High morale is associated with increased survival in the very old.

Abstract:

BACKGROUND:high morale is defined as future-oriented optimism. Previous research suggests that a high morale independently predicts increased survival among old people, though very old people have not been specifically studied. OBJECTIVE:to investigate whether high morale is associated with increased survival among very old people. SUBJECTS:the Umeå 85+/GErontological Regional DAtabase-study (GERDA) recruited participants aged 85 years and older in northern Sweden and western Finland during 2000-02 and 2005-07, of whom 646 were included in this study. METHODS:demographic, functional- and health-related data were collected in this population-based study through structured interviews and assessments carried out during home visits and from reviews of medical records. The 17-item Philadelphia Geriatric Center Morale Scale (PGCMS) was used to assess morale. RESULTS:the 5-year survival rate was 31.9% for participants with low morale, 39.4% for moderate and 55.6% for those with high morale. In an unadjusted Cox model, the relative risk (RR) of mortality was higher among participants with low morale (RR = 1.86, P < 0.001) and moderate morale (RR = 1.59, P < 0.001) compared with participants with high morale. Similar results were found after adjustment for age and gender. In a Cox model adjusted for several demographic, health- and function-related confounders, including age and gender, mortality was higher among participants with low morale (RR = 1.36, P = 0.032) than those with high morale. There was a similar but non-significant pattern towards increased mortality in participants with moderate morale (RR = 1.21, P value = 0.136). CONCLUSION:high morale is independently associated with increased survival among very old people.

journal_name

Age Ageing

journal_title

Age and ageing

authors

Niklasson J,Hörnsten C,Conradsson M,Nyqvist F,Olofsson B,Lövheim H,Gustafson Y

doi

10.1093/ageing/afv021

subject

Has Abstract

pub_date

2015-07-01 00:00:00

pages

630-6

issue

4

eissn

0002-0729

issn

1468-2834

pii

afv021

journal_volume

44

pub_type

杂志文章,多中心研究
  • Cognitive testing of elderly Chinese people in Singapore: influence of education and age on normative scores.

    abstract:AIM:to establish age- and education-adjusted mean psychometric test scores of cognitively normal elderly Chinese people in Singapore. METHOD:155 community-living, cognitively intact elderly Chinese subjects, stratified according to age and education, were selected from the membership lists of senior citizens' clubs an...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/26.6.481

    authors: Sahadevan S,Tan NJ,Tan T,Tan S

    更新日期:1997-11-01 00:00:00

  • Increased levels of soluble Receptor for Advanced Glycation End-products (RAGE) are associated with a higher risk of mortality in frail older adults.

    abstract:OBJECTIVE:to evaluate the relationship between serum levels of the soluble Receptor for Advanced Glycation End-products (sRAGE) and mortality in frail and non-frail older adults. METHODS:we studied 691 subjects (141 frail and 550 non-frail) with a median age of 75 years from two population-based cohorts, the Toledo St...

    journal_title:Age and ageing

    pub_type: 杂志文章,多中心研究

    doi:10.1093/ageing/afz073

    authors: Butcher L,Carnicero JA,Gomez Cabrero D,Dartigues JF,Pérès K,Garcia-Garcia FJ,Rodriguez-Mañas L,Erusalimsky JD,FRAILOMIC Consortium.

    更新日期:2019-09-01 00:00:00

  • Public knowledge and understanding of dementia-evidence from a national survey in Ireland.

    abstract:Background:there is growing consensus around the importance of population level approaches which seek to improve public knowledge and awareness of dementia. Aim:to assess knowledge of the relationship between dementia and ageing, and of the risk and protective factors associated with it, among the general public in Ir...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afx082

    authors: Glynn RW,Shelley E,Lawlor BA

    更新日期:2017-09-01 00:00:00

  • Gastrointestinal investigations for anaemia in the elderly: a prospective study.

    abstract::Of 60 patients referred for geriatric assessment with clinically significant hypochromic anaemia, in the absence of frank bleeding, 44 underwent upper gastrointestinal and 27 lower gastrointestinal investigations. The probability of identifying a potential cause at upper gastrointestinal endoscopy was three times that...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/16.6.399

    authors: Calvey HD,Castleden CM

    更新日期:1987-11-01 00:00:00

  • Gloucester hospital-at-home: a randomized controlled trial.

    abstract::Hospital-at-Home schemes have been claimed to hasten the discharge of elderly orthopaedic patients, and are becoming increasingly popular with health service managers. In an attempt to measure the benefits of such a scheme when applied to elderly medical patients, we prospectively randomized 60 consecutive referrals o...

