scholarly journals Haemothorax and Thoracic Spine Fractures in the Elderly

2012 ◽  
Vol 2012 ◽  
pp. 1-5
Author(s):  
Michael A. Masteller ◽  
Aakash Chauhan ◽  
Harsha Musunuru ◽  
Mark M. Walsh ◽  
Bryan Boyer ◽  
...  
Keyword(s):  
Pleural Effusion ◽  
Elderly Patients ◽  
Health Care Professionals ◽  
Osteoporotic Fractures ◽  
The Elderly ◽  
Spinal Fracture ◽  
Thoracic Spinal ◽  
Hemorrhagic Pleural Effusion ◽  
Thoracic Spine Fractures ◽  
Undetermined Etiology

Both osteoporotic fractures and pleural effusions are frequently observed in medicine. However, rarely does one associate a hemorrhagic pleural effusion with a thoracic spinal fracture when the patient has not sustained massive trauma. In this paper, we discuss two cases where seemingly insignificant low-energy trauma precipitated massive haemothoraces in elderly patients with underlying osteoporosis, ultimately resulting in their immediate causes of death. This paper serves to remind health care professionals of the importance of using caution when moving elderly patients as well as to consider thoracic spinal fracture as a potential explanation for a hemorrhagic pleural effusion of undetermined etiology.

scholarly journals Physical illness and dementia among the elderly patients in a tertiary care hospital: a cross sectional study

2020 ◽  
Vol 31 (1) ◽  
pp. 20-23
Author(s):  
Arman Ibne Haq ◽  
Mekhala Sarkar ◽  
Susmita Roy ◽  
Ahsan Uddin Ahmed
Keyword(s):  
Elderly Patients ◽  
Health Care Professionals ◽  
Past History ◽  
Tertiary Care ◽  
The Elderly ◽  
Physical Illness ◽  
Dementia Patient ◽  
Care Hospital ◽  
Cross Sectional ◽  
History Of

The elder people are rapidly increasing throughout the world and dementia has become the important point of interest of health care professionals. The objective of the study was to find out the physical illness and dementia as well as their association among the elderly patients. This was a cross sectional and analytical study conducted in National Institute of Mental Health (NIMH) at Sher-e-Bangla Nagar, Dhaka, Bangladesh during the period from 1st November 2014 to 30th April 2015. For this purpose 78 elderly patients aged e”60 years attending both in outpatient and inpatient department of NIMH satisfying inclusion and exclusion criteria, irrespective of age and gender were selected as study population by convenient sampling technique. The result showed that majority (59%) had co-morbid physical illness. Common co-morbid physical illness was hypertension (26.9%). Among the respondants, 5 (6.4%) were current smokers and 12 (15.38%) had past history of smoking for more than five years. In the study, 50% of the respondents diagnosed with dementia had hypertension (c2 = 3.8808, P= 0.04884), 25% dementia patient had co-morbid diabetes mellitus (c2 = 2.4287, P= 0.11913), history of cerebro vascular accident (CVA) was present in 25% of patient and 25% patient had history of smoking (c2 = 0.0088, P= 0.92533). This study provided baseline information about clinical factors associated with dementic patients in Bangladesh which could be used in future studies. Bang J Psychiatry June 2017; 31(1): 20-23

scholarly journals Treatment and management of advanced heart failure in elderly

2019 ◽  
Vol 89 (1) ◽  
Author(s):  
Nidal Tourkmani
Keyword(s):  
Heart Failure ◽  
Elderly Patients ◽  
Health Care Professionals ◽  
The Elderly ◽  
Advanced Heart Failure ◽  
Circulatory Support ◽  
High Morbidity ◽  
Open Communication ◽  
Limiting Condition ◽  
End Stage

Heart failure (HF) is a life-limiting condition, associated with high morbidity. End-stage, known as advanced heart failure (AHF), is more common among the elderly. HF patients’ disease trajectory is more variable and unpredictable than the trajectory for most oncologic illnesses. Despite a growing armamentarium of resources the management of AHF patients can be complex. Advances in medical therapy have dramatically improved the quality of life and survival of patients with end-stage HF. The majority of studies reveal lack of knowledge of HF among elderly patients. Mechanical circulatory support can provide bridge-to-transplantation therapy in eligible patients or destination therapy in those ineligible for heart transplantation like the majority of elderly patients with HF. The palliative care stage, considered as treatment basically aimed at controlling symptoms, may last a long time in some patients and should not simply be regarded as the final phase. Studies show that patients with AHF may have a poor understanding of their condition and its outcome and, therefore, guidelines recommend health care professionals to have an open communication with patients and their families about the AHF trajectory, including discussing their preferences for future care, acknowleding the risk of a sudden death, and the possibility of deactivation of devices (i.e. implantable defibrillators) in the end-of-life. This contribution is an attempt to have a brief overview of strategies for the management of HF terminal stage in elderly.

