Facteurs associés à la consommation de courte et de longue durée des benzodiazépines chez les personnes âgées du Québec

2005 ◽  
Vol 24 (2) ◽  
pp. 103-113 ◽  
Author(s):  
Dany Fortin ◽  
Michel Préville ◽  
Claire Ducharme ◽  
Réjean Hébert ◽  
Jacques Allard ◽  
...  
Keyword(s):  
Risk Factors ◽  
Multinomial Logistic Regression ◽  
Female Gender ◽  
The Elderly ◽  
Elderly Persons ◽  
Factors Associated ◽  
Benzodiazepine Use ◽  
Short And Long Term ◽  
Chronic Health Problems

ABSTRACTIn Quebec, benzodiazepines are some of the most extensively used drugs by the elderly. The goal of this study was to identify factors associated with short- and long-term benzodiazepine use among 2,039 elderly persons having participated in the Quebec Health Survey conducted in 1998. Results of the multivariate, multinomial logistic regression showed that a higher number of chronic health problems, a higher number of physicians visited and general practitioners consulted were associated with short- and long-term use of benzodiazepines. Factors specifically associated with long-term use were female gender (OR=1.84) and the presence of benzodiazepine users in the household (OR=1.90). In this study, we were unable to show a difference between the two groups of users with regards to the risk factors studied. This result leads us to conclude that prevention of long-term use must be aimed at all new benzodiazepine users.

scholarly journals Analysis of Risk Factors Associated with Outcomes in Road Traffic Injury Patients with Acute Lung Injury

2009 ◽  
Vol 37 (3) ◽  
pp. 835-840
Author(s):  
L Sheng ◽  
J-S Wu ◽  
M Zhang ◽  
S-W Xu ◽  
J-X Gan ◽  
...  
Keyword(s):  
Risk Factors ◽  
Acute Lung Injury ◽  
Lung Injury ◽  
Road Traffic ◽  
Road Traffic Injury ◽  
Apache Ii Score ◽  
Factors Associated ◽  
Traffic Injury ◽  
Short And Long Term

Over 50% of road traffic injury (RTI) patients experience post-traumatic acute lung injury (ALI) and it is, therefore, extremely important to identify the risk factors related to the poor outcomes associated with ALI in RTI populations. This study evaluated 19 potential risk factors associated with the outcomes of ALI in 366 RTI patients. They were divided into two groups: a ‘favourable outcomes group’ and an ‘unfavourable outcomes group’. The results indicated that the Acute Physiology and Chronic Health Evaluation II (APACHE II) score and the presence of gastrointestinal haemorrhage may help predict the outcomes of ALI in the early post-trauma phase of treatment. The duration of trauma and sepsis were shown to impact strongly on both the short- and long-term outcomes of ALI. Age (≥ 65 years) and disseminated intravascular coagulation in the early RTI phase were also independent risk factors for a poorer short- and long-term outcome in ALI.

scholarly journals Factors associated with temporomandibular dysfunction in the elderly: an integrative literature review

2019 ◽  
Vol 22 (1) ◽  
Author(s):  
Patrícia Fernanda Faccio ◽  
Maria Angélica Bezerra dos Santos ◽  
Taís Arcanjo Maropo da Silva ◽  
Eduarda Correia Moretti ◽  
Maria das Graças Wanderley de Sales Coriolano ◽  
...  
Keyword(s):  
Literature Review ◽  
Low Income ◽  
Female Gender ◽  
The Elderly ◽  
Elderly Persons ◽  
Bias Analysis ◽  
Scientific Publications ◽  
Temporomandibular Dysfunction ◽  
Factors Associated ◽  
Newcastle Ottawa Scale

Abstract Objective: To identify the factors associated with temporomandibular dysfunction among elderly persons. Method: An integrative literature review was carried out, evaluated by scientific publications indexed in five databases: MEDLINE/PubMed, SCOPUS, WEB OF SCIENCE, CINAHL and LILACS, without date or language restrictions. The adapted Newcastle-Ottawa Scale was used to evaluate the articles. Results: Of the 888 articles from the databases, four were considered eligible for this review. Risk of bias analysis classified one article as low risk and the other as intermediate risk. Conclusion: The factors associated with temporomandibular dysfunction in the elderly indicated by the studies were: female gender, age between 60-70 years, a low income, suffering from tinnitus, dizziness, depression, headache or bruxism; experience temporomandibular joint palpation, masticatory and cervical muscle pain, a low number of teeth and the use of complete dentures.

