scholarly journals The Effect of falls on Medical Costs among Elderly Inpatient; A Case-Study in Iran

2021 ◽  
Author(s):  
Afsaneh Fallahi ◽  
Leila Riahi ◽  
Aniseh Nikravan
Keyword(s):  
Medical Records ◽  
Hospital Costs ◽  
Length Of Hospital Stay ◽  
The Elderly ◽  
Medical Costs ◽  
Cross Sectional Study ◽  
Medical Services ◽  
Control Group ◽  
Elderly Age ◽  
Cross Sectional

Objective: Falls are the main cause of injuries and death among the elderly and lead to using medical services. This study aimed to assess the effect of falls on medical costs among elderly inpatients. Methods: This retrospective cross-sectional study was done in a public hospital (heart center) in Qazvin, Iran. In this study, 79 medical records of the elderly who had experienced in-hospital falls and 79 medical records in control group with similar characteristics who had not experienced in- hospital falls during 2016-2019. The data, including the elderly age, sex, fall characteristics, and all hospital costs related to falls were gathered from hospital accident forms, medical records, nursing reports, and official data banks. The overall costs of services provided for fallen elderly were compared with the control group. The data were analyzed by SPSS software, version 22, using Chi-square and paired sample t-test. P<0.05 was considered statistically significant. Results: Total cost of all services provided for the elderly during their hospitalization was 106.596$ (base year: 2019, $1=42500 IRR), of this amount 8.600$ (8.06%) was related to the services due to in-hospital falls. The highest costs were related to treatment services (40%), diagnostic services (33%), visits (21%) and consultation (6%). The difference between the case and control groups was 7.310$. The elderly falls significantly increased medical costs by 8.06% (P≤0.01). Conclusions: Even falls that do not lead to serious injuries waste medical services and increase hospital costs by making changes in treatment methods and increasing the length of hospital stay.

scholarly journals Association between endometriosis, headache, and migraine

2019 ◽  
Vol 11 (1) ◽  
pp. 19-24 ◽  
Author(s):  
Burcin Karamustafaoglu Balci ◽  
Zehra Kabakci ◽  
Damla Y Guzey ◽  
Bartu Avci ◽  
Murathan Guler ◽  
...  
Keyword(s):  
Nervous System ◽  
Autonomic Nervous System ◽  
Medical Records ◽  
Cross Sectional Study ◽  
Control Group ◽  
Cross Sectional ◽  
Autonomic Nervous ◽  
Screening Questions ◽  
The Mean ◽  
Id Migraine

Introduction: Available data suggest that there is an association between endometriosis and a group of disorders including autonomic nervous system irregularities. A deeper understanding of relationship between endometriosis and autonomic nervous system is needed as it may lead to novel discoveries on the causes or consequences of endometriosis. In this study, we analyzed the prevalence of migraine in patients with endometriosis. Methods: In this cross-sectional study, medical records of women were reviewed through January 2013 to December 2017. Women with laparoscopically proven endometriosis (n = 185) were compared with those without endometriosis (n = 168). The 3-item screening questions (ID Migraine™) test was used to screen migraine. Data were analyzed using SPSS v25 (IBM Corporation). The χ2 test was used for analyzing the nominal parameters and group comparisons. Pearson χ2 was used to study the association between endometriosis and migraine. Results: The mean age was 31.86 ± 4.49 years of the endometriosis group and 28.95 ± 5.11 years of the controls (p = 0.408). The two pre-screening questions of ID Migraine test were answered positively by 86 patients of the endometriosis group (75.4%) and by 53 patients of the control group (54.6%) (p = 0.001). Of these patients, 51 (44.7% of endometriosis group) and 26 (26.8% of control group) were diagnosed as having migraine using 3-item Migraine questionnaire (p = 0.007). Conclusion: This study showed that the prevalence of migraine was significantly higher in patients with endometriosis. Because there is a strong correlation, patients with endometriosis should be screened for headache and migraine to increase the benefits of care.

scholarly journals Plasma Levels of D-dimer and Fibrin Degradation Products Correlate with Bullous Pemphigoid Severity: a Cross-sectional Study

