scholarly journals Falls in the stationary for patients with cardiovascular diseases of the senior age and polypharmacy

2018 ◽  
Vol 8 (3) ◽  
pp. 19-27
Author(s):  
E. S. Ilina ◽  
O. T. Bogova ◽  
I. I. Sinitsina ◽  
S. N. Puzin ◽  
D. A. Sychev
Keyword(s):  
Cardiovascular Diseases ◽  
Elderly Patients ◽  
Comparison Group ◽  
The Elderly ◽  
Usual Activity ◽  
The Relationship ◽  
Falls In Elderly

Background.The fall in the elderly is observed much more often than in younger people, and according to statistics the number of people over 65 years who have suffered a fall during the year reaches 30 %, while the probability of injury. Most of the falls in elderly patients does not lead to injury, but the developing at the same time unfavorable psychological discomfort can sharply limit the usual activity, lead to the formation of dependence on outside help, disadaptation in the home and form a fear of a possible fall. Falls, accompanied by the development of trauma, are observed in 10–15 % of cases.The objectivewas to study the relationship between polymorbidity, polypragmasia and the development of the fall in elderly patients cardiological profile.Results.Polymorbidity prevailed in the group of patients who suffered a fall in the hospital (8.9 ± 2.6 vs 7.5 ± 1.5 in men. 8.5 ± 2.2 vs 7.2 ± 1.6 in women). In patients undergoing a decline, it was also noted, and polypharmacy to a greater extent than cohort patients without falling (9.4 ± 1.9 vs 78.4 ± 2.2 in men. and 9.6 ± 2.7 vs 9.1 ± 2.5 for women). In addition, patients who suffered a fall in the hospital by age were older than patients in the comparison group (86 ± 6 vs 85 ± 5 in men, 87 ± 5 vs 84 ± 5 in women). We also revealed the tendency of the predominance of women in the subgroup of patients with the incidence and development of trauma.Conclusion.Minimizing the amount of drugs received, as the fight against polypragmasy can help reduce the incidence of falls in elderly patients. 

scholarly journals Relationship Between Sarcopenia and Cardiovascular Diseases in the Elderly: An Overview

2021 ◽  
Vol 8 ◽  
Author(s):  
Nana He ◽  
Yuelin Zhang ◽  
Lu Zhang ◽  
Shun Zhang ◽  
Honghua Ye
Keyword(s):  
Cardiovascular Diseases ◽  
Elderly Patients ◽  
Population Aging ◽  
Strength Function ◽  
The Elderly ◽  
Clinical Syndrome ◽  
Age Related ◽  
The Relationship ◽  
Insight Into ◽  
Shed Light

With the advent of population aging, aging-related diseases have become a challenge for governments worldwide. Sarcopenia has defined as a clinical syndrome associated with age-related loss such as skeletal muscle mass, strength, function, and physical performance. It is commonly seen in elderly patients with chronic diseases. Changes in lean mass are common critical determinants in the pathophysiology and progression of cardiovascular diseases (CVDs). Sarcopenia may be one of the most important causes of poor physical function and decreased cardiopulmonary function in elderly patients with CVDs. Sarcopenia may induce CVDs through common pathogenic pathways such as malnutrition, physical inactivity, insulin resistance, inflammation; these mechanisms interact. In this study, we aimed to investigate the relationship between sarcopenia and CVDs in the elderly. Further research is urgently needed to understand better the relationship, pathophysiology, clinical presentation, diagnostic criteria, and mechanisms of sarcopenia and CVDs, which may shed light on potential interventions to improve clinical outcomes and provide greater insight into the disorders above.

scholarly journals The Relationship between the Acute Confusing State and the Comorbidities of the Elderly Patient

2019 ◽  
Vol 70 (7) ◽  
pp. 2415-2419 ◽  
Author(s):  
Valeria Carmen Albu ◽  
Raluca Elena Sandu ◽  
Andreea Lili Barbulescu ◽  
Elena-Anca Tartea ◽  
Emilia Burada ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Elderly Patient ◽  
Elderly Patients ◽  
Neurological Examination ◽  
The Elderly ◽  
Cardiovascular Pathology ◽  
Wide Range ◽  
Neurology Clinic ◽  
The Relationship ◽  
Hepatic Pathology

