Geriatrics & gerontology international
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Geriatr Gerontol Int · Oct 2017
Observational StudyAssociation of cognition with functional trajectories in patients admitted to geriatric wards: A retrospective observational study.
Impaired cognition is common among older patients admitted to acute hospitals, but its association with functional trajectories has not been well studied. ⋯ Dementia per se might not be a marker of poor rehabilitation potential. Older people with acute cognitive concerns might be more vulnerable to poor functional recovery. Our cognitive variables are not gold standard, and further research is required to clarify this relationship. Geriatr Gerontol Int 2017; 17: 1438-1443.
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Geriatr Gerontol Int · Oct 2017
Observational StudyComparison of four criteria for potentially inappropriate medications in Brazilian community-dwelling older adults.
To compare four potentially inappropriate medication (PIM) criteria from different regions of the world in terms of their characteristics, concordance, sensitivity, specificity and predictive values in a community-dwelling sample. ⋯ The present study found moderate-to-high levels of concordance among the four PIM criteria assessed, pointing to a consensus in this field. However, each criterion showed particular characteristics: the EU(7)-PIM criterion had higher sensitivity, the Taiwan criterion higher specificity, and the Beers and STOPP a more balanced profile. These results highlight that each criterion has its own characteristics, and should be used according to health providers' objectives. Geriatr Gerontol Int 2017; 17: 1628-1635.
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Geriatr Gerontol Int · Oct 2017
Agreement between Chronic Kidney Disease Epidemiological Collaboration and Berlin Initiative Study equations for estimating glomerular filtration rate in older people: The Invecchiare in Chianti (Aging in Chianti Region) study.
The aim was to investigate to what extent chronic kidney disease (CKD) can be staged interchangeably by Chronic Kidney Disease Epidemiological Collaboration (CKD-EPI) and by Berlin Initiative Study (BIS) equations, and to verify whether cystatin C can improve concordance between formulas. ⋯ Despite a fair overall concordance, the CKD-EPI and BIS equations cannot be considered interchangeable to assess estimated glomerular filtration rate in older people, and using creatinine/cystatin C-based rather than creatinine-based equations only marginally improves the concordance between CKD-EPI and BIS. Disagreement between equations might significantly impact the applications of stage-specific measures for managing CKD among older people. Geriatr Gerontol Int 2017; 17: 1559-1567.
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Geriatr Gerontol Int · Sep 2017
Vitamin D and the characteristics associated with risk for knee pain among Korean older adults: Findings from a nationally representative survey.
To explore vitamin D and the risk factors associated with knee pain in a representative population of Korean older adults METHODS: Data were analyzed from the Korean National Health and Nutrition Examination Survey (2010-2013). A total of 3874 participants (1728 men, 2146 women) aged 65 years and older who had a measured serum 25-hydroxyvitamin D level were evaluated. Multivariate logistic regression was used to investigate the relationship between serum vitamin D and knee pain severity RESULTS: Sex, age, obesity, education, knee radiographic osteoarthritis, hip pain and back pain were associated with having knee pain. Also, the level of serum 25-hydroxyvitamin D was not significantly associated with knee pain severity. After controlling for confounding factors, the level of serum 25-hydroxyvitamin D was not significantly associated with knee pain, and severity levels of mild, moderate and severe. ⋯ The results show that the serum vitamin D did not have a significant effect on knee pain in older adults in Korea. Geriatr Gerontol Int 2017; 17: 1278-1285.
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Geriatr Gerontol Int · Sep 2017
Comparative StudyPrevalence of potentially inappropriate prescribing among older adults: A comparison of the Beers 2012 and Screening Tool of Older Person's Prescriptions criteria version 2.
To date, there is no study comparing the Beers 2012 and Screening Tool of Older Person's Prescriptions (STOPP) version 2 criteria, nor reporting a comparison of the prevalence of potentially inappropriate Prescribing (PIM) with STOPP version 2. We aimed to evaluate the prescriptions of patients admitted to a geriatric outpatient clinic with these tools, and to document the factors related to PIM use. ⋯ Inappropriate prescription prevalence of ~40% by STOPP version 2 was similar to the global worldwide prevalence - yet at the upper end. STOPP version 2 was more successful than Beers 2012 to detect PIM. Patients with multiple drug use, multiple comorbidities and more dependency were more likely to have PIM requiring special attention during prescription. Geriatr Gerontol Int 2017; 17: 1245-1251.