2021 ◽  
Author(s):  
Sijia Wang ◽  
Mei Lu ◽  
Zijun Zhao ◽  
Xueting Peng ◽  
Liang Li ◽  
...  
Keyword(s):  
Bullous Pemphigoid ◽  
Degradation Products ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Control Group ◽  
Glucocorticoid Treatment ◽  
Cross Sectional ◽  
Fibrin Degradation Products ◽  
Positive Correlations ◽  
D Dimer

Abstract Background Bullous pemphigoid (BP), the most frequent blistering dermatosis in the elderly, is associated with increased mortality. The severity of BP can be assessed by detecting the anti-BP180 immunoglobulin G (IgG) titer, but the lab test is not available in many community clinics. BP patients are usually in a hypercoagulable state with increased levels of D-dimer and fibrin degradation products (FDPs). ObjectivesTo evaluate the use of D-dimer and FDPs in assessing BP severity. Methods We compared the levels of plasma D-dimer, FDPs, eosinophils, and anti-BP180 IgG titer between 48 BP patients and 33 Herpes zoster (HZ) patients (control group). Correlational analyses were conducted to determine the relationships between the lab values and BP.ResultsThe plasma D-dimer and FDP levels were higher in BP patients than in HZ controls (D-dimer: 3297 ±2517 µg/L vs. 569.70 ±412.40 µg/L; FDP: 9.74 ±5.88 mg/L vs. 2.02 ±1.69 mg/L, respectively, P<0.0001). Significant positive correlations were found between D-dimer/FDP levels and BP severity markers (anti-BP180 IgG titer [D-dimer: r=0.3928, P=0.0058; FDP: r=0.4379, P=0.0019] and eosinophil counts [D-dimer: r=0.3625, P=0.0013; FDP: r=0.2880, P=0.0472]) in BP patients. We also found an association between FDP and urticaria/erythema lesions (r=0.3016, P=0.0372), but no other BPDAI components. In 19 BP patients with complete remission after systemic glucocorticoid treatment, D-dimer and FDP levels decreased post-therapy (D-dimer: 5559 ±7492µg/L vs. 1738 ±1478 µg/L; P<0.0001; FDP: 11.20 ±5.88 mg/L vs. 5.13 ±3.44 mg/L; P=0.0003), where as they did not in BP patients with treatment resistant.Conclusion Plasma D-dimer and FDP are convenient markers to evaluate BP severity.

scholarly journals Association between Self-Reported Fatigue and Sarcopenia Measures among Elderly in Selangor, Malaysia

2021 ◽  
Vol 16 (3) ◽  
Author(s):  
Maria Justine ◽  
Aliff Latir ◽  
Nadhirah Noor ◽  
Angelbeth Joanny ◽  
Izzaty Iskandar ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Gait Speed ◽  
The Elderly ◽  
Cross Sectional Study ◽  
P Value ◽  
Physical Endurance ◽  
Elderly Age ◽  
Cross Sectional ◽  
Severe Fatigue ◽  
Fatigue Severity

The association between fatigue and sarcopenia is not well understood, therefore, this study aimed to compare the sarcopenia measures among elderly with mild and severe fatigue and to determine whether fatigue severity is associated with sarcopenia measures. This was a cross-sectional study conducted on201 elderly (age = 68.45±6.30 years). The elderly was classified into either mild or severe fatigue based on the Fatigue Severity Scale (FSS), meanwhile, sarcopenia measures include SARC-F score, muscle mass (ASM/height2), calf circumference (CC), upper (handgrip) and lower limb muscle strength, as well as physical performance (gait speed). Data were analyzed using independent t-tests and logistic regression. The results showed that elderly with severe fatigue were significantly older, with lower muscle strength, and slower gait speed (all p-value <0.05). After adjusting for age, fatigue severity remained significantly associated with SARC-F score (OR = 1.583, 95% CI = 1.262-1.986, p-value = 0.001) and CC (OR = 1.103, 95% CI = 1.014-1.200, p-value = 0.022). Moreover,when the SARC-F score was removed from the regression model, fatigue severity was significantly associated with CC (OR = 1.088, 95% CI = 1.006-1.178, p-value = 0.036) and gait speed (OR = 0.011, 95% CI = 0.001-0.168, p-value = 0.001). Based on the results, fatigue severity is associated with SARC-F score, CC, and gait speed, therefore, interventions targeted at sarcopenia measures is recommended to optimize physical endurance in the elderly.

