RESUMO

In this study, we examine residential trajectories since birth among older adults in the Santiago Metropolitan Area, Chile, and their association with health outcomes. We linked retrospective residential information for a sample of 802 individuals aged 65-75 in 2019 to context-based information from decennial censuses. Our analysis reveals substantive heterogeneity in individuals' residential trajectories, thus mirroring social and urban changes in Chile's largest city. We found significant associations between residential histories and health outcomes at the time of the interview. Consistent residence in advantaged areas was linked to better health, whereas relocating to the metropolitan area from elsewhere was generally linked to poorer health, except for those moving to emerging middle-class areas. These findings underscore the importance of longitudinal and life course approaches in understanding the complex relationship between place and health.

Assuntos

Disparidades nos Níveis de Saúde , Humanos , Chile , Idoso , Feminino , Masculino , Estudos Retrospectivos , Características de Residência/estatística & dados numéricos , Características da Vizinhança , Fatores Socioeconômicos , População Urbana/estatística & dados numéricos

RESUMO

Objective This study aimed to determine the clinical outcomes and risk factors affecting mortality in patients with COVID-19 following hematological malignancy (HM). Methods Patients diagnosed with HM and hospitalized for COVID-19 were included in this retrospective study. The age, demographic and clinical characteristics, prognosis and treatment of surviving and non-surviving patients were compared. Results A total of 49 patients were included in this study, 17 (34.6%) of whom died within 28 days of being diagnosed with COVID-19. Older age (p = 0.001), diabetes (p = 0.001), chronic obstructive pulmonary disease (p = 0.002), secondary infection (p < 0.001) and secondary bacterial infection (p = 0.005) were statistically significantly higher in non-survivors. The remission status of HM was higher in surviving patients (p < 0.001). In multivariate regression analysis, age (OR: 1.102, p = 0.035) and secondary infection (OR: 16.677, p = 0.024) were risk factors increasing mortality, the remission status of HM (OR: 0.093, p = 0.047) was a protective factor from mortality. Conclusion The older age, the remission status of HM and secondary infection due to COVID-19 were determined as prognostic factors predicting mortality in HM patients with following COVID-19.

Assuntos

Neoplasias Hematológicas , Idoso , COVID-19

RESUMO

Objective: This study aimed to determine the clinical outcomes and risk factors affecting mortality in patients with COVID-19 following hematological malignancy (HM). Methods: Patients diagnosed with HM and hospitalized for COVID-19 were included in this retrospective study. The age, demographic and clinical characteristics, prognosis and treatment of surviving and non-surviving patients were compared. Results: A total of 49 patients were included in this study, 17 (34.6%) of whom died within 28 days of being diagnosed with COVID-19. Older age (p = 0.001), diabetes (p = 0.001), chronic obstructive pulmonary disease (p = 0.002), secondary infection (p < 0.001) and secondary bacterial infection (p = 0.005) were statistically significantly higher in non-survivors. The remission status of HM was higher in surviving patients (p < 0.001). In multivariate regression analysis, age (OR: 1.102, p = 0.035) and secondary infection (OR: 16.677, p = 0.024) were risk factors increasing mortality, the remission status of HM (OR: 0.093, p = 0.047) was a protective factor from mortality. Conclusion: The older age, the remission status of HM and secondary infection due to COVID-19 were determined as prognostic factors predicting mortality in HM patients with following COVID-19.