The aim of the study was to assess the correlations between the acute confusing syndrome and different comorbidities found in a group of 126 elderly patients with this diagnosis, who were admitted to the Neurology Clinic of the Neuropsychiatry Hospital of Craiova. The main syndromes highlighted at the neurological examination were confusing, pyramidal and vestibular syndromes. The acute confusing syndrome has a multifactorial etiology, due to the wide range of comorbidities encountered in elderly patients. In our study the most frequent comorbidities were cardiovascular pathology, diabetes mellitus, dyslipidemia, cerebrovascular renal, hepatic pathology.

scholarly journals Examining the relationship between sepsis and oropharyngeal dysphagia in hospitalised elderly patients: a retrospective cohort study

2018 ◽  
Vol 9 (4) ◽  
pp. 256-261 ◽  
Author(s):  
Ayodele Sasegbon ◽  
Laura O’Shea ◽  
Shaheen Hamdy
Keyword(s):  
Risk Factors ◽  
Elderly Patients ◽  
Elderly Person ◽  
Oropharyngeal Dysphagia ◽  
The Elderly ◽  
Common Source ◽  
Increased Risk ◽  
The Mean ◽  
The Relationship ◽  
New Onset

IntroductionElderly people are recognised to be at increased risk of oropharyngeal dysphagia (OPD), the causes of which are multifactorial. Our aim was to identify if sepsis is associated with OPD in the elderly during hospitalisation in the absence of known other risk factors for OPD.MethodsA hospital electronic database was searched for elderly patients (≥65 years) referred for assessment for suspected dysphagia between March 2013 and 2014. Exclusion criteria were age <65 years, pre-existing OPD or acute OPD secondary to acute intracranial event, space-occupying lesion or trauma. Data were collected on factors including age, sex, comorbidities, existing OPD, sepsis, microbiology, recovery of OPD and medication. Sepsis was defined as evidence of a systemic inflammatory response syndrome with a clinical suspicion of infection.ResultsA total of 301 of 1761 screened patients referred for dysphagia assessment met the inclusion criteria. The prevalence of sepsis and subsequent OPD was 16% (51/301). The mean age was 83 years (median 81 years). The most common comorbidity was dementia (31%). The majority (84%) failed to recover swallowing during their hospital stay, 12% had complications of aspiration and 35% died. The most common source of sepsis was from the chest (55%). Other factors contributing to the risk for dysphagia included delirium (22%) and neuroactive medication (41%). However, 10% of patients had sepsis and subsequent OPD without other identified risk factors.ConclusionThe prevalence of sepsis and subsequent dysphagia is significant and should be taken into account in any elderly person in hospital with new-onset OPD without other predisposing risk factors.

Urological Surgery in Elderly Patients: Results and Considerations - Part II

1992 ◽  
Vol 59 (4) ◽  
pp. 31-35 ◽  
Author(s):  
M. Pizzarella ◽  
G. Ferro ◽  
F. Invidiato ◽  
P. Ligato ◽  
M. Fiorello ◽  
...  
Keyword(s):  
Numerical Analysis ◽  
Cardiovascular Diseases ◽  
Elderly Patients ◽  
The Elderly ◽  
Average Life ◽  
Average Life Span ◽  
Urological Surgery ◽  
Incidence And Mortality ◽  
Age Limits ◽  
Surgery In Elderly

It is certainly true that increase of the average life span has caused a greater percentage of elderly people to visit urological departments. From April 1989 to December 1991, patients over 75 years under our observation were 10.8% of all operated patients. Only 5% of patients over 75 who needed to be operated, weren't actually operated. The numerical analysis of our experience has highlighted the fact that in patients who underwent an operation, the incidence and mortality caused by cardiovascular diseases weren't any higher than those found in other people of the same age. We are also convinced that prejudices about age limits should not prevent the elderly afflicted with a benign or malignant urological pathology from undergoing an operation.

scholarly journals The Physical Activity and Fall Risk Among Iranian Older Male Adults

2020 ◽  
Vol 14 (1) ◽  
pp. 159-167
Author(s):  
Mehdi Kushkestani ◽  
Mohsen Parvani ◽  
Shiva Ebrahimpour Nosrani ◽  
Sohrab Rezaei
Keyword(s):  
Physical Activity ◽  
Statistical Analysis ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Activity Level ◽  
Elderly Males ◽  
Effective Role ◽  
The Relationship ◽  
Falls In Elderly

