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Frailty, dependency and mortality predictors in a cohort of Cuban older adults, 2003-2011.
CONCLUSIONS: Given the challenge for developing countries presented by demographic and epidemiologic transition; the high prevalence in older adults of frailty syndrome, dependency and chronic non-communicable diseases; and the association of all these with higher mortality, attention should be targeted to older adults as a risk group. This should include greater social protection, age-appropriate health services, and modification and control of cardiovascular risk factors. PMID: 24487672 [PubMed - indexed for MEDLINE]
Source: MEDICC Review - November 21, 2015 Category: Global & Universal Tags: MEDICC Rev Source Type: research

Hospital mortality in older patients in the Brazilian Unified Health System, Southeast region
CONCLUSIONS Although the information source has its shortcomings, the ability for discrimination of the risk adjustment model was reasonable. The variability in the risk-adjusted hospital mortality was great and comparatively higher in for-profit private hospitals. Despite the limits, the results favor the use of the risk-adjusted hospital mortality in the monitoring of the quality of hospital care provided to the older adult.RESUMO OBJETIVO Avaliar fatores associados ao óbito hospitalar em idosos internados por doenças do aparelho circulatório específicas no Sistema Único de Saúde, considerando a mortalidade hospita...
Source: Revista de Saude Publica - July 23, 2018 Category: International Medicine & Public Health Source Type: research

Noninvasive ventilation in the treatment of sleep-related breathing disorders: concise clinical review
Abstract Noninvasive mechanical ventilation (NIPPV) was originally used in patients with acute respiratory compromises or exacerbations of chronic respiratory diseases, as an alternative to the endotracheal tube. Over the past 30 years NIPPV has been also used during the night in patients with stable chronic lung disease such as obstructive sleep apnea, the overlap syndrome (COPD and obstructive sleep apnea), neuromuscular disorders, obesity-hypoventilation syndrome, and in other conditions such as sleep disorders associated with congestive heart failure (Cheyne–Stokes respiration). In this review we discuss t...
Source: Journal of Medicine and the Person - August 1, 2014 Category: Global & Universal Source Type: research

Identification of Subgroups With Low Rates of Weight Loss In Israel
Obesity is a major risk factor for the development of multiple acute and chronic illnesses such as diabetes, cardiovascular diseases, stroke, and cancer. In order to improve targeting of resources for weight loss intervention, this study identified subgroups in a generalizable population who currently have the lowest rates of weight loss.
Source: Value in Health - October 23, 2015 Category: Global & Universal Authors: E Srulovici, D Levin-Zamir, M Leventer-Roberts, R Balicer Source Type: research

Frailty in community-dwelling older people: comparing screening instruments
CONCLUSIONS: Although the analyses show moderate agreement and strong positive correlation between the instruments, the indicated prevalence of frailty is discrepant. Our results attest the need to standardize the instrument for assessing frailty in community-dwelling older people.RESUMO OBJETIVO: Comparar os instrumentos Edmonton Frail Scale (EFS) e Índice de Vulnerabilidade Clínico-Funcional-20 (IVCF-20) quanto ao grau de concordância e de correlação, bem como comparar modelos descritivos com variáveis associadas à fragilidade em idosos brasileiros comunitários. MÉTODOS: Estudo transversal, aninhado a uma coorte...
Source: Revista de Saude Publica - November 23, 2020 Category: International Medicine & Public Health Source Type: research

Influence of individualized prevention recommendations after one year on the control of hypertension in 3,868 follow-up participants of the ELITE study
CONCLUSION: 56% of the hypertensive participants succeeded in lowering their blood pressure, whereas there was a significant increase in blood pressure, especially in those who were well controlled with antihypertensives. This underlines the need to further motivate normotensive patients to maintain their normotension. The results show that the combination of individual written education and lifestyle interventions are an effective tool for the public health sector to combat hypertension. In our participants, lifestyle interventions have a significant impact on BP change. It should be noted critically that there are still ...
Source: Central European Journal of Public Health - January 13, 2022 Category: International Medicine & Public Health Authors: Bastian Schrader Joachim Schrader Michael Koziolek Albrecht Els ässer Anna-Maria B ünker Berit Hillmann Bernhard Vaske Hermann Haller Stephan L üders Source Type: research

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