scholarly journals Eating Habits of Elderly in Aceh-Indonesia and the Associated Demographic Factors

2021 ◽  
pp. 36-42
Author(s):  
Sufyan Anwar ◽  
Maiza Duana ◽  
. Marniati
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Eating Habits ◽  
Demographic Factors ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Bivariate Analysis ◽  
Sectional Study ◽  
Elderly Age ◽  
Cross Sectional

Aims: The study aims to prove the correlation between demographic factors and the eating habits of the elderly in Aceh, Indonesia. Study Design:  A cross-sectional study. Place and Duration of Study: The study was conducted in Aceh Barat district, Aceh province-Indonesia between June and October 2019. Methodology: This cross-sectional study was carried out by involving the elderly (age of 60 years or above) in 483 participants. Bivariate analysis was conducted through a chi-square test using SPSS version 21 to answer the research hypothesis. Results: Four hundred and eighty three (483) elderly people with mean age of 69.76 years were enrolled, of these, 68.9% were women and 58.2% were unemployed. Fifty-nine percent of respondents live in rural areas and 64.39% had good eating habits. Finding unveiled that age had a significant correlation with eating habits (P=0,05), gender did not correlate with eating habits (P>0,05). Occupation correlated with eating habits (P=0.05), and area of residence correlated with eating habits (P=0,05).. Conclusion: The study concluded that younger age (60-69 years old), employed, and living in urban areas positively contribute to establishing healthy eating habits in the elderly in Aceh. Furthermore, it is necessary to conduct intervention studies in the occupation variable as a modifiable variable.

scholarly journals Verbal behavior in Alzheimer disease patients: Analysis of phrase repetition

2010 ◽  
Vol 4 (3) ◽  
pp. 202-206 ◽  
Author(s):  
Juliana Francisca Cecato ◽  
José Eduardo Martinellil ◽  
Luana Luz Bartholomeu ◽  
Ana Paula Basqueira ◽  
Mônica Sanches Yassuda ◽  
...  
Keyword(s):  
Alzheimer Disease ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Control Group ◽  
Cross Sectional ◽  
Language Problems ◽  
Dsm Iv ◽  
Echoic Behavior ◽  
Repetition Task ◽  
Normal Controls

Abstract Language problems in the elderly with AD are due to the fact that deterioration occurs not only in semantic memory, but in a group of cognitive factors, evidenced by a deficiency in search strategies for linguistic information. Objectives: To evaluate phrase repetition in two cognitive tests, the MMSE and MoCA, in a group of Alzheimer disease patients (AD) and normal controls. Methods: A Cross-sectional study was conducted involving 20 patients who sought medical assistance at a geriatric institute in Jundiaí, São Paulo. The subjects underwent a detailed clinical examination and neuropsychometric evaluation. All subjects with AD met DSM-IV and NINCDS-ADRDA criteria. Ten patients received a diagnosis of AD and 10 were healthy subjects, forming the control group (CG). Results: All participants correctly answered the phrase from the MMSE (phrase 1). The MoCA phrases (phrases 2 and 3) were correct in 80% and 90%, respectively in the CG and in 40% and 50%, respectively in the AD group. Conclusions: The MoCA test proved more effective in evaluating the echoic behavior in AD patients compared to the MMSE. The simpler phrase repetition task in the MMSE was found to be less sensitive in detecting mild language decline in AD patients.

scholarly journals Frequency of Neurological Disorders in Bullous Pemphigoid Patients: A Cross-Sectional Study

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Sheida Khosravani ◽  
Farhad Handjani ◽  
Reyhaneh Alimohammadi ◽  
Nasrin Saki
Keyword(s):  
Bullous Pemphigoid ◽  
Neurological Disorders ◽  
Neurological Disease ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Control Group ◽  
Case Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Iranian Patients