scholarly journals Fatores de risco associados à hipertensão arterial em idosos

2017 ◽  
Vol 7 (1) ◽  
pp. 36
Author(s):  
Suzane Albuquerque dos Santos Fukahori ◽  
Camila Gomes de Moura Nascimento ◽  
Simone Lugon da Silva Almeida ◽  
João Victor Batista Cabral
Keyword(s):  
Risk Factors ◽  
Arterial Hypertension ◽  
Functional Disability ◽  
Female Gender ◽  
The Elderly ◽  
Control Measures ◽  
Factors Associated ◽  
Prevention And Control Measures ◽  
And Control ◽  
Perception Of Health

<p>A Hipertensão Arterial Sistêmica é uma condição clínica com múltiplas causas e é definida por níveis elevados e sustentados de pressão arterial, sendo considerada uma das principais doenças crônicas não transmissíveis que acometem a população idosa. Objetivou-se identificar os fatores de risco associados à hipertensão arterial em idosos. O presente trabalho trata-se de uma revisão integrativa, com busca realizada na Biblioteca Virtual em Saúde, por meio das bases de dados LILACS, BDENF e MEDLINE, associados ao repositório SciELO, entre os anos de 2010 e 2015, com a utilização dos descritores combinados e síntese dos dados por meio de tabulações. Foram evidenciados como fatores de risco à hipertensão arterial nos idosos: a própria senilidade, o sexo feminino, excesso de peso, pior autopercepção de saúde, não adesão ao tratamento, incapacidade funcional, depressão e a inatividade física. Os resultados mostram o papel dos fatores de riscos para o desenvolvimento e complicações da hipertensão, todavia também são sinais para a detecção precoce e para a ampliação das intervenções de medidas de prevenção e controle nas diversas esferas de atendimento em saúde.</p><p align="center"><strong><em>Risk factors associated with arterial hypertension in elderly</em></strong></p><pre><strong>Abstract: </strong>Systemic Arterial Hypertension is a clinical condition with multiple causes and is defined by elevated and sustained blood arterial pressure levels, being considered one of the main chronic non transmissible diseases that affect the elderly population. The aim of this study was to identify the risk factors associated with hypertension in the elderly. The present article deals with an integrative review, with a search carried out in the Virtual Health Library, through the LILACS, BDENF and MEDLINE databases, associated with the SciELO repository, between 2010 and 2015 years, using the descriptors combined and synthesis of the data by through tabulations. Senility, female gender, overweight, worse self-perception of health, non-adherence to treatment, functional disability, depression and physical inactivity were evidenced as risk factors for hypertension in the elderly. The results show the role of risk factors for the development and complications of hypertension, but they are also signals for the early detection and for the expansion of the interventions of prevention and control measures in the different health care spheres.</pre>

scholarly journals Helminthiasis among Elderly with Long Term Care Setting, Sisaket Province, Thailand

2021 ◽  
Keyword(s):  
Public Health ◽  
Long Term Care ◽  
Multinomial Logistic Regression ◽  
The Elderly ◽  
Stepwise Multiple Regression ◽  
Parasitic Diseases ◽  
Preventive Behavior ◽  
Term Care ◽  
Factors Associated