    journal_title:Age and ageing

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/ageing/24.5.434

    authors: Donald IP,Baldwin RN,Bannerjee M

    更新日期:1995-09-01 00:00:00

  • Exploring patterns of daily physical and sedentary behaviour in community-dwelling older adults.

    abstract:BACKGROUND:recent evidence suggests that the interaction between periods of sedentary and activity behaviour is important for health; providing distinctive information to assessment of activity alone. This study quantified activity and sedentary behaviour in older, community-dwelling adults. METHODS:fifty-six communit...

    journal_title:Age and ageing

    pub_type: 杂志文章,多中心研究

    doi:10.1093/ageing/afq166

    authors: Lord S,Chastin SF,McInnes L,Little L,Briggs P,Rochester L

    更新日期:2011-03-01 00:00:00

  • Inhaled therapy in elderly COPD patients; time for re-evaluation?

    abstract:OBJECTIVE:chronic obstructive pulmonary disease (COPD) prevalence steadily increases with age. However, the effectiveness of inhaled therapy in the elderly COPD population has rarely been formally evaluated. We studied a group of elderly patients with COPD with a range of severity, selected from one General Practice re...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afl174

    authors: Jarvis S,Ind PW,Shiner RJ

    更新日期:2007-03-01 00:00:00

  • Age-associated change in pain threshold measured by transcutaneous neuronal electrical stimulation.

    abstract::The measurement of cutaneous pain threshold using the Neuromod Selectra Model 7750 Transcutaneous Neuronal Electrical Stimulator is described. Pain threshold, measured in 520 healthy volunteers aged 5-105 years, increased with age. Consistent values were obtained in 22 healthy volunteers on three successive days. Pain...

    journal_title:Age and ageing

    pub_type: 杂志文章,评审

    doi:10.1093/ageing/18.4.241

    authors: Tucker MA,Andrew MF,Ogle SJ,Davison JG

    更新日期:1989-07-01 00:00:00

  • Predicting incident delirium diagnoses using data from primary-care electronic health records.

    abstract:IMPORTANCE:risk factors for delirium in hospital inpatients are well established, but less is known about whether delirium occurring in the community or during an emergency admission to hospital care might be predicted from routine primary-care records. OBJECTIVES:identify risk factors in primary-care electronic healt...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afaa006

    authors: Bowman K,Jones L,Masoli J,Mujica-Mota R,Strain D,Butchart J,Valderas JM,Fortinsky RH,Melzer D,Delgado J

    更新日期:2020-04-27 00:00:00

  • Accurate identification of hospital admissions from care homes; development and validation of an automated algorithm.

    abstract:Background:measuring the complex needs of care home residents is crucial for resource allocation. Hospital patient administration systems (PAS) may not accurately identify admissions from care homes. Objective:to develop and validate an accurate, practical method of identifying care home resident hospital admission us...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afx182

    authors: Housley G,Lewis S,Usman A,Gordon AL,Shaw DE

    更新日期:2018-05-01 00:00:00

  • Advanced care planning in care homes for older people: a qualitative study of the views of care staff and families.

    abstract:OBJECTIVE:to explore views on advance care planning in care homes for older people. DESIGN:qualitative exploration of views from care home staff and the family of residents in care homes for older people. SETTING:all care homes for the elderly in two London Boroughs. PARTICIPANTS:staff (care managers, nurses and car...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afr006

    authors: Stewart F,Goddard C,Schiff R,Hall S

    更新日期:2011-05-01 00:00:00

  • Evaluation of a nurse-led falls prevention programme versus usual care: a randomized controlled trial.

    abstract:OBJECTIVE:to evaluate a nurse-led management plan and care pathway for older people discharged from an Accident and Emergency Department after a fall. DESIGN:randomized controlled trial. SETTING:a large teaching hospital. SUBJECTS:348 consecutive patients aged 65 or over attending the Accident and Emergency Departme...

    journal_title:Age and ageing

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/ageing/31.3.203

    authors: Lightbody E,Watkins C,Leathley M,Sharma A,Lye M

    更新日期:2002-05-01 00:00:00

  • Recovery in instrumental activities of daily living (IADLs): findings from the Medical Research Council Cognitive Function and Ageing Study (MRC CFAS).

    abstract:OBJECTIVE:to provide evidence for predictors of recovery in instrumental activities of daily living (IADLs) among disabled older people living in the community. DESIGN:MRC CFAS recruited a sample of 13,004 individuals aged 65 years and above from five communities in the UK. Participants underwent a baseline interview ...