Background: Fall is a major cause of disability and mortality in the elderly. Objective: The aim of the present study was to investigate the relationship between the level of physical activity and falls in elderly men in Tehran. Methods: The subjects of this study included 434 elderly males over the age of 60 in Tehran, who were randomly selected from parks in different parts of Tehran. The data was collected from August to September, 2019. The demographic characteristics of the subjects were collected and recorded. Then, body composition and anthropometric indices including weight, body mass index (BMI), height and calf circumferences (CC), waist circumferences (WC) and hip circumferences were measured using a digital scale of OMRON and meter tape. The level of physical activity and nutritional status were calculated using the questionnaires of physical activity scale for the elderly (PASE) and mini nutritional assessment (MNA), respectively. The Short Physical Performance Battery (SPPB) test was used to assess the risk of falling. Statistical analysis of data was performed using SPSS21 software. Results: The results of statistical analysis of the data showed a positive and significant relationship between global physical activity level (P<0.000) and subscales of its domains (P<0.000) with fall score and a significant inverse relationship between age and fall score (P<0.000). In addition, it was found that age (P<0.000) and physical activity (P<0.000) are two strong factors in predicting falls in the elderly. Conclusion: Based on the resulting positive relationship between physical activity and falls, it can be stated that the using strategies such as increasing sports environments with a focus on exercise, physiologists can play an effective role in preventing falls and related complications in the elderly.

Relationship Between the Administration of Selected Medications and Falls in Hospitalized Elderly Patients

1995 ◽  
Vol 29 (4) ◽  
pp. 354-358 ◽  
Author(s):  
Barry J Gales ◽  
Susan M Menard
Keyword(s):  
Heart Failure ◽  
Elderly Patients ◽  
Half Life ◽  
The Elderly ◽  
Disease States ◽  
Hospitalized Elderly ◽  
Benzodiazepine Use ◽  
Hospitalized Elderly Patients ◽  
The Relationship ◽  
Digoxin Therapy

Objective: To examine the relationship between administration of selected medications and falls experienced by hospitalized elderly patients. Benzodiazepines and other medications previously associated with falls in elderly patients residing in the community and nursing homes were the primary focus. Design: Retrospective case control. Setting: Private, not-for-profit, 575-bed acute care hospital. Participants: A total of 100 patients who had fallen and 100 control patients, aged at least 70 years, admitted during the same 17-month time period. Main Outcome Measures: We examined the relationship between falls and patient demographics, underlying disease states, number of concurrent disease states, and length of hospitalization. Possible associations between the administration of narcotics, benzodiazepines, antidepressants, antipsychotics, other sedating agents, antihypertensives, diuretics, nitrates, and digoxin 48 hours prior to the fall or reference day were explored. The relationships between benzodiazepine half-life, dosage, administration frequency, cumulative dose, and falls were also examined. Results: Demographically the groups were similar except that patients who had fallen were hospitalized significantly longer (mean 18.8 vs 12.2 d; p < 0.00001) than control patients. Benzodiazepines were received by more (40% vs 20%, odds ratio = 2.67) patients who had fallen than control patients. The use of long (>24 h) half-life benzodiazepines was similar in patients who had fallen (48%) and control patients (45%). Long half-life benzodiazepines were commonly administered (65%) to patients who had fallen in doses greater than that recommended for the elderly. Benzodiazepine use, expressed as milligrams of diazepam equivalents received during the 48-hour study, was higher in patients who had fallen than in control patients (15.00 ± 17.80 vs 9.73 ± 6.58 mg), but this was not statistically significant (p = 0.1030). Congestive heart failure (37% vs 24%), digoxin therapy (35% vs 22%), or administration of 3 or more psychoactive agents (17% vs 4%) were all more common in patients who had fallen than in control patients. Conclusions: Falls experienced by the elderly patients in our acute care institution were associated with the presence of congestive heart failure along with digoxin therapy, benzodiazepine use, or the use of at least 3 psychoactive agents.

scholarly journals Exploration of the Relationship Among Key Risk Factors of Acute Kidney Injury for Elderly Patients Considering Covid-19

