FACTORS ASSOCIATED WITH IMPAIRED COGNITIVE FUNCTION IN HYPERTENSIVE ELDERLY PATIENTS

2011 ◽  
Vol 29 ◽  
pp. e502
Author(s):  
L. Susan ◽  
C. Serban ◽  
A. Pacurari ◽  
I. Mozos ◽  
R. Susan ◽  
...  
Keyword(s):  
Cognitive Function ◽  
Elderly Patients ◽  
Factors Associated ◽  
Impaired Cognitive Function

scholarly journals ASSOCIATION BETWEEN COGNITIVE FUNCTION WITH RISK OF FALL IN ELDERLY PATIENTS

2020 ◽  
Vol 7 (9) ◽  
pp. 23-28
Keyword(s):  
Cognitive Function ◽  
Elderly Patients ◽  
Pearson Correlation ◽  
The Elderly ◽  
Fisher Exact Test ◽  
Research Subjects ◽  
Cross Sectional ◽  
Impaired Cognitive Function ◽  
Speed Of Information Processing ◽  
Risk Of Fall

Background: Fall is a problem that often occurs in the elderly. The incidence of falls continues to increase from middle age and peaks at the age of more than 80 years. The risk of fall is closely related to cognitive impairment in the elderly. Impaired cognitive function can result in postural instability and increase the risk of falls. Impaired cognitive function causes poor judgment and decision making, impaired reaction, attention and speed of information processing. Objectives: To determine the relationship of cognitive function with the risk of fall in elderly patients. Research Methods: This study is a cross-sectional study with consecutive sampling techniques, where elderly people over 60 years who go to neurology and geriatric polyclinics who meet the exclusion and inclusion criteria are included in this study. The study was taken as many as 51 subjects consecutively. Data analysis using fisher exact test and pearson correlation test. Result of the study: Demographic characteristics of research subjects are the most age range at age 60-69 years, female sex, high school education level, housewife occupation. The average MoCA INA score was 22,82 ± 3,99 and the balance scale berg score was 46.29 ± 6.62. The abnormal MoCA INA score is more for respondents with moderate fall risk, namely 14 people (38,9%) and there was a relationship between cognitive function and risk of fall with p = 0.000 (p <0.001) with a positive correlation direction with strong correlation strength (r = 0.679). Conclusion: there is a significant relationship between cognitive function and the risk of fall in the elderly.

scholarly journals Nutritional status of elderly surgical patients

Medicina ◽  
2008 ◽  
Vol 44 (8) ◽  
pp. 609 ◽  
Author(s):  
Gytė Damulevičienė ◽  
Vita Lesauskaitė ◽  
Jūratė Macijauskienė
Keyword(s):  
Cognitive Function ◽  
Nutritional Status ◽  
Elderly Patients ◽  
Cognitive Functions ◽  
Older Patients ◽  
Depression Scale ◽  
Surgical Patients ◽  
Middle Aged ◽  
Aged Patients ◽  
Impaired Cognitive Function

