scholarly journals Depression and Associated Factors among Elderly Outpatients in Songklanagarind Hospital, Thailand: A Cross-Sectional Study

2017 ◽  
Vol 35 (2) ◽  
pp. 139 ◽  
Author(s):  
Kanthee Anantapong ◽  
Jarurin Pitanupong ◽  
Nisan Werachattawan ◽  
Warut Aunjitsakul
Keyword(s):  
Elderly Patients ◽  
Associated Factors ◽  
Care Center ◽  
Tertiary Care ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Outpatient Clinics ◽  
Cross Sectional ◽  
Elderly Outpatients ◽  
Prevalence Of Depression

Objective: Elderly patients with their deteriorating global health are becoming more vulnerable to mental disorders,especially depression. The aim of this study is to determine the prevalence and associated factors of depression amongstpatients attending outpatient clinics in Songklanagarind Hospital, a tertiary care center in southern Thailand.Material and Method: This is a cross-sectional descriptive study. Elderly people (65-99 years of age) attending the outpatient department of Songklanagarind Hospital during 1st of September-30th of November 2015 were included in the study. The sample size was calculated using Epicalc in R program. We used the 15-item Thai Geriatric DepressionScale (TGDS-15) questionnaire to find the prevalence of depression among this group. Associated factors of depression were identified by multiple logistic regression using a backward-stepwise method.Results: The total number of participants in this study was 408. The prevalence of depression based on the TGDS-15,cut-off score of >5, among elderly outpatients in Songklanagarind Hospital was 9.6%. However, regarding multiple regression analysis, no statistically significant factors; sex, age, marital status, educational level, and religion, could be found to be associated with depression.Conclusion: Almost one-tenth of the elderly patients visiting the outpatient clinics within Songklanagarind Hospital haddepression. This prevalence was quite high. The depression would worsen their health conditions. Good, rigorousscreening coupled with a referral system should be encouraged and then implemented in this hospital.

scholarly journals Prevalence of Hypomagnesemia among Elderly Patients attending a Tertiary Care Center: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (233) ◽  
Author(s):  
Surakchhya Gautam ◽  
Anju Khapunj
Keyword(s):  
Confidence Interval ◽  
Elderly Population ◽  
Magnesium Deficiency ◽  
Care Center ◽  
Tertiary Care ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Tertiary Care Center ◽  
Sectional Study ◽  
Cross Sectional

Introduction: Magnesium deficiency is common in the elderly and critically ill population and hasbeen associated with a prolonged ICU stay. The knowledge of hypomagnesemia is essential as itcould have prognostic and therapeutic implications in the elderly population. This study aimed toestimate the prevalence of hypomagnesemic in the elderly population visiting a tertiary care center. Methods: This descriptive cross-sectional study was conducted in a tertiary care hospital fromMarch 21, 2020 to September 21, 2020. After obtaining ethical clearance from the institutional reviewcommittee (Ref. 2003202008), convenience sampling was done. Data were collected and entered inMicrosoft Excel version 2007. Point estimate at 95% Confidence Interval was calculated along withfrequency and proportion for binary data. Results: Out of 384 participants, 174 (45%) participants were found to have deranged magnesiumlevels, in which 111 (29%) (31.3-26.7 at 95% Confidence Interval) were found to be hypomagnesemia.Among them, 62 (29.4%) males and 49 (28.5%) females were hypomagnesemia. The average level ofserum magnesium was 2.02±0.76 mg/dl ranging from 0.03 to 4.71. The mean age of participants was70.31±8.13 years, among which the participants between the age group of 71-80 years presented witha maximum percentage of hypomagnesemia. Conclusions: The present study has shown that an apparently-healthy elderly population mayhave a magnesium deficiency that may need to be identified and treated for optimizing clinicalcare. Further multicentric studies with a greater sample size should be done in this field, which willbenefit the elderly population.

scholarly journals A Cross-Sectional Study on the Association between Body Mass Index and Frailty According to Sex in Elderly Patients with Disabilities from an Elderly Day-Care Center

