scholarly journals Elderly pedestrian neurotrauma: A descriptive study from a premier neurotrauma center in India

2013 ◽  
Vol 04 (01) ◽  
pp. 29-32 ◽  
Author(s):  
Ashok Munivenkatappa ◽  
Nupur Pruthi ◽  
Mariamma Philip ◽  
Bhagavatula I Devi ◽  
Sampath Somanna
Keyword(s):  
Head Injury ◽  
Mortality Rate ◽  
Ct Scan ◽  
Demographic Data ◽  
The Elderly ◽  
Clinical Findings ◽  
Subdural Hemorrhage ◽  
Elderly Age ◽  
Tertiary Center ◽  
The City

ABSTRACT Context: Experience with elderly pedestrian neurotrauma at a major neurotrauma tertiary center. Aims: To highlight the specific injuries and outcome of the elderly pedestrian neurotrauma patients within the city of Bangalore and its surrounding districts. Settings and Design: A retrospective study consisting of demographic data, clinical findings, radiological details, and outcomes. Materials and Methods: A study was conducted at the casualty services, in which 143 consecutive elderly pedestrian (age >60 years) head injury victims were studied from June to September 2009. The records from the hospital mortuary were analyzed from 2007 to 2009. An analysis of 77 elderly patients who died as a pedestrian in accidents during this period was performed. Statistical Analysis Used: SPSS 15. Results: The elderly pedestrians constituted 27% (143/529) of all pedestrian traumas. Two wheelers were the most common accident vehicle (56.6%, 81/143). Most of the injuries (38.5%, 55/143) occurred during peak traffic hours, that is, 4 pm to 9 pm. Majority sustained moderate to severe head injury (61%, 87/143). More than three‑fourths of patients required a computed tomography (CT) scan (77%, 110/143), in which there was a higher frequency of contusion (31.5%, 45/143), and subdural hemorrhage (23.1%, 33/143). Most of the injured (43.3%, 13/30) underwent surgery for intracranial hematoma. The mortality rate was 22.8% (8/35). Nearly one‑fourth of conducted postmortems among pedestrians belonged to the elderly age group (77/326, 23.6%). Conclusions: Elderly pedestrian neurotrauma patients sustain a more severe injury as evident by poorer Glasgow Coma Score (GCS) scores and CT scan findings, and hence have a higher mortality rate.

scholarly journals Clinical diagnosis of 80 cases of dementia in a university hospital

2013 ◽  
Vol 62 (2) ◽  
pp. 139-143 ◽  
Author(s):  
Renata Teles Vieira ◽  
Norami de Moura Barros ◽  
Leonardo Caixeta ◽  
Sergio Machado ◽  
Adriana Cardoso Silva ◽  
...  
Keyword(s):  
Demographic Data ◽  
Lewy Body Dementia ◽  
The Elderly ◽  
Healthcare Services ◽  
Epidemiological Studies ◽  
University Hospital ◽  
Functional Activities ◽  
Considerable Impact ◽  
The City ◽  
State Examination

OBJECTIVE: This study aims to estimate the prevalence of dementia subtypes and to assess the socio-demographic data of patients attending the outpatient clinic of dementia at Hospital das Clínicas from January 2008 to December 2009, in the city of Goiânia-GO, Brazil. METHODS: Procedures provided for diagnosis included physical and neurological examination, laboratory tests, neuroimaging and DSM-IV. The functional capacity and level of cognitive deficit were assessed by Pfeffer Functional Activities Questionnaire (Pfeffer-FAQ) and Mini-Mental State Examination (MMSE), respectively. RESULTS: Eighty patients met the criteria for dementia. The mean age was 63.48 (± 16.85) years old, the schooling was 3.30 (± 3.59) years old, the MMSE was 13.89 (± 7.79) and Pfeffer 17.73 (± 9.76). The Vascular Dementia (VD; 17.5%) was the most frequent cause of dementia, followed by Lewy body dementia (LBD) and Alzheimer's disease (AD) (12.25%). CONCLUSION: Considering entire sample and only the elderly over 60 years, VD, AD and LBD are the most common subtypes observed at both groups. Further epidemiological studies are necessary to confirm such rates, which may have a considerable impact on the organization and planning of healthcare services in our country.

