Open vs laparoscopic repair of abdominal hernia: a case control study in over 60 years old patients

Advancements in surgical techniques and increased life expectancy have made cataract surgery more common among very old patients. However, surgical outcomes seem impaired in patients older than 90 years, especially with ocular comorbidities. A retrospective case-control study of 53 eyes of 53 very old patients (mean 92.6 ± 3.0) and 140 eyes of 140 matched patients (mean 75.2 ± 7.6) was undertaken. Groups were matched in terms of gender and systemic and ocular comorbidities. In very old patients, higher phacoemulsification energy (cumulative dissipated energy [CDE], 25.0 ± 22.4 vs. 16.1 ± 10.7, p = 0.01) and rate of intraoperative floppy iris syndrome (IFIS, 9.4% vs. 1.4%, p = 0.02) were observed compared to controls. Uncorrected (UCVA) and best-corrected distance visual acuity (BCVA) gains were significantly poorer among the very old patients than among the control at postoperative day 30 (0.20 ± 0.70 vs. 0.56 ± 0.61 logMAR, p < 0.001 and 0.27 ± 0.64 vs. 0.55 ± 0.62 logMAR, p = 0.006, respectively). Even after including CDE and IFIS as covariates, age remained an independent factor for poor visual gain at 30 days (p < 0.001). Cataract surgery in very old patients may demand more experienced surgeons due to higher nuclear density and the rates of IFIS. Expectations in visual acuity gains should be aligned with the patient’s age.

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Acute myocardial infarction in the elderly. A case-control study with a younger population and review of literature

Monaldi Archives for Chest Disease ◽

10.4081/monaldi.2006.537 ◽

2016 ◽

Vol 66 (1) ◽

Author(s):

Fabrizio Corsini ◽

Anna Scaglione ◽

Maria Iacomino ◽

Giuseppe Mascia ◽

Saverio Melorio ◽

...

Keyword(s):

Myocardial Infarction ◽

Chest Pain ◽

Case Control Study ◽

The Elderly ◽

Case Control ◽

Response To Treatment ◽

Control Group ◽

Retrospective Case ◽

Old Patients ◽

Control Study

Background: ST elevation myocardial infarction (STEMI) in old and old-old patients presents several peculiarities in natural history, delay of hospitalization and response to treatment. Aim of this retrospective case control study was to determine presentation, complications and management of elderly patients with STEMI compared to a younger population. Methods: 462 patients (205 M and 257 F) aged ≥75 years, hospitalized in CCU between 1999 and 2003 for STEMI, were valuated. The control group consisted of 490 consecutive patients (268 M and 222 F) aged 50-70 years. Attention was focused on clinical presentation, complications, management and outcome in elderly compared with younger patients. Results: The mean interval between the onset of symptoms and the arrive in CCU was of 9 hour in the elderly compared to 4,5 hour in the control. Chest pain was less frequent (50% vs 90%) in the elderly; the prevalence of dyspnoea and neurological symptoms was higher in patients >75 years (30% vs 15% and 25% vs 10%). In the elderly, previous angina and AMI, cerebral and peripheral vascular diseases, peripheral and renal failure were frequent. Early severe complications prevailed in the elderly. Thrombolysis was performed only in 39% of the elderly compared to 65% of the control. Significantly higher was cerebral haemorrhage after thrombolysis (4,9% vs 1,8%). Comparable were the mayor extra cranial bleedings. Primary or facilitated PTCA was performed in few patients in the last year. Two weeks mortality was 20%, compared to 6,5% in the control group. Conclusion: The patientes >75 years with STEMI were hospitalized later, had atypical presentation with less chest pain and more cardiac failure, were less likely to receive thrombolysis, had more complications and more cerebral bleedings. Elderly had more associated diseases and in-hospital mortality was higher.

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Comparison Of The 25oh-vitamin D Levels Between Old Patients Hospitalized For Sars-cov-2 Pneumonia And Patients With Other Acute Illnesses: A Retrospective Case-control Study.

10.21203/rs.3.rs-96491/v1 ◽

2020 ◽

Author(s):

Luca Tomisti ◽

Nicolò Pulizzi ◽

Pia Clara Pafundi ◽

Domenico Macaro ◽

Liliana Villari ◽

...

Keyword(s):

Vitamin D ◽

Mortality Risk ◽

Case Control Study ◽

Case Control ◽

Retrospective Case ◽

Old Patients ◽

Vitamin D Levels ◽

25 Oh Vitamin D ◽

Control Study ◽

Group Serum

Abstract PURPOSE. To assess and compare the serum 25OH-vitamin D levels in three cohorts of patients hospitalized due to acute illness, either related or not to a SARS-COV-2 infection. To investigate, in the patients group with SARS-COV-2 pneumonia, the possible relationship between the serum vit- amin D levels and both disease severity and mortality risk.METHODS. This is a retrospective case-control study. Serum 25OH-vitamin D levels were compared between patients with SARS-COV-2 pneumonia (COVID-19 group, 52 patients), and two control groups, including patients with pneumonia not related to SARS-CoV-2 (NO COVID1 group, 52 patients) and patients with a non-respiratory acute disease (NO COVID2 group, 52 pa- tients).RESULTS. No differences were found in the serum 25 OH-Vitamin D levels among the three groups. In the COVID-19 group, serum 25 OH-Vitamin D levels did not show significant associa- tion with mortality risk (p=0.12), Intensive Care Unit admission risk (p=0.36), inpatients duration (p=0.40) and remission time (p=0.33). Similar results were found for parameters estimating the dis- ease severity, such as basal PO2/FiO2 (p=0.77), worse PO2/FiO2 (p=0.41), basal D-dimer (p=0.46) and basal LDH (p=0.52).CONCLUSIONS. Our data do not show lower 25OH-vitamin D levels in the patients with SARS- COV-2 pneumonia compared to patients hospitalized for other acute illnesses. In the COVID-19 group the 25OH-vitamin D levels did not show significant correlation with a worse outcome.

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Type D Personality and Essential Hypertension in Semarang City, Indonesia: A Primary Healthcare Center-based Case-Control Study

Unnes Journal of Public Health ◽

10.15294/ujph.v10i2.46917 ◽

2021 ◽

Vol 10 (2) ◽

pp. 185-191

Author(s):

Lukman Fauzi ◽

Sri Ratna Rahayu ◽

Lindra Anggorowati

Keyword(s):

Essential Hypertension ◽

Primary Healthcare ◽

Case Control Study ◽

Case Control ◽

Type D Personality ◽

Old Patients ◽

Type D ◽

Healthcare Center ◽

Primary Healthcare Center ◽

Control Study

Type D personality is defined as the interaction between negative affectivity (NA) and social inhibition (SI). Hypertension has the highest cases in primary healthcare center (PHC) in Semarang City compared to other non-communicable diseases. This study aims to determine type D personality role on essential hypertension. It was a case-control study conducted at the PHC in Semarang City from January 2020 to March 2021 with 139 cases and 139 controls among 18-60 years old patients. Sample collection was performed by stratified random sampling. The instruments used were the DS-14 scale, structured questionnaire IPAQ-SF, food frequency questionnaire, and the Holmes and Rahe Stress Scale, while data were analyzed using logistic regression. The prevalence of type D personality in the case group (64%; 95%CI: 55.9%-72.1%) was higher than in the control (36.7%; 95%CI: 28.7%-44.7%). Type D personality was discovered to be significantly associated with essential hypertension (OR: 3.07; 95%CI: 1.83-5.16). After other covariates adjustment, the association was still statistically significant (AdjOR: 2.41; 95%CI: 1.32-4.41).

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