RESUMO

BACKGROUND & AIMS: Only a few studies have assessed the association between a proinflammatory diet and the risk of depression in older adults, and they have rendered weak results. The present study analysed the association between the Dietary Inflammatory Index (DII) and incident self-reported diagnosis or symptoms of depression in two cohorts of community-dwelling older adults in Spain. METHODS: We used data from the Seniors-ENRICA-I (SE-I) and Seniors-ENRICA-II (SE-II) cohorts. In both cohorts, the baseline DII was calculated from habitual food consumption estimated with a validated computer-based diet history. The incidence of both physician self-reported diagnosis of depression and mild-to-major depressive symptoms (≥3 on the 10-item Geriatric Depression Scale) was analysed. Logistic regression models were adjusted for the main potential confounders, such as sociodemographics, lifestyles, and comorbidities. The results of both cohorts were pooled using a random effects model. RESULTS: Among the 1627 participants in SE-I (mean age 71.5 ± 5.5 y, 53.1% women) and the 1579 in SE-II (mean age 71.4 ± 4.2, 46.7% women), 86 (5.3%) and 140 (8.9%) incident cases of depression were identified after a mean 3.2-y and 2.3-y follow-up, respectively. The fully adjusted odds ratio (95% confidence interval) of incident depression for the highest (the highest proinflammatory diet) versus the lowest quartile of DII was 2.76 (1.25-6.08, p-for-trend = 0.005) in the SE-I, 1.90 (1.04-3.40, p-for-trend = 0.005) in the SE-II and 2.07 (1.01-3.13) in the pooled cohorts. The results were consistent across strata defined by sex, age, physical activity, loneliness/poor social network, and morbidity. CONCLUSIONS: A proinflammatory dietary pattern is associated with depression risk in older adults. Future research should evaluate whether reducing the inflammatory component of diet leads to reduced depression symptoms in this population.

Assuntos

Depressão , Transtorno Depressivo Maior , Humanos , Feminino , Idoso , Masculino , Estudos Prospectivos , Depressão/epidemiologia , Depressão/etiologia , Dieta , Exercício Físico , Inflamação/complicações

RESUMO

We report the case of a 70-year-old man diagnosed with late-onset Wilson disease (WD) with mild neurological symptoms only and a new mutation in the ATP7B gene. A compound mutation of the ATP7B gene was found with the variant c.98T>C p(Met33Thr) in exon 2, in heterozygosis, and variant c.2224G>A (Val742Ile) in exon 8, in heterozygosis. Patient age should not be a determinant for excluding WD. Genetic sequencing is an important tool for the discovery of new genetic mutations. LEARNING POINTS: Wilson disease (WD) is an autosomal recessive disorder of copper metabolismPatient age should not exclude WD, and symptoms compatible with WD should raise suspicion for WD even in older people.Genetic sequencing is an important tool in the discovery of new genetic mutations.

RESUMO

Los trastornos del ánimo en el adulto mayor, especialmente aquellos de inicio tardío son difíciles de diferenciar de la demencia en su etapa inicial, dado que existe un traslape sintomático. Esto puede llevar a errar o a retrasar el diagnóstico e impedir la entrega de un tratamiento adecuado. Para el diagnóstico diferencial es fundamental obtener una historia rigurosa tanto del paciente como de la familia, un examen mental y neurológico. Se complementa con un estudio neuropsicológico y con biomarcadores de demencia. Hoy en día se dispone de nuevas técnicas de diagnóstico precoz en la demencia como la volumetría de hipocampos, el PET/CT F18-FDG y PET de amiloide, beta-amiloide y proteína Tau en el LCR, entre otras, que ayudan en casos complejos de diagnóstico diferencial. Este artículo de revisión reúne elementos clínicos y estudios complementarios, con el objetivo de ayudar al psiquiatra en la tarea de diferenciar ambos cuadros.

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Mood disorders in the elderly, especially those with late onset are difficult to differentiate from Dementia in its initial stage, given that there is a symptomatic overlap. This can lead to miss or delay the diagnosis and subsequently prevent an appropriate treatment. For the differential diagnosis it is essential to obtain a rigorous history of both the patient and the family, a mental and neurological examination. It is complemented with a neuropsychological assessment and with biomarkers of Dementia. Nowadays, new early diagnosis techniques are available in Dementia such as hippocampal volumetry, PET/CT F18-FDG and PET of amyloid, beta-amyloid and Tau protein in the CSF, among others, which help in complex cases of differential diagnosis. This article reviews clinical elements and complementary studies that help the psychiatrist in the task of differentiating both disorders.

