Geriatrics & gerontology international
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Geriatr Gerontol Int · Jul 2013
Multicenter Study Comparative StudyMorbidity and mortality among newly hospitalized patients with community-acquired pneumococcal bacteremia: a retrospective cohort study in three teaching hospitals in Japan.
Although the mortality rate of pneumococcal bacteremia has been intensively studied, few studies have examined how it influences patient morbidity. This study aimed to fill this research gap by clarifying the impact of pneumococcal bacteremia on mortality and morbidity. ⋯ Our study showed that a high proportion of inpatient morbidity and mortality occurs in adult patients with pneumococcal bacteremia, especially among those aged ≥ 75 years.
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Geriatr Gerontol Int · Jul 2013
Comparative StudyScreening for dementia: Brazilian version of the Informant Questionnaire on Cognitive Decline on the Elderly and its psychometric properties.
To assess the criterion validity of the Brazilian version of the Informant Questionnaire on Cognitive Decline on the Elderly (IQCODE-BR), and analyze the influence of educational level and age of both the elderly and the informants on the questionnaire scores. ⋯ This study suggests that the IQCODE-BR is a valid tool for screening of dementia and that IQCODE-BR scores do not seem to be influenced by age, educational level and other factors associated with the informants. However, further studies are required to evaluate informant characteristics, such as anxiety states, depression and burden level.
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Geriatr Gerontol Int · Apr 2013
Comparative StudyThe Frailty Instrument for primary care of the Survey of Health, Ageing and Retirement in Europe predicts mortality similarly to a frailty index based on comprehensive geriatric assessment.
Frailty is an emerging concept in primary care, which potentially can provide healthcare commissioners with a clinical focus for targeting resources at an aging population. However, primary care practitioners need valid instruments that are easy to use. With that purpose in mind, we created a Frailty Instrument (FIt) for primary care based on the Survey of Health, Aging and Retirement in Europe (SHARE). The aim of the present study was to compare the mortality prediction of the five-item SHARE-FIt with that of a 40-item Frailty Index (FIx) based on comprehensive geriatric assessment (CGA). ⋯ SHARE-FIt is simpler and more usable, and predicts mortality similarly to a more complex FIx based on CGA.
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Geriatr Gerontol Int · Apr 2013
Comparative StudyHigh prevalence of sarcopenia and reduced leg muscle mass in Japanese patients immediately after a hip fracture.
Sarcopenia-related falls and fractures are becoming an emerging problem as a result of rapid aging worldwide. We aimed to investigate the prevalence of sarcopenia by estimating the muscle mass of the arms and legs of patients with and without hip fracture. ⋯ This study showed a higher prevalence of sarcopenia and more reduced leg muscle mass in patients after a hip fracture than in the outclinic patients who did not have hip fractures. The results imply sarcopenia can be a risk factor for a hip fracture.