Beyond the COVID-19 pandemics, from the Era of New normal along with advancement in technology is a concurrent advancement in public health. Prevention and control programs dealing with tropical and parasitic diseases have been developed and implemented. However, even with these advances, tropical and parasitic diseases remain a serious concern for the public health system in Thailand. The first cross-sectional analytical study identified risk factors associated with helminthiasis among the elderly in Srisaket Province. The investigators already visited and collected from 293 subjects during Year 2020. The data were analyzed descriptive statistics include number, percentage, mean, standard deviation, minimum, and maximum values. Inferential statistics investigated the association of factors affecting the prevention behavior of helminthiasis infection among the elderly by Pearson's correlation coefficient statistics. Analysis equation was also used to predict the relationship between two groups of variables by using Stepwise Multinomial logistic regression statistics. The study revealed a higher prevalence of helminthiasis in the population age group of over 60 to 90 years old compared to other age groups. It also indicated that males (37.9%) were more significant than females (62.1%). The results of fecal eggs or larvae counts of elderly in the overview showed that they were hookworm infection 6.80%, Taenia infection 4.40% and Opisthorchis’s 2.40% respectively. The results revealed 4 factors associated with preventive behavior of helminthiasis knowledge, perceived benefit, social support, and self-efficacy respectively. The stepwise multiple regression analysis used to predict the preventive behavior of helminthiasis among elderly in Sisaket Province could jointly explain 16.20% of the variance (R2 = 0.162, R2adj = 0.150, SEest = 7.39094, F = 13.383, p = 0.03) of preventive behavior of helminthiasis among elderly with significant at level 0.05. Therefore, establishing the long-term care preventive model of helminthiasis should focus on these factors.

Prevalence and Associated Factors for Episodic and Chronic Daily Headache in the Colombian Population

Cephalalgia ◽  
2008 ◽  
Vol 28 (3) ◽  
pp. 216-225 ◽  
Author(s):  
M Rueda-Sánchez ◽  
LA Diaz-Martinez
Keyword(s):  
Risk Factors ◽  
Chronic Daily Headache ◽  
Multinomial Logistic Regression ◽  
Depression Scale ◽  
Female Gender ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Associated ◽  
Episodic Headache ◽  
Daily Headache

There are multiple risk factors for chronic daily headache (CDH), but they are usually assessed in an isolated form without an adequate control for confounders. CDH is considered a variant of episodic headache, but studies have not gathered enough evidence to evaluate simultaneously CDH and episodic in the same population. We set out to establish simultaneously the factors associated with chronic daily or episodic headache in a population setting, using a cross-sectional survey in a random sample of 1505 adult urban inhabitants (Bucaramanga, Colombia). The survey asked questions about headache, family and personal history of disease, and consumption or abuse of caffeine, alcohol, hypnotics and analgesics. The association among independent variables and CDH or episodic headache was made with multinomial logistic regression. Female gender, arterial hypertension or cranial trauma history, and a high score in the depression scale are associated with episodic headache and CDH. Parents with CDH, the complaint of multiple arousals during sleep and use of hypnotics are associated with CDH, but not with episodic headache. Age < 36 years, alcoholism and snoring are factors associated only with episodic headache. Chronic daily headache and episodic headache have several common risk factors, but there are other factors not shared by both conditions.

scholarly journals Prevalence of and factors associated with benzodiazepine use in community-resident elderly persons

2017 ◽  
Vol 20 (4) ◽  
pp. 463-473 ◽  
Author(s):  
Mariana Macedo Alvim ◽  
Danielle Teles da Cruz ◽  
Marcel de Toledo Vieira ◽  
Ronaldo Rocha Bastos ◽  
Isabel Cristina Gonçalves Leite
Keyword(s):  
Household Survey ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Elderly Persons ◽  
Cross Sectional ◽  
Significance Level ◽  
Factors Associated ◽  
Medical Visits ◽  
Elimination Half ◽  
Benzodiazepine Use

Abstract Objective: to assess the prevalence of and factors associated with the use of benzodiazepines in elderly persons living in the community. Method: a cross-sectional study was conducted through a household survey of 423 elderly persons from Juiz de Fora, Minas Gerais, Brazil. To analyze the factors associated with the outcome, the Poisson regression model was used, based on the theoretical model of determination with hierarchical blocks. The variables were adjusted within each block, with those with a 5% significance level remaining in the final model. Result: The prevalence of benzodiazepine use was 18.3% (95% CI 15.2 to 21.6). Most benzodiazepines used had a long-elimination half-life (59.2%) and use was considered long in 85.5% of users. Among benzodiazepine users 38.4% also used antidepressants. The use of these drugs was associated with the presence of self-reported mental and behavioral disorders, polypharmacy and medical visits in the last three months. Conclusion: The use of benzodiazepines was considered high among the elderly. The reduction in the prescription of these drugs should be assessed individually, considering the physiological alterations of the elderly and the adverse effects of drugs, in order to minimize incorrect prescriptions.

scholarly journals Identifying elderly persons who are at risk of falling and fall risk factors in the general population