A new classification of head injury based on computerized tomography

1991 ◽  
Vol 75 (Supplement) ◽  
pp. S14-S20 ◽  
Author(s):  
Lawrence F. Marshall ◽  
Sharon Bowers Marshall ◽  
Melville R. Klauber ◽  
Marjan van Berkum Clark ◽  
Howard M. Eisenberg ◽  
...  
Keyword(s):  
Head Injury ◽  
Mortality Rate ◽  
Ct Scan ◽  
Computerized Tomography ◽  
Head Injuries ◽  
Midline Shift ◽  
New Classification ◽  
Content Type ◽  
Diffuse Injury

✓ A new classification of head injury based primarily on information gleaned from the initial computerized tomography (CT) scan is described. It utilizes the status of the mesencephalic cisterns, the degree of midline shift in millimeters, and the presence or absence of one or more surgical masses. The term “diffuse head injury” is divided into four subgroups, defined as follows: Diffuse Injury I includes all diffuse head injuries where there is no visible pathology; Diffuse Injury II includes all diffuse injuries in which the cisterns are present, the midline shift is less than 5 mm, and/or there is no high- or mixed-density lesion of more than 25 cc; Diffuse Injury III includes diffuse injuries with swelling where the cisterns are compressed or absent and the midline shift is 0 to 5 mm with no high- or mixed-density lesion of more than 25 cc; and Diffuse Injury IV includes diffuse injuries with a midline shift of more than 5 mm and with no high- or mixed-density lesion of more than 25 cc. There is a direct relationship between these four diagnostic categories and the mortality rate. Patients suffering diffuse injury with no visible pathology (Diffuse Injury I) have the lowest mortality rate (10%), while the mortality rate in patients suffering diffuse injury with a midline shift (Diffuse Injury IV) is greater than 50%. When used in conjunction with the traditional division of intracranial hemorrhages (extradural, subdural, or intracerebral), this categorization allows a much better assessment of the risk of intracranial hypertension and of a fatal or nonfatal outcome. This more accurate categorization of diffuse head injury, based primarily on the result of the initial CT scan, permits specific subsets of patients to be targeted for specific types of therapy. Patients who would appear to be at low risk based on a clinical examination, but who are known from the CT scan diagnosis to be at high risk, can now be identified.

scholarly journals Atividade física de lazer e indicadores de acesso a serviços de saúde em idosos / Physical activity leisure and indicators of access to health services in the elderly

2018 ◽  
Vol 7 (2) ◽  
pp. 81
Author(s):  
Évely Renken ◽  
Clair Antônio Wathier ◽  
Giovane Pereira Balbé
Keyword(s):  
Physical Activity ◽  
Health Services ◽  
Demographic Data ◽  
Leisure Activities ◽  
The Elderly ◽  
Access To Health Services ◽  
Santa Catarina ◽  
Access To Health ◽  
The City

Este estudo teve o objetivo de analisar os indicadores de morbidade, o acesso a serviços de saúde e a prática de atividade física de lazer em idosos. Houve também verificação do padrão de morbidade referida nestes idosos entrevistados, identificando a prevalência da prática de atividades físicas no lazer. Para isso, foram analisados os dados sociodemográficos da amostra pesquisada, identificando o acesso aos serviços de saúde. A coleta das informações necessárias à apuração dos resultados ocorreu por meio de questionário sociodemográfico e Questionário Internacional de Atividades Físicas (IPAQ). Os questionários foram aplicados em 213 idosos de ambos os sexos, com 60 anos de idade ou mais, residentes na zona urbana da cidade de Rio do Sul - Santa Catarina. Percebe-se que pouco mais de 80% dos idosos foram classificados como inativos nas atividades de lazer, a maioria das mulheres auto avaliaram sua saúde de forma positiva, e cerca de 37% dos idosos procuraram acesso e uso regular dos serviços de saúde nas semanas anteriores à realização da pesquisa, tendo ainda valores significativos em relação ao plano de saúde, onde a maioria dos idosos foi inativa. Conclui-se que a associação da prática de atividades físicas aos indicadores de morbidade de acesso a serviços de saúde está ligada de maneira a impedir que os idosos sejam ativos no lazer. ABSTRACTThis study aimed to analyze the indicators of morbidity, access to health services and the practice of leisure physical activity in older adults. For this, the demographic data of the studied sample were analyzed by identifying access to health services. There was also checking the pattern of morbidity in these elderly respondents, identifying the prevalence of physical activity at leisure. The collection of information necessary for the determination of the results was through sociodemographic questionnaire and International Physical Activity Questionnaire (IPAQ). The questionnaires were applied in 213 elderly men and women, aged 60 and older living in the urban area of the city of Rio do Sul - Santa Catarina. It can be seen that just over 80% of the elderly were classified as inactive in leisure activities, most women self rated their health positively, and about 37% of the elderly sought access and regular use of health services in the weeks prior to the survey. In conclusion, it can be seen that the association of physical activity with access to health services is on morbidity indicators in order to prevent the elderly are active during leisure.

