Clinical Features of Eczema and Dermatitis in the Elderly - A Cross Sectional Study in Mainland China (Preprint)

2020 ◽  
Author(s):  
Xin Wang ◽  
Linfeng Li ◽  
Xiaodong Shi ◽  
Xiaodong Shi ◽  
Jian Zhao ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Clinical Features ◽  
Geriatric Patients ◽  
Mainland China ◽  
Rank Correlation ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Spearman’S Rank Correlation

BACKGROUND The clinical features of eczema and dermatitis in the elderly have not been fully studied. OBJECTIVE To investigate the proportion and clinical features of geriatric eczema patients in mainland China. METHODS A multicenter cross-sectional study conducted in outpatients with eczema from 39 tertiary hospitals in 15 provinces. RESULTS 1128 elderly patients (12.88%) had eczema and dermatitis. The mean age of those was 68.2 ± 6.8 years (range, 60-90 years) with a median course of 5.5 ± 8.9 years, which is much longer than that of non-geriatric patients (2.6 ± 4.1 years, P<.001). Compared to non-geriatric patients, more patients involved in extremities (76.2% vs 61.5%, P<.001) and trunk (37.2% vs 26.4%, P<.001), but less in head and neck (18.3% vs 30.4%, P<.001; 25.3% vs 20.6%, P<.001). 13.4% of eczema and dermatitis in the elderly was widespread, which is much higher than that of 8% in non-geriatric group (13.4% vs 8%, P<.001). 22.9% of geriatric eczema patients reported severe itching, which is much higher than that of 14% in counterparts (22.9% vs 14%, P<.001). A positive correlation was observed between age and severe itching (Spearman’s rank correlation test, P<.001). More geriatric patients had xerosis (39.6% vs 30.4%, P<.001) and more lichenification was found (25.6% vs 13.3%, P<.001). CONCLUSIONS More than ten percent of eczema occurs in the elderly patients. Longer disease duration, more severe itching, more extremities and trunk involvement, and prone to widespread, xerosis, and lichenification make it a special entity which should be studied further.

Reference values for Lactate Pro 2™ in fetal blood sampling during labor: a cross-sectional study

2017 ◽  
Vol 45 (3) ◽  
Author(s):  
Brynhildur Tinna Birgisdottir ◽  
Malin Holzmann ◽  
Ingela Hulthén Varli ◽  
Sofie Graner ◽  
Sissel Saltvedt ◽  
...  
Keyword(s):  
Lactate Concentration ◽  
Rank Correlation ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Spearman’S Rank Correlation ◽  
Fetal Blood Sampling ◽  
Conversion Equation

AbstractObjective:Lactate ProStudy design:A cross-sectional study was conducted at a university hospital in Sweden. A total of 113 laboring women with fetal heart rate abnormalities on cardiotocography (CTG) had FBS carried out. Lactate concentration was measured bedside with both LP1 and LP2 from the same blood sample capillary. A linear regression model was constructed to retrieve a conversion equation to convert LP2 values to LP1 values.Results:LP2 measured higher values than LP1 in all analyses. We found that 4.2 mmol/L with LP1 corresponded to 6.4 mmol/L with LP2. Likewise, 4.8 mmol/L with LP1 corresponded to 7.3 mmol/L with LP2. The correlation between the analyses was excellent (Spearman’s rank correlation, r=0.97).Conclusion:We recommend the following guidelines when interpreting lactate concentration in FBS with LP2: <6.4 mmol/L to be interpreted as normal, 6.4–7.3 mmol/L as preacidemia indicating a follow-up FBS within 20–30 min, and >7.3 mmol/L as acidemia indicating intervention.

Medication-Use Behavior of Elderly Patients in Baghdad City: A Cross-Sectional Study

2021 ◽  
Vol 1 ◽  
pp. 72-77
Author(s):  
Massara Salah Abbas ◽  
Marwa Jamal ◽  
Mustafa Mohammed Sabri ◽  
Zainab Abdulrahman ◽  
Saad Abdulrahman Hussain
Keyword(s):  
Side Effects ◽  
Elderly Patients ◽  
Product Information ◽  
Medication Use ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Elderly Subjects ◽  
Sectional Study ◽  
Cross Sectional ◽  
Survey Form