Geriatrics ◽  
2021 ◽  
Vol 7 (1) ◽  
pp. 7
Author(s):  
Tsuyoshi Asai ◽  
Masanori Wakida ◽  
Ryo Kubota ◽  
Yoshihiro Fukumoto ◽  
Haruhiko Sato ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Elderly Patients ◽  
Body Mass ◽  
Care Center ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Health Study ◽  
Cardiovascular Health Study ◽  
Sectional Study ◽  
Cross Sectional

The association between body mass index (BMI) and frailty in elderly patients with disabilities is unclear. We aimed to investigate the association between BMI and frailty in the elderly with disabilities according to sex. This cross-sectional study included 280 elderly patients with disabilities from an elderly daycare center. BMI classification for the Asian population was used to categorize the patients into four groups: underweight, normal, overweight, and obese. Frailty score was based on the phenotypic definition of frailty and consisted of five criteria derived from the revised Japanese version of the Cardiovascular Health Study. Those who had three or more criteria were considered frail. Logistic regression models were constructed to investigate the associations between frailty and BMI in each group (males and females). In females, being underweight was significantly associated with frailty after adjusting for confounders (age and Mini-Mental State Examination score); after adding medical history as a confounder, the aforementioned association was not significant. In males, BMI was not significantly associated with frailty. The association between BMI and frailty differed according to sex among the elderly with disabilities. This finding provides important information regarding frailty risk to workers in daycare facilities.

Prehospital Intubations Are Associated with Elevated Endotracheal Tube Cuff Pressures: A Cross-Sectional Study Characterizing ETT Cuff Pressures at a Tertiary Care Emergency Department

2021 ◽  
pp. 1-4
Author(s):  
Ruo S. Chen ◽  
Laurel O’Connor ◽  
Matthew R. Rebesco ◽  
Kara L. LaBarge ◽  
Edgar J. Remotti ◽  
...  
Keyword(s):  
Endotracheal Tube ◽  
Cuff Pressure ◽  
Care Center ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Endotracheal Tube Cuff ◽  
Cross Sectional ◽  
Tube Cuff ◽  
Respiratory Therapists ◽  
Significant Difference

Abstract Introduction: Emergency Medical Services (EMS) providers are trained to place endotracheal tubes (ETTs) in the prehospital setting when indicated. Endotracheal tube cuffs are traditionally inflated with 10cc of air to provide adequate seal against the tracheal lumen. There is literature suggesting that many ETTs are inflated well beyond the accepted safe pressures of 20-30cmH2O, leading to potential complications including ischemia, necrosis, scarring, and stenosis of the tracheal wall. Currently, EMS providers do not routinely check ETT cuff pressures. It was hypothesized that the average ETT cuff pressure of patients arriving at the study site who were intubated by EMS exceeds the safe pressure range of 20-30cmH2O. Objectives: While ETT cuff inflation is necessary to close the respiratory system, thus preventing air leaks and aspiration, there is evidence to suggest that over-inflated ETT cuffs can cause long-term complications. The purpose of this study is to characterize the cuff pressures of ETTs placed by EMS providers. Methods: This project was a single center, prospective observational study. Endotracheal tube cuff pressures were measured and recorded for adult patients intubated by EMS providers prior to arrival at a large, urban, tertiary care center over a nine-month period. All data were collected by respiratory therapists utilizing a cuff pressure measurement device which had a detectable range of 0-100cmH2O and was designed as a syringe. Results including basic patient demographics, cuff pressure, tube size, and EMS service were recorded. Results: In total, 45 measurements from six EMS services were included with ETT sizes ranging from 6.5-8.0mm. Mean patient age was 52.2 years (67.7% male). Mean cuff pressure was 81.8cmH2O with a range of 15 to 100 and a median of 100. The mode was 100cmH2O; 40 out of 45 (88.9%) cuff pressures were above 30cmH2O. Linear regression showed no correlation between age and ETT cuff pressure or between ETT size and cuff pressure. Two-tailed T tests did not show a significant difference in the mean cuff pressure between female versus male patients. Conclusion: An overwhelming majority of prehospital intubations are associated with elevated cuff pressures, and cuff pressure monitoring education is indicated to address this phenomenon.

scholarly journals Depression and its associated factors among pregnant women in central Vietnam