    journal_title:Age and ageing

    pub_type: 杂志文章,多中心研究

    doi:10.1093/ageing/afp128

    authors: Seidel D,Jagger C,Brayne C,Matthews FE,Cfas M

    更新日期:2009-11-01 00:00:00

  • Pain and delirium in people with dementia in the acute general hospital setting.

    abstract:Background:Pain and delirium are common in people with dementia admitted to hospitals. These are often under-diagnosed and under-treated. Pain is implicated as a cause of delirium but this association has not been investigated in this setting. Objective:To investigate the relationship between pain and delirium in peop...

    journal_title:Age and ageing

    pub_type: 杂志文章,多中心研究

    doi:10.1093/ageing/afy112

    authors: Feast AR,White N,Lord K,Kupeli N,Vickerstaff V,Sampson EL

    更新日期:2018-11-01 00:00:00

  • Proximal femoral fractures in the elderly: does operative delay for medical reasons affect short-term outcome?

    abstract::Forty patients over 65 years of age with fractures of the proximal femur, whose operation was delayed more than 24 hours after admission for medical reasons, were studied. Length of post-operative stay on the orthopaedic wards, mobility after one month and need for continuing supervision by the geriatric services, aft...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/20.1.41

    authors: Harries DJ,Eastwood H

    更新日期:1991-01-01 00:00:00

  • Catheter-associated urinary tract infection in primary and community health care.

    abstract:INTRODUCTION:Although often a last resort, urinary catheterisation is a relatively common management option for bladder dysfunction in older people and others cared for in community settings. Catheter-associated urinary tract infection (CAUTI) is a well-recognised source of increased morbidity and economic burden in ac...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afl052

    authors: Getliffe K,Newton T

    更新日期:2006-09-01 00:00:00

  • Adrenal function after upper femoral fracture in elderly people: persistence of stimulation and the roles of adrenocorticotrophic hormone and immobility.

    abstract::Previous work has shown persistent elevations in plasma cortisol concentration following upper femur fracture in elderly people. To investigate this phenomenon further, we measured plasma cortisol and adrenocorticotrophin (ACTH) and performed overnight dexamethasone suppression tests in carefully characterized patient...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/19.5.304

    authors: Roberts NA,Barton RN,Horan MA,White A

    更新日期:1990-09-01 00:00:00

  • Finding colorectal tumours with an immunological faecal occult blood test in symptomatic primary health care patients.

    abstract::The aim of this prospective study was to investigate whether an immunological double faecal occult blood test (Fecatwin-S/FECA-EIA) can be used in screening patients with symptoms suggestive of colonic or rectal origin in primary health care. Altogether 523 patients were referred to the study by general practitioners....

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/23.5.365

    authors: Kemppainen M,Häkkinen I,Räihä I,Pomoell R,Sourander L

    更新日期:1994-09-01 00:00:00

  • The prevalence of faecal incontinence in older people living at home.

    abstract:BACKGROUND:faecal incontinence affects quality of life and causes caregiver strain. Patients are often reluctant to seek help because of embarrassment and perceived lack of effective treatment. Persisting faecal soiling may lead to unwanted and premature institutionalization. OBJECTIVE:to ascertain the prevalence of f...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/30.6.503

    authors: Edwards NI,Jones D

    更新日期:2001-11-01 00:00:00

  • The prevalence of positive serological tests for syphilis among elderly hospital patients.

    abstract::Serological tests for syphilis were performed on 659 elderly patients admitted to hospital medical and psychiatric departments. Positive tests were found in 23 patients (3.5% of the sample), 17 women and 6 men. Six were subsequently discovered to have been treated previously for syphilis, and one other had radiologica...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/18.6.407

    authors: Corrado OJ,Bowie PC,Bagnall WE,Waugh MA

    更新日期:1989-11-01 00:00:00

  • Observer variation in the clinical assessment of stroke.

    abstract::Clinical assessments have to be used in epidemiological studies in the absence of more objective means of establishing diagnosis or recording events in the natural history of disease. This requires the standardization of definition, technique and interpretation as a means of reducing observer variability in clinical e...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/5.4.233

    authors: Garraway WM,Akhtar AJ,Gore SM,Prescott RJ,Smith RG

    更新日期:1976-11-01 00:00:00

  • Investigation of ward fidelity to a multicomponent delirium prevention intervention during a multicentre, pragmatic, cluster randomised, controlled feasibility trial.

