Dental and gastrointestinal changes as indicators of nutritional depletion in elderly inpatients

2010 ◽  
Vol 16 (5) ◽  
pp. 873-877 ◽  
Author(s):  
Vânia Aparecida Leandro-Merhi ◽  
Kátia Cristina Portero-McLellan ◽  
Júlia Laura Delbue Bernardi ◽  
Patrícia Baston Frenhani ◽  
José Gonzaga Teixeira De Camargo ◽  
...  
Keyword(s):  
Elderly Inpatients ◽  
Nutritional Depletion

scholarly journals Clinical characteristics and factors related to antibiotic-associated diarrhea in elderly patients with pneumonia: a retrospective cohort study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yoko Takedani ◽  
Tsukasa Nakamura ◽  
Noriko Fukiwake ◽  
Toshihiro Imada ◽  
Junji Mashino ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cohort Study ◽  
Elderly Patients ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Tertiary Care ◽  
Multivariate Logistic Regression Model ◽  
Care Hospital ◽  
Antibiotic Associated Diarrhea ◽  
Elderly Inpatients

Abstract Background Antibiotic-associated diarrhea (AAD) is a common problem among elderly inpatients because many elderly patients are admitted for pneumonia or other conditions that necessitate antibiotic treatment. In the super aging population, more patients are suffering from pneumonia than before, but the incidence or risk factors for AAD among many elderly patients have not been well scrutinized. Methods We conducted a retrospective cohort study of elderly patients diagnosed with pneumonia from April 2014 to March 2019 who were admitted to the Department of General Medicine of a Tertiary Care Hospital in Japan. Patients (≥ 65 years of age) who were diagnosed with bacterial pneumonia or aspiration pneumonia and treated with antibiotics were included. We defined AAD by diarrhea with more than three loose or watery stools per day and included patients who had these symptoms for either one day or two or more consecutive days. We also assessed the length of hospital stay and in-hospital mortality. The potential risk factors for AAD included age, sex, body weight, body mass index, smoking, alcohol, activities of daily living (ADL),　comorbidities, vital signs, laboratories, the severity of pneumonia, antibiotic and other medication use. Results There were 1,067 patients, the mean age was 83 years, and men accounted for 59 %. β-Lactamase inhibitors were frequently prescribed antibiotics in 703 patients (66 %), and proton pump inhibitors (PPIs) were also commonly administered (48 %). AAD developed in 322 patients (30 %). The multivariate logistic regression model showed that β-lactamase inhibitors (OR 1.43, 95 % CI 1.05–1.95) and PPIs (OR 1.37, 95 % CI 1.03–1.83) were associated with AAD as well as age (OR 1.03 per year, 95 % CI 1.01–1.05). Conclusions AAD was common among elderly inpatients with pneumonia, and β-lactamase inhibitors and PPIs were associated with AAD. Strict use of such medication should be considered to decrease the risk of AAD.

Suicide attempts and burden of physical illness among depressed elderly inpatients

2011 ◽  
Vol 52 (1) ◽  
pp. 115-117 ◽  
Author(s):  
Tal Bergman Levy ◽  
Yoram Barak ◽  
Mayanit Sigler ◽  
Dov Aizenberg
Keyword(s):  
Suicide Attempts ◽  
Physical Illness ◽  
Elderly Inpatients

Adrenergic Stimulation of the Rat Diencephalon and its Effect on Food Intake and Hoarding Activity

1970 ◽  
Vol 22 (2) ◽  
pp. 125-132 ◽  
Author(s):  
J. E. Blundell ◽  
L. J. Herberg
Keyword(s):  
Electrical Stimulation ◽  
Food Intake ◽  
Food Deprivation ◽  
Lateral Hypothalamus ◽  
Adrenergic Stimulation ◽  
Feeding Mechanism ◽  
Stimulation Of ◽  
Nutritional Depletion

The diencephalic area most sensitive to microinjections of noradrenaline lay outside the area of the lateral hypothalamus in which feeding can be produced by electrical stimulation. Injection of either area, including injections that caused increased feeding, failed to have any effect on hoarding activity. Since hoarding can be elicited both by food deprivation and by electrical stimulation of the lateral hypothalamus, these findings indicate biochemical, anatomical and motivational differences between the central feeding mechanism sensitive to adrenergic stimulation, and that responding to electrical stimulation or nutritional depletion. The former mechanism may be disinhibitory; the latter, excitatory.

scholarly journals Cognitive and functional apraisal in a psychogeriatric patient in a short stay psychiatric unit

2014 ◽  
Vol 5 (1) ◽  
pp. 13-22
Author(s):  
Ricardo López-Bernués ◽  
Yolanda Marcén ◽  
Ana I. Sieso
Keyword(s):  
Depressive Symptoms ◽  
Psychiatric Disorders ◽  
Verbal Fluency ◽  
Functional Abilities ◽  
Short Stay ◽  
Psychiatric Unit ◽  
Sociodemographic Variables ◽  
Elderly Inpatients ◽  
Psychogeriatric Patients