Background. Bullous pemphigoid (BP) is an autoimmune subepidermal blistering skin disorder which occurs mostly in the elderly. Several studies have reported an association between BP and neurological disorders (ND). Objective. The purpose of this study was to evaluate the association between BP and neurological disorders in Iranian patients. Methods. In this cross-sectional study, 87 patients with BP were enrolled. They were compared to 184 controls. Statistical analysis was done by SPSS statistical software version 19. Results. Out of 87 patients with BP, 17 (19.5%) had at least one neurological disease. Cerebrovascular accident (CVA) was the most common neurological disease that was seen in 7 patients (8.0%) in the case group and 4 (2.1%) in the control group. The incidence of CVA was significantly different between BP patients and the control group (P=0.022). Dementia was observed in 6 patients in the case group (16.8%) and 2 (1.0%) in the control group. The incidence of dementia was significantly different between BP patients and the control group (P=0.008). In this study, the incidences of Parkinson’s disease (P=0.830), epilepsy (P=0.067), and multiple sclerosis (P=0.326) were not statistically significant between the two groups. Conclusion. The incidence of CVA and dementia in patients with BP compared to the control group was significantly higher.

scholarly journals Perfil de idosos admitidos em serviço de fisioterapia frente à sazonalidade

2017 ◽  
Vol 27 (2) ◽  
pp. 24994
Author(s):  
Paulo Giusti Rossi ◽  
Ana Claudia Silva Farche ◽  
Juliana Hotta Ansai ◽  
Anielle Crtisthine de Medeiros Takahashi ◽  
Marcello Ávila Mascarenhas
Keyword(s):  
Physical Therapy ◽  
Elderly Patients ◽  
Medical Records ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Subtropical Zone ◽  
Significant Difference ◽  
Therapy Center

*** Profile of elderly admitted to a physical therapy center as a function of seasonality ***AIMS: To analyze the profile and the prevalence of diseases in elderly patients admitted to a physical therapy center in a medium-sized Brazilian city located in a subtropical zone in two different seasons of the year.METHODS: A cross-sectional study assessed the medical records of patients treated during summer and winter months in 2011. Medical records of male and female elderly patients (aged over 60 years) were included, and those without information on present medical diagnosis were excluded. Age and sex and both current and previous diagnostic records were analyzed. The chi-square test was used for the comparative analysis of the profile of the elderly patients for both seasons.RESULTS: Seventy-one medical records were analyzed. The mean age was 69.2±8.1 years and 48 (70.4%) patients were female. There was a higher prevalence of trauma-orthopedic diseases (60.6%). The greatest number of admissions was in winter (62.0%). At the time of referral, there were 17 cases (63.0%) of trauma-orthopaedic diseases in summer and 26 (59.1%) in winter; 3 cases (11.1%) of rheumatologic diseases in summer and 10 (22.7%) in winter; 5 cases (18.5%) of neurologic disorders in summer and 4 (9.1%) in winter; and 2 cases (7.4%) of postoperative complications in summer and 4 (9.1%) in winter (p=0.64).CONCLUSIONS: There was a greater demand for referrals of elderly patients to the physical therapy center in winter than in summer, with a predominance of female patients in both seasons. The most prevalent causes of referral were related to trauma-orthopaedic diseases, but there was no significant difference in the frequency of diagnoses according to season. Knowledge about the profile of the elderly admitted to physical therapy centers is important for targeting actions at this age group, conducting information, prevention, and health promotion campaigns.

scholarly journals Predicting Ego Integrity Using Prior Ego Development Stages for Older Adults in the Community

2021 ◽  
Vol 18 (18) ◽  
pp. 9490
Author(s):  
Pei-Yun Chen ◽  
Wen-Chao Ho ◽  
Chyi Lo ◽  
Tzu-Pei Yeh
Keyword(s):  
Psychosocial Development ◽  
Ego Development ◽  
Pearson Correlation ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Development Theory ◽  
Elderly Age ◽  
Cross Sectional ◽  
Ego Integrity ◽  
Correlation And Path Analysis

