scholarly journals Zimmer Natural Nail and ELOS nails in pertrochanteric fractures

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Giuseppe Gargano ◽  
Nicola Poeta ◽  
Francesco Oliva ◽  
Filippo Migliorini ◽  
Nicola Maffulli
Keyword(s):  
High Volume ◽  
The Elderly ◽  
Price Difference ◽  
Short Term ◽  
Pertrochanteric Fractures ◽  
Average Value ◽  
Surgical Devices ◽  
Comparative Clinical Study ◽  
The Mean ◽  
Fractures Of The Femur

Abstract Background Pertrochanteric fractures of the femur in the elderly are very common. As the average age of the population increases, the incidence of such fractures also raises, resulting in high healthcare costs. The type of surgical devices employed for their surgical management influences these costs. Methods A comparative clinical study was conducted on patients operated by one single surgeon between December 2018 and November 2020 in a high-volume regional referral centre. All patients who received a Zimmer Natural Nail (ZNN) or ELOS devices were included. Results In 119 (66.48%) of the 179 fractures, a ZNN nail was used. Post-operatively, the TAD (tip-to-apex distance) was measured at an average value of 17.05 (4.42–41.85) mm and the CalTAD (calcar-referenced TAD) at an average of 20.76 (10.82–43.63) mm. The mean hospitalization time was 10.19 (4–22) days. In the other 60 trochanteric fractures, an ELOS nail was used. Post-operative imaging indicated a TAD of 19.65 (5.08–31.4) mm and a CalTAD of 22.86 mm (12.66–33.77). The average time of the operation was 45.82 (20–110) min. The average period of hospitalization was 10.45 (5–24) days. Conclusion Both devices give similar results in terms of short-term post-operative outcome and hospitalization. The price difference between the devices does not translate in different short-term results on the operated patients.

scholarly journals Outcomes after Carotid Angioplasty and Stenting in Symptomatic Octogenarians

2011 ◽  
Vol 38 (3) ◽  
pp. 446-451 ◽  
Author(s):  
M. A. Almekhlafi ◽  
P. L. Couillard ◽  
A. Pandya ◽  
N. Shobha ◽  
W. F. Morrish ◽  
...  
Keyword(s):  
The Elderly ◽  
Carotid Stenting ◽  
Complication Rates ◽  
Carotid Angioplasty ◽  
Short Term ◽  
The Mean ◽  
Complications Rate ◽  
Angioplasty And Stenting ◽  
Carotid Angioplasty And Stenting ◽  
Length Of Hospitalization

Objective:Octogenarians were excluded from participation in many carotid endarterectomy trials due to the high complication rates observed in past studies. However, stroke resulting from carotid stenosis is expected to increase with the aging population. Moreover, advances in Carotid Angioplasty and Stenting (CAS) techniques have resulted in perceived improved safety of this procedure. We sought to review our experience with carotid stenting in symptomatic octogenarians with an emphasis on short-term outcomes and complications.Methods:This is a retrospective longitudinal cohort study of all symptomatic patients who underwent CAS in our center between 1997 and 2007. Thirty-day stroke and death rates, and length of hospitalization were compared between the symptomatic octogenarians and non-octogenarians.Results:A total of 214 procedures were performed on 211 symptomatic patients (56 females). Fifty-nine patients (14 females) were octogenarians. The median (interquartile range) age on procedure date for the octogenarian cohort was 83 (4) years. Periprocedural death occurred in two (3.4%) octogenarians and five (3.3%) non-octogenarians (p = 0.97). At 30 days from the procedure, stroke occurred in four (6.8%) octogenarians and seven (4.6%) non-octogenarians (p= 0.52). The mean hospital stay (4.8 days) was not different between the two cohorts. Age was not a predictor of the 30-day risk of composite stroke or death.Conclusion:The complications rate observed in octogenarians was not significantly higher than non-octogenarians. Our findings suggest that octogenarians should be included in randomized trials examining CAS to better define the risk-benefit profile of this procedure in the elderly.

scholarly journals Muscle Mass and Quality of Life of Elderly People in Panti Tresna Werdha in Bandung

2018 ◽  
Vol 2 (1) ◽  
Author(s):  
Lambok K. K. Stein ◽  
Siska Wiramihardja ◽  
Iceu D. Kulsum
Keyword(s):  
Quality Of Life ◽  
Elderly People ◽  
Muscle Mass ◽  
The Elderly ◽  
Mean Value ◽  
Physical Domain ◽  
Average Value ◽  
The Mean ◽  
Study Participants

