摘要:

A prospective evaluation of poison exposure calls, in reference to persons ≥60years of age, was performed at the Maryland Poison Center during a six‐month period in 1981. Each call was examined with respect to location of exposure, caller, circumstance, treatment location, and final outcome. The study group consisted of 237 persons, of whom 66 per cent were women. The majority of callers were not medical personnel, and the most common location for exposure was the home. Most exposures occurred by the oral route and were the result of an accident (83.1 per cent) as opposed to suicide (14.8 per cent) or drug abuse (1.7 per cent), which are more frequent inyounger adults. Although only 27.4 per cent of the study population received treatment in an emergency room or required hospital admission, the probability of admission for the elderly person seen in the emergency room was significantly greater than that foryounger adults and children. Of the four fatalities that occurred, three were classified as suicides and one as an accid

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1983.tb05093.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1983.tb05094.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

Fifty‐two patients previously treated and discharged from an acute‐care general hospital ward were followed up for an average of 30.5 months. The results show that while it is true that depressive episodes in the elderly are often easily and rapidly treated, many of these patients do poorly in the long term for a variety of reasons related to depressive dysphoria, organic brain syndrome, and physical disability. Depressive or dysphoric relapse in the community seems to go largely unrecognized. It is suggested that follow‐up must be done soon after discharge to prevent the high level of rejection of the treatment team that may occur once the patient loses contact. Follow‐up must in part be done initially through home visits, and a firm institutional liaison established for the large group that will need ongoi

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1983.tb05095.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

This report describes functional status at admission, discharge, and six months later for 100 elderly persons treated at a community hospital assessment and rehabilitation unit. The goal of the unit is to prevent institutionalization of frail elderly persons considered at risk for nursing home placement. Characteristics of the first 100 admissions include the following: average age, 79 years; female, 77 per cent; length of stay, 23 days; average number of admitting diagnoses, 3.4. Ninety‐one new diagnoses of treatable conditions were made. On admission, 81 per cent of patients were confined to bed or chair or needed assistance with ambulation, compared with 27 per cent at discharge and 22 per cent at six months. Activities showing significant improvement include dressing, housekeeping, use of toilet, and ambulation. At six months, 15 per cent had died, 67 per cent were living in the community, and 19 per cent were institutionalized. It is concluded that care at the geriatric unit probably resulted in improved function and decreased nursing home placemen

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1983.tb05096.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

In order to determine the risk of aortic valve replacement in the elderly, 77 patients over the age of 60 who had undergone this procedure were reviewed. Hypothermic‐hyperkalemic cardioplegia was used in all patients. In 55 patients with isolated aortic valve replacement there were three deaths (5.5 per cent). In the entire series of 77 patients there were 13 deaths (13 per cent). In seven patients with functional class IV there were two deaths (28.6 per cent). Six patients died of failure of an organ other than the heart. In only two patients did the operative death have a myocardial cause. Ninety‐two per cent of the patients were in functional class I or II following surgery. Patients should come to surgery before reaching class IV. Aortic valve replacement can be carried out safely in the elderly, and the indications should be the same as for younger patie

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1983.tb05097.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

Three cases of endometritis, which presented covertly in elderly women, are described. All three patients were in a poor state of nutrition, and two had serious intercurrent disease. It is believed that cyclical shedding of the endometrium and “normal” vaginal flora (under the influence of estrogen) are the major defenses against infection. These are lost after the menopause, and were therefore absent in the three patients described here. The waning of the immune response associated with aging, particularly the progesterone‐stimulated uptake of polymeric IgA in the endometrium, may be important, as may the immunosuppressive effect of malnutrition. It is suggested that a nonspecific deterioration in an elderly woman or infection of uncertain site should prompt a careful re‐examination, including a thorough pelvic exam

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1983.tb05098.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

The clinical features, diagnosis, treatment, and prevention of infective endocarditis in the elderly are reviewed. In elderly persons with infective endocarditis, the clinical diagnosis is often difficult, complications are frequent, and mortality rate is high.

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1983.tb05099.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

摘要:

Hand weakness is an important but frequently overlooked problem in the elderly. The exact diagnosis is often difficult because of the complexities of innervation and muscle function. An anatomic approach to the diagnosis of isolated hand weakness in the elderly is presented. Causes, evaluation, and therapy for various forms of this symptom are reviewed.

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1983.tb05100.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1983.tb05101.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1983.tb05102.x

出版商:Blackwell Publishing Ltd    

年代:1983

数据来源: WILEY