Assuntos

Humanos , Transtornos do Humor/diagnóstico , Demência/diagnóstico , Transtorno Bipolar/diagnóstico , Transtornos do Humor/diagnóstico por imagem , Demência/diagnóstico por imagem , Depressão/diagnóstico , Diagnóstico Diferencial

RESUMO

OBJECTIVES: Characterization of clinical course in old age bipolar disorder (OABD) is scarce and based solely on episode density (ED). The aim of this study was to explore mood instability (MI) and subsyndromal symptomatology (SS) in a prospective cohort of OABD. Further, we contrasted these measures with a cohort of young age bipolar disorder (YABD). METHODS: Life charts from weekly mood ratings were used to compute the number of weeks spent with subsyndromal symptoms (SD), the ED, and the MI during follow-up for a cohort of OABD (N = 38) that excluded late onset BD. Linear and logistic regression models were fitted to compare the clinical course of OABD with a cohort of YABD (N = 52) and to explore the relationship between these measures and functional outcomes. RESULTS: Median follow-up was 5 years (IQR: 3.6-7.9). OABD (61.6 years, SD: 8.3) spent 15%, 6%, and 3% of their follow-up with depressive, manic, and mixed symptoms, respectively, and suffered 4.2 mood changes per year (SD: 2.6). No significant differences between OABD and YABD regarding ED or MI emerged in multivariate analysis, while a higher subsyndromal manic symptom burden was observed in OABD (ß coefficient: 3.79, 95%CI: 0.4-7.2). Both SS and MI were associated with functional outcomes in OABD. CONCLUSIONS: The course of illness throughout OABD was similar to the one observed in YABD except for a higher subsyndromal manic burden. This study extended the association of MI and SD with global functioning to the late-life BD.

Assuntos

Transtorno Bipolar/psicologia , Memória Episódica , Transtornos do Humor/psicologia , Adolescente , Adulto , Idoso , Transtorno Bipolar/diagnóstico , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Análise de Regressão , Adulto Jovem

RESUMO

BACKGROUND: Data from the World Health Organization Study on global AGEing and adult health (SAGE) were used to estimate the prevalence of depression in older adults in six low- and middle-income countries (LMICs), namely China, Ghana, India, Mexico, the Russian Federation, and South Africa, and to examine the relationship between demographic and lifestyle characteristics and depression. METHOD: A total of 33,421 participants aged ≥ 50 years were included. A set of diagnostic questions from the World Mental Health Survey was used within SAGE to define depression. RESULTS: The crude population prevalence of depression was 7.4% [95%CI: 6.5%-8.3%] ranging from 1.5% in China to 15.2% in India. It was higher in females 8.6% [7.6%-9.6%] compared to males 6.1% [5.0%-7.2%]. The age-standardized prevalence of depression was 7.8% [6.3%-9.6%] in pooled data, 8.9% [6.9%-11.1%] in females and 6.6% [4.6%-9.0%] in males. Greater fruit (0.89[0.84-0.93]) and vegetable intake (0.94 [0.89-1.00]) was associated with a lower prevalence of depression. Furthermore, those who were older, female, underweight, and with lower education and lower wealth, had higher prevalence of depression. LIMITATIONS: The cross-sectional design of this study precluded conclusions on causality. CONCLUSION: In nationally-representative samples of older adults in six LMICs, an average of one in every 13 participants suffered from depression. The prevalence of depression varied considerably between countries, sexes, and with wealth and educational disadvantage. Increased fruit and vegetable intake appeared to co-occur with significantly lower rates of depression, suggesting diet as a modifiable factor for addressing depression burden.

Assuntos

Depressão/epidemiologia , Vida Independente/psicologia , Estilo de Vida , Pobreza/psicologia , Fatores Socioeconômicos , Idoso , China/epidemiologia , Estudos Transversais , Depressão/etiologia , Países em Desenvolvimento/estatística & dados numéricos , Dieta/psicologia , Feminino , Gana/epidemiologia , Inquéritos Epidemiológicos , Humanos , Índia/epidemiologia , Masculino , México/epidemiologia , Pessoa de Meia-Idade , Prevalência , Federação Russa/epidemiologia , África do Sul/epidemiologia , Organização Mundial da Saúde

