CHANGES IN EXANTHEMA SUBITUM INCIDENCE AND PATIENT AGE DISTRIBUTION DURING THE COVID-19 PANDEMIC IN JAPAN

OBJECTIVEAging of the population may lead to epidemiological changes with respect to chronic subdural hematoma (CSDH). The objectives of this study were to elucidate the current epidemiology and changing trends of CSDH in Japan. The authors analyzed patient information based on reports using a Japanese administrative database associated with the diagnosis procedure combination (DPC) system.METHODSThis study included patients with newly diagnosed CSDH who were treated in hospitals participating in the DPC system. The authors collected data from the administrative database on the following clinical and demographic characteristics: patient age, sex, and level of consciousness on admission; treatment procedure; and outcome at discharge.RESULTSA total of 63,358 patients with newly diagnosed CSDH and treated in 1750 DPC participation hospitals were included in this study. Analysis according to patient age showed that the most common age range for these patients was the 9th decade of life (in their 80s). More than half of patients 70 years old or older presented with some kind of disturbance of consciousness. Functional outcomes at discharge were good in 71.6% (modified Rankin Scale [mRS] score 0–2) of cases and poor in 28.4% (mRS score 3–6). The percentage of poor outcomes tended to be higher in elderly patients. Approximately 40% of patients 90 years old or older could not be discharged to home. The overall recurrence rate for CSDH was 13.1%.CONCLUSIONSThis study shows a chronological change in the age distribution of CSDH among Japanese patients, which may be affecting the prognosis of this condition. In the aging population of contemporary Japan, patients in their 80s were affected more often than patients in other age categories, and approximately 30% of patients with CSDH required some help at discharge. CSDH thus may no longer have as good a prognosis as had been thought.

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Evolution of Femoral Condylar Ossification at MR Imaging: Frequency and Patient Age Distribution

Radiology ◽

10.1148/radiol.10101103 ◽

2011 ◽

Vol 258 (3) ◽

pp. 880-888 ◽

Cited By ~ 35

Author(s):

Lennart B. O. Jans ◽

Jacob L. Jaremko ◽

Michael Ditchfield ◽

Koenraad L. Verstraete

Keyword(s):

Mr Imaging ◽

Age Distribution ◽

Patient Age ◽

Patient Âgé

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Eye Disorders in Bangladesh: A Hospital-based Descriptive Study

Journal of Biomedical Analytics ◽

10.30577/jba.2019.v2n1.17 ◽

2019 ◽

Vol 2 (1) ◽

pp. 27-40 ◽

Cited By ~ 1

Author(s):

Md. Ali Hossain ◽

Tania Akter Asa ◽

Fazlul Huq ◽

Mohammad Ali Moni

Keyword(s):

Age Distribution ◽

Age Groups ◽

Incidence Rates ◽

Comprehensive Overview ◽

Patient Age ◽

Clinical Challenge ◽

Eye Disorders ◽

Patient Âgé ◽

Different Types ◽

Retinal Disorder

The incidence and treatment of common eye disorders in Bangladesh are poorly understood. This study aims to provide a comprehensive overview of this clinical challenge to better enable the design of appropriate healthcare strategies. The incidence and treatment of common eye disorders in Bangladesh are poorly understood. This study aims to provide a comprehensive overview of this clinical challenge to better enable the design of appropriate healthcare strategies. Different types of eye disorder data were collected from patients aged 1 to 96 years admitted for eye surgery from March 2016 to October 2016 (N = 2390) at the Bangladesh Eye Hospital in Dhaka, Bangladesh. Patient age distribution and types of treatment received were analysed, and incidence rates calculated. Patients (58% male) underwent a total of 43 different types of eye surgeries. Among the surgeries reported 32.8% were Avastin intravitreal injections, 25.5% were Phaco with IOL, 14.6% were retinal laser therapies, 7.5% were YAG Laser and 6.5% were VR surgery. It is notable that a higher number of people suffered in ocular, cataract and retinal disorder respectively among all the eye disorders. With increasing patient age, the number of eye disorder treatments increased and it reached to peak number in the age group 56-60 years, although numbers varied greatly across age groups.