Toleration of Head Injury by the Elderly

Neurosurgery ◽  
1987 ◽  
Vol 20 (6) ◽  
pp. 954-958 ◽  
Author(s):  
Loren A. Amacher ◽  
David E. Bybee
Keyword(s):  
Head Injury ◽  
Mortality Rate ◽  
Significant Proportion ◽  
The Elderly ◽  
Clinical Profile ◽  
Mechanism Of Injury ◽  
Medical Conditions ◽  
Contributing Factors ◽  
Old People ◽  
Principal Mechanism

Abstract Fifty-six patients 80 or more years of age, admitted because of head injury, provide a clinical profile of the effects of head injury upon an aging population. The mortality rate is high, even in those with good admission Glasgow coma scores. The incidence of intracranial mass hematoma is striking. Falls in the residence constitute the principal mechanism of injury, and preexisting medical conditions are important contributing factors. A significant proportion (60%) of old people may make a full recovery from head injury.

scholarly journals CT scan Positive Finding Pattern of Head Injury at the University of Gondar Hospital; North West Ethiopia

2014 ◽  
Vol 1 (2) ◽  
pp. 65-72
Author(s):  
Zerubabel Tegegne Desita ◽  
Wossen Mulugeta
Keyword(s):  
Head Injury ◽  
Ct Scan ◽  
Computerized Tomography ◽  
Head Injuries ◽  
Skull Fracture ◽  
Subdural Hemorrhage ◽  
Positive Finding ◽  
Cross Sectional ◽  
North West ◽  
The University

Background: Head injuries rank high among morbidities due to trauma. Computerized tomography is an important modality in the investigation of these cases. However, there is no literature on the importance of computerized tomography in the diagnosis of head injury in Ethiopia. This study therefore is aimed to document the computerized tomographic features of patients with head injury managed at the University of Gondar Teaching Hospital. Materials and Methods: A cross sectional study involving 96 patients with head injury who had CT scan of the head in the UOG hospital over a 12-month period. Results: Most of the patients were male (74%).  Majority (58%) were in the age range of 20 to 40 years with a mean age of 31yrs. The most common abnormal findings were skull fracture (52%) and intracerebral hemorrhage and contusions (51%). It is followed by subdural hemorrhage (33%) soft tissue swelling 32% and epidural hemorrhage 10%. Conclusion:  Skull fracture and intra cerebral hemorrhage were the most common abnormal findings. This study has demonstrated the importance of CT scan in the evaluation of head injury by giving visibility of intracranial post traumatic injuries in a high proportion of patients which would be difficult to reach in to diagnosis clinically or using skull radiography alone. This obviously will have a significant role in improving patient management. Taking this in to account expansion of CT scan service for moderate to severe head injury patients is recommended in Ethiopia.   

scholarly journals The elderly age criterion for increased in-hospital mortality in trauma patients: a retrospective cohort study

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
Ji Hwan Lee ◽  
Min Joung Kim ◽  
Ju Young Hong ◽  
Jinwoo Myung ◽  
Yun Ho Roh ◽  
...  
Keyword(s):  
Cohort Study ◽  
Mortality Rate ◽  
Hospital Mortality ◽  
Odds Ratio ◽  
Retrospective Cohort ◽  
Adjusted Odds Ratio ◽  
The Elderly ◽  
Trauma Patients ◽  
Elderly Age ◽  
Traumatic Injuries

Abstract Background With an aging population, the number of elderly individuals exposed to traumatic injuries is increasing. The elderly age criterion for traumatic injuries has been inconsistent in the literature. This study aimed at specifying the elderly age criterion when the traumatic mortality rate increases. Methods This is a multicenter retrospective cohort study that was conducted utilizing the data from the Emergency Department-based Injury In-depth Surveillance Registry of the Korea Disease Control and Prevention Agency, collected between January 2014 and December 2018 from 23 emergency departments. The outcome variable was in-hospital mortality. Multivariable logistic regression analysis was used to calculate the adjusted mortality rate for each age group. By using the shape-restricted regression splines method, the relationship between age and adjusted traumatic mortality was plotted and the point where the gradient of the graph had the greatest variation was calculated. Results A total of 637,491 adult trauma patients were included. The number of in-hospital deaths was 6504 (1.0%). The age at which mortality increased the most was 65.06 years old. The adjusted odds ratio for the in-hospital mortality rate with age in the ≤ 64-year-old subgroup was 1.038 (95% confidence interval (CI) 1.032–1.044) and in the ≥ 65-year-old subgroup was 1.059 (95% CI 1.050–1.068). The adjusted odds ratio for in-hospital mortality in the ≥ 65-year-old compared to the ≤ 64-year-old subgroup was 4.585 (95% CI 4.158–5.055, p < 0.001). Conclusions This study found that the in-hospital mortality rate rose with increasing age and that the increase was the most rapid from the age of 65 years. We propose to define the elderly age criterion for traumatic injuries as ≥ 65 years of age.

