Valkuilen in de diagnostiek van fragiliteitsfracturen bij geriatrische patiënten

2021 ◽  
Author(s):  
E. Verkinderen ◽  
G. Moorkens ◽  
E. De Smet ◽  
I. Huyghe ◽  
V. Mertens
Keyword(s):  
Back Pain ◽  
Emergency Room ◽  
Clinical Picture ◽  
Older Patients ◽  
Geriatric Patients ◽  
Fragility Fractures ◽  
Geriatrische Patienten ◽  
Geriatric Population

Pitfalls in the diagnosis of fragility fractures in geriatric patients Osteoporosis is a frequent and often undiagnosed condition in the geriatric population. The presence of this pathology has, however, important implications, the main one being the increased occurrence of fragility fractures. It is essential to be vigilant for these fractures when older patients present with hip or back pain in the emergency room. If the classic radiography is negative but the clinical picture is suspect for a fracture, further investigations with imaging are necessary.

scholarly journals Endoscopic Sinus Surgery for the Treatment of Chronic Sinusitis in Geriatric Patients

2001 ◽  
Vol 80 (4) ◽  
pp. 230-232 ◽  
Author(s):  
Rong-San Jiang ◽  
Chen-Yi Hsu
Keyword(s):  
Effective Treatment ◽  
Endoscopic Sinus Surgery ◽  
Older Patients ◽  
Geriatric Patients ◽  
Chronic Sinusitis ◽  
Sinus Surgery ◽  
Adult Group ◽  
Geriatric Population ◽  
Operative Complications

Although endoscopic sinus surgery is a well-documented procedure for the treatment of chronic sinusitis in children and adults, no study has been conducted to specifically investigate its application in a geriatric population. We undertook to fill this void by analyzing the records of 1,112 patients who had undergone endoscopic sinus surgery for chronic sinusitis in our department between April 1988 and March 1998. We categorized these patients by age. There were 171 patients (15.4%) in the geriatric group (age: ≥65 yr), 837 patients (75.3%) in the adult group (age: 17 to 64), and 104 patients (9.4%) in the pediatric group (age: ≤16 yr). We found that the geriatric group experienced a disproportionately larger share of operative complications, but most of them were minor. Outcomes were similar in all three groups. We conclude that endoscopic sinus surgery is a safe and effective treatment for older patients with chronic sinusitis.

Aging and Autism

2012 ◽  
Vol 17 (2) ◽  
pp. 69-75 ◽  
Author(s):  
Pamela A. Smith
Keyword(s):  
Health Care ◽  
Autism Spectrum Disorders ◽  
Patient Group ◽  
Older Patients ◽  
Geriatric Patients ◽  
Recent Literature ◽  
Communication Disorders ◽  
Autism Spectrum ◽  
Need For Support ◽  
Spectrum Disorders

In this article, I will review the available recent literature about the aging population with autism, a patient group that researchers know little about and a group that is experiencing a growing need for support from communication disorders professionals. Speech-language pathologists working with geriatric patients should become familiar with this issue, as the numbers of older patients with autism spectrum disorders is likely to increase. Our profession and our health care system must prepare to meet the challenge these patients and residents will present as they age.

scholarly journals Decreasing Emergency Room Utilization in High Risk Geriatric Patients

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 135-135
Author(s):  
Shamsi Fani ◽  
Lizette Munoz ◽  
Susana Lavayen ◽  
Blair McKenzie ◽  
Audrey Chun ◽  
...  
Keyword(s):  
New York ◽  
High Risk ◽  
Emergency Room ◽  
Geriatric Patients ◽  
Social Issues ◽  
The Elderly ◽  
Mount Sinai Hospital ◽  
Status Change ◽  
Community Paramedicine ◽  
Ed Visits

Abstract Background: The Acute Life Interventions Goals & Needs Program (ALIGN) at the Mount Sinai Hospital in New York City aims to work closely with high risk geriatric patients for short term intensive management of acute medical and social issues. Quantitative measures for determining success of the program is comparing emergency room visits and hospitalizations prior to and after enrollment with ALIGN. The Community Paramedicine service allows a paramedic, the ALIGN provider, and an emergency room physician to assess and triage patients in their home via video conference thereby avoiding ED visits for non-urgent services. Method: We reviewed the utilization of the Community Paramedicine service (from July 2017-February 2020) and its impact on ALIGN’s efforts to reduce unnecessary ED visits and hospitalizations. Results: 36 patients were evaluated with the Community Paramedicine service (from July 2017-February 2020). 19 or 52.8% avoided an ED visit and 17 or 47.2% were transported to the ED. 12 or 70.6% were admitted to the hospital of those that were transported to the ED initially. Top reasons for transport to ED included generalized weakness, acute mental status change (AMS), and shortness of breath (SOB). Conclusions: A Community Paramedicine program utilized by a high risk geriatrics team like ALIGN is effective in reducing ED visits and hospitalizations for the elderly population who incur greater expenses to the health care system and traditionally have poorer health outcomes.

scholarly journals A Rare Cause of Postpartum Low Back Pain: Pregnancy- and Lactation-Associated Osteoporosis

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Rabia Terzi ◽  
Hasan Terzi ◽  
Tülay Özer ◽  
Ahmet Kale
Keyword(s):  
Risk Factors ◽  
Low Back Pain ◽  
Back Pain ◽  
Fragility Fractures ◽  
Low Back ◽  
Rare Form ◽  
Current Case ◽  
Pregnancy And Lactation ◽  
Significant Disability ◽  
Appropriate Therapy

Pregnancy- and lactation-associated osteoporosis (PLO) is a rare form of osteoporosis. It results in severe low back pain in the last trimester of pregnancy and in the postpartum period, decreases in height, and fragility fractures, particularly in the vertebra. The current case report presents a 32-year-old patient who presented with back and low back pain that began in the last trimester of the pregnancy and worsened at two months postpartum and who was diagnosed with pregnancy- and lactation-associated osteoporosis after exclusion of other causes; the findings are discussed in view of the current literature. PLO is a rare clinical condition causing significant disability. PLO must be kept in mind in the differential diagnosis in patients presenting with low back pain during or after pregnancy. The patients must be evaluated for the risk factors of PLO, and an appropriate therapy must be initiated.

