Dementia and Poor Continuity of Primary Care Delay Hospital Discharge in Older Adults: A Population-Based Study From 2001 to 2016

2020 ◽  
Author(s):  
Shiraz El Adam ◽  
Anne Martin-Matthews ◽  
Mariko Sakamoto ◽  
Erin Strumpf ◽  
Kimberlyn M. McGrail ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Hospital Discharge ◽  
Population Based ◽  
Population Based Study

Total Cerebral Small Vessel Disease Score and Anthropometric Indices: A Population-Based Study in Older Adults of Amerindian Ancestry

2021 ◽  
pp. 1-4
Author(s):  
Oscar H. Del Brutto ◽  
Robertino M. Mera
Keyword(s):  
Older Adults ◽  
Small Vessel Disease ◽  
Brain Magnetic Resonance Imaging ◽  
Population Based ◽  
Cerebral Small Vessel Disease ◽  
The Body ◽  
Small Vessel ◽  
Population Based Study ◽  
Vessel Disease ◽  
Ordinal Logistic Regression Model

A total of 590 older adults of Amerindian ancestry living in rural Ecuador received anthropometric measurements and a brain magnetic resonance imaging to estimate the total cerebral small vessel disease (cSVD) score. A fully adjusted ordinal logistic regression model, with categories of the total cSVD score as the dependent variable, disclosed significant associations between the waist circumference, the waist-to-hip, and the waist-to-height ratios – but not the body mass index (BMI) – and the cSVD burden. Indices of abdominal obesity may better correlate with severity of cSVD than the BMI in Amerindians. Phenotypic characteristics of this population may account for these results.

scholarly journals Mortality Outcomes in People Experiencing Homelessness Across England: a population-based study

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D Menezes ◽  
D Lewer ◽  
A Yavlinsky ◽  
M Tinelli ◽  
R Aldridge
Keyword(s):  
Hospital Discharge ◽  
Mortality Risk ◽  
Meta Analysis ◽  
Population Based ◽  
Mortality Data ◽  
Additive Interaction ◽  
Population Based Study ◽  
Group A ◽  
Healthcare Interventions ◽  
Discharge From Hospital

Abstract Introduction The number of people experiencing homelessness in England has increased since 2010 and a recent systematic review and meta-analysis demonstrated high levels of mortality in this group across high-income countries. In this study we examine the death rates in people experiencing homelessness after discharge from hospital. Methods This is a study of linked hospital admission records and mortality data for two groups. First, a “Homeless group”: people seen by 17 specialist homeless discharge schemes between 1 November 2013 and 30 November 2016. Second, an “IMD5 group”: A matched group of patients who live in deprived areas and have the same age and sex, and were discharged from the same hospital in the same year as the homeless patient. Our analysis entailed calculating mortality rates across each group and by the number of comorbidities. Results The mortality rate for the IMD5 group was 1,935 deaths per 100,000 person years, compared with 5,691 for the homeless group, giving a rate ratio of 2.9 (95% CI 2.5-3.5). The mortality risk increased with the number of comorbidities. Individuals in the IMD5 group with zero comorbidities had a death rate of 831 per 100,000 person-years, compared with the homeless group for which the corresponding figure was 2,598 and or those with 4+ comorbidities were 7,324 (IMD5) and 12,714 (homeless). This suggests a 'super-additive' interaction in which the effect of morbidity on mortality risk after discharge is greater for homeless patients. Survival at 5 years for the homelessness group was for men 80% (95% CI 77-85) and women 85 (95% CI 81-87). Conclusions This study shows that the well-established inequity in mortality for people experiencing homelessness exists after discharge from hospital and is greatest for the most unwell patients. Our results suggest a need for greater emphasis on prevention of homelessness, early healthcare interventions and improved hospital discharge arrangements for this population. Key messages The well-established inequity in mortality for people experiencing homelessness exists after discharge from hospital and is greatest for the most unwell patients. Our results suggest a need for greater emphasis on prevention of homelessness, early healthcare interventions and improved hospital discharge arrangements for this population.

Sexual Health and Function in Later Life: A Population-Based Study of 606 Older Adults with a Partner

2015 ◽  
Vol 23 (3) ◽  
pp. 227-233 ◽  
Author(s):  
Vicki Wang ◽  
Colin A. Depp ◽  
Jennifer Ceglowski ◽  
Wesley K. Thompson ◽  
David Rock ◽  
...  
Keyword(s):  
Older Adults ◽  
Sexual Health ◽  
Later Life ◽  
Population Based ◽  
Population Based Study ◽  
And Function

Subjective sleep characteristics associated with anxiety and depression in older adults: a population-based study

2013 ◽  
Vol 14 ◽  
pp. e234-e235
Author(s):  
O. Potvin ◽  
D. Lorrain ◽  
G. Belleville ◽  
S. Grenier ◽  
M. Préville
Keyword(s):  
Older Adults ◽  
Population Based ◽  
Anxiety And Depression ◽  
Population Based Study ◽  
Subjective Sleep

scholarly journals Epidemiology and management of infertility: a population-based study in UK primary care

2009 ◽  
Vol 26 (4) ◽  
pp. 269-274 ◽  
Author(s):  
S. Wilkes ◽  
D. J Chinn ◽  
A. Murdoch ◽  
G. Rubin
Keyword(s):  
Primary Care ◽  
Population Based ◽  
Population Based Study
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