scholarly journals Prevalence of Chronic Polypharmacy in Community-Dwelling Elderly People in Poland: Analysis of National Real-World Database Helps to Identify High Risk Group

2021 ◽  
Vol 12 ◽  
Author(s):  
Przemysław Kardas ◽  
Aneta Lichwierowicz ◽  
Filip Urbański ◽  
Ewa Chudzyńska ◽  
Marcin Czech ◽  
...  
Keyword(s):  
Elderly People ◽  
Real World ◽  
The Elderly ◽  
Healthcare Services ◽  
High Risk Group ◽  
Community Dwelling ◽  
Real World Data ◽  
Services Utilization ◽  
Adherence To Medication ◽  
Detailed Assessment

Introduction: Multimorbidity often comes with age, making elderly people particularly prone to polypharmacy. Polypharmacy, in turn, is a risk factor for adverse drug reactions, drug-drug interactions, non-adherence to medication, negative health outcomes, and increased healthcare services utilization. The longer the exposure to polypharmacy is, the higher the risk of these consequences is. Therefore, a detailed assessment of the prevalence and drivers of chronic polypharmacy in the elderly is particularly important.Aim of study: To find out the prevalence of chronic polypharmacy in the elderly population of Poland, and to characterize the subgroup with the highest risk of this problem, using real-world data.Methodology: A retrospective analysis of data on dispensation and healthcare services utilization held by the national payer organization for the year 2018. Chronic polypharmacy was defined as possession, as a result of dispensation, of five or more prescribed drugs within 80% of each of the consecutive 6 months.Results: Chronic polypharmacy was found in 554.1 thousand patients, i.e. in 19.1% of the national 65+ cohort. On average, those patients were 76 years old, and 49.3% of them were female. The vast majority (68.6%) continued their polypharmacy for the period of the whole year. There was a marked variation in geographical distribution of chronic polypharmacy with the highest value of 1.7 thousand per 100,000 inhabitants in the Łódź Voivodeship. Patients exposed to chronic polypharmacy filled prescriptions from 4.5±2.36 healthcare professionals. The average number of drugs they used was 8.3±3.84 DDD per patient per day. The most often prescribed drugs were Metformin, Atorvastatin and Pantoprazole. The average annual hospitalisation rate in those patients was 1.03±2.4.Conclusion: This study was the first of this kind involving a nationwide assessment of chronic polypharmacy in Polish elderly people. We found that this problem affected one fifth of Polish older adults and it remains stable due to its direct relation to chronic conditions. Thus, our results confirm that this phenomenon is highly important for the national health policy and requires relevant interventions. The planned introduction of pharmaceutical care in Poland is expected to help in solving the problem.

scholarly journals Differences between the Sexes in the Relationship between Chronic Pain, Fatigue, and QuickDASH among Community-Dwelling Elderly People in Japan

Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 630
Author(s):  
Satoshi Shimo ◽  
Yuta Sakamoto ◽  
Takashi Amari ◽  
Masaaki Chino ◽  
Rie Sakamoto ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Elderly People ◽  
Physical Disability ◽  
The Elderly ◽  
Daily Basis ◽  
Community Dwelling ◽  
Negative Effects ◽  
The Relationship ◽  
Elderly Healthcare ◽  
Disability Research

Chronic pain and fatigue have negative effects on the health, ADL, work, and hobbies of the elderly. As the proportion of people 65 years of age and older in the population increases, chronic pain and disability research regarding this group is receiving more consideration. However, little empirical evidence of the association between chronic pain, fatigue, and physical disability between the sexes is available. This study investigated the association between chronic pain, fatigue, and instrumental activities of daily living among community-dwelling elderly people by sex in Japan. Concerning the presence of chronic pain, 61% of males and 78% of females reported chronic pain, indicating that many elderly people living in the community suffer from chronic pain and fatigue on a daily basis. The number of sites of chronic pain was higher in females than in males (p = 0.016), with more chronic pain in the knees (p < 0.001) and upper arms (p = 0.014). Regarding chronic pain, males showed a higher correlation with QuickDASH-DS (rs = 0.433, p = 0.017) and QuickDASH-SM (rs = 0.643, p = 0.018) than females. Furthermore, fatigue also showed a higher correlation with QuickDASH-W (rs = 0.531, p = 0.003) in males than in females. These results indicate that the association between chronic pain, fatigue, and QuickDASH differed between the sexes among community-dwelling elderly people in Japan. A better understanding of the risk factors for elderly chronic pain and fatigue among sexes will facilitate the development of elderly healthcare welfare and policies.

scholarly journals THE INFLUENCE OF ELDERLY PEOPLE’ SOCIALIZATION ON THEIR PERCEPTION... OF HEALTHCARE SERVICES QUALITY

2018 ◽  
Vol 2 (1) ◽  
pp. 70-120
Author(s):  
Ekaterina Vetrova ◽  
Daria Vasianina ◽  
Ivan Mityushnikov
Keyword(s):  
Health Care ◽  
Economic Development ◽  
Elderly People ◽  
Services Quality ◽  
Subjective Evaluation ◽  
The Elderly ◽  
Healthcare Services ◽  
Number Of Factors ◽  
Subjective Assessments ◽  
Social And Economic Development

The state of the health care system is an important characteristic of the country’s social and economic development, but the results of surveys can not demonstrate an objective result. The respondents are influenced by a number of factors, including their level of socialization, in assessing healthcare services. In the article, we consider the hypothesis that communication with relatives and neighborhood significantly increases the relative pessimism of the subjective evaluation of healthcare services by the elderly. In order to reduce the incompatibility of subjective assessments of respondents, the anchoring vignette method is used.