2021 ◽  
Vol 8 ◽  
Author(s):  
Yen-Ching Chuang ◽  
Tao-Hsin Tung ◽  
Jau-Yuan Chen ◽  
Ching-Wen Chien ◽  
Kao-Yi Shen
Keyword(s):  
Risk Factors ◽  
Acute Kidney Injury ◽  
Glomerular Filtration Rate ◽  
Elderly Patients ◽  
Glomerular Filtration ◽  
Filtration Rate ◽  
Nutritional Assessment ◽  
Kidney Injury ◽  
The Elderly ◽  
The Relationship

Background: Previous systematic reviews and meta-analyses supported the relationship between frailty and risk of acute kidney injury (AKI) in elderly patients. However, few studies evaluated proactive management to wear down AKI risk in such frail populations.Purpose: To understand how AKI risk factors might influence each other and to identify the source factors for clinical decision aids.Methods: This study uses the decision-making trial and evaluation laboratory (DEMATEL) method to establish influential network-relationship diagrams (INRDs) to form the AKI risk assessment model for the elderly.Results: Based on the DEMATEL approach, the results of INRD identified the six key risk factors: comorbidity, malignancy, diabetes, creatinine, estimated glomerular filtration rate, and nutritional assessment. (The statistical significance confidence is 98.423%, which is higher than 95%; the gap error is 1.577%, which is lower than 5%). After considering COVID-19 as an additional risk factor in comorbidity, the INRD revealed a similar influential relationship among the essential aspects.Conclusion: While evaluating the geriatric population, physicians need to pay attention to patients' comorbidities and nutritional assessment; also, they should note patients' creatinine values and glomerular filtration rate. Physicians could establish a preliminary observation index and then design a series of preventive guidelines to reduce the incidence of AKI risk for the elderly.

scholarly journals On the problem of the relationship between arterial hypertension and coronavirus disease (COVID-19): literature review

HYPERTENSION ◽  
2021 ◽  
Vol 14 (4) ◽  
pp. 40-45
Author(s):  
S.M. Koval ◽  
O.V. Mysnychenko ◽  
M.Yu. Penkova
Keyword(s):  
Diabetes Mellitus ◽  
Infectious Disease ◽  
Cardiovascular Diseases ◽  
Literature Review ◽  
Arterial Hypertension ◽  
The Elderly ◽  
Hypertensive Patients ◽  
Obesity And Diabetes ◽  
European Standards ◽  
The Relationship

The literature review is devoted to the problem of the relationship between arterial hypertension and coronavirus disease (CVD; COVID-19), which has attracted attention from the very beginning of the pandemic of this infectious disease. The literature data, despite certain disagreements, indicate a higher incidence of CVD (COVID-19) among hypertensive patients, especially the elderly and patients with comorbid cardiovascular diseases, obesity, and diabetes mellitus. Besides, it has been shown that in these patients, CVD (COVID-19) has a more severe course. In this regard, these categories of patients need to provide effective treatment and prophylactic care and create conditions for the prevention of CVD (COVID-19) infection based on the modern European standards.

scholarly journals The role of sensorimotor variability and computation in elderly’s falls

2017 ◽  
Author(s):  
Chin-Hsuan Lin ◽  
A Aldo Faisal
Keyword(s):  
Motor Task ◽  
The Elderly ◽  
Probability Assessment ◽  
Community Based ◽  
Good Correspondence ◽  
Foot Placement ◽  
Integration Strategy ◽  
The Relationship ◽  
Falls In Elderly

ABSTRACTThe relationship between sensorimotor variability and falls in elderly has not been well investigated. We designed and used a motor task having shared biomechanics of walking and obstacle negotiation to quantify sensorimotor variability related to locomotion across age. We also applied sensory psychophysics to pinpoint specific sensory systems associated with sensorimotor variability. We found that sensorimotor variability in foot placement increases continuously with age. We further showed that increased sensory variability, specifically increased proprioceptive variability, the vital cause of more variable foot placement in the elderly. Notably, elderly participants relied more on the vision to judge their own foot’s height compared to the young, suggesting a shift in multisensory integration strategy to compensate for degenerated proprioception. We further modelled the probability of tripping-over based on the relationship between sensorimotor variability and age and found a good correspondence between model prediction and community-based data. We revealed increased sensorimotor variability, modulated by sensation precision, a potentially vital mechanism of raised tripping-over and thus fall events in the elderly. Therefore, our tasks, which quantify sensorimotor variability, can be used for trip-over probability assessment and, with adjustments, potentially applied as a training program to mitigate trip-over risk.

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