    abstract:BACKGROUND:delirium is a frequent complication of hospital admission for older people and can be reduced by multicomponent interventions, but implementation and delivery of such interventions is challenging. OBJECTIVE:to investigate fidelity to the prevention of delirium system of care within a multicentre, pragmatic,...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afaa042

    authors: Smith J,Green J,Siddiqi N,Inouye SK,Collinson M,Farrin A,Young J

    更新日期:2020-07-01 00:00:00

  • Validation of the 6-Item Cognitive Impairment Test and the 4AT test for combined delirium and dementia screening in older Emergency Department attendees.

    abstract:Background:screening for cognitive impairment in Emergency Department (ED) requires short, reliable tools. Objective:to validate the 4AT and 6-Item Cognitive Impairment Test (6-CIT) for ED dementia and delirium screening. Design:diagnostic accuracy study. Setting/subjects:attendees aged ≥70 years in a tertiary care ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afx149

    authors: O'Sullivan D,Brady N,Manning E,O'Shea E,O'Grady S,O 'Regan N,Timmons S

    更新日期:2018-01-01 00:00:00

  • Peritonitis in geriatric inpatients.

    abstract::Of 212 cases of peritonitis found in a retrospective study of geriatric inpatients, the most common causes were mesenteric infarction, malignancy, intestinal obstruction, perforated peptic ulcer, cholecystitis, diverticulitis and perforation of the urinary bladder. The diagnostic accuracy was 47%. Abdominal pain had b...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/20.2.90

    authors: Wroblewski M,Mikulowski P

    更新日期:1991-03-01 00:00:00

  • Most older pedestrians are unable to cross the road in time: a cross-sectional study.

    abstract:OBJECTIVES:to compare walking speed in the UK older population with the speed required to utilise pedestrian crossings (≥1.2 m/s), and determine health and socio-demographic associations with walking impairment. DESIGN:cross-sectional study using Health Survey for England 2005 data. SETTING:private households in Engl...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afs076

    authors: Asher L,Aresu M,Falaschetti E,Mindell J

    更新日期:2012-09-01 00:00:00

  • Changes in falls prevention policies in hospital in England and Wales.

    abstract:BACKGROUND:in 2007, the National Patient Safety Agency (NPSA) published 'Slips trips and falls in hospital' and 'Using bedrails safely and effectively'. OBJECTIVES:this observational study aimed to identify changes in local policies in hospitals in England and Wales following these publications. METHOD:policies in pl...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afs063

    authors: Healey F,Treml J

    更新日期:2013-01-01 00:00:00

  • Growth hormone secreting carcinoma of lung and hypertrophic osteoarthropathy.

    abstract::Plasma Human Growth Hormone (HGH) was raised in a patient with bronchial carcinoma and hypertrophic pulmonary osteoarthropathy before radiotherapy to the tumour. Though the soft-tissue swelling and pain of hypertrophic osteoarthropathy disappeared two to three weeks after radiotherapy to the carcinoma the HGH plasma l...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/4.2.95

    authors: Mukherjee SK

    更新日期:1975-05-01 00:00:00

  • Infective discitis as an uncommon but important cause of back pain in older people.

    abstract:CASE REPORTS:two elderly patients (aged 70 and 80 years) presented with severe back pain and restriction of spinal movements. Inflammatory markers were raised and in each case computed tomography findings confirmed infective discitis. One patient improved with antibiotics but the second developed paraplegia, a recogniz...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/29.5.454

    authors: Goel V,Young JB,Patterson CJ

    更新日期:2000-09-01 00:00:00

  • Streamlining assessment and intervention in a falls clinic using the Timed Up and Go Test and Physiological Profile Assessments.

    abstract:BACKGROUND:The Timed Up and Go Test (TUGT) has been recommended as a simple screening tool to identify those at risk of falling. However, subsequent detailed assessment is required to identify underlying falls risk factors to provide direction for optimal targeted intervention strategies. METHODS:110 consecutive falls...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afi178

    authors: Whitney JC,Lord SR,Close JC

    更新日期:2005-11-01 00:00:00

  • Older age is associated with less cancer treatment: a longitudinal study of English cancer patients.

    abstract:Background:making informed decisions about cancer care provision for older cancer patients can be challenging and complex. Evidence suggests cancer care varies by age, however the relationship between age and care experiences from diagnosis to death for cancer patients within the UK has not previously been examined in ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afy094

    authors: Craigs CL,Bennett MI,Hurlow A,West RM,Ziegler LE

    更新日期:2018-11-01 00:00:00