The STAI-Y trait scale: psychometric properties and normative data from a large population-based study of elderly people

2012 ◽  
Vol 24 (7) ◽  
pp. 1163-1171 ◽  
Author(s):  
Valérie Bergua ◽  
Céline Meillon ◽  
Olivier Potvin ◽  
Jean Bouisson ◽  
Mélanie Le Goff ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Elderly People ◽  
Trait Anxiety ◽  
Normative Data ◽  
Large Population ◽  
Female Gender ◽  
The Elderly ◽  
Subjective Health ◽  
Community Dwelling ◽  
Research Context

ABSTRACTBackground:Whereas the State-Trait Anxiety Inventory (STAI-Y) is probably the most widely used self-reported measure of anxiety, the lack of current norms among elderly people appears to be problematic in both a clinical and research context. The objective of the present study was to provide normative data for the STAI-Y trait scale from a large elderly cohort and to identify the main sociodemographic and health-related determinants of trait anxiety.Methods:The STAI-Y trait scale was completed by 7,538 community-dwelling participants aged 65 years and over from the “Three City” epidemiological study. Trained nurses and psychologists collected information during a face-to-face interview including sociodemographic characteristics and clinical variables.Results:The scale was found to have good internal consistency (Cronbach's α = 0.89). Norms were stratified for gender and educational level differentiating persons with and without depressive symptoms. Multivariate linear regression found the STAI-Y trait score to be significantly associated with female gender, psychotropic medication use, higher depressive symptoms, higher cognitive complaints, and with an interaction between subjective health and marital status. Age was not associated with the total score.Conclusion:This study provides norms for the STAI-Y trait scale in the general elderly population which are of potential use in both a clinical and research context. The present results confirm the importance of several factors previously associated with higher trait anxiety in the elderly. However, more research is needed to better understand the clinical specificities of anxiety in the elderly and the improvement of assessment.

scholarly journals Analysis of Impact Factors Affecting Sleep Quality among Community-Dwelling Elderly Individuals in The Chinese Community in Shanghai

2021 ◽  
Vol 5 (7) ◽  
Author(s):  
Changying Wang ◽  
Yunwei Zhang ◽  
Jing Zhang ◽  
Lingshan Wan ◽  
Chunyan Xie ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Elderly People ◽  
The Elderly ◽  
Elderly Individual ◽  
Community Dwelling ◽  
Impact Factors ◽  
Physical Pain ◽  
Factors Affecting ◽  
Elderly Individuals ◽  
The Impact

Context: Insomnia is prevalent among elderly individuals and has become a public health problem receiving increasing concern. Low sleep quality is related to a number of negative health outcomes. Objective: This research aims to investigate the sleep status of community-dwelling elderly individuals (aged 60 years or older) in Shanghai, China, to explore the impact factors affecting sleep quality. Methods: One street in Shanghai city was randomly selected, and 50% of the elderly residents were randomly selected as participants for a total number of 9,616 people. Investigations were conducted by indoor surveys through home doctors and paper questionnaires. For statistical analysis, univariate and multivariate regression analysis and the Spearman correlation model were performed using SAS 9.4 to analyze the effects of the impact factors on the sleep quality of elderly individuals. Results: Sleep quality is greatly affected by physical pain in both the elderly individual and the individual’s spouse. Healthy elderly people tend to have better sleep quality, and the more chronic diseases an elderly individual suffers, the worse their sleep quality is. In addition, the physical pain of a cohabiting spouse is one of the most significant impact factors influencing sleep quality. Conclusion: We suggest that community-dwelling elderly people maintain moderate outdoor activities and a healthy mental state, which will improve their sleep quality.

scholarly journals EVALUATION AND CHARACTERISTICS OF POPULATION AGEING

2018 ◽  
Vol 3 (4) ◽  
pp. 68-72
Author(s):  
M L Sirotko
Keyword(s):  
Elderly People ◽  
Full Range ◽  
Population Group ◽  
The Elderly ◽  
Healthcare Services ◽  
Population Ageing ◽  
Social Adaptation ◽  
Just In Time ◽  
Modern Approach ◽  
International Ranking