The aim of this study was to assess nutritional status of aged surgical patients, to determine the prevalence of malnutrition and factors associated with it. Material and methods. A total of 156 patients aged 45 years and more, treated at the Departments of Surgery and Urology of Kaunas 2nd Clinical Hospital, were enrolled in the study. Elderly group (aged 65 years and more) consisted of 99 patients, and middle-aged group (45 to 64 years old) of 57 patients. The following anthropometric measurements were performed: weight, height, mid-arm circumference; hemoglobin, serum albumin level, and total lymphocyte count were determined. Standard assessment scales included Instrumental Activities of Daily Living, Geriatric Depression Scale, and Mini Mental State Exam. Statistical analysis was performed with the help of SPSS 12.0. Results. Malnutrition was diagnosed in 53.5% of older patients and in 15.8% of middle-aged patients (P<0.05). Obesity was diagnosed in 32.3% of elderly patients and in 40.4% of middle-aged patients (P<0.05). Among men, obese patients made up 20%, among women – 54.4% (P<0.05). Malnutrition was more prevalent among elderly patients who underwent urgent operations than in patients who underwent planned operations (69.6% and 34.1%, respectively; P<0.05) and among elderly patients with impaired cognitive functions than among those without impaired cognitive functions (in 100% of patients with medium impaired cognitive function, in 59.3% of patients with mild impaired cognitive function, and in 44.4% of patients with unimpaired cognitive function, P<0.05). Malnourished elderly patients had lower functional level than the remaining (IADL score of 3.97 and 4.75 for men, 5.38 and 6.89 for women, respectively; P<0.05). The prevalence of malnutrition did not differ significantly in the groups of older patients with depression, probable depression and not depressed patients – 75.0%, 57.7%, and 46.7%, respectively (P>0.05). Conclusions. Malnutrition was diagnosed more frequently in elderly surgical patients than in middle-aged patients. Obesity was more common in women than in men. The prevalence of obesity was not associated with age. Malnutrition in elderly surgical patients was associated with poor functional status, impaired cognitive function, and urgent operation.

scholarly journals Impact of Comorbidities, Sarcopenia, and Nutritional Status on the Long-Term Outcomes after Endoscopic Submucosal Dissection for Early Gastric Cancer in Elderly Patients Aged ≥ 80 Years

Cancers ◽  
2021 ◽  
Vol 13 (14) ◽  
pp. 3598
Author(s):  
Ga Hee Kim ◽  
Kee Don Choi ◽  
Yousun Ko ◽  
Taeyong Park ◽  
Kyung Won Kim ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Overall Survival ◽  
Early Gastric Cancer ◽  
Nutritional Status ◽  
Elderly Patients ◽  
Endoscopic Submucosal Dissection ◽  
Term Survival ◽  
Factors Associated ◽  
Submucosal Dissection

Background/Aim: We investigated the oncologic outcomes in elderly patients who underwent endoscopic submucosal dissection (ESD) for early gastric cancer (EGC) by focusing on the impact of comorbidities, sarcopenia, and nutritional status. Methods: Between 2005 and 2016, 280 patients aged ≥ 80 years with 289 EGCs underwent ESD at a tertiary care center. The short- and long-term survival outcomes were assessed. Cox regression analysis was used to identify factors associated with survival, including clinicopathologic factors and abdominal muscle area measured by computed tomography. Results: The rates of en bloc, R0, and, curative resection were 99.3%, 90.0%, and 69.2%, respectively. The rates of post-ESD bleeding and perforation rates were 2.1% and 3.1%, respectively, and no cases showed significant life-threatening adverse events. Over a median follow-up period of 70.5 months, the 3- and 5-year overall survival (OS) rates were 89.5% and 77.1%, respectively; of the114 patients who died, only four (3.5%) were due to gastric cancer. A total of 173 (61.8%) had sarcopenia, and they had lower rates of 3-year (88.4% vs. 91.4%) and 5-year (73.1% vs. 84.0%; p = 0.046) OS than did those without sarcopenia. In multivariable analyses, prognostic nutritional index (hazard ratio [HR], 0.93; 95% confidence interval [CI]: 0.90–0.98; p = 0.002) and Charlson comorbidity index (HR 1.19; 95% CI: 1.03–1.37; p = 0.018) were significant factors associated with overall survival. Conclusions: ESD was a feasible and safe therapeutic method to use in elderly patients, whose long-term survival was significantly associated with nutritional status and comorbidities. These results suggest the need for a possible extension of the curative criteria for ESD in elderly patients with EGC.

Elderly Patients' Understanding of Their Drug Therapy: The Effect of Cognitive Function

1990 ◽  
Vol 19 (4) ◽  
pp. 236-240 ◽  
Author(s):  
E. BURNS ◽  
C. A. AUSTIN ◽  
N. D. S. BAX
Keyword(s):  
Drug Therapy ◽  
Cognitive Function ◽  
Elderly Patients
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