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Incidence of Occult Carcinoma and High-Risk Lesions in Mammaplasty Specimens

International Journal of Breast Cancer ◽

10.1155/2012/145630 ◽

2012 ◽

Vol 2012 ◽

pp. 1-4 ◽

Cited By ~ 18

Author(s):

Beth C. Freedman ◽

Sharon M. Rosenbaum Smith ◽

Alison Estabrook ◽

Jasminka Balderacchi ◽

Paul I. Tartter

Keyword(s):

Reduction Mammaplasty ◽

Age Distribution ◽

Patient Age ◽

Patient Âgé ◽

Radiologic Imaging ◽

Pathologic Findings ◽

History Of ◽

Malignant Changes ◽

After Cancer ◽

Retrospective Database

Objectives. To determine the incidence and type of premalignant or malignant changes in mammaplasty specimens and to determine the incidence of these changes according to age distribution.Methods. Retrospective database review of patients who underwent a reduction mammaplasty between 1999 and 2009 was performed from pathology records at a single institution.Results. 700 patients were identified. Of the 644 patients who had bilateral reductions, 25 (4%) had significant pathologic findings. The likelihood of finding premalignant changes or cancer increased with advancing patient age (0.8 percent for patients <40 years old and 10 percent for patients >60 years old). Of the 56 patients who underwent unilateral mammaplasty, 12 patients (21%) had significant pathologic findings. The incidence of finding premalignant changes or cancer in this population also increased with advancing patient age (0 for patients <40 years old to 25 percent for patients >60 years old).Conclusions. When a unilateral mammaplasty is performed to match a breast reconstructed after cancer surgery, the likelihood of identifying premalignant changes or cancer increases more than fourfold. Therefore, one should consider additional radiologic imaging in the preoperative workup of patients with a history of carcinoma prior to undergoing unilateral mammaplasty.

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Trends in Medical Diagnostic Radiology in France: Comparison of Patient Age Distribution Between 1982 and 1988

Radiation Protection Dosimetry ◽

10.1093/rpd/36.2-4.253 ◽

1991 ◽

Vol 36 (2-4) ◽

pp. 253-256

Author(s):

C. Maccia

Keyword(s):

Age Distribution ◽

Diagnostic Radiology ◽

Patient Age ◽

Patient Âgé ◽

Medical Diagnostic

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Antimicrobial Susceptibility of Invasive and Lower Respiratory Tract Isolates ofStreptococcus pneumoniae, 1998 to 2007

Canadian Journal of Infectious Diseases and Medical Microbiology ◽

10.1155/2009/413749 ◽

2009 ◽

Vol 20 (4) ◽

pp. e139-e144 ◽

Cited By ~ 3

Author(s):

Otto G Vanderkooi ◽

Athena McConnell ◽

Deirdre L Church ◽

James D Kellner

Keyword(s):

Respiratory Tract ◽

Lower Respiratory Tract ◽

Age Distribution ◽

Multidrug Resistant ◽

Population Surveillance ◽

Erythromycin Resistance ◽

Patient Age ◽

Patient Âgé ◽

Ongoing Surveillance ◽

Resistance Rates

Previous surveys of antimicrobial resistance inStreptococcus pneumoniaehave found differences depending on source of isolate (eg, higher resistance in lower respiratory tract [LRT] versus invasive isolate) and age (higher resistance in children versus adults). Susceptibility profiles in the Calgary Health Region (approximately 1.25 million population) over a 10-year period were studied. Prospective laboratory-based population surveillance forS pneumoniaedisease has been conducted since 1998. Patient demographics and susceptibility testing were analyzed. In total, 2382 patient isolates were available for analysis from 1998 to 2007. Of these, 1170 isolates were invasive while 496 were LRT. Patient age distribution was: younger than five years, 14%; five to 17 years, 6%; 18 to 64 years, 56%; and 65 years or older, 24%. Mean patient age was 44.8 years and 60.0% were male. The overall incidence of nonsusceptibility was: penicillin, 8.2%; amoxicillin, 0.3%; cefuroxime, 6.2%; ceftriaxone, 1.7%; erythromycin, 8.8%; trimethoprim-sulfamethoxazole (TMP-SMX), 25.6%; clindamycin, 2.3%; and levofloxacin, 0.2%. Overall resistance rates were stable, except for increasing erythromycin resistance from 5.4% (1998) to a high of 14.2% (2004) (P=0.007). Isolates that were nonsusceptible to penicillin or TMP-SMX were more likely to be multidrug resistant (P<0.001) compared with penicillin- or TMP-SMX-susceptible isolates. Compared with invasive isolates, LRT isolates showed more resistance to penicillin, TMP-SMX, cefuroxime and erythromycin, and were more likely to be multidrug resistant. Isolates from children younger than five years of age are more likely to be multidrug resistant and resistant to erythromycin and cefotaxime. Ongoing surveillance ofS pneumoniaeisolates is important because resistance rates vary by source and patient age among health care regions.