Objectives - to make an assessment of the actual situation in the population ageing process and to define its tendency. Material and methods. The classification characteristics are defined based on the calculation on the elderly people ratio to the total number of people. The structure of the international ranking is presented. The modern approach such as a prospective age was the basis of the ageing evaluation. The point of analysis was the ageing tendency in the Samara region population in the 20th century, observing its range and structure marks, the degree according to the ageing index. Results. The prognostic ageing values of the 2010 year for the period till 2031were corrected. The escalation of the eldest population group in the nearest future was decisively proved. The further interdisciplinary problem management was stated to be focused on, as the elderly people are crucially dependent on the just-in-time and full-range healthcare services supported by the social adaptation.

scholarly journals Exploring the Experience and Determinants of the Food Choices and Eating Practices of Elderly Thai People: A Qualitative Study

2020 ◽  
Author(s):  
Chalobol Chalermsri ◽  
Sibylle Herzig van Wees ◽  
Shirin Ziaei ◽  
Eva-Charlotte Ekström ◽  
Weerasak Muangpaisan ◽  
...  
Keyword(s):  
Elderly People ◽  
The Elderly ◽  
Food Choices ◽  
Community Dwelling ◽  
Structured Interviews ◽  
Group Discussions ◽  
Food Markets ◽  
Dietary Practices ◽  
Societal Factors ◽  
Eating Practices

Over the past decade, Thailand has experienced a rapid increase in its elderly population. Many unfavorable health outcomes among elderly people are associated with nutrition. Nutrition in elderly people is affected by physical, mental, and social factors. This study explored the food choices and dietary practices among community-dwelling elderly people in Thailand from the perspective of both caregivers and the elderly people themselves. Six focus group discussions and six semi-structured interviews were conducted in the Samut Sakhon Province of Thailand. A combination of deductive and inductive thematic analyses was adopted, and the results show that physical and mental factors and societal factors are important determinants of food choices. Moreover, a changing food environment and economic factors were found to affect food choices. Issues of trust in food safety and food markets were highlighted as growing issues. Therefore, fostering healthy food choice interventions that consider both environmental and societal aspects is necessary.

scholarly journals Incidence and Predictors of Diabetes Mellitus after a Diagnosis of Early-Stage Breast Cancer in the Elderly Using Real-World Data

2020 ◽  
Vol 183 (1) ◽  
pp. 201-211
Author(s):  
Melissa K. Accordino ◽  
Jason D. Wright ◽  
Donna Buono ◽  
Aijing Lin ◽  
Yongmei Huang ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Diabetes Mellitus ◽  
Real World ◽  
Early Stage ◽  
The Elderly ◽  
Early Stage Breast Cancer ◽  
Real World Data ◽  
World Data

scholarly journals Use of Healthcare Services Following Severe Hypoglycemia in Patients with Diabetes: Analysis of Real-World Data

2016 ◽  
Vol 7 (2) ◽  
pp. 295-308 ◽  
Author(s):  
Dalit Goldstein ◽  
Gabriel Chodick ◽  
Varda Shalev ◽  
Brian L. Thorsted ◽  
Lisa Elliott ◽  
...  
Keyword(s):  
Real World ◽  
Severe Hypoglycemia ◽  
Healthcare Services ◽  
Real World Data ◽  
World Data ◽  
Patients With Diabetes

scholarly journals Postprandial Hypotension as a Risk Factor for the Development of New Cardiovascular Disease: A Prospective Cohort Study with 36 Month Follow-Up in Community-Dwelling Elderly People

2020 ◽  
Vol 9 (2) ◽  
pp. 345 ◽  
Author(s):  
Aelee Jang
Keyword(s):  
Cardiovascular Disease ◽  
Elderly People ◽  
Cox Regression ◽  
The Elderly ◽  
Community Dwelling ◽  
Cox Regression Analysis ◽  
Postprandial Hypotension ◽  
History Of ◽  
Time Varying Covariates

Postprandial hypotension (PPH) is common among the elderly. However, it is unknown whether the presence of PPH can predict the development of new cardiovascular disease (CVD) in the elderly during the long-term period. This study aimed to prospectively evaluate the presence of PPH and the development of new CVD within a 36 month period in 94 community-dwelling elderly people without a history of CVD. PPH was diagnosed in 47 (50.0%) participants at baseline and in 7 (7.4%) during the follow-up period. Thirty participants (31.9%) developed new CVD within 36 months. We performed a time-dependent Cox regression analysis with PPH, hypertension, diabetes, and body mass index (BMI) as time-varying covariates. In the univariate analyses, the presence of PPH, higher BMI, hypertension, diabetes mellitus, and higher systolic and diastolic blood pressure were associated with the development of new CVD. The multivariate analysis indicated that the relationship between PPH and the development of new CVD remained (adjusted hazard ratio 11.18, 95% confidence interval 2.43–51.38, p = 0.002) even after controlling for other variables as covariates. In conclusion, the presence of PPH can predict the development of new CVD. Elderly people with PPH may require close surveillance to prevent CVD.

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