The proportion of elderly continues to increase from year to year due to theincrease of life expectancy. Elderly will experience degenerative process related tomuscle mass. This can disrupt the quality of life. The aim of this study was to determinethe muscle mass and quality of life (QoL) in the elderly. This study used cross sectionalapproach with the number of subjects as many as 32 elderly residents of Tresna Werdhain Bandung. The tool used to measure muscle mass is BIA Tanita SC-240 while theinstrument used in measuring quality of life is the WHOQL-BREF questionnaire. Theresult showed that the mean value of muscle mass per unit body surface area was 22.86±2.20 kg/m 2 . The highest average value of QoL is the physical domain (59.15±8,06%)while the lowest is the environmental domain (42.97±11.11%). The conclusion of thisstudy is muscle mass possessed by elderly study participants is good. The QoL isclassified as moderate.Keywords: elderly people, muscle mass, quality of life,  WHOQL-BREF questionnaire

scholarly journals Cost of hospitalizations for stroke in the elderly in Brazil, 2008-2019: a time series study.

2021 ◽  
Author(s):  
Leonardo Feitosa da Silva ◽  
Thiago Cavalcanti Leal ◽  
João Paulo Silva de Paiva ◽  
Gibson Barros de Almeida Santana ◽  
Lucas Gomes Santos ◽  
...  
Keyword(s):  
Time Series ◽  
Hospital Admissions ◽  
The Elderly ◽  
Annual Percent Change ◽  
Mean Values ◽  
Significance Level ◽  
Average Value ◽  
The Mean ◽  
Care Costs ◽  
Series Study

Background: Stroke is the second leading cause of death in the world, causing thousands of hospital admissions and whose morbidity and health care costs are high. Objectives: To analyze the temporal behavior of hospitalization of elderly people due to stroke in Brazil, regions and Federation Units (UF), 2008- 2019. Design and setting: Ecological study. The space units were Brazil, its regions and Federation Units. Methods: Data were collected on the DATASUS online platform: number of admissions, number of Hospitalization Authorizations approved (AIH), total AIH value (R$), average AIH value (R$), and average value hospitalizations (R$). Was used the joinpoint regression model to calculate the Annual Percentage Change (APC) and the Average Annual Percent Change (AAPC) with 95% confidence interval and a 5% significance level. Results: Approximately 1.4 million hospitalizations were identified in Brazil, with a total cost of R$ 1.6 billion reais and an average of 1.1 thousand reais. The Southeast region stood out in the number of hospitalizations (n = 574399; 42.1%), approved AIH (n = 574625; 42.1%) and total amount (R $ 677,444,257.54; 43.4%). Throughout the time series, the number of hospitalizations increased by 52.3% and the number of approved AIH increased by 52.4%. The mean values of hospitalizations and AIH increased, respectively, 55.4% (AAPC: 3.9; CI: 3.2; 4.5) and 55.3% (AAPC: 3.9; CI: 3, 2; 4.5), while the total value of hospitalizations increased by 134.9% (AAPC 8.0; CI: 6.9; 9.1). Conclusions: There was an increase in variables related to hospitalization and stroke costs in the elderly in Brazil.

scholarly journals Brain tumor surgery in the elderly: a single institution experience of short-term outcome—a retrospective case study

2021 ◽  
Vol 57 (1) ◽  
Author(s):  
Mostafa F. Tantawy ◽  
Wael M. Nazim
Keyword(s):  
Brain Tumor ◽  
Brain Tumors ◽  
Elderly Patients ◽  
Elderly People ◽  
The Elderly ◽  
Tumor Surgery ◽  
Brain Tumor Surgery ◽  
Single Institution ◽  
Short Term ◽  
The Mean

Abstract Background There is an evolving concern in the management of brain tumors in the elderly. The number of elderly people (aged 65 years or more) increases progressively, and there is a considerable percent of brain tumors affecting this age group. Elderly people may have one or more chronic illnesses that may render cranial surgery of high risk for mortality and morbidity. This study was carried out to evaluate the short-term (30 days) outcome of brain tumor surgery in elderly patients. Results This is a single-institution retrospective study of elderly patients harboring brain tumors who were managed by surgery. The study included 31 patients between 2014 and 2019. Elective and emergency cases were included. The mean age for the study population was 68.29 years. The mean functional status using the Karnofsky Performance Scale (KPS) changed from 58.06 before surgery to 70 after surgery. Meningioma grade I and glioblastoma multiforme (GBM) were the most common neoplasms, 41.9 and 29%, respectively. There was a statistically significant relationship between the mortality and GBM (P value < 0.05) while there was no correlation with concomitant diseases, KPS, or extent of resection (P value > 0.05). Preoperative concomitant diseases were found in 16 patients. Mortality occurred in 11 cases (35.4%). Conclusions Old age by itself should not be a risk factor alone for increasing mortality or morbidity in cranial surgery for patients with brain tumors. Glioblastoma in old patients with poor KPS carries a significant risk for mortality. Further studies with a larger number of patients and inclusion of more variables are required.

