Chronic conditions and use of health care service among German centenarians.

Abstract:

Background:there is limited data comparing conditions and health service use across care settings in centenarians. To improve health service delivery in centenarians, the aim of this study was to compare the proportion of centenarians who have chronic conditions, take medication and use health care services across different care settings. Methods:this cohort study uses routine data from a major health insurance company serving Berlin, Germany and the surrounding region, containing almost complete information on health care transactions. The sample comprised all insured individuals aged 100 years and older (N = 1,121). Community-dwelling and institutionalised individuals were included. Charlson comorbidity index was based on 5 years of recordings. Hospital stays, medical specialist visits and medication prescribed in the previous year were analysed. Results:while 6% of the centenarians did not receive any support; 45% received family homecare or homecare by professional care services; 49% were in long-term care. The most frequent conditions were dementia and rheumatic disease/arthritis, with the highest prevalence found among long-term care residents. A total of 97% of the centenarians saw a general practitioner in the previous year. Women were more often in long-term care and less often without any care. Centenarians with long-term care showed higher proportions of comorbidities, greater medication use, and more visits to medical specialists compared with centenarians in other care settings. Conclusions:the higher prevalence of dementia and rheumatic disease/arthritis in long-term care compared to other care settings emphasises the role of these diseases in relation to the loss of physical and cognitive functioning.

journal_name

Age Ageing

journal_title

Age and ageing

authors

von Berenberg P,Dräger D,Zahn T,Neuwirth J,Kuhlmey A,Gellert P

doi

10.1093/ageing/afx008

subject

Has Abstract

pub_date

2017-11-01 00:00:00

pages

939-945

issue

6

eissn

0002-0729

issn

1468-2834

pii

2970255

journal_volume

46

pub_type

杂志文章
  • 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

  • Cardiopulmonary responses to eccentric and concentric resistance exercise in older adults.

    abstract:BACKGROUND:In older ambulatory persons, exercise strategies that are expected to generate beneficial muscle adaptations with low cardiopulmonary demands are needed. OBJECTIVE:We hypothesised that eccentric resistance exercise would be less demanding on the cardiovascular and pulmonary systems than bouts of concentric ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afj082

    authors: Vallejo AF,Schroeder ET,Zheng L,Jensky NE,Sattler FR

    更新日期:2006-05-01 00:00:00

  • Acute appendicitis in the elderly: a 5-year retrospective study.

    abstract::Acute appendicitis in elderly patients has not been studied extensively in the United Kingdom. Studies were performed prior to the regular use of broad spectrum antibiotics and tended to include younger patients. We studied retrospectively all elderly patients (n = 30, mean age = 72 years) who presented in the years 1...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/16.4.256

    authors: McCallion J,Canning GP,Knight PV,McCallion JS

    更新日期:1987-07-01 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

  • Transitions between frailty states in the very old: the influence of socioeconomic status and multi-morbidity in the Newcastle 85+ cohort study.

    abstract:BACKGROUND:Using Newcastle 85+ Study data, we investigated transitions between frailty states from age 85 to 90 years and whether multi-morbidities and socioeconomic status (SES) modify transitions. METHODS:The Newcastle 85+ Study is a prospective, longitudinal cohort study of all people born in 1921 in Newcastle and ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afaa054

    authors: Mendonça N,Kingston A,Yadegarfar M,Hanson H,Duncan R,Jagger C,Robinson L

    更新日期:2020-10-23 00:00:00

  • Evidence of cellular zinc depletion in hospitalized but not in healthy elderly subjects.

    abstract::Cellular immune function declines with age and is implicated in the increased incidence of cancer, and morbidity and mortality associated with infections in elderly people. Elderly people are at risk of nutritional depletion, including of zinc, and zinc is known to influence immunity. The present study assessed zinc s...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/20.5.345

    authors: Goode HF,Penn ND,Kelleher J,Walker BE

    更新日期:1991-09-01 00:00:00

  • Bacterial surveillance cultures in a geriatric ward.

    abstract::A study was carried out to examine the prevalence of oropharyngeal and urinary tract colonization and to compare the colonizing bacteria with the strains causing nosocomial infections during patients' stays in a geriatric ward. Colonization with Gram-negative rods was not uncommon. Nosocomial infections frequently occ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/22.3.221

    authors: Michielsen W,Vandevondele D,Verschraegen G,Claeys G,Afschrift M

    更新日期:1993-05-01 00:00:00

  • The demise of the Liverpool Care Pathway: should we ban the highway code because of bad drivers?

    abstract::The Neuberger report failed to show that the Liverpool Care Pathway was the cause of poor end-of-life care and made it the scapegoat for poor communication and faulty decision-making. The report's discrediting of a quality assurance mechanism that had the potential for improvement is a disservice to dying patients. Se...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/aft195

    authors: Regnard C

    更新日期:2014-03-01 00:00:00

  • Utilisation of general practice health assessments around an aged care assessment is associated with lower mortality risk in older Australians.

