Geriatrics & gerontology international
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Geriatr Gerontol Int · Aug 2019
Diagnosis of postoperative delirium in older adults using the Confusion Assessment Method for the intensive care unit in non-intensive care unit settings: A test modification might improve its diagnostic performance.
To evaluate the diagnostic performance of the Confusion Assessment Method for the intensive care unit (CAM-ICU) among postoperative older patients in non-ICU settings. ⋯ Modification of the flow of delirium diagnosis using the CAM-ICU appears to offer a better sensitivity for detecting delirium in non-ICU settings. Furthermore, changing feature 2 to evaluate patients' attention levels over a longer period of time might yield a better diagnostic performance. Geriatr Gerontol Int 2019; 19: 762-767.
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Geriatr Gerontol Int · Jul 2019
Cognitive frailty in community-dwelling older Japanese people: Prevalence and its association with falls.
To investigate the prevalence and associated factors of cognitive frailty and cognitive frailty-related falls in community-dwelling older people. ⋯ Age, chronic disease, TUG and CNAQ were significantly associated with cognitive frailty and cognitive frailty-related falls. The TUG and CNAQ have the greatest potential for improvement by intervention or lifestyle change. Further research is necessary to determine the efficacy of positive changes in these factors for symptomatic improvements. Geriatr Gerontol Int 2019; 19: 647-653.
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Geriatr Gerontol Int · May 2019
Association of olfactory impairment with indexes of sarcopenia and frailty in community-dwelling older adults.
Individuals with olfactory or gustatory impairment often have associated difficulties with food-related activities. As both functions decline in older adults, we investigated the association of these impairments with sarcopenia/frailty indexes in community-dwelling older adults. ⋯ These findings suggest that olfactory impairment is closely associated with sarcopenia and/or frailty in community-dwelling older adults. Geriatr Gerontol Int 2019; 19: 384-391.
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Geriatr Gerontol Int · May 2019
Combined effect of diabetes and frailty on mortality and incident disability in older Japanese adults.
Evidence is limited on how frailty affects the association between diabetes and adverse outcomes at the population level. The present community-based study aimed to clarify the relative risks of death and disability in older Japanese adults with diabetes, frailty, both or neither. ⋯ At the population level, the risks of death and disability in persons with mild diabetes were strongly affected by the presence of frailty. From a community-based perspective, diabetes-related mortality and disability incidence might be reduced by preventing or improving frailty in conjunction with glycemic control. Geriatr Gerontol Int 2019; 19: 423-428.
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Geriatr Gerontol Int · Apr 2019
Relationship between jaw-opening force and neck circumference in healthy older individuals.
In recent years, the relationships of arm circumference and calf circumference with swallowing function have been reported. However, the efficacy of using the neck circumference, which is closer to the swallowing-related muscles, has never been verified. Jaw-opening force, an indicator of suprahyoid muscle strength, is known to be useful for screening for dysphagia. The aim of the present study was to identify the relationships between neck circumference and swallowing-related muscle strength, and to clarify the association between these variables in older individuals. ⋯ In healthy older individuals, neck circumference was more strongly related to jaw-opening force than were arm or calf circumference. This suggested that neck circumference could be useful for evaluating swallowing-related muscle strength non-invasively and easily. Geriatr Gerontol Int 2019; 19: 330-334.