A Comparative Study of the Postoperative Morbidity and Mortality in Femoral Neck Fractures in Elderly Patients Treated with Cemented and Uncemented Thompson Hemiarthroplasty

2011 ◽  
Vol 15 (2) ◽  
pp. 47-50 ◽  
Author(s):  
Kankanala Gowtham ◽  
Shivarathre Deepak Gubbi ◽  
Pidikiti Prasad
Keyword(s):  
Postoperative Morbidity ◽  
Postoperative Outcome ◽  
The Elderly ◽  
Short Term ◽  
Neck Of Femur ◽  
Hip Hemiarthroplasty ◽  
Uncemented Prosthesis ◽  
Intracapsular Hip Fracture ◽  
The Mean ◽  
Bone Cement Implantation Syndrome

Background Thompson hip hemiarthroplasty is a well-established procedure for the treatment of displaced intracapsular fracture neck of femur in the elderly. However, considerable debate exists regarding the use of cemented prosthesis in this elderly group of patients. The main purpose of our study was to analyse the outcomes following cemented and uncemented Thompson hemiarthroplasty of the hip with particular reference to cement-related morbidity and 30-day mortality. Methods Of the 110 patients who underwent Thompson hemiarthroplasty for intracapsular hip fracture, 30 (27.3%) had cemented and 80 (72.7%) had uncemented prosthesis. The mean age was 83.2 years with 87 female patients. The thigh pain and mobility at discharge, the inpatient complications and the 30-day mortality rates were compared between the cemented and uncemented groups. Results The study revealed no statistically significant differences in any of the postoperative outcome measures between the two groups. Conclusion Cemented and uncemented Thompson hip hemiarthroplasty have similar outcomes at discharge. Patients who underwent cementation without pressurisation did not show any higher incidence of bone cement implantation syndrome compared to their uncemented counterparts. Uncemented Thompson hemiarthroplasty can be an option in patients with very poor cardiopulmonary reserve without any significant complications in the short term.

High tolerance of progressive elastic compression in peripheral arterial disease

VASA ◽  
2019 ◽  
Vol 48 (5) ◽  
pp. 413-417 ◽  
Author(s):  
Serge Couzan ◽  
Jean-François Pouget ◽  
Claire Le Hello ◽  
Céline Chapelle ◽  
Silvy Laporte ◽  
...  
Keyword(s):  
Venous Insufficiency ◽  
Ankle Brachial Index ◽  
Arterial Disease ◽  
Return Flow ◽  
High Tolerance ◽  
Compression Stockings ◽  
Short Term ◽  
Poor Tolerance ◽  
The Mean ◽  
Peripheral Arterial

Summary. Background: Theoretically progressive compression stockings, which produce a higher compression at the calf than at the ankle level, improve venous return flow without exacerbating peripheral arterial insufficiency (PAD). We aimed to evaluate the short-term tolerance of elastic progressive compression stockings on peripheral arterial vascularisation in patients with symptomatic PAD and associated mild venous insufficiency. Patients and methods: Monocentric, prospective, open pilot study of 18 patients (acceptability study, 6 x 6 plan) evaluating the short-term tolerance of progressive compression stockings (18 ± 2 mmHg at calf and 8 ± 2 mmHg at ankle level) in patients with PAD (ankle brachial index ABI > 0.60 < 0.75) and chronic venous insufficiency (C1s–C4 stages of the CEAP classification). Day 15 tolerance was evaluated by a composite primary criteria comprising: no decrease > 15 % of ABI on each side, no decrease > 15 % of toe brachial index (TBI) on each side and no decrease > 25 % of the number of active plantar flexions performed while standing. Results: The proportion of men was 77.8 %, mean age was 77.3 ± 7.5 years and no patient were diabetic. At inclusion, the mean low ABI was 0.60 ± 0.04 and the mean high ABI was 0.77 ± 0.18. The mean low TBI was 0.32 ± 0.09 and the mean high TBI 0.46 ± 0.15. The mean number of active standing plantar flexions was 33.0 ± 5.0. The majority of the patients were classified in CEAP C2s and C3 classes (class 2: 16.7 %, class C2s: 27.8 %, class C3: 44.4 %, class C4: 5.6 % and class C4s: 5.6 %). Poor tolerance occurred in no patient. By day 30, no patient had worsening of their arterial and venous symptoms. No adverse events occurred during the study. Conclusions: These results suggest a high tolerance of progressive elastic stockings (18 ± 2 mmHg at calf and 8 ± 2 mmHg at ankle level) in symptomatic PAD.

