Bullous Pemphigoid in Older Adults Treated with DPP4i: A Case Series
Ávila-Fernández Katia Fabiola, Álvarez-Cisneros Teresa and Ruelas-Villavicencio Ana Lilia
Article Type: Case Series | First Published: January 29, 2023
Bullous pemphigoid (BP) is a rare autoimmune subepithelial blistering disease affecting mostly older adults . Studies have calculated an annual incidence ranging from 2.4% to 21.7% per million population. While triggers are found in less than 15% of cases, drugs are well-known trigger factors. Recently, dipeptidyl peptidase-4 inhibitors (DPP4i) have been associated to this condition. Our study presents four cases of older adults with BP associated to the use of DPP4i. The relevance of this study...
Evaluation of the Impact Stratification Score in a Sample of Older Adult Patients with Multiple Chronic Conditions
Maria Orlando Edelen, PhD, Anthony Rodriguez, PhD, Nabeel Qureshi, MPH, Patricia M Herman, PhD and Ron D Hays, PhD
Article Type: Research Article | First Published: January 23, 2023
To evaluate the utility of the Impact Stratification Score (ISS) in characterizing health-related disease burden for older adult patients with multiple chronic conditions (MCC). The sample of 1226 older adult MCC patients (average age of 80, 51% female, and 89% White) completed the PROMIS-29 v2.1 profile that contains the 9 ISS items. The ISS was examined using factor analysis (i.e., correlated factors and bifactor models)....
Policy Issues Affecting the Health of Older Individuals in the United States
Oyintoun-emi Ozobokeme, MD, Okelue Edwards Okobi, MD, Jovita Koko, MD, Maureen G Boms, MD and Chukwuebuka Agu, MD
Article Type: Research Article | First Published: December 22, 2022
The aging population is growing in the United States and the rest of the world. Developed nations are now facing challenges with providing for this increasing population unit. Aged adults account for a significant part of individuals utilizing health care services in these countries. As a result of this growth, long-term policies in the healthcare of the elderly need to be reviewed. This manuscript offers insight into the policies and the several elements that affect healthcare provision to the ...
The Impact of Post-Operative Drop in Haemoglobin and its Outcomes in Fracture Neck of Femurs
Aysha Rajeev, Joshua Craig, Wim Tuinebreijer, Joseph Anto and William Yallop
Article Type: Research Article | First Published: November 23, 2022
This study is to analyse the fall in haemoglobin concentration following various commonly used surgical procedures to repair hip fractures, analysing its relationship with pre-existing co-morbidities, post-operative complications, length of stay and 30 day mortality. A retrospective analysis of neck of femur fracture patients looking at their pre-operative and pre-discharge haemoglobin levels taking into consideration co-morbid conditions and possible adverse effects including 30 day mortality o...
Nutritional Status, Socioecomic and Lifestyle as Determining Factors in the Longevity among Community-Dwelling Filipino Older Adults in Barangay Mayamot, Antipolo Rizal, Calabarzon Region IV-A, Philippines
Jhosella C Bidaure, MD and Arthur George Gonzales, MD, FPCP, DPCGM
Article Type: Research Article | First Published: October 27, 2022
The population of elderly in the world is continuously increasing. According to the National Institute of Health dated March 2016, approximately 8.5 percent of people worldwide (617 million) (ages 65-years-old and older) and this percentage would advance to nearly 17 percent of the world’s population by 2050 (1.6 billion)....
Colchicine Induced Anaemia
Doriella Camilleri, James Vella Bondin and Edward Bellia
Article Type: Research Article | First Published: October 01, 2022
Anaemia is common among older adults and targeted investigations are performed according to the case. Our case describes a rare iatrogenic cause of anaemia. 79-year-old lady with a history of hypertension and bilateral knee replacements was with colchicine for a presumed gout attack. Initial investigations showed slightly elevated uric acid and a microcytic anaemia of 10.1 g/dL....
Impact of Sarcopenic Obesity toward Osteoporosis and Fall Risk: A Systematic Review and Meta-Analysis
Lily Indriani Octovia, Ayu Diandra Sari, Melyarna Putri, Bagus Putu Putra Suryana, Rudy Hidayat, Anna Ariane and Tuty Kuswardhani
Article Type: Review Article | First Published: August 04, 2022
To determine link between sarcopenic obesity and osteoporosis and fall risk. Systematic review and meta-analysis based on PRISMA Statement was made on studies acquired from PubMed, Science Direct, EBSCOHost, and ClinicalKey using certain keywords and criteria. Included studies were further assessed for quality and risk of bias and included for qualitative and quantitative analysis....