STUDY AND ANALYSIS OF MORPHOLOGICAL PATTERNS OF ANEMIA IN GERIATRIC PATIENTS

2021 ◽  
pp. 29-31
Author(s):  
Greeshma C.G ◽  
Vidhya Subramanian ◽  
Sahayaraj J
Keyword(s):  
Elderly Population ◽  
Geriatric Patients ◽  
Morphological Type ◽  
Poor Quality ◽  
Geriatric Population ◽  
Normocytic Normochromic Anemia ◽  
Normochromic Anemia ◽  
Proper Diagnosis ◽  
Morphological Patterns

INTRODUCTION:Anemia in elderly population is a frequently diagnosed problem and if it is untreated ,it can lead to impaired functional capacity, poor quality of life and increased morbidity and mortality. In view of high prevelance of anemia in geriatric population,the study was conducted to evaluate the morphological patterns of anemia in elderly population. METHODS:A Prospective observational study was conducted on 100 geriatric patients above 60 years of age,for a period of 3 months.Routine haematological investigations and peripheral smear study was done. RESULTS: In the present study, females were found to be more affected than males and patients in the age group of 60-69 years were affected the most. Normocytic normochromic anemia was the most common morphological type of anemia observed. CONCLUSION: Despite recent diagnostic advances, geriatric anemia remains under reported and inadequately investigated. Determining the morphological type of anemia can help in nding out the etiology and there by aid in proper diagnosis and better patient management.

Effectiveness of denosumab on back pain-related disability and quality-of-life in patients with vertebral fragility fractures

2018 ◽  
Vol 35 (1) ◽  
pp. 151-155 ◽  
Author(s):  
Antimo Moretti ◽  
Alessandro de Sire ◽  
Claudio Curci ◽  
Giuseppe Toro ◽  
Francesca Gimigliano ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Back Pain ◽  
Fragility Fractures

scholarly journals Neurological diagnoses in the emergency room: differences between younger and older patients

2011 ◽  
Vol 69 (2a) ◽  
pp. 212-216 ◽  
Author(s):  
Marcos C. Lange ◽  
Vera L. Braatz ◽  
Carolina Tomiyoshi ◽  
Felipe M. Nóvak ◽  
Artur F. Fernandes ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Emergency Room ◽  
Older Patients ◽  
Tertiary Care Hospital ◽  
Neurological Diseases ◽  
Tertiary Care ◽  
Primary Headache ◽  
Care Hospital ◽  
National Guidelines ◽  
And Training

Neurological diseases are prevalent in the emergency room (ER). The aim of this study was to compare the neurological diagnoses between younger and older patients evaluated in the ER of a tertiary care hospital. METHOD: Patients admitted to the ER who required neurological evaluation in the first 24 hours were separated into two groups based on age, <;50 years old and >50 years old. RESULTS: Cerebrovascular disease (59.6% vs. 21.8%, p<0.01) was most frequent in the >50 years old group. Seizures (8.1% vs. 18.6%, p<0.01) and primary headache (3.7% vs. 11.4%, p<0.01) were most frequent in the <;50 years old group. CONCLUSION: The current study demonstrated that these three neurological diagnoses represented the majority of the neurological evaluations in the ER. National guidelines for ER teams that treat these prevalent disorders must be included in clinical practice and training.

scholarly journals The Impact of ‘Stay At Home’ Orders on Emergency Room Admissions

2020 ◽  
Vol 18 (3) ◽  
pp. 165-169
Author(s):  
Abdullah Osman Kocak ◽  
◽  
Sinem Dogruyol ◽  
Ilker Akbas ◽  
Bugra Kerget ◽  
...  
Keyword(s):  
Emergency Room ◽  
Retrospective Cohort ◽  
Geriatric Patients ◽  
Demographic Data ◽  
Admission Diagnosis ◽  
The Public ◽  
Hospitalization Rates ◽  
First Case ◽  
Novel Coronavirus ◽  
The Impact

Introduction. The 2019-novel-coronavirus (2019-nCoV) outbreak has become a common problem for the whole world. Aim. To investigate the impact of the 2019-nCoV pandemic period in our country on emergency room admissions. Materials and methods. The study was designed as a retrospective cohort. The first case of pneumonia infected with nCoV in our country was diagnosed on March 11, 2020. Considering the date of March 11, 2020, emergency room admissions for two periods of 7 days were investigated, pre-COVID-19 and COVID19. Demographic data, admission diagnosis, vital findings, stay times in emergency room, terminations and emergency department mortality examined. A group of ‘geriatric’ patient populations were created to examine the admission characteristics of patients aged-65 and over. Results. The 3466 patients included in the study. The average number of daily admissions was significantly higher in the pre-COVID-19 period (350.4 ± 54.5), compared to the COVID-19 period (144.7 ± 20.2, p=0001). While the proportion of cardiac- caused admissions increased during the COVID period, the proportion of gastrointestinal-induced admissions decreased (p<0001). Hospitalization rates for both adult and geriatric patients increased during the COVID period (p<0001). Conclusion. Despite all the negativity caused by the outbreak, this period has been one in which the public is aware of unnecessary emergency room which has been subsequently lessened.

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