RESUMO

Resumen El presente trabajo tuvo como objetivo evaluar el estado de salud general y perfil biopsicosocial de un grupo adultos mayores sanos o excepcionales del departamento de Santander. La muestra estuvo compuesta por 50 adultos mayores autopercibidos como sanos, de un rango de edad de 75 años en adelante y pertenecientes a las diferentes provincias del departamento. Se emplearon como instrumentos el Mini-Mental State Examination, la Escala de Barthel, el Cuestionario de salud general de Goldberg y el Mini nutricional Assesment. En los resultados encontrados se evidenciaron medias altas en el nivel cognitivo, independencia en las actividades de la vida diaria (AVD), estado nutricional y buena autopercepción de salud mental, bienestar psicológico general, funcionamiento social y afrontamiento. Esto evidencia un perfil biopsicosocial alto, relacionado a factores diferenciales en este grupo de adultos con elevado nivel de longevidad, lo cual abre paso a en los adultos clasificados como viejos-viejos; y además brinda una evidencia de la posibilidad de envejecer exitosamente, con salud y calidad de vida.

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Abstract This study aimed to evaluate overall health and biopsychosocial profile of a healthy or exceptional elderly group in Santander, Colombia. The sample consisted of 50 self-perceived healthy older adults, with ages 75 and older, and coming from different provinces of Santander. Data were collected with the Mini-Mental State Examination, the Barthel Scale, Goldberg's General Health Questionnaire and the Mini nutritional Assessment. Results showed high means in the cognitive dimension, independence in Activities of daily living (ADLs), nutritional status and good self-rated mental health, general psychological well-being, social functioning and coping. This suggests a high biopsychosocial profile, related to differential factors in this group of adults with high level of longevity, which opens the way to exploring the positive dimensions in older adults, and it also provides evidence of the possibility of successful, healthy life in old age with a good quality of life.

RESUMO

The aim of the study was to compare the effectiveness and maintenance of two health promotion programs on depressive symptoms (DS) of older adults. The research was conducted with the network of primary health care in a southern capital of Brazil. In total, 119 older adult participants were allocated into different groups: behavior change (BCG; n=40), exercise (EG; n=51) and control (CG; n=28), assessed at baseline (A1) and followed-up at three (A2), six (A3) and twelve months (A4). BCG attended "VAMOS Vida Ativa Melhorando a Saúde" (in English, Active Living Improving Health) program while EG attended aerobic gymnastic sessions. The DS were measured by the Geriatric Depression Scale (GDS-15) and level of physical activity (LPA) through accelerometers. Results show that only BCG reduced the number of older adults with high DS (A1=9; A2=4) and this reduction was maintained after six (A3=3) and twelve months (A4=4). Six older adults became physically active (BCG=3; EG=2; CG=1) after the intervention. However, there was no LPA maintenance after six and twelve months, once the frequency of insufficiently active older adults increased or was similar to baseline. When comparing DS, an interaction was found between group and assessment (F=2.94, p=0.01) for BCG, highlighting the reduction (A1=4.0; A2=2.5) and maintenance (A3=2.6; A4=2.8) of mean DS in this group. The results indicate that behavior change programs may bring benefits to the mental health of older adults and the VAMOS program seems to be a viable option for older adults in the community.

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Objetivou-se comparar a efetividade e a manutenção de dois programas de promoção da saúde sobre os sintomas depressivos (SD) da população idosa. A pesquisa foi desenvolvida no âmbito da rede de atenção primária à saúde de uma capital do sul do Brasil. Participaram 119 idosos alocados nos grupos: mudança de comportamento - GMC (n=40), exercício físico - GEF (n=51) e controle - GC (n= 28), avaliados no baseline (A1), após três (A2), seis (A3) e 12 meses (A4). O GMC participou do "VAMOS ­ Vida Ativa Melhorando a Saúde" e o GEF de aulas de ginástica. Os SD foram avaliados pela Geriatric Depression Scale (GDS-15) e o nível de atividade física (NAF) por acelerômetro. Os resultados indicam que após a intervenção, somente no GMC houve redução do número de idosos com SD elevados (A1=9; A2=4) e essa redução se manteve após seis (A3=3) e doze meses (A4=4). Em relação ao NAF, após a intervenção, seis idosos tornaram-se fisicamente ativos (GMC=3; GEF=2 e GC=1). Todavia, não foi observada manutenção do NAF após seis e doze meses, uma vez que a frequência de idosos insuficientemente ativos aumentou ou foi semelhante ao baseline. Na comparação dos SD, identificou-se interação grupo versus avaliação (F=2,94, p=0,01) para o GMC, destacando redução (A1=4,0; A2=2,5) e manutenção (A3=2,6; A4=2,8) das médias dos SD nesse grupo. Os resultados sinalizam que programas de mudança de comportamento podem oportunizar benefícios à saúde mental dos idosos e que o programa VAMOS mostrou-se uma possibilidade viável de desenvolvimento no contexto comunitário para esta população.

