| 1. |
- Meehan, Adrian David, 1973-, et al.
(författare)
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Unusual case of rosacea fulminans in older man
- 2020
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Ingår i: Journal of Gerontology and Geriatrics. - : Italian Society of Gerontology and Geriatrics (SIGG). - 2499-6564. ; 68:3
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Tidskriftsartikel (refereegranskat)abstract
- Rosacea fulminans (RF) is characterised by the abrupt onset of discomforting and consolidating pustules and nodules, oedema, cysts and erythema. The condition is considered rare, even rarer in men. Controversy exists whether RF should be categorised as rosacea. The aetiopathogenesis of RF remains largely unknown. We present a case of an 87-yr-old man with no previous history of rosacea or acne, admit-ted for a suspected systemic bacterial infection and who rapidly developed tender ocular, facial and extrafacial lesions. The patient had subfebrile temperatures, leukocytosis and moderate anaemia, but also general fatigue. The features of gender, location and extent of lesions, and biochemical response are all atypical with regards RF. The condition was successfully treated with a combination of antibiotics and oral corticosteroids. Specific management guidelines regarding RF are yet to be established, further warranting the need for continued research to determine RF’s aetiology, natural course and its optimal treatment.
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| 2. |
- Trevisan, Caterina, et al.
(författare)
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The impact of falls on the need for hospital care in older people : results from the Pro.V.A. study
- 2023
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Ingår i: Cehui dili xinxi. - 2499-6564. ; 71:2, s. 68-76
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Tidskriftsartikel (refereegranskat)abstract
- Background and aims. Falls have been associated with adverse health-related outcomes in older people, but their effects on the need for hospital admissions is unclear. We investigated the association between falls and all-cause hospitalizations in older people. Methods. A sample of 2,123 community-dwelling adults aged >= 65 underwent multidimensional assessment at baseline and after 4.4 years. Self-reported falls in the year before baseline and in the year before the 4.4-year assessment were categorized as none, one, or >= 2 (recurrent falls). The hospitalizations number over 7 years after baseline was obtained from medical records. The association between falls and hospitalizations number was investigated using multivariable generalized mixed models with a Poisson distribution. Possible modifying effects of sociodemographic and medical factors on the studied association was investigated through interaction analysis. Results. Compared with no falls, the annual hospitalizations number for people who reported recurrent falls increased by 1.38 (95% CI: 1.05-1.81) in the short-term (over one year) and by 1.20 (95% CI: 1.031.39) in the long term (over 3.5 years). That increase was more marked in the first two years after the fall, then tended to lessen over time. No significant modifying effects on the association between falls and hospitalizations number were found. Conclusions. Recurrent falls may result in a greater need for hospital-based care, both in the short term, and, although to a lesser extent, in the long term. Since older people account for more than one in three inpatients, identifying modifiable factors for hospitalization, e.g. falls, is essential from clinical and public health perspectives.
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| 3. |
- Sigurdardottir, A. K., et al.
(författare)
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Health status and functional profile at admission to nursing homes : A population based study over the years 2003-2014: comparison between people with and without diabetes
- 2018
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Ingår i: Journal Of Gerontology And Geriatrics. - 2499-6564. ; 66:3, s. 134-141
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Tidskriftsartikel (refereegranskat)abstract
- Background & Aims. Prevalence of diabetes in adults has been increasing in the last decades. Diabetes increases demand for nursing homes admission which is expensive for public and private finances. The aims of the study were to examine the prevalence of diabetes at admission to nursing homes in Iceland over 12 years, and to compare overall health, functioning, medication and medical diagnosis of residents with diabetes to those without diabetes. Methods. A retrospective study of data obtained from the Minimum Data Set records at admission to nursing homes in Iceland during the years 2003-2014. Statistical analysis was carried out using a Chi-square-test, unpaired Student´s t-test, linear regression and logistic regression.Results. In total 5242 residents were assessed within 180 days from admission, 730 had diabetes (13.9%). Prevalence of diabetes increased from 9.4% in 2003 to 15% in 2014, with a peak of 19.1% in 2013. Mean age was 81.0 (SD 8.2) and 82.7 (SD 8.7) years for residents with and without diabetes, respectively (p < 0.001). Comorbidities like hypertension, congestive heart-failure, kidney-failure, arthritis, ulcers and amputations were more common among residents with diabetes, whereas cognitive diseases were more common in the other group. Conclusions. The prevalence of diabetes in Icelandic nursing homes is increasing. Residents with diabetes are younger and have better cognitive performance, but suffer more physical disability and serious comorbidities than others. Nursing homes’ staff need to be current in diabetes management to provide quality care.
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