Background: Erikson’s ego development theory is the most accepted theory that involves eight stages of psychosocial development over an individual`s all lifespan. The result of development in prior stages will influence the later stages. The elderly were mainly characterized by the central developmental tasks: achieving ego integrity vs. despair. The harvest in the last stage will be related to the attitude of facing death in the elderly. Methods: A cross-sectional study of elderly age from 65 to 90 years old (n = 292) was carried out and investigated via the Inventory of Psychosocial Balance. Pearson correlation and path analysis were performed in order to analyze the direct and indirect effect among the first seven stages with the eighth stage. Results: We found that all the eight stages were significantly related to each other, and comparing to the previous seven stages, “the generativity stage” (r = 0.77) was the most relevant stage with “ego integrity”. In all indirect and direct effects, the seventh stage had the greatest impact on the “ego integrity stage”; the direct effect was 0.89. Conclusions: Compared to the whole lifespan, adulthood possessed a higher influence on the elderly stage. We found that all the eight stages were significantly related to each other, and comparing the first seven stages, the “generativity stage” (r = 0.77) was the most relevant stage to “ego integrity”. Conclusions: Compared to the whole lifespan, adulthood possessed a higher influence on the elderly stage.

scholarly journals Recognition of Anemia in Elderly People in a Rural Community Hospital

2021 ◽  
Vol 18 (21) ◽  
pp. 11179
Author(s):  
Shiho Amano ◽  
Ryuichi Ohta ◽  
Chiaki Sano
Keyword(s):  
Elderly Patients ◽  
Rural Community ◽  
Medical Records ◽  
Community Hospital ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Common Disease ◽  
Cross Sectional ◽  
Actual Clinical Practice ◽  
Hospitalization Rates

Anemia in the elderly is a common disease associated with increased mortality and hospitalization rates. It is not clear how adequately elderly patients are assessed and treated in actual clinical practice. This study clarifies the frequency of anemia recognition before assessment and the factors related to recognition among older people in a rural community hospital. This cross-sectional study evaluated 156 elderly patients aged > 65 years. Data on several different variables were collected from patient medical records. Anemia was defined as a hemoglobin level < 11 g/dL. Patients were classified into “anemia recognition” and “no anemia recognition” groups. Statistical analysis of the data included multivariable logistic regression to examine the association between anemia recognition and other factors. The anemia recognition group comprised 63 (40.4%) patients. Age was significantly associated with the recognition of anemia (adjusted odds ratio = 0.70, 95% confidence interval: 0.53–0.92, p = 0.011). Appropriate medical care should be provided to the elderly; however, it may be limited according to age.

scholarly journals Influence of demographics on clinical outcome of dengue: a cross-sectional study of 6703 confirmed cases in Vitória, Espírito Santo State, Brazil

2016 ◽  
Vol 145 (1) ◽  
pp. 46-53 ◽  
Author(s):  
C. R. VICENTE ◽  
C. CERUTTI JUNIOR ◽  
G. FRÖSCHL ◽  
C. M. ROMANO ◽  
A. S. A. CABIDELLE ◽  
...  
Keyword(s):  
Age Groups ◽  
Signs And Symptoms ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Severe Dengue ◽  
Elderly Age ◽  
Cross Sectional ◽  
Disease Evolution ◽  
Espírito Santo ◽  
Espirito Santo

SUMMARYDengue presents a wide clinical spectrum of signs and symptoms, with characteristics of the host potentially influencing the disease evolution. Therefore, the purpose of this study was to evaluate the influence of gender and age on dengue clinical outcomes in a recent outbreak situation in Brazil, applying a cross-sectional design and including 6703 dengue cases with laboratory confirmation, occurring in Vitória, Espírito Santo State, Brazil, between 2007 and 2013. Data were obtained from the Information System for Notifiable Diseases. Overall, 11·3% of the sample presented with severe dengue, which affected 13·0% of males, 10·0% of females, 8·8% of children, 12·5% of adolescents, 10·5% of adults and 15·5% of the elderly. Age was higher in the severe dengue group (P = 0·03). Severe dengue was associated with males and the elderly (P < 0·01); however, considering only severe cases, children presented haemorrhage and plasma leakage more frequently than older age groups. The results emphasize the importance of a differentiated protocol for management of dengue cases, taking into consideration host factors like age. These findings also suggest the elderly and children as priority groups for immunization in a future implementation of a vaccine.

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