Assuntos

Comportamento , Idoso , Depressão , Estilo de Vida , Atividade Motora

RESUMO

BACKGROUND: Current estimates of the prevalence of depression in later life mostly arise from studies carried out in Europe, North America and Asia. In this study we aimed to measure the prevalence of depression using a standardised method in a number of low and middle income countries (LMIC). METHODS: A one-phase cross-sectional survey involving over 17,000 participants aged 65 years and over living in urban and rural catchment areas in 13 sites from 9 countries (Cuba, Dominican Republic, Puerto Rico, Mexico, Venezuela, Peru, China, India and Nigeria). Depression was assessed and compared using ICD-10 and EURO-D criteria. RESULTS: Depression prevalence varied across sites according to diagnostic criteria. The lowest prevalence was observed for ICD-10 depressive episode (0.3 to 13.8%). When using the EURO-D depression scale, the prevalence was higher and ranged from 1.0% to 38.6%. The crude prevalence was particularly high in the Dominican Republic and in rural India. ICD-10 depression was also associated with increased age and being female. LIMITATIONS: Generalisability of findings outside of catchment areas is difficult to assess. CONCLUSIONS: Late life depression is burdensome, and common in LMIC. However its prevalence varies from culture to culture; its diagnosis poses a significant challenge and requires proper recognition of its expression.

Assuntos

Comparação Transcultural , Depressão/epidemiologia , Países em Desenvolvimento/estatística & dados numéricos , Transtornos de Início Tardio/epidemiologia , Idoso , Idoso de 80 Anos ou mais , China/epidemiologia , Estudos Transversais , Cuba/epidemiologia , República Dominicana/epidemiologia , Feminino , Humanos , Índia/epidemiologia , Masculino , México/epidemiologia , Nigéria/epidemiologia , Peru/epidemiologia , Prevalência , Porto Rico/epidemiologia , População Rural/estatística & dados numéricos , Venezuela/epidemiologia

RESUMO

OBJECTIVE: this study aims to compare colonoscopy results in patients aged 50-79 and those aged 80 and older. PATIENTS AND METHODS: a total of 533 diagnostic colonoscopies performed from August 2011 to January 2012 were evaluated in a prospective study analyzing age, ASA classification, comorbidities, endoscopic findings, time to reach the cecum, number of complete examinations, difficulties and complications. Chi-square test was used to compare categorical data whereas Student's t test to compare means. A p value < 0.05 was considered significant. RESULTS : 479 patients were in Group A - age 50 to 79, whereas 54 were in Group B, 80 versus older. The following results are shown for Group A and B, respectively: age 63 ± 8 versus 84 ± 4 years. ASA 1 difficult examination: 58 (21 %) versus 12 (27%) p > 0.05, ASA > 2 difficult examination: 41 (20%) versus 6 (60%) p < 0,05. Comorbidities 255 (53%) versus 36 (66%) p > 0.05. Complete colonoscopy in 450 (94%) versus 45 (83%), p < 0.01. Difficulties in 99 (20%) versus 32 (40%), p < 0.01. Complications in 1 (0.2%) versus 3 (5%) p < 0.01. Diverticulitis/ sequelae in 3 (0.6%) versus 3 (5%) p < 0.01. CRC in 42 (8.7%) and 10 (18.5%), p < 0.05. Adenoma in 130 (27 %) versus 15 (27%), p > 0.05 Time to reach the cecum was 39 ± 10 minutes for difficult procedures and 13 ± 9 for the easy ones. CONCLUSION : age 80 and older is associated with more adverse events during colonoscopy. (AU)