Background: As our society ages, the incidence of chronic diseases increases, and so does drug use and polypharmacy. Aim: To evaluate the medication use behaviors of selected elderly patients who lived in Baghdad city. Methods: This cross-sectional study included 225 subjects aged >60 years who lived in Baghdad city and consumed chronically prescribed medications. Data were collected using a survey form, and the survey was conducted through face-to-face interviews. The data are presented as numbers, percentages, and averages. Results: The majority were treated through polypharmacy, using various drugs. The most commonly used drugs included those used to treat cardiovascular diseases, DM, and dyslipidemia. 74.6% did not know about the side effects of the drugs they used, and 55.6% did not read the product information leaflet (PIL) of the drugs. Also, 70.7% said that the health care personnel did not educate them about their drugs. Of the elderly who were informed about their drugs, 128 obtained the information from the physician and 91 from the pharmacist. Conclusion: The majority of the elderly subjects used more than one drug, and the main drug class used was the cardiovascular agents. they are unaware of the side effects of the prescribed agents.

Out of Pocket Payment and Affordability of Medication for Geriatric Patients in Tehran, Iran

2020 ◽  
Author(s):  
Morvarid ZARIF-YEGANEH ◽  
Mona KARGAR ◽  
Arash RASHIDIAN ◽  
Aarefeh JAFARZADEH KOHNELOO ◽  
Kheirollah GHOLAMI
Keyword(s):  
Health System ◽  
Geriatric Patients ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Unskilled Worker ◽  
Sectional Study ◽  
Cross Sectional ◽  
Prescription Costs ◽  
Total Prescription ◽  
The Mean

Background: Considering the importance of high out-of-pocket (OOP) payment (OOPP), as a marker of health system performance, and affordability of medications in the elderly, this study was conducted to determine these issues. Methods: In this cross-sectional study, prescriptions of patients aged 65 yr or older from 5 university-affiliated pharmacies in Tehran, Iran were evaluated from Jan to Mar 2014. Prescriptions were selected from four insurance organizations. We used the prescriptions data regarding patients’ demographics and the prescribers as well as the sales data for OOP. Affordability was calculated by considering the daily salary of an unskilled worker. Results: Totally, 1467 prescriptions were analyzed. Mean age of patients was 73.89(6.66) yr. Mean (SE) of reimbursable and OOPP of the prescriptions were 203820 (10831) and 230252 (10634) IRR (Iranian Rials) respectively (equivalent to 81.6 (4.33) and 92.17 (4.33) US$ respectively). Subspecialists imposed higher expenditures for patients and insurance organizations. Patients referred to the ophthalmologists paid less OOP. Nearly 50% of the total prescription costs was paid as OOP. The mean OOPP was averagely equal to 1.41(0.065) daily salary. These prescriptions were unaffordable for 36.2% of patients. Conclusion: The OOPP was higher than the insurance goal of 30% for outpatients in Iran. More than one-third of elderly patients could not afford their single prescription. Due to the health consequences of the unaffordability of medications, corrective actions are needed by the insurance organizations and the health system.  

scholarly journals Does multimorbitdity interfere with the fundtionality of the physically active elderly?

2020 ◽  
Vol 33 ◽  
Author(s):  
Daniel Vicentini de Oliveira ◽  
Caio Rosas Moreira ◽  
Gabriel Lucas Morais Freire ◽  
Rogério Soares de Melo ◽  
Maura Fernandes Franco ◽  
...  
Keyword(s):  
Interpersonal Relationships ◽  
Rank Correlation ◽  
The Elderly ◽  
Cross Sectional Study ◽  
World Health ◽  
Functional Domain ◽  
Cross Sectional ◽  
Physically Active ◽  
Spearman’S Rank Correlation ◽  
Health Organization

Abstract Introduction: Multimorbidity is currently considered as a relevant clinical condition due to its severity and the high prevalence among the elderly. Objective: Assessing whether multimorbidity is an intervening factor in the functionality of the physically active elderly. Method: This is a cross-sectional study carried out with 70 older people of both sexes who practice exercises at the Fitness zones (FZ) in the municipality of Maringá, state of Paraná. A sociodemographic questionnaire, and the World Health Organization Disability Assessment Scale (WHO-DAS 2.0) were used as instruments. Data analysis was performed by using the Kolmogorov-Smirnov test, Kruskal-Wallis test, Mann-Whitney test and Spearman’s rank correlation, in addition to the Path Analysis (p <0.05). Results: the elderly who have more than two diseases showed worse functionality than the ones with none or from 1 to 2 diseases (p <0.05). The number of diseases showed a significant association (p <0.05) with a reduction in functional domain scores, which explains from 15% to 31% of the variable’s variability. Specifically, the number of diseases was positively associated with the strong effect on the domains referred to as self-care (β = 0.56) and cognition (β = 0.55), besides a moderate effect on interpersonal relationships (β = 0.39) and social participation domains (β = 0.39). Conclusion: it was concluded that multimorbidity can be considered as an intervening factor in the functionality of elderly people who practice physical activity.