Hubungan Sikap dan Karakteristik Pasangan Usia Subur (PUS) dengan Keikutsertaan dalam Program KB di Wilayah Kerja UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur

2020 ◽  
Vol 8 (2) ◽  
pp. 105-114
Author(s):  
Ainul Mardhiah ◽  
Nova Hasbani Prima Dewi ◽  
Aminy Aminy
Keyword(s):  
Family Planning ◽  
Family Planning Program ◽  
The Elderly ◽  
P Value ◽  
Planning Program ◽  
Elderly Age ◽  
Chi Square ◽  
Cross Sectional ◽  
The Family ◽  
Relationship Of

The family planning program also aims to improve the quality of the family in order to generate a sense of security, peace and hope of a better future in realizing the prosperity of birth and inner happiness. Allegedly the factor causing EFA participation in the family planning program is characteristic. The purpose of this research is to know the relationship of attitude and characteristic of Elderly Age Couple (PUS) with participation in family planning program at UPT Puskesmas Sungai Raya Sungai Raya District, East Aceh regency 2018. The research design used was analytic survey with cross sectional design. The population of this study is all Pairs Age of Fertile located in Work Area UPT Sungai Raya Public Health Service Center in January to December 2017 which amounted to 1897 people. Sampling using Slovin formula, obtained as many as 95 samples. The study was conducted from 7-17 July 2018 using questionnaires by interview. Statistical test using chi-square test. Result of research indicate that majority of fertile couple couples (PUS) participate in family planning program as much as 67 respondents (70,5%). Statistically there is relationship of attitude and characteristic of Elderly Age Couple (EFA) with non participation in family planning program in Working Area of UPT Puskesmas Sungai Raya Sungai Raya District of East Aceh Regency 2018 with p value <0,1. It is recommended that the family planning program holders in UPT Puskesmas Sungai Raya Sungai Raya District of East Aceh District to invite cross-sectoral figures to hold meetings to create mini workshop plans at least once a month to increase the participation of the Elderly Age Couple (PUS) in family planning programs. Keyword : Family Planning Program, Attitudes, CharacteristicsABSTRAKProgram KB juga bertujuan untuk meningkatkan kualitas keluarga agar dapat timbul rasa aman, tentram, dan harapan masa depan yang lebih baik dalam mewujudkan kesejahteraan lahir dan kebahagiaan batin. Diduga faktor yang menyebabkan ketidakikutsertaan PUS dalam program KB adalah karakteristik. Tujuan penelitian ini untuk mengetahui hubungan sikap dan karakteristik Pasangan Usia Subur (PUS) dengan keikutsertaan dalam program KB di Wilayah Kerja UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur tahun 2018. Desain penelitian yang digunakan adalah survei analitik dengan rancangan bedah lintang. Populasi dari penelitian ini adalah seluruh Pasangan Usia Subur yang berada di Wilayah Kerja UPT Puskesmas Sungai Raya pada bulan Januari sampai dengan Desember tahun 2017 yang berjumlah 1.897 orang. Pengambilan sampel menggunakan rumus Slovin, didapatkan sebanyak 95 sampel. Penelitian dilaksanakan dari tanggal 7-17 Juli tahun 2018 menggunakan kuesioner dengan cara wawancara. Uji statistik menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa mayoritas Pasangan Usia Subur (PUS) ikut serta dalam program KB yaitu sebanyak 67 responden (70,5%). Secara statistik ada hubungan sikap dan karakteristik Pasangan Usia Subur (PUS) dengan ketidakikutsertaan dalam program KB di Wilayah Kerja UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur tahun 2018 dengan p value < 0,1. Sebaiknya pemegang program KB di UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur agar mengajak tokoh lintas sektor agar mengadakan pertemuan untuk membuat rencana loka karya mini setidaknya satu bulan sekali untuk meningkatkan keikutsertaan Pasangan Usia Subur (PUS) dalam program KB.Kata Kunci : Program KB, Sikap, Karakteristik

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.

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