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OBJETIVO: avaliar riscos em colonoscopia após 80 anos de idade. PACIENTES E MÉTODOS : entre agosto de 2011 e janeiro de 2012 realizamos colonoscopias em 533 pacientes. Grupo A: idade entre 50 e 79 e Grupo B > de 80 anos. PARÂMETROS ANALISADOS: ASA, comorbidades, achados endoscópicos, tempo de chegada ao ceco, número de exames completos, dificuldade e complicações. Usamos teste Qui-quadrado para comparar proporção e teste t de Student para média e desvio padrão. p < 0,05 foi considerado significativo. Este é um estudo prospectivo. RESULTADOS: 533 pacientes sendo 479 do Grupo A e 54 do Grupo B. Resultados seguem a sequência A e B. Idade 63 ± 8 e 84 ± 4. ASA 1, exame difícil 58 (21%) e 12 (27%) p > 0,05 > ASA 2 difícil 41 (20%) e 6 (60%) p < 0,05. Comorbidades 255 (53%) e 36 (66%) p > 0.05. Exame completo 450 (94%) e 45 (83%) p < 0,01 Difícil 99 (20%) e 32 (40%) p < 0,01 Complicações 1 (0,2%) e 3 (5%) p < 0,01 Normal 149 (31%) e 5 (9%) p < 0,01 Diverticulite/sequela 3 (0,6%) e 3 (5%) p < 0,01. CCR 42 (8,7%) e 10 (18,7%) p < 0,05. Adenoma 130 (27%) e 15 (27%) p > 0,05. Tempo em minutos 39 ± 10 para os difíceis e 13 ± 9 para os fáceis. CONCLUSÃO : a idade de 80 anos constitui um risco para a realização de colonoscopia. (AU)

Assuntos

Humanos , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Colonoscopia/efeitos adversos , Anestesia/efeitos adversos , Adenoma/diagnóstico , Comorbidade

RESUMO

Introdução: a população idosa está crescendo em números proporcionais se tornando necessário maior cuidado de sua saúde. O objetivo deste estudo foi descrever a situação epidemiológica do estado de saúde bucal dos idosos na cidade de João Pessoa - PB, Brasil. Métodos: foram analisados 55 idosos em longa permanência na instituição da cidade de João Pessoa. Os idosos foram interrogados sobre o quotidiano e hábitos pessoais e logo foram validadas as condições bucais por um especialista. A avaliação insere a condição dos dentes e a necessidade e o uso da prótese dentária. Foram coletados os dados em um formulário e analisados no SPSS(Chis quadrado ou exato do Fisher). Resultados: se verificou que 16 (29,0 porcento) das pessoas têm 60-70 anos e 39 (71,0 porcento) mais de 70 anos de idade. Estimativas do sexo evidenciaram que 43 (78,2 porcento) são mulheres e 12 (21,8 porcento) são homens. Os idosos reportaram ter marcado a última visita ao dentista ao menos um mês 2 (3,7 porcento), nos últimos 6 meses 4 (7,3 porcento) e mais de um ano 49 (89,0 porcento). A prevaência de edentulismo foi de 35 (63,6 porcento). Outros têm uma média de 6,1 dentes por indivíduo. O uso de prótese geral removível se observou em 40,0 porcento dos idosos e de prótese parcial removível em 9,1 porcento. Um total de 78 porcento dos idosos presissam de algum tipo de prótese dentária. Conclusões: os idosos tratados ficam carentes de atenção odontológica, necessitando reabilitação protética(AU)