2021 ◽  
Vol 8 (1) ◽  
pp. 205510292098844
Author(s):  
Bao-Yen Luong-Thanh ◽  
Lan Hoang Nguyen ◽  
Linda Murray ◽  
Manuel Eisner ◽  
Sara Valdebenito ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Associated Factors ◽  
Mental Health Problems ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Middle Income ◽  
Middle Income Countries ◽  
Prevalence Of Depression ◽  
Patient Health ◽  
Quota Sampling

To date, little attention has been given to prenatal depression, especially in low and middle-income countries. The aim of this research was to assess the prevalence of depression and its associated factors amongst pregnant women in a central Vietnamese city. This cross-sectional study included 150 pregnant women from 29 to 40 weeks of gestation, from eight wards of Hue city, via quota sampling from February to May 2019. We employed the Patient Health Questionnaire (PHQ-9) to assess depression. Findings suggest the need to provide routine screening of pregnant women in primary care for depressive symptoms and other mental health problems.

scholarly journals Prevalence of health services usage and associated factors in the Amazon region of Brazil: a population-based cross-sectional study

BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e017966 ◽  
Author(s):  
Maria Elizete A Araujo ◽  
Marcus T Silva ◽  
Tais F Galvao ◽  
Mauricio G Pereira
Keyword(s):  
Health Services ◽  
Associated Factors ◽  
Prevalence Ratio ◽  
The Elderly ◽  
Population Based ◽  
Cross Sectional Study ◽  
Metropolitan Region ◽  
Medical Attention ◽  
Cross Sectional ◽  
Physician Visits

ObjectivesTo estimate the prevalence of healthcare use and associated factors in the Manaus metropolitan region and to describe the reasons for lack of access.DesignCross-sectional population-based study.SettingA survey conducted between May and August of 2015 in eight cities from Manaus metropolitan region, Amazonas, Brazil.Participants4001 adults ≥18 years of age.Primary outcomes measuresPhysician visits, dentist visits and hospitalisations in the last 12 months were the primary outcomes. Associated factors were investigated through the calculation of prevalence ratio (PR) obtained by hierarchical Poisson regression modelling.Results4001 adults were included in the study, 53% of whom were women. The self-reported prevalence of medical visits was 77% (95% CI 75% to 77%); dentist visits, 36% (95% CI 34% to 37%) and hospital admission, 7% (95% CI 6% to 7%). Physician visits were higher in women PR=1.18 (95% CI 1.14 to 1.23), the elderly PR=1.18 (95% CI 1.10 to 1.26) and people with health insurance PR=1.14 (95% CI 1.10 to 1.19). Dentist visits declined with older age PR=0.38 (95% CI 0.30 to 0.49), lower education level PR=0.62 (95% CI 0.51 to 0.74) and lower economic class PR=0.65 (95% CI 0.57 to 0.75). Hospitalisations were found to be twice as frequent for women than for men and three times as frequent among those who reported very poor health status. Among the individuals who did not receive medical attention in the previous 2 weeks, 58% reported lack of facilities or appointment unavailable and 14% reported lack of doctors.ConclusionWhile more than half visited the doctor in the last year, a lower proportion of people with socioeconomic inequities visited the dentist. Organisational and service policies are needed to increase equity in health services in the region.

Prevalence and factors associated to depression among Debrebirhan University students: a cross-sectional study

2021 ◽  
Author(s):  
(MD
Keyword(s):  
University Students ◽  
Associated Factors ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Considerable Proportion ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Prevalence Of Depression ◽  
Debre Birhan

Abstract Background: Undiagnosed depression among university students has an adverse effect on the wellbeing and academic performance of students. This study aimed to assess the prevalence of depression and associated factors among Debre Birhan university students. Methodology: Institutional based cross-sectional study design is conducted in Debre Birhan University from April to June 2013 E.C. Three hundred sixty nine students participated in this study which was selected by simple random sampling technique. Data were collected by using a self-administered PHQ-9 standard depression questionnaire. First the data was entered into in Epidata 3.1 and then was exported to SPSS version 20 for analysis. Associated factors were identified using binary logistic regression and variables with a p-value < 0.05 were declared as statistically significant factors with the outcome variables. Result: All of the study subjects were between ages 18 and 33 with a mean age of 22.65 9 ± 2.78. The overall prevalence of depression is 17.1%. Among this according to PHQ-9 scores cut scores, 161(43.6 %) scored as normal (0–4), 145(39.3%) scored as mild (5–9), 53(14.4%) scored as moderate (10–14), 4(1.1%) scored as moderately severe (15–19) and 6(1.6%) students scored as sever (> 20). In multivariate analysis being female AOR = 9.28[3.47–24.81], academic year AOR = 0.236[0.059–0.936], smoking 26.3[9.33–74.1] and alcohol use AOR of 2.62[0.95–7.21] are significantly associated with depression. Conclusion and recommendation: This study found a considerable proportion of undergraduate students with depression. Higher institutions need to pay special attention to students especially those who are female, junior students, smokers and alcohol users.