106 Precipitating factors in the elderly patients admitted with the diagnosis of heart failure. Are easy to find?

2006 ◽  
Vol 5 (1) ◽  
pp. 25-26
Author(s):  
R VIDALPEREZ ◽  
E ABUASSI ◽  
M PARAMODEVEGA ◽  
P VELOSO ◽  
A VARELAROMAN ◽  
...  
Keyword(s):  
Heart Failure ◽  
Elderly Patients ◽  
The Elderly ◽  
Precipitating Factors

Evaluation of R-CHOP and R-CVP in the treatment of elderly patient with non-Hodgkin lymphoma

MedPharmRes ◽  
2019 ◽  
Vol 3 (3) ◽  
pp. 1-6
Author(s):  
Truc Phan ◽  
Tram Huynh ◽  
Tuan Q. Tran ◽  
Dung Co ◽  
Khoi M. Tran
Keyword(s):  
Elderly Patients ◽  
Hodgkin Lymphoma ◽  
B Cell Lymphoma ◽  
Complete Response ◽  
The Elderly ◽  
Free Survival ◽  
Non Hodgkin Lymphoma ◽  
Common Sign ◽  
Related Mortality

Introduction: Little information is available on the outcomes of R-CHOP (rituximab with cyclophosphamide, doxorubicin, vincristine and prednisone) and R-CVP (rituximab with cyclophosphamide, vincristine and prednisone) in treatment of the elderly patients with non-Hodgkin lymphoma (NHL), especially in Vietnam. Material and methods: All patients were newly diagnosed with CD20-positive non-Hodgkin lymphoma (NHL) at Blood Transfusion and Hematology Hospital, Ho Chi Minh city (BTH) between 01/2013 and 01/2018 who were age 60 years or older at diagnosis. A retrospective analysis of these patients was perfomed. Results: Twenty-one Vietnamese patients (6 males and 15 females) were identified and the median age was 68.9 (range 60-80). Most of patients have comorbidities and intermediate-risk. The most common sign was lymphadenopathy (over 95%). The proportion of diffuse large B cell lymphoma (DLBCL) was highest (71%). The percentage of patients reaching complete response (CR) after six cycle of chemotherapy was 76.2%. The median follow-up was 26 months, event-free survival (EFS) was 60% and overall survival (OS) was 75%. Adverse effects of rituximab were unremarkable, treatment-related mortality accounted for less than 10%. There was no difference in drug toxicity between two regimens. Conclusions: R-CHOP, R-CVP yielded a good result and acceptable toxicity in treatment of elderly patients with non-Hodgkin lymphoma. In patients with known cardiac history, omission of anthracyclines is reasonable and R-CVP provides a competitive complete response rate.

ACUTE KIDNEY INJURY IN ELDERLY PATIENTS

2019 ◽  
Vol 72 (8) ◽  
pp. 1466-1472
Author(s):  
Grażyna Kobus ◽  
Jolanta Małyszko ◽  
Hanna Bachórzewska-Gajewska
Keyword(s):  
Acute Kidney Injury ◽  
Renal Failure ◽  
Acute Renal Failure ◽  
Elderly Patients ◽  
Older Patients ◽  
Age Groups ◽  
Kidney Injury ◽  
The Elderly ◽  
Younger Patients ◽  
Common Cause

Introduction: In the elderly, impairment of kidney function occurs. Renal diseases overlap with anatomic and functional changes related to age-related involutionary processes. Mortality among patients with acute renal injury is approximately 50%, despite advances in treatment and diagnosis of AKI. The aim: To assess the incidence of acute kidney injury in elderly patients and to analyze the causes of acute renal failure depending on age. Materials and methods: A retrospective analysis included medical documentation of patients hospitalized in the Nephrology Clinic during the 6-month period. During this period 452 patients were hospitalized in the clinic. A group of 77 patients with acute renal failure as a reason for hospitalization was included in the study. Results: The prerenal form was the most common cause of AKI in both age groups. In both age groups, the most common cause was dehydration; in the group of patients up to 65 years of age, dehydration was 29.17%; in the group of people over 65 years - 43.39%. Renal replacement therapy in patients with AKI was used in 14.29% of patients. In the group of patients up to 65 years of age hemodialysis was 16.67% and above 65 years of age. -13.21% of patients. The average creatinine level in the group of younger patients at admission was 5.16 ± 3.71 mg / dl, in the group of older patients 3.14 ± 1.63 mg / dl. The size of glomerular filtration GFR in the group of younger patients at admission was 21.14 ± 19.54 ml / min, in the group of older patients 23.34 ± 13.33 ml / min. Conclusions: The main cause of acute kidney injury regardless of the age group was dehydration. Due to the high percentage of AKI in the elderly, this group requires more preventive action, not only in the hospital but also at home.

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