Aging clinical and experimental research
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Comparative Study
Operative and prognostic parameters associated with elective versus emergency surgery in a retrospective cohort of elderly patients.
To evaluate operative and prognostic parameters associated with elective versus emergency surgery in a retrospective cohort of elderly patients. ⋯ In conclusion, our findings in a retrospective cohort of elderly surgical patients revealed high prevalence of co-morbidities, predominance of ASA-PS II or ASA-PS III classes and an overall in-hospital mortality rate of 12.2%. Emergency as compared with elective surgery seems to be associated with older age, male gender, ASA-PS III and IV classes, higher likelihood of postoperative ICU transfer and higher mortality rates.
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Use of indwelling urinary catheter (IUC) in older adults has negative consequences, including delirium. ⋯ Environmental and clinical factors of acute setting might contribute to IUC-associated delirium occurrence.
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The rapidly growing population of elderly subjects with multimorbidity is at risk of receiving fragmented and uncoordinated care, and have frequent hospitalizations and emergency room (ER) visits. ⋯ The CMP by emphasizing prevention, self-management, continuity and coordination of care, is beneficial among older community-dwelling multimorbid persons as compared to usual care.
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Hip fractures in patients 65 years and older are associated with significant morbidity and mortality. With the steady increase in the elderly population, we implemented an evidence-based clinical practice guideline for the management of hip fractures to optimize patient care and surgical outcomes. ⋯ Elderly patients with hip fractures treated at our trauma center had improved clinical outcomes after the implementation of a multidisciplinary care pathway.
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Meta Analysis
Sarcopenia and hospital-related outcomes in the old people: a systematic review and meta-analysis.
This systematic review was conducted to explore the associations between sarcopenia, hospitalization and length of stay in the old people. ⋯ This systematic review demonstrates that sarcopenia is a significant predictor of readmission in old inpatients, but not associated with hospitalization or length of stay in community-dwelling old adults.