2018 ◽  
Vol 146 (7-8) ◽  
pp. 396-402
Author(s):  
Suncica Ivanovic ◽  
Sanja Trgovcevic ◽  
Biljana Kocic ◽  
Snezana Todorovic-Tomasevic ◽  
Milica Jeremic-Knezevic ◽  
...  
Keyword(s):  
Risk Factors ◽  
General Population ◽  
Odds Ratio ◽  
Female Gender ◽  
The Elderly ◽  
Health State ◽  
Elderly Persons ◽  
Risk Of Falling ◽  
Self Assessment ◽  
Risk Factors For Falls

Introduction/Objective. The aim of this study was to identify the elderly who are at increased risk of falling, as well as the risk factors for falls in the general population. Methods. This cross sectional study included a random sample of 400 people (164 men and 236 women) with the average age of 75.04 (65?94) years selected from the Register of the Primary Health Center in Nis, Serbia. Socio-demographic questionnaire, the Elderly Fall Screening Test, and the Multi-factor Falls Questionnaire were used. Odds ratio (OR) was evaluated and adjusted for gender, age, marital status, education level, and self-assessment of the health state. Results. The risk of falling and risk factors for falls were as follows: age [odds ratio (OR) = 1.129, confidence interval (CI) = 1.067?1.196], health self-assessed as good (OR = 0.365; CI = 0.142?0.938), limitation of activities (OR = 7.189; CI = 3.559?14.522), walking problems (OR = 2.153; CI = 1.046?4.428), osteoporosis (OR = 4.611; CI = 1.231?17.265), female gender (OR = 3.770, CI = 1.648?8.624), vision problems (OR = 2.719; CI = 1.588?108.581), cognitive problems (OR = 4.485; CI = 17.721), arthritis (OR = 6.524; CI = 2.077?20.496), and urination problems (OR = 2.511; CI = 1.083?5.820). Conclusion. Risk factors for falls were the following: age, self-assessment of health state, walking problems, osteoporosis, female gender, vision problems, arthritis, and urination problems.

scholarly journals Prevalence and risk factors for intestinal protozoa infection in elderly residents at Long Term Residency Institutions in Southeastern Brazil

2013 ◽  
Vol 55 (1) ◽  
pp. 19-24 ◽  
Author(s):  
Katymilla Guimarães Girotto ◽  
Daliane Faria Grama ◽  
Maria Júlia Rodrigues da Cunha ◽  
Elaine Silva Marques Faria ◽  
Jean Ezequiel Limongi ◽  
...  
Keyword(s):  
Risk Factors ◽  
The Elderly ◽  
Domestic Animals ◽  
Southeastern Brazil ◽  
Food Handlers ◽  
Intestinal Protozoa ◽  
Factors Associated ◽  
Cryptosporidium Spp ◽  
Stool Samples

This study determined the prevalence of intestinal protozoa in Long Term Residency Institutions for the Elderly (ILPI) in elders, nurses and food handlers, identifying the risk factors associated with the infections. Stool samples taken from the elderly (n = 293), nurses (63) and food handlers (19) were studied. Questionnaires were used with questions related to sociodemographic variables, health, behavior and health characteristics. Stool samples were examined using the techniques of Faust and Ziehl Neelsen, and the prevalence of G. duodenalis, Cryptosporidium spp., E. histolytica/dispar in the elderly was 4.0%, 1.0% and 0.3% respectively. Nurses and food handlers showed 4.8% and 5.2% positivity only for G. duodenalis, respectively. The origin of the individuals and contact with domestic animals has been associated with infection by G. duodenalis in the elderly, and contact with domestic animals was considered a risk factor for infection. The last stool examinations were related to Cryptosporidium spp.. None of the variables were associated with E. histolytica/dispar. The frequency of hand washing was significantly associated with G. duodenalis among nurses. The frequency of positive samples of G. duodenalis, Cryptosporidium spp., E. histolytica/dispar showed that ILPIs environments are conducive to this occurring due to contact between the elderly, nurses and food handlers, which are often poorly trained in hygiene procedures and food handling.

scholarly journals Fatigue and Dyspnoea as Main Persistent Post-COVID-19 Symptoms in Previously Hospitalized Patients: Related Functional Limitations and Disability