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Introducción: la población de ancianos está creciendo en números proporcionales, por lo que es necesario mayor cuidado de su salud. El objetivo de este estudio fue describir la situación epidemiológica del estado de salud oral de los ancianos en la ciudad de João Pessoa - PB, Brasil. Métodos: se analizaron un total de 55 ancianos en una larga estancia, en la institución de la ciudad de João Pessoa. Los ancianos fueron interrogados acerca de información personal, los hábitos personales y a continuación, se llevó a cabo la evaluación de condiciones bucales por un solo examinador. La evaluación incluyó la condición de los dientes y la necesidad y el uso de prótesis dental. Se recogieron los datos en un formulario y analizados en SPSS (Qui-cuadrado o exacto de Fisher). Resultados: se verificó que 16 (29,0 por ciento) de las personas tienen 60-70 años y 39 (71,0 por ciento) más de 70 años de edad. En cuanto al sexo, se encontró que 43 (78,2 por ciento) son mujeres y 12 (21,8 por ciento) son hombres. Los acianos reportaron haber realizado la última visita al dentista al menos un mes 2 (3,7 por ciento), en los últimos 6 meses 4 (7,3 por ciento) y más de un año 49 (89,0 por ciento). La prevalencia de edentulismo fue de 35 (63,6 por ciento). Los demás tienen una media de 6,1 dientes por individuo. El uso de prótesis totales removibles se observó en el 40,0 por ciento de los ancianos y de prótesis parciales removibles en 9,1 por ciento. Un total de 78 por ciento de los ancianos necesitan de algún tipo de prótesis dental. Conclusiones: los ancianos evaluados están carentes de atención odontológica, por lo que necesitan de rehabilitación protética(AU)

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Introduction: The elderly population is increasing, so it is necessary to pay more attention to their health status. The objective of this study was to describe the epidemiologic situation of the oral health conditions of the older people in João Pessoa-PB, Brazil. Methods: Fifty five aged persons, who were institutionalized in a long-care center in João Pessoa, were studied. They were inquired about personal data, habits, and then the oral conditions were assessed by a single examiner. The evaluation included the tooth conditions, the requirement and the use of dentures. Data were recorded in a form and analyzed by SPSS (Fisher's Chi-square or exact value). Results: It was observed that 16 (29.0 percent) of these people were aged 60-70 years and 39 (71.0 percent) above 70 years. Regarding sex, 43 (78.2 percent) were females and 12 (21.8 percent) males. Two old people reported having gone to the dentist's at least one month ago (3.7 percent); 4 (3.7 percent), did it in the last 6 months and 49 (89.0 percent) over one year ago. Thirty five were edentulous (63.6 percent). The rest had 6.1 teeth per individual as average. The use of complete removable denture was seen in 40 percent of the elderly and of partial removable dentures in 9.1 percent. A total of 78 percent of the studied elderly needs some kind of denture. Conclusions: The evaluated elderly are lacking odontological care, so they require denture rehabilitation(AU)

Assuntos

Humanos , Masculino , Feminino , Idoso , Idoso de 80 Anos ou mais , Saúde Bucal/estatística & dados numéricos , Prótese Parcial Removível/efeitos adversos , Odontologia Geriátrica/métodos , Coleta de Dados/estatística & dados numéricos , Assistência Odontológica/efeitos adversos

RESUMO

En nuestro país, el grupo de pacientes Adultos Mayores (sobre 65 años) ha tenido un crecimiento explosivo en los últimos años, reflejo de la expectativa de vida que ha aumentado casi 10 años desde 1981 a la fecha. Con mayor frecuencia, el grupo etario en cuestión requiere ingreso a Unidades más complejas. Estudios internacionales estiman que los adultos mayores ocupan en promedio más de la mitad de los días cama de las Unidades de Tratamiento Intensivo (UTI) a nivel mundial y están cobrando relevancia en la Medicina Intensiva dada particularidades específicas que presentan para su manejo en estas unidades. En Chile, existen escasos datos acerca de ingresos y mortalidad en este grupo de pacientes en las UTI. El objetivo de esta revisión es mostrar datos epidemiológicos de la realidad local en relación a pacientes admitidos en la UTI del Centro de Pacientes Críticos (CPC) de Clínica Las Condes (CLC).

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In our country the group of patients older than 65 years had a significant and explosive increment in the last years, reflecting the increased life expectancy which grew almost 10 years since 1981 until to date. With increasing frequency this older group required admission to critical care units. International studies estimate that this older group of patient occupies as an average more than half of the ICU days worldwide, therefore they are having great relevance because of the special needs for their care. In Chile, there are only scarce data about admission and outcome of these group of patients in the ICU's. The aim of this review is to describe some epidemiological data about the local reality of this group of patients admited in to the ICU of our Center for Critically Ill Patients at Clínica Las Condes.

