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- Akner, Gunnar, 1953-, et al.
(författare)
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Personalized Geriatric Medicine
- 2014
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Ingår i: European Geriatric Medicine. - : Elsevier BV. - 1878-7649 .- 1878-7657. ; 5, s. 145-146
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Tidskriftsartikel (refereegranskat)
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- Akner, Gunnar, 1953-
(författare)
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Geriatric care in Sweden
- 2014
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Ingår i: Current Diagnosis & Treatment. - USA : McGraw-Hill. - 9780071792080 ; , s. 539-542
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Bokkapitel (refereegranskat)
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- Akner, Gunnar, 1953-, et al.
(författare)
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Vanligt att kommunalt bistånd till äldre rör nutrition
- 2013
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Ingår i: Läkartidningen. - 0023-7205 .- 1652-7518. ; 110:45
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- För ungefär hälften av de personer över 65 år som hade kommunalt bistånd för vård och omsorginsatser var biståndsbesluten relaterade till mat, måltider eller nutrition. Det visar en punktprevalensstudie i Örebro kommun.
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- Törner, Anna, et al.
(författare)
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Renal function in community-dwelling frail elderly : comparison between measured and predicted glomerular filtration rate in the elderly and proposal for a new cystatin C-based prediction equation
- 2008
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Ingår i: Aging Clinical and Experimental Research. - Milano : Editrice Kurtis. - 1594-0667 .- 1720-8319. ; 20:3, s. 216-225
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND AND AIMS: There is a great need to evaluate renal function regularly in elderly people. This study aimed at analyzing renal function in stable, community-dwelling elderly people of 75 years and over, to compare measured and predicted glomerular filtration rates (GFR) and to develop an accurate prediction equation for this age group. METHODS: Forty-five ambulatory elderly people in stable health in ordinary living were randomly selected into four age-classes, aged 75-95. Demographic data, personal activities of daily living, continuous drug prescriptions, body composition, blood pressure and blood chemistry were analysed. GFR was measured as Iohexol clearance based on three time-points 3, 4 and 7 hours after Iohexol injection. RESULTS: Mean GFR was well preserved in all four age-classes. The GFR range was 18-83 mL/min and declined with age. The Cockcroft-Gault prediction equation systematically underestimated measured GFR. A new 'GFRA' prediction equation is presented, based on the inverse of serum cystatin C and independent of gender, body surface area, body weight, lean body mass or serum creatinine. The proposed equation underestimated measured GFR with a mean of only 0.1 mL/min, had better precision compared with the Cockcroft-Gault equation, and was evaluated by the method of cross-validation. CONCLUSIONS: GFR exhibits extensive heterogeneity in frail, community-dwelling elderly people. The proposed GFRA was clearly more precise than the Cockcroft-Gault prediction equation in the study group. However, it needs to be validated in a larger population of elderly subjects, including more individuals in stable health with substantially reduced renal function in whom GFR is measured by a reference method with adequate sampling time.
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- van De Glind, Esther, et al.
(författare)
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Evidence-based medicine in geriatrics
- 2012
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Ingår i: European Geriatric Medicine. - Oxford, United Kingdom : Elsevier. - 1878-7649 .- 1878-7657. ; 3:Suppl. 1, s. S14-S15
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Tidskriftsartikel (refereegranskat)abstract
- Session Description/Moderator Details.– Evidence-based medicine in geriatrics Geriatric patients often have multiple chronic conditions, use many medications and may suffer from cognitive and functional impairments. A study about prevalence of morbidities in the elderly showed, that 82% of patients aged 65 and over had at least one chronic condition; 24% had even four or more conditions [1]. Due to deteriorating organ functions they are prone to medication-related side effects [2]. Considering these complex problems, arriving at the best treatment for individual older people is complicated.
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