Articles: aged.
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To determine the effect of age on hospital resource use for seriously ill adults, and to explore whether age-related differences in resource use are explained by patients' severity of illness and preferences for life-extending care. ⋯ Compared with similar younger patients, seriously ill older patients receive fewer invasive procedures and hospital care that is less resource-intensive and less costly. This preferential allocation of hospital services to younger patients is not based on differences in patients' severity of illness or general preferences for life-extending care.
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Multicenter Study
[Confusion syndromes in hospitalized aged patients: polymorphism of symptoms and course. Prospective study of 183 patients].
Using explicit criteria contained in the DSM III R, we collected in a prospective cohort study clinical features, outcome and risk factors from two cohorts of delirium in hospitalized elderly patients: 138 hospitalized in geriatric department and 45 patients admitted to an acute and comprehensive care hospital. The clinical features were assessed using a quantitative scale (developed by Derouesné). Delirium was unrecognized or misdiagnosed by physicians in 34% of the cases. ⋯ The predisposing factors to the development of dementia were prior use of psychoactive medications and signs of prior cognitive impairment. This article suggests delirium in elderly patients is associated with several outcomes. The prognosis should be improved at admission by specific scale and an evaluation of predisposing and precipitating factors.
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Multicenter Study Comparative Study Clinical Trial
Use of emergency departments by elderly patients: projections from a multicenter data base.
To assess the use of emergency medical care by the elderly in the United States, including emergency department visits, level of ED care required, ambulance services, and hospital admission rate. ⋯ With the rapid growth of the size of the elderly population, it is important that we assess the emergency medical resources needed to care for the geriatric population.
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Int J Aging Hum Dev · Jan 1990
Multicenter Study Clinical TrialReminiscence, life review, and ego integrity in nursing home residents.
The purpose of this study was to explore the relationship between dimensions of reminiscence and ego integrity in elderly nursing-home residents. Although frequency of reminiscence was not significantly correlated with ego integrity, using reminiscence for the purpose of life review was positively correlated with high ego-integrity scores in this sample of elderly individuals. This significant, positive relationship supports Butler's life-review theory and provides a link between the life review type of reminiscence and the resolution of Erikson's eighth and final developmental stage--a yardstick of successful aging.