Psychiatric disorders are present in dementia (Cognitive damage) and they are part of the psychological and behavioral dementias (SPCD), which are present in almost every patient and a very important cause for psychogeriatric patients´admission. Methodology: Cognitive damage was analysed (MEC de Lobo, Pfeiffer test and semantic and verbal fluency) and functional abilities in elderly inpatients, who were older than 65 years old, were also analysed (Barthel test) for 3 months. Relating these to the different sociodemographic variables. Results: Half of the 18 patients who were analyzed and studied, had any type of depressive symptoms and between 22-44% showed some signs of cognitive damage according to the test used to sieve. Discussion/Conclusions: Psychiatric disorders measured with NPI are directly related to the disability degree for AVD´s and at the same time, this is related to the admission span. The different percentages which affect cognitive damage according to the test used, shows the importance of the correct test´s choice depending on the studied population and the type of analysis accomplished.

scholarly journals Nutritional depletion in relation to respiratory and peripheral skeletal muscle function in out-patients with COPD

1994 ◽  
Vol 7 (10) ◽  
pp. 1793-1797 ◽  
Author(s):  
M.P.K.J. Engelen ◽  
A.M.W.J. Schols ◽  
W.C. Baken ◽  
G.J. Wesseling ◽  
E.F.M. Wouters
Keyword(s):  
Skeletal Muscle ◽  
Muscle Function ◽  
Skeletal Muscle Function ◽  
Nutritional Depletion

scholarly journals Frequency of dementia among elderly admitted to a Geriatrics Inpatients Sector of a Brazilian public hospital

2018 ◽  
Vol 12 (1) ◽  
pp. 35-39 ◽  
Author(s):  
Rafael Thomazi ◽  
Liciana Vaz de Arruda Silveira ◽  
Paulo José Fortes Villas Boas ◽  
Alessandro Ferrari Jacinto
Keyword(s):  
Univariate Analysis ◽  
The Elderly ◽  
Sociodemographic Factors ◽  
University Hospital ◽  
Chi Square ◽  
Diagnosis Of Dementia ◽  
Elderly Inpatients ◽  
Chi Square Test ◽  
Student’S T ◽  
Clinical Conditions

ABSTRACT Patients with dementia are commonly admitted to inpatient sectors. The aim of this study was to describe the frequency of dementia among elderly inpatients admitted to the Geriatrics Sector of a Brazilian Tertiary University Hospital, and to identify associations between dementia and clinical and sociodemographic factors. Methods: All patients admitted to the Geriatrics Sector of a public Brazilian university-hospital from March 1st 2014 to January 31st 2015 were assessed by geriatricians. The patients were divided into groups "with or without diagnosis of dementia". Univariate analysis was performed between these two groups using the Chi-Square Test, Student's t-test or the Mann-Whitney Test. Results: One hundred and three elderly inpatients, with a mean age of 82 (±7.9) years, were assessed. Overall, 74.7% had low educational level (<4 years), 66% used polypharmacy, 57.2% developed delirium during hospitalization and 59% were totally dependent for basic activities of daily living. The diagnosis of dementia was observed in 59 (57%) subjects. Conclusion: The frequency of dementia was high among the elderly inpatients evaluated. The association between dementia and certain clinical conditions, such as incontinence, delirium and use of psychoactive drugs, was in line with the medical literature.

Documented Evidence of Depression in Medical and Nursing Case-Notes and Its Implications in Acutely Ill Geriatric Inpatients

1998 ◽  
Vol 10 (2) ◽  
pp. 163-172 ◽  
Author(s):  
Ajit Shah ◽  
Tamal De
Keyword(s):  
Geriatric Medicine ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Signs And Symptoms ◽  
Screening Procedure ◽  
Medically Ill ◽  
Brief Assessment ◽  
Medical Inpatients ◽  
Elderly Inpatients ◽  
The Impact

Depression is common among acutely ill elderly medical inpatients. Identification of such depression by the geriatric medicine staff would allow early treatment. The impact of a depression screening procedure on documentation of depressive signs and symptoms in the medical and nursing case-notes was examined. Thirty-five sets of medical and nursing case-notes of medically ill elderly inpatients, for whom data from the Brief Assessment Schedule and the short Geriatric Depression Scale (GDS) were also available, were examined for documentation of signs and symptoms of depression, prescription of antidepressants, and referred to the psychogeriatric service. Depressive signs and symptoms were documented in only a few medical (29%) and nursing (11%) case-notes. Only a small number of depressed patients were prescribed antidepressants (20%) or were referred to the psychogeriatric service (13%). The frequency of documentation of depressive signs and symptoms after the screening procedure with the short GDS was associated with subsequent prescription of antidepressants and referral to the psychogeriatric service. The screening procedure itself may increase the general awareness of depressive signs and symptoms and affect its management. These results require replication.

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