scholarly journals Telegeriatrics during the COVID-19 pandemic

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Hoda Wahba ◽  
Tamer Emara ◽  
Ahmed Elbokl
Keyword(s):  
Elderly Population ◽  
Geriatric Patients ◽  
Geriatric Medicine ◽  
Age Groups ◽  
The Elderly ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Insignificant Difference

Abstract Background Ain Shams University Virtual Hospital (AVH) has been offering telemedicine services since 2016. During the COVID-19 pandemic it has become essential to offer healthcare services in a safe way. Telemedicine was the perfect choice worldwide to compensate for the deficiency of physical healthcare services. Limitations especially in the elderly population questioned the feasibility of the telegeriatrics model. Aim To study the feasibility and acceptability of the AVH telemedicine model in geriatric patients. Methodology A cross-sectional study performed from April to October 2020 recruiting patients above 60 years receiving telemedicine services as part of the telemedicine program delivered via AVH. Data was collected via Google forms that were sent to the patients and physicians via Whats app. Results 1471 patients were triaged via the Whats app managed by geriatric consultants and 64 received video consultations. 849 patients responded to the surveys from all age groups of which 21.8% were above 60 years. From the responders 19.7% consulted geriatric medicine while the 2.1% consulted other specialties. Most satisfaction domains were 85% and above positive responses with an insignificant difference between age groups. 90% of physicians felt confident in their medical management using telemedicine. Conclusion: telegeriatrics is feasible as it is well accepted, easily used and preferred over clinic visits during the COVID-19 pandemic and after, by patients. Physicians are confident in their management using it.

HUBUNGAN TINGKAT KEKEBALAN STRES DENGAN MEKANISME KOPING PADA LANSIA DI PANTI WREDHA SEHATI WANEA DAN PANTI WREDHA SENJA CERAH KOTA MANADO

2020 ◽  
Vol 8 (2) ◽  
Author(s):  
Novita Sarah M Umanailo ◽  
B.H. Ralph Kairupan ◽  
Hendro J. Bidjuni
Keyword(s):  
Nursing Home ◽  
Quantitative Research ◽  
Rank Correlation ◽  
Sampling Technique ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Coping Mechanism ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Impact

Abstract:  The cause of stress for elderly more often happen because they were at the nursing home while they still have a family, they feel abandoned, unneeded anymore, isolated, and lost contact with loved ones. To reduce the impact of stress they feel, the elderly should have some means to enhance stress immunity the right way. The elderly that had stress usually used coping strategy to face the problem they’d cause or feel. Objective : the purpose of this study is to find out the connection between the stress immunity level with the coping mechanism on the elderly that lived in Senja Cerah nursing home and Sehati nursing home in Manado City. The method : this study used quantitative research design with cross sectional study for the layout, it used Brieff COPE and Smith & Miller questionnaire. The study process was carried for 2 weeks and assisted by the nursing home staff for the data gathering process with use of Total Sampling technique. The total of Respondent for this study are 61 Respondents. The results of this study showed that most of the respondents had adaptive coping mechanism and immune to stress in 32 respondents (82,1%). With the result of Spearman’s rank correlation test, 0,000 < α = 0,05 was obtained and the correlation coefficient value of 0,705, meaning there is significant connection between Stress Immunity Level with the Coping Mechanism on the Elderly.Keywords: Stress Immunity, Coping Mechanism, Elderly.               Abstrak : Penyebab stres pada lansia sering kali karena ketika mereka berada di panti wredha sementara masih mempunyai keluarga, mereka merasa terbuang, tidak dibutuhkan lagi, terisolasi, dan kehilangan orang-orang yang dicintai. Untuk mengurangi dampak stres yang dirasakan, hendaknya setiap lansia mempunyai upaya-upaya peningkatan kebebalan stres yang tepat. Lansia yang mengalami stress biasanya menggunakan strategi koping untuk menghadapi masalah yang ditimbulkan atau yang dialaminya. Tujuan: tujuan dari penelitian ini adalah untuk mengetahui hubungan antara tingkat kekebalan stress dengan mekanisme koping pada lansia yang tinggal di panti wredha senja cerah dan panti wredha sehati Kota Manado.Metode: Penelitian ini menggunakan desain penelitian kuantitatif, dengan rancangan cross sectional study, menggunakan kuisioner Brieff COPE dan Smith&Miller. Proses penelitian dilakukan selama 2 minggu dan dibantu oleh pihak panti wredha untuk proses pengambilan data, dengan teknik Total Sampling. Total Responden dalam penelitian ini sebanyak 61 responden. Hasil : Hasil penelitian menunjukkan sebagian besar responden memiliki mekanisme koping adaptif dan kebal terhadap stres  sebanyak 32 responden (82,1%). Dengan hasil uji korelasi rank spearman, diperoleh sebesar 0,000 < α = 0,05 dan nilai koefisien korelasi 0,705, artinya terdapat hubungan yang signifikan antara Kekebalan Stress dengan Mekanisme Koping pada Lansia.Kata kunci : Kekebalan Stres, Mekanisme Koping, Lansia