Functional Limitations Associated with Frailty Risk in Older Adults Increased after COVID-19 Infection in 2020 CDC NHIS Data
June Kume, PT, PhD, GCS, Adiebonye Jumbo, PhD, ITIL, Christopher Voltmer, PT, DPT, NCS, MSCS, CFPS and Fang Luo, PhD, OCP, MCDBA
Article Type: Research Article | First Published: June 29, 2022
In 2020, the rise in COVID-19 infections swept the United States in an unprecedented wave that has widely affected communities, particularly for older adults. Individuals with frailty syndrome have increased adverse outcomes from COVID-19, and conversely, individuals following post-infection are at greater risk of developing frailty....
Impact of the COVID-19 Pandemic on Food and Nutrition Security among Older Adults: A Qualitative Perspective
Lauri Y Wright, PhD, RDN, LDN, FADA, Jenifer Ross, DCN, RDN, LDN, FAND, Leslie T Van Horn, DCN, RDN, LDN, FAND and Carolina N Freiria
Article Type: Research Article | First Published: June 16, 2022
While the primary predictor of food insecurity is poverty, physical limitations and interpersonal relationships are also common barriers to food access among older adults. The COVID-19 pandemic disproportionately affected older adults, with those ages 65 and older making up 75% of COVID-19 deaths in the United States....
A Rare Case of Delirium after Johnson and Johnson’s Janssen’s Vaccination
Carlos Rivera, MD, Sarah Shi, DO, Parinda Patel, DO, Hammad Choudhry, MD and John Dedousis, MD
Article Type: Case Report | First Published: June 16, 2022
The SARS-Cov pandemic has impacted our world in unprecedented ways. There is a full spectrum of asymptomatic patients to those who debilitate significantly and culminate in death. The current medical literature has been expanding as we are understanding the repercussions of this novel virus....
Using the Mobilization of Vulnerable Elders Protocol to Improve Elderly Patient Outcomes in Pennsylvania: A Quasi- Experimental Project
Gabriel Beam, DNP, RN, Kimberly Gorman, DNP, AG-ACNP-BC, CNL, CCRN, CNRN, TCRN, Bobbie Sue Kist, PT, DPT, Hollie Giles, MOT, OTR/L, Katie Kiser, BSN, RN and Russel Dumire, MD, FACS
Article Type: Research Article | First Published: May 12, 2022
Immobility during hospitalization may lead to poor patient outcomes including extended length of stay (LOS). The practice site experienced extended LOS in elderly patients and lacked a nurse-led multidisciplinary mobility program to optimize the mobility of patients aged 65 and older. The purpose of this quality-improvement project was to determine if the Mobilization of Vulnerable Elders (MOVE) protocol improved length of stay (LOS) and mobility among older adult patients. Quantitative, quasi-e...
A Review of Clinical Trials about Vitamin D Supplementation’s Effect on Physical Performance of Community Dwelling Oldest- Olds
Raoana Cássia Paixão Chaves, Regiane Aparecida dos Santos Albuquerque, Vanessa Amarante Carvalho and Maysa Seabra Cendoroglo
Article Type: Case Series | First Published: May 11, 2022
Although observational studies with community dwelling older adults demonstrate that low serum 25(OH)D (vitD) negatively impacts on the health, the effects of its supplementation are still controversial. The aim of this study is to review clinical trials that evaluated the effect of vitD supplementation on physical performance in community dwelling oldest old. A comprehensive search on electronic databases, including Pubmed, Medline, LILACS and Scielo was conducted. Eligible studies were clinica...
The Experiences of Older Adults Labeled as a High Fall Risk: A Generic Qualitative Inquiry
Stacey Morningwake, PhD
Article Type: Original Article | First Published: March 30, 2022
Falling is a multifaceted phenomenon that greatly impacts older adults. Throughout fall research, the aspect of fall risk labeling has been unobserved. This study aimed to explore the perceptions of older adults given high fall risk labels. The focus of the study surrounded the research question, “What is the experience of older adults who have been labeled as a high fall risk?” Eight older adults aged 65-85 participated in this generic qualitative inquiry, with each participant given a high...
Diabetic Foot and Geriatric Depression: A Report of Two Cases
Alan Saeed, Mohamed Adil Shah Khoodoruth, Zerak Al-Salihy and Widaad Nuzhah Chut-kai Khoodoruth
Article Type: Case Series | First Published: March 16, 2022
Research suggests that comorbid diabetes and depression is common. Diabetic foot ulcers and lower extremity amputation are unfortunately severe complications of diabetes which can have a serious negative impact on the quality of life in diabetics. Elderly may even have more significant impairment on their daily life because of chronic pain and immobility. A literature search on diabetic foot and geriatric depression showed that limited studies and case reports have addressed this issue. We repor...