Archives of gerontology and geriatrics
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Arch Gerontol Geriatr · Nov 2018
Frailty indexes in perioperative and critical care: A systematic review.
Frail patients are increasingly presenting for both perioperative and intensive care, highlighting the need for simple, valid and scaleable frailty measurement. Frailty indexes comprehensively assess a range of deficits in health, and can incorporate routinely collected data. The purpose of this systematic review was to evaluate the effect of frailty indexes on surgical and intensive care risk stratification and patient outcomes (mortality, complications, length of stay, and discharge location). ⋯ Frail patients are at significantly increased risk in critical illness and the perioperative period. Better standardisation of frailty indexes is recommended.
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Arch Gerontol Geriatr · Nov 2018
Relationship between swallowing muscles and trunk muscle mass in healthy elderly individuals: A cross-sectional study.
A decrease of swallowing muscle strength causes dysphagia, and a relationship between swallowing muscle strength and appendicular muscle mass has been reported. Moreover, the effect of trunk retention function on swallowing function has been clinically recognized. However, the relationship between trunk muscle mass and swallowing muscle strength is unclear. We aimed to clarify the association between these variables in elderly individuals. ⋯ Until now, the relationship between swallowing muscles and whole body muscle mass has been reported using ASMI as the indicator of whole body muscle mass. This study suggests that TMI may be used as a highly relevant indicator of swallowing muscles rather than ASMI.
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Arch Gerontol Geriatr · Nov 2018
General health perception, depression and quality of life in geriatric grandmothers providing care for grandchildren.
To investigate levels of depression, quality of life, general health perception, and factors affecting these in grandmothers providing care for their grandchildren. ⋯ Grandchild care positively affected the grandmothers' quality of life, depression levels, and general health perception, with the exception of custodial grandmothers.