scholarly journals Assessment of nutritional status of the geriatric patients attending the outpatient department of an urban health training centre: a cross-sectional study

2020 ◽  
Vol 7 (4) ◽  
pp. 1528
Author(s):  
Ashok Jadhao ◽  
Ruhi Dass
Keyword(s):  
Nutritional Status ◽  
Elderly Patients ◽  
Urban Health ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Older Age ◽  
Outpatient Department ◽  
Sectional Study ◽  
Cross Sectional ◽  
Training Centre

Background: Older persons are particularly vulnerable to malnutrition and it is very difficult to provide them with adequate nutrition. As the age increases, energy requirement per kilogram body weight is reduced. Thus, People belonging to the older age group are at risk for malnutrition because of the evident physical changes related to aging and numerous psychological and social factors such as depression, lack of independence and limited income.Methods: A cross- sectional study was conducted in the Outpatient Department of an urban health training centre. A total of 351 participants were included (154 men and 197 women) aged 65 years and above. The nutritional status of participants was assessed using the mini-nutritional assessment tool.Results: Out of 351 elderly patients, only 25% were observed to be well-nourished, 58.6% were at the risk of malnutrition and around 16.2% of the elderly patients were malnourished. A significant association was found between nutritional status and older age groups, female gender, dependent financial status and inadequate dietary intake.Conclusions: According to this study, the risk of malnutrition among the elderly is very high. It depicts that malnutrition can be a result of many factors and thus, this problem should be solved through health education to the elderly and their families by which diet and lifestyle of this section of our population can be improved.

scholarly journals Prevalence and patterns of multimorbidity among the elderly in China: a cross-sectional study using national survey data

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e024268 ◽  
Author(s):  
Ran Zhang ◽  
Yun Lu ◽  
Liuyan Shi ◽  
Songlin Zhang ◽  
Feng Chang
Keyword(s):  
Chronic Conditions ◽  
Mainland China ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Sample Population ◽  
Sectional Study ◽  
Cross Sectional ◽  
Relative Risks ◽  
Chronic Lung Diseases ◽  
Psychiatric Problems

ObjectivesExamination of the prevalence and patterns of multimorbidity among the elderly in China.DesignCross-sectional study.SettingMore than 10 000 households in 28 of the 34 provinces of mainland China.Participants11 707 Chinese adults aged 60 and over.Primary outcome measuresPrevalence and patterns of multimorbidity among the participants. Relative risks were calculated to estimate the probability of up to 14 chronic conditions coexisting with each other. Observed-to-expected (O/E) ratios were used to analyse the patterns of multimorbidity.ResultsMultimorbidity was present in 43.6% of respondents from the sample population, with women having the greater prevalence compared with men. There were 804 different comorbidity combinations identified, including 76 dyad combinations and 169 triad combinations. The top 10 morbidity dyads and triads accounted for 69.01% and 47.05% of the total dyad and triad combinations observed, respectively. Among the 14 chronic conditions included in the study, asthma, stroke, heart attack and six other chronic conditions were the main components of multimorbidity due to their high relative risk ratios. The most frequently occurring clusters with higher O/E ratios were stroke along with emotional, nervous, or psychiatric problems; memory-related diseases together emotional, nervous, or psychiatric problems; and memory-related diseases and asthma accompanied by chronic lung diseases and asthma.ConclusionsThe results of this study highlight the high prevalence of multimorbidity in the elderly population in China. Further studies are required to understand the aetiology of multimorbidity, and future primary healthcare policies should be made while taking multimorbidity into consideration.

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