Prognostic ability of FRAIL-NH for mortality in institutionalized older Japanese adults: a 1-year prospective observational study of the KITAKAWACHI study
Research Square (Research Square),
Год журнала:
2025,
Номер
unknown
Опубликована: Фев. 18, 2025
Abstract
Background
The
present
study
aimed
to
investigate
the
predictive
ability
of
FRAIL-NH
scale
for
1-year
mortality
in
institutionalized
older
Japanese
patients
and
determine
cutoff
value.
Methods
This
prospective
observational
used
data
from
KITAKAWACHI
study,
which
commenced
October
2021.
analysis
included
baseline
September
2021
January
2022
follow-up
2023.
In
total,
227
were
analysis,
with
those
who
died
within
1
year
categorized
into
Died
group
other
Alive
group.
Receiver
operating
characteristic
was
examine
cut-off
value
predicting
mortality.
Results
Thirty-three
(14.5%)
year,
there
significantly
more
a
high
level
nursing
care,
low
body
mass
index,
lower
calf
circumference,
malnutrition,
dysphagia.
addition,
117
(51.5%)
cases
frailty,
rate
higher
than
that
based
on
score
(8.0
[7.0,
9.5]
vs.
5.0
[2.0,
7.0])
all
components,
except
illness,
percentage
frailties.
Furthermore,
receiver
characteristics
yielded
an
area
under
curve
(95%
confidence
interval)
0.806
(0.729–0.883)
6.5
points
Youden's
index.
sensitivity,
specificity,
false-positive
rate,
false-negative
accuracy
7-point
(the
approximated
6.5-point
cutoff)
84.8%,
70.6%,
15.2%,
29.4%,
72.7%,
respectively,
balanced
sensitivity
specificity
6-
8-point
cutoffs
reported
previous
studies,
intermediate
accuracy.
Conclusions
predicted
risk
adults.
When
homes,
7
appeared
be
best
predictor
outcomes.
These
findings
highlight
critical
role
early
frailty
screening
improving
patient
care
decision-making
geriatric
settings.
Язык: Английский
Psychological and Communication Barriers in Receiving Medical Care for Older Adults
Russian Journal of Geriatric Medicine,
Год журнала:
2025,
Номер
1, С. 58 - 65
Опубликована: Фев. 27, 2025
BACKGROUND
.
According
to
the
United
Nations,
by
2050,
it
is
expected
that
every
sixth
inhabitant
of
our
planet
will
have
crossed
threshold
65
years.
This
indicates
an
urgent
need
identify
main
barriers
arise
when
providing
medical
care
in
order
improve
process
organizing
services
for
people
over
working
age.
AIM
To
study
characteristics
psychological
and
communication
(problems
defining
model
doctor-patient
relationship)
Russian
Federation
age,
with
aim
developing
recommendations
based
on
these
findings
eliminate
obstacles.
MATERIALS
AND
METHODS
In
this
study,
a
questionnaire
was
used,
consisting
three
blocks
89
questions.
The
data
were
analyzed
using
Statistica
10,
Stata,
R-Studio
programs.
Pearson’s
chi-square
test
used
compare
categorical
variable
distributions.
A
generalized
linear
impact
individual
outcome
variable.
Mann-Whitney
U
Kruskal-Wallis
tests
analyze
differences
between
samples
abnormal
RESULTS
total
3,942
individuals
participated
survey.
Among
participants,
most
prevalent
barrier
engaging
healthcare
system
fear
visiting
facility
associated
potential
detecting
new
illnesses
or
worse
outcomes
(66.6%).
Approximately
half
respondents
indicated
could
serve
as
reason
not
seeking
attention
(52%).
commonly
reported
included
assistance
understanding
doctor’s
prescriptions
(27.7%),
difficulty
speech
due
hearing
problems
(18.5%),
frequent
use
incomprehensible
terminology
doctors
(25.7%),
approaching
formal
manner
delving
deeply
enough
(24%)
CONCLUSION
research
conducted
allow
us
make
managerial
organizational
decisions
more
purposeful
reasonable
manner,
create
trustworthy
environment,
quality
doctorpatient
communication,
provide
necessary
support
during
Язык: Английский
Infographics as a Communication Tool in Pharmacy and Pharmaceutical Sciences
Research in Social and Administrative Pharmacy,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 1, 2025
Язык: Английский
Symptomatic and Preventive Medication Use before and after Alzheimer's Disease Diagnosis: A 10-Year Matched Cohort Study
Journal of the American Medical Directors Association,
Год журнала:
2024,
Номер
25(7), С. 105012 - 105012
Опубликована: Май 1, 2024
ObjectiveTo
investigate
longitudinal
changes
in
symptomatic
and
preventive
medication
use
among
community-dwelling
people
with
without
Alzheimer
disease
(AD)
5
years
pre-
post-AD
diagnosis.DesignRetrospective
matched
cohort
study.Settings
ParticipantsThe
sample
comprised
58,496
a
geriatrician/neurologist-verified
AD
diagnosis
1:1
for
age,
sex,
region
to
Finland.MethodsMedication
dispensing
data
were
obtained
from
the
Finnish
Prescription
Register.
Prevalence
of
was
evaluated
every
6
months
diagnosis.
Longitudinal
between
compared
using
ordinal
logistic
regression.ResultsDuring
postdiagnosis,
there
differences
(P
<
.001)
=
.006)
AD.
Over
prediagnosis,
prevalence
medications
increased
both
During
1
year
had
higher
increase
≥3
(+4.4
vs
+2.2%)
(+6.4
+2.9%)
plateaued
Meanwhile,
decreased
(−6.0%)
those
AD,
but
(+6.1%)
follow-up
period,
larger
absolute
percentage
antipsychotics
(+22.7
+1.8%)
antidepressants
(+19.1
+5.0%)
than
same
paracetamol
calcium
supplement
by
31.1%
20.4%,
respectively,
The
largest
decrease
over
postdiagnosis
β-blockers
(−9.8%)
statins
(−7.0%)
AD.Conclusions
ImplicationsAt
point
following
diagnosis,
population-level
Medication
assessments
during
this
period
appear
coincide
discontinuation
whereas
minimal
observed
use.
Язык: Английский
Prevalence of strong anticholinergic use in residents with and without cognitive impairment and frailty: analysis from 106 nursing homes in 12 Asia-Pacific and European countries
Archives of Gerontology and Geriatrics,
Год журнала:
2024,
Номер
128, С. 105636 - 105636
Опубликована: Сен. 11, 2024
Язык: Английский