Economic Value of Pavement for the Elderly: Case Study of Bangkok, Thailand

2018 ◽  
Vol 9 (11) ◽  
pp. 927-937
Author(s):  
Somskaow Bejranonda ◽  
◽  
Aekkapat Laksanacom ◽  
Waranan Tantiwat ◽  
◽  
...  
Keyword(s):  
Contingent Valuation Method ◽  
Economic Value ◽  
The Elderly ◽  
Pavement Management ◽  
Sustainable Urban Development ◽  
Public Facility ◽  
Average Value ◽  
Valuation Method ◽  
The People ◽  
The City

Based on the concept of a livable and global age-friendly city, pavements are a public facility that the city should provide to the people. Appropriate pavements will be beneficial for the people, particularly for good quality of life for the elderly to move around in the city. This study explored the behaviour of the elderly in the use of pavements and the problems confronted. The study also evaluated the value of the pavement walking area as it reflected the benefits of pavements to the elderly by applying the Contingent Valuation Method (CVM). During March-May 2017, data were collected using interviews with 601 elderly living in Bangkok. The study indicated that the main problem for senior citizens regarding their use of pavements was from being disturbed by motorbikes riding on the pavements. The average value of pavement for the elderly was about THB 160 (USD 5.30) per person per year. Thus, the benefits of pavements to the elderly in Bangkok was approximately THB 158 million (USD 5.2 million) per year. Thus, policy makers should make proper budget allocations for elderly-friendly pavement management and seriously address the problems confronting the elderly in using pavements, to maximize the usefulness of pavements not only for the elderly but also for the public and to support a sustainable urban development.

Evaluation of the Efficacy of ST2 and NT-proBNP in the Diagnosis and Prediction of Short- Term Prognosis in Heart Failure with Reduced Ejection Fraction

2017 ◽  
Vol 9 (04) ◽  
Author(s):  
Shivananda B Nayak ◽  
Dharindra Sawh ◽  
Brandon Scott ◽  
Vestra Sears ◽  
Kareshma Seebalack ◽  
...  
Keyword(s):  
Heart Failure ◽  
Ejection Fraction ◽  
Cardiac Biomarkers ◽  
Double Blind Study ◽  
Short Term ◽  
Double Blind ◽  
Reduced Ejection Fraction ◽  
The Mean ◽  
Design And Methods ◽  
The Relationship

Purpose: i) To determine the relationship between the cardiac biomarkers ST2 and NT-proBNP with ejection fraction (EF) in heart failure (HF) patients. ii) Assess whether a superiority existed between the aforementioned cardiac markers in diagnosing the HF with reduced EF. iii) Determine the efficacy of both biomarkers in predicting a 30-day cardiovascular event and rehospitalization in patients with HF with reduced EF iv) To assess the influence of age, gender, BMI, anaemia and renal failure on the ST2 and NT-proBNP levels. Design and Methods: A prospective double-blind study was conducted to obtain data from a sample of 64 cardiology patients. A blood sample was collected to test for ST2 and NT-proBNP. An echocardiogram (to obtain EF value), electrocardiogram and questionnaire were also obtained. Results: Of the 64 patients enrolled, 59.4% of the population had an EF less than 40%. At the end of the 30- day period, 7 patients were warded, 37 were not warded, one died and 17 were non respondent. Both biomarkers were efficacious at diagnosing HF with a reduced EF. However, neither of them were efficacious in predicting 30-day rehospitalization. The mean NT-proBNP values being: not rehospitalized (2114.7486) and 30 day rehospitalization (1008.42860) and the mean ST2 values being: not rehospitalized (336.1975), and 30-day rehospitalization. (281.9657). Conclusion: Neither ST2 or NT-proBNP was efficacious in predicting the short- term prognosis in HF with reduced EF. Both however were successful at confirming the diagnosis of HF in HF patients with reduced EF.

