Index ◽  
Daily Living ◽  
Sampling Technique ◽  
The Elderly ◽  
Care Plan ◽  
Activity Of Daily Living ◽  
Cross Sectional ◽  
Term Care ◽  
Age Range

Abstrak Activity of daily living (ADL) adalah aktivitas pokok bagi perawatan diri. Activity of daily living meliputi antara lain: ke toilet, makan, berpakaian (berdandan), mandi, dan berpindah tempat. Pengkajian ADL penting untuk mengetahui tingkat ketergantungan lansia dalam rangka menetapkan level bantuan bagi lansia tersebut dan untuk menyusun rencana perawatan jangka panjang. Tujuan dari penelitian ini adalah untuk mengetahui gambaran tingkat kemandirian lansia dalam pemenuhan ADL yang tinggal di rojinhome Thinsaguno Ie Itoman Okinawa Jepang. Jenis penelitian ini adalah deskriptif observasional. Sampel dalam penelitian ini adalah seluruh lansia di rojinhome Thinsaguno Ie Itoman Okinawa Jepang sejumlah 34 responden. Penentuan sampel menggunakan teknik total sampling. Alat ukur yang digunakan adalah lembar checklist Barthel Index. Penelitian ini menggunakan analisis data univariat yang ditampilkan dalam distribusi frekuensi. Hasil penelitian menunjukan rata-rata umur yaitu 83,23 tahun dan paling dominan pada rentang umur old (75-90 tahun) yaitu 70,6%. Jenis kelamin sebagian besar perempuan yaitu 64,7%, tingkat kemandirian sedang dalam ADL yaitu 38,2%. Tingkat kemandirian lansia  berdasarkan umur paling dominan pada rentang umur old (75-90 tahun) dengan tingkat kemandirian sedang (29,4%). Tingkat kemandirian lansia berdasarkan jenis kelamin paling dominan pada jenis kelamin perempuan dengan ketergantungan sedang (23,5%). Kata kunci: lansia, activity of daily living, tingkat kemandiria Abstract Activity of daily living (ADL) is a staple activity for self-care. Activity of daily living includes, among others: toileting, eating, dressing, showering, and moving places. ADL assessment is important to determine the level of dependence of the elderly in order to determine the level of assistance for the elderly and to develop a long-term care plan. The purpose of this study was to describe the level of independence of the elderly in fulfilling the ADL at rojinhome of Thinsaguno Ie Itoman Okinawa, Japan. The type of this research is descriptive observational with cross sectional approach. The sample in this research were all 34 elderly people at rojinhome Thinsaguno Ie Itoman Okinawa Japan. Determination of the sample using total sampling technique. The measuring instrument used is the Barthel Index checklist sheet. This study uses univariate data analysis which is displayed in the frequency distribution. The results showed that the average age was 83.23 years and the most dominant in the old age range (75-90 years) was 70.6%. The gender of most of the women was 64.7%, the level of independence was moderate in ADL, namely 38.2%. The level of elderly independence based on age is the most dominant in the old age range (75-90 years) with a moderate level of independence (29.4%). The level of independence of the elderly based on sex was the most dominant in the female sex with moderate dependence (23.5%). Keywords: elderly, activity of daily living, level of independence

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