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Results of a Colpocytologic Mass Screening and In-patient Casework: Comparison by Age Groups

Tumori Journal ◽

10.1177/030089167706300611 ◽

1977 ◽

Vol 63 (6) ◽

pp. 575-584

Author(s):

Piero Canevini ◽

Maurizio Spinelli ◽

Laura Fibbi

Keyword(s):

Mass Screening ◽

Invasive Carcinoma ◽

Age Distribution ◽

Age Groups ◽

Age Group ◽

Patient Age ◽

Patient Âgé ◽

Three Phase

This paper reports the results of cervico-vaginal examinations performed on the women (7,098) resident in the municipality of Bollate (mass screening) and the women (1,416) hospitalized in the Gynecologic ward in the same period (in-patients). Age distribution, prevalence of initial and invasive forms, and prevalence according to age groups have been considered. The results are: 1) any kind of lesion is more frequent among in-patient than mass-screening subjects; 2) the prevalence of benign displasia, incipient, in situ and invasive carcinoma per age group, considered per quinquennium, shows a three-phase trend, both in mass screening and in-patient cases; 3) the time of evolution is different for cervicocarcinoma in the different age groups of incipience. Periodic checks are a useful means of precocious diagnosis of cervicocarcinoma; the frequency of checks should vary according to patient age.

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Abstract WP27: Patient Age and Outcomes of Those Receiving Endovascular Thrombectomy Treatment in San Diego County

Stroke ◽

10.1161/str.51.suppl_1.wp27 ◽

2020 ◽

Vol 51 (Suppl_1) ◽

Author(s):

Amelia Kenner-brininger ◽

Lindsay Olson-Mack ◽

Lorraine Calzone ◽

Kristi L Koenig ◽

Thomas M Hemmen

Keyword(s):

Clinical Trials ◽

San Diego ◽

Age Distribution ◽

San Diego County ◽

Patient Age ◽

Change Over Time ◽

Endovascular Thrombectomy ◽

Discharge Disposition ◽

Patient Âgé ◽

Over Time

Background: Endovascular thrombectomy (EVT) after Ischemic Stroke (AIS) has shown to improve outcomes in multiple large clinical trials. While most guidelines lifted the age restriction, few patients enrolled in clinical trials were over 79 years of age. We studied EVT over time in San Diego County as it relates to patient age. We sought to understand age distribution of patients receiving EVT, frequency by which patients 79 and older received treatment, and whether that frequency changed over time. Methods: We included AIS patients with a reported age and NIHSS from 10 EVT capable centers from July 2016 through December 2018 from the San Diego County EMS Stroke Registry. We analyzed frequency of EVT by patient age, last known normal (LKN) to groin puncture time, NIHSS and hospital discharge disposition. Results: Between July 2016 and December 2018, of 7,049 AIS patients, 659 (9.3%) received EVT. The mean (±SD) age of EVT patients was 71.9 (±15.6) years, ranging from 24 to 104 years old. Of these patients, 250 (37.9%) were >79 years. On average (±SD), 22.1 (±4.2) patients received EVT per month. Rate of EVT use among all AIS patients did not change over time (p=.24). On average (±SD) 8.4 (±3.3) patients >79 years underwent EVT per month. Rate of EVT among patients >79 years did not change over time (p=.31). EVT rate among patients ≤ 79 years increased over time (p=.02). EVT patients >79 years had a mean (±SD) initial NIHSS of 19.2 (±8.2) compared to EVT patients ≤ 79 years NIHSS 16.0 (±8.6) (p=.000002). Overall mean (±SD) LKN to groin puncture was 6.2 hours (±7.0), >79 years 5.6 (±5.7), ≤ 79 years 6.5 hours (±7.6) (p=.11). EVT patients >79 years were discharged to a Skilled Nursing Facility (SNF) (32.9%), died in-hospital (19.0%), and transferred to acute care (15.9%); patients ≤ 79 years were discharged to home (35.2%), SNF (17.6%), and Inpatient Rehabilitation Facility (15.7%). Conclusion: Endovascular thrombectomy for patients older than 79 years accounts for nearly one in four patients receiving EVT. The frequency of EVT use in the elderly did not change over time while use in patients under age 80 increased slightly. However, overall use of EVT remained consistent. Older patients receiving EVT had a higher NIHSS and were more commonly discharged to a SNF compared to younger patients.

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