Neuropsychiatric Symptoms and Antipsychotic Therapy in the Elderly Patients with Dementia

Psychiatry ◽  
2020 ◽  
Vol 18 (4) ◽  
pp. 6-15
Author(s):  
I. V. Kolykhalov
Keyword(s):  
Neuropsychiatric Symptoms ◽  
The Elderly ◽  
Psychotic Symptoms ◽  
Mixed Dementia ◽  
Short Term ◽  
Antipsychotic Therapy ◽  
Dementia Patients ◽  
Frequency Of Use ◽  
Number Of Patients ◽  
High Incidence

The objective of the study was to investigate syndromal-nosological specificities of neuropsychiatric symptoms (NPS) and the frequency of use of antipsychotics in patients with various types of dementias, institutionalized to geriatric units of mental hospitals.Patients and methods: a total of 106 in-patients of three psychogeriatric units were examined. The median age of patients is 75 years [69; 80].The diagnostic distribution of patients at the time of the examination was as follows: in 33 subjects (31.1%) Alzheimer’s disease (AD) was diagnosed, in 25 (23.6%) - mixed dementia (MD), in 32 (30.2%) - vascular dementia (VD) and in 16 (15.1%) patients had dementia of complex origin (DCO).Results: a high incidence (54.7%) of NPS was found in patients with dementia of various origins. The greatest number of patients with behavioral and psychotic symptoms was found in AD and MD. The proportion of dementia patients with such disorders in each of these types of dementia is about 70%, while in CGD and VD, the proportion of patients with NPS is noticeably smaller (30% and 40%, respectively). For the treatment of NPS, antipsychotics were most often prescribed, but their use caused adverse events (AEs) in 1/3 of cases. Patients with VD are most susceptible to the development of AE, and AD patients are the least susceptible.Conclusion: the study showed that NPS are one of the important components of dementia, regardless of the nosology and stage of the disease. The treatment of NPS in dementia is particularly challenging because, although the symptoms cause significant distress, there are currently no effective alternative therapies. The risk of AE can be minimized by carefully considering the indications for prescribing antipsychotics and their short-term use, regular monitoring of the patient’s condition, and educating caregivers.

POTRET PERILAKU RELIGIUS MAHASISWA UIN SAYARIF HIDAYATULLAH JAKARTA

Al-Risalah ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. 126-148
Author(s):  
Ay Maryani
Keyword(s):  
Religious Behavior ◽  
Male And Female ◽  
Mean Values ◽  
Significance Level ◽  
Average Value ◽  
Environment Variable ◽  
Independent Variable ◽  
The Mean ◽  
Gender Factor ◽  
Level 2

This study describes the religious behavior of UIN Syarif Hidayatullah Jakarta students. The variables used are internal and external environment as independent variable and religious behavior as dependent variable. The internal environment variable consists of gender factor, (male and female). The external environmental variables comprise the faculty environment, the present resident and the place to grow. The present resident consist of dormitories, boarding houses and parents' homes and the place to grow consist of urban and rural environment. Religious behavior variables consist of habluminallah behavior and habluminannas behavior. Habluminallah's behavior measured by (1) knowledge of faith and worship, (2) attitudes toward faith and worship, and (3) practice of faith and worship. The habluminannas variable measured by (1) Islamic behavior for them self, like honest, discipline and good work / studyethics, trust and concern on legality, (2) Islamic behavior with others, like generous, cooperation, caring, respect to the people's rights and tolerance and (3) Islamic behavior for the natural surroundings, like love of nature and nature conservation efforts. The methodology used was (1) Statistical descriptive, (2) MANOVA (Multivariate Analysis of Variance) and (3) Independent sample t-test. The results showed the religious behavior UIN Syarif Hidayatullah Jakarta students has a very good category. This is indicated by the mean values for the behavior of haluminallah and habluminannas of 158.85 and 178.76,  espectively. The average value of habluminallah behaviour in the range of values "145-180" with the category of "very good" and habluminannas behavior in the range value "165-205" with the category "very good. Habluminallah and habluminannas behavior are different for each faculty. This is indicated by the significance level of Pillai Trace, Wilk Lambda, Hotelling Trace, Roy's Largest Root of 0.00 (<0.05). Habluminallah and habluminannas behavior are the same for respondents who live in dormitories, boarding houses, and parents' homes. This is indicated by the value of F test and significance at Wilk's Lambda respectively for 2.055 and 0.085 (>0.05). Habluminallah and habluminannas behaviors are similar for urban and rural respondents. This is known from the sig level. (2-tailed) for habluminallah and habluminannas behavior of 0.317 and 0.245 (> 0.05), respectively. Habluminallah and habluminannas behaviors are similar for male and female. This is known from the sig level. (2-tailed) for habluminallah and habluminannas behavior of 0.950 and 0.307 (> 0.05),respectively. The results of this study are expected to be used to develop university policies that can enhance the Islamic values of UIN Syarif Hidayatullah Jakarta.

Sign in / Sign up

Export Citation Format

Share Document