Respiration ◽  
2021 ◽  
pp. 1-10
Author(s):  
César Fernández-de-las-Peñas ◽  
Domingo Palacios-Ceña ◽  
Víctor Gómez-Mayordomo ◽  
María Palacios-Ceña ◽  
Jorge Rodríguez-Jiménez ◽  
...  
Keyword(s):  
Risk Factors ◽  
Daily Living ◽  
Respiratory Symptoms ◽  
Functional Limitations ◽  
Female Gender ◽  
Medical Comorbidity ◽  
Daily Living Activities ◽  
Factors Associated ◽  
Daily Life Activities

<b><i>Background:</i></b> Multicentre studies focussing on specific long-term post-COVID-19 symptoms are scarce. <b><i>Objective:</i></b> The aim of this study was to determine the levels of fatigue and dyspnoea, repercussions on daily life activities, and risk factors associated with fatigue or dyspnoea in COVID-19 survivors at long term after hospital discharge. <b><i>Methods:</i></b> Age, gender, height, weight, symptoms at hospitalization, pre-existing medical comorbidity, intensive care unit admission, and the presence of cardio-respiratory symptoms developed after severe acute respiratory syndrome coronavirus 2 infection were collected from patients who recovered from COVID-19 at 4 hospitals in Madrid (Spain) from March 1 to May 31, 2020 (first COVID-19 wave). The Functional Impairment Checklist was used for evaluating fatigue/dyspnoea levels and functional limitations. <b><i>Results:</i></b> A total of 1,142 patients (48% women, age: 61, standard deviation [SD]: 17 years) were assessed 7.0 months (SD 0.6) after hospitalization. Fatigue was present in 61% patients, dyspnoea with activity in 55%, and dyspnoea at rest in 23.5%. Only 355 (31.1%) patients did not exhibit fatigue and/or dyspnoea 7 months after hospitalization. Forty-five per cent reported functional limitations with daily living activities. Risk factors associated with fatigue and dyspnoea included female gender, number of pre-existing comorbidities, and number of symptoms at hospitalization. The number of days at hospital was a risk factor just for dyspnoea. <b><i>Conclusions:</i></b> Fatigue and/or dyspnoea were present in 70% of hospitalized COVID-19 survivors 7 months after discharge. In addition, 45% patients exhibited limitations on daily living activities. Being female, higher number of pre-existing medical comorbidities and number of symptoms at hospitalization were risk factors associated to fatigue/dyspnoea in COVID-19 survivors 7 months after hospitalization.

scholarly journals Stroke Perception and Response amongst Elderly Persons in Benin, City, Nigeria

2020 ◽  
pp. 293-302
Author(s):  
FE Odiase ◽  
E Kayode-Iyasere
Keyword(s):  
Risk Factors ◽  
Risk Perception ◽  
Perceived Risk ◽  
Stroke Risk ◽  
Healthy Lifestyle ◽  
Female Gender ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Elderly Persons ◽  
Cross Sectional

Theories on health behaviour have recognized perceived risk as an essential factor in the adoption of a healthy lifestyle, however, little is known about stroke risk perception and response to stroke in the elderly population of Nigeria. Ageing being the most important unmodifiable risk factor for stroke, this study aims to determine the predictors of perception of stroke risk and response to stroke in the elderly This was a cross-sectional study, which involved a multi-stage random sampling, recruiting one hundred and sixty individuals 65years and older. The interview was by face to face using a questionnaire to determine, demographics, knowledge of stroke risk, perception of stroke risk and response in the event of a stroke. Multiple logistic regression models were used to analyze predictors of dependent variables Only 32.5% of participants had an accurate perception of stroke risk while 30.6% would consider taking a patient to hospital in the event of a stroke. Increasing age (P=0.001), the female gender (P<0.05), having two or more risk factors for stroke (P=0.001) and attending two or more specialized clinics (P=0.001) were significant predictors of the wrong perception of stroke risk and inappropriate response in the event of a stroke. The elderly are at risk for stroke, but sadly with increasing age and additional risk factors for stroke, the majority have a wrong perception of stroke risk and would respond inappropriately in the event of a stroke. It might be necessary to run stroke campaigns that are targeted and appropriate to the elderly, involving continuous intermittent repetitions.

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