Assuntos

Humanos , Idoso , Cuidados Críticos , Unidades de Terapia Intensiva , Registros de Mortalidade

RESUMO

La violencia doméstica es tan antigua como la humanidad. Se reconoce la violencia infantil, contra la mujer y al anciano El último grupo està conformado por una población en ascenso por las mayores expectativas de vida de los últimos años dadas, entre otros factores, por los avances médicos actuales y los estilos de vida saludables. Cuba tiene actualmente el 13 por ciento de la población con 65 años y màs y según estimados, para el 2020 existiràn por primera vez màs ancianos que niños. Por ello, en los próximos años habrà que seguir de cerca el trato a este grupo poblacional. Es de esperar que se incremente el abuso contra el anciano y el impacto de este abuso sobre la salud debe ser considerado. La gama de maltratos que puede sufrir el anciano incluye fundamentalmente, el abuso físico, emocional, financiero, sexual, por negligencia y la negación a brindarle ayuda. Garantizarles condiciones de vida que les ofrezcan independencia, protegerlos jurídicamente, crearles espacios adonde acudir para reclamar por las violaciones que pudieran sufrir y brindarles información a ellos y a la sociedad sobre las formas en que se puede manifestar el maltrato, son acciones que deben cumplirse con exactitud y que contribuirían a la prevención de la violencia(AU)

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Domestic violence is as old as the origin of mankind. Infant violence and violence against the woman and the old person are well known. The older people group represents a growing population due to higher life expectancies in the last few years encouraged by the present medical advances and healthier life styles. Nowadays, 13 percent of the Cuban population is 65 years and over; but according to estimates, the elderly will outnumber the children for the first time in 2020. Therefore, one must closely watch the treatment to this population section in the forthcoming year. It is expected that elder abuse grows, so the impact of abuse on health should be taken into account. Mistreatment of the elderly mainly includes physical, emotional, financial, sexual abuse, negligence and denial of assistance. Providing them with living conditions that encourage independence, protect them from the legal viewpoint, creating adequate sites where they may claim for possible violations and giving them and the society information on the various forms of abuse are all actions that should be fully taken since they will contribute to the prevention of violence(AU)

Assuntos

Violência Doméstica/etnologia

RESUMO

La violencia doméstica es tan antigua como la humanidad. Se reconoce la violencia infantil, contra la mujer y al anciano El último grupo està conformado por una población en ascenso por las mayores expectativas de vida de los últimos años dadas, entre otros factores, por los avances médicos actuales y los estilos de vida saludables. Cuba tiene actualmente el 13 por ciento de la población con 65 años y màs y según estimados, para el 2020 existiràn por primera vez màs ancianos que niños. Por ello, en los próximos años habrà que seguir de cerca el trato a este grupo poblacional. Es de esperar que se incremente el abuso contra el anciano y el impacto de este abuso sobre la salud debe ser considerado. La gama de maltratos que puede sufrir el anciano incluye fundamentalmente, el abuso físico, emocional, financiero, sexual, por negligencia y la negación a brindarle ayuda. Garantizarles condiciones de vida que les ofrezcan independencia, protegerlos jurídicamente, crearles espacios adonde acudir para reclamar por las violaciones que pudieran sufrir y brindarles información a ellos y a la sociedad sobre las formas en que se puede manifestar el maltrato, son acciones que deben cumplirse con exactitud y que contribuirían a la prevención de la violencia

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Domestic violence is as old as the origin of mankind. Infant violence and violence against the woman and the old person are well known. The older people group represents a growing population due to higher life expectancies in the last few years encouraged by the present medical advances and healthier life styles. Nowadays, 13 percent of the Cuban population is 65 years and over; but according to estimates, the elderly will outnumber the children for the first time in 2020. Therefore, one must closely watch the treatment to this population section in the forthcoming year. It is expected that elder abuse grows, so the impact of abuse on health should be taken into account. Mistreatment of the elderly mainly includes physical, emotional, financial, sexual abuse, negligence and denial of assistance. Providing them with living conditions that encourage independence, protect them from the legal viewpoint, creating adequate sites where they may claim for possible violations and giving them and the society information on the various forms of abuse are all actions that should be fully taken since they will contribute to the prevention of violence

Assuntos

Violência Doméstica/etnologia