A Comparison of Falls and Dizziness Handicap by Vestibular Diagnosis

2021 ◽  
pp. 1-10
Author(s):  
Ryan J. Huang ◽  
Sherri L. Smith ◽  
Libor Brezina ◽  
Kristal M. Riska
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
Vestibular Migraine ◽  
Cross Sectional ◽  
Positional Vertigo ◽  
Increased Risk ◽  
Risk Of Falls ◽  
Paroxysmal Positional Vertigo

Purpose There is a paucity of data that directly compares the falls rate and dizziness handicap of different vestibular diagnoses. The purpose of this study is to compare the falls rate and dizziness handicap of common vestibular diagnoses encountered among a cohort of vestibular patients at a single institution. Method We conducted a retrospective cross-sectional study of patients evaluated for dizziness at a tertiary care center vestibular clinic between August 1, 2017, and March 19, 2019. Vestibular diagnosis, demographic variables, comorbidities, falls status, and Dizziness Handicap Inventory (DHI) were extracted from the medical record for analysis. Associations between vestibular diagnosis and falls history or DHI were evaluated using multivariate logistic and linear regression, respectively. Results A total of 283 patients met our inclusion criteria with the following diagnoses: benign paroxysmal positional vertigo (BPPV; n = 55), acoustic neuroma ( n = 30), Ménière's disease ( n = 28), multiple vestibular diagnoses ( n = 15), vestibular migraine ( n = 135), or vestibular neuritis ( n = 20). After adjusting for age, sex, race, medications, and comorbidities, the odds of falling was 2.47 times greater (95% CI [1.08, 6.06], p = .039) and the DHI score was 11.66 points higher (95% CI [4.99, 18.33], p < .001) in those with vestibular migraine compared to those with BPPV. Other diagnoses were comparable to BPPV with respect to odds of falling and dizziness handicap. Conclusions Patients with vestibular migraine may suffer an increased risk of falls and dizziness handicap compared to patients with BPPV. Our findings highlight the need for timely evaluation and treatment of all patients with vestibular disease.

scholarly journals Undernutrition and associated factors in a Portuguese older adult community

2015 ◽  
Vol 28 (3) ◽  
pp. 231-240 ◽  
Author(s):  
Ana Luísa Moreira dos Santos ◽  
Teresa Maria de Serpa Pinto Freitas do Amaral ◽  
Nuno Pedro Garcia Fernandes Bento Borges
Keyword(s):  
Older Adults ◽  
Associated Factors ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Self Perception ◽  
Cross Sectional ◽  
Major Factors ◽  
Perception Of Health

OBJECTIVE: To evaluate the prevalence of undernutrition in older adults aged >75 years living in communities and to identify the main factors independently associated with undernutrition. METHODS: A cross-sectional study was conducted using a random sample of family physicians' medical records of 86 older adults aged >75 years living in the community studied. Their nutritional status was evaluated using the Mini Nutritional Assessment. RESULTS: A total of 10.5% of the elderly were undernourished and 41.9% were at undernutrition risk. According to the logistic regression multivariable model, the following characteristics: being widowed (OR=6.7; 95%CI=1.8-24.6); being institutionalized (OR=12.6; 95%CI=1.7-90.5); or having a negative self-perception of health (OR=15.0; 95%CI=3.3-69.1) were independently associated with a significant increase of undernutrition risk. CONCLUSION: The current study shows that undernutrition is highly prevalent in Portuguese older adults aged >75 years living in communities. The major factors independently associated with their undernutrition are being widowed and institutionalized and having negative self-perception of health. The results obtained show that undernutrition and its associated factors are very serious problems for older adults and a challenge in their health care.

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