    abstract:OBJECTIVE:(i) to describe the general practitioner utilisation of health assessments, management plans, coordination of team care arrangements and medication review item numbers within 6 months of an aged care eligibility assessment for home care packages (HCP) and (ii) investigate the impact of health assessments on t...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afaa091

    authors: Visvanathan R,Amare AT,Lang C,Khadka J,Yu S,Beilby J,Wesselingh S,Inacio MC

    更新日期:2021-01-08 00:00:00

  • Outcomes of Mobilisation of Vulnerable Elders in Ontario (MOVE ON): a multisite interrupted time series evaluation of an implementation intervention to increase patient mobilisation.

    abstract:Background:older patients admitted to hospitals are at risk for hospital-acquired morbidity related to immobility. The aim of this study was to implement and evaluate an evidence-based intervention targeting staff to promote early mobilisation in older patients admitted to general medical inpatient units. Methods:the ...

    journal_title:Age and ageing

    pub_type: 杂志文章,多中心研究

    doi:10.1093/ageing/afx128

    authors: Liu B,Moore JE,Almaawiy U,Chan WH,Khan S,Ewusie J,Hamid JS,Straus SE,MOVE ON Collaboration.

    更新日期:2018-01-01 00:00:00

  • Absence of ageism in access to critical care: a cross-sectional study.

    abstract:BACKGROUND:in recent years, the NHS has been accused of ageism frequently and from many fronts. Previous studies have shown that the number of critical care beds in the UK is inadequate to meet the needs of the population. This study asks whether there is discrimination against older people in access to these critical ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/32.4.382

    authors: Hubbard RE,Lyons RA,Woodhouse KW,Hillier SL,Wareham K,Ferguson B,Major E

    更新日期:2003-07-01 00:00:00

  • The factors associated with self-reported physical activity in older adults living in the community.

    abstract:BACKGROUND:despite the vast literature in the area, few studies examined the large range of factors associated with physical activity (PA) in the older adult collectively, information that could help develop a supportive culture for healthy ageing. OBJECTIVE:to identify the socio-demographic, social connectedness, phy...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afv042

    authors: McKee G,Kearney PM,Kenny RA

    更新日期:2015-07-01 00:00:00

  • Using dietetic assistants to improve the outcome of hip fracture: a randomised controlled trial of nutritional support in an acute trauma ward.

    abstract:OBJECTIVE:To examine how improved attention to nutritional status and dietary intake, achieved through the employment of dietetic assistants (DAs), will affect postoperative clinical outcome among elderly women with hip fracture. DESIGN:Open prospective randomised controlled trial, comparing conventional nursing care ...

    journal_title:Age and ageing

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/ageing/afj011

    authors: Duncan DG,Beck SJ,Hood K,Johansen A

    更新日期:2006-03-01 00:00:00

  • Changes in physical and mental health are associated with cardiovascular disease incidence in postmenopausal women.

    abstract:BACKGROUND:physical and mental health are important risk factors for cardiovascular disease (CVD) incidence and death among postmenopausal women. The objective of this study was to assess whether changes in physical and mental health were associated with CVD incidence and death. METHODS:in the Women's Health Initiativ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afy213

    authors: Saquib N,Brunner R,Desai M,Kroenke C,Martin LW,Daviglus M,Allen NB,Robinson J,Tindle H,Stefanick ML

    更新日期:2019-05-01 00:00:00

  • Caring for a dying spouse at the end of life: 'It's one of the things you volunteer for when you get married': a qualitative study of the oldest carers' experiences.

    abstract:BACKGROUND:older people aged 80 and over are increasingly providing end-of-life care to spouses at home and often do so for long periods of time, while also trying to manage their own illnesses and disabilities. Little of the research on older spousal carers has focussed on the oldest carers; hence, the needs of this p...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afw047

    authors: Turner M,King C,Milligan C,Thomas C,Brearley SG,Seamark D,Wang X,Blake S,Payne S

    更新日期:2016-05-01 00:00:00

  • Pancreatic adenocarcinoma presenting with sudden onset bilateral deafness secondary to metastatic leptomeningeal infiltration.

    abstract::Deafness is a very common problem in older persons. We present a case of metastatic adenocarcinoma of the pancreas with deafness being the patient's only reason for seeking medical attention. The patient had bilateral vestibulocochlear nerve palsies with associated lower motor neurone facial nerve palsies and a bulbar...

    journal_title:Age and ageing

    pub_type: 杂志文章,评审

    doi:10.1093/ageing/afs085

    authors: Blows SJ,Morgan R,Dhariwal U,Petts G,Roncaroli F

    更新日期:2012-11-01 00:00:00

  • Occupational therapy compared with social work assessment for older people. An economic evaluation alongside the CAMELOT randomised controlled trial.

    abstract:OBJECTIVES:To compare costs and outcome of occupational therapy-led assessment with social worker-led assessment of older people, in terms of their independence and quality of life. DESIGN:Cost-effectiveness analysis alongside a randomised controlled trial. The analysis took viewpoints of health services and patients....

    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/afh232

    authors: Flood C,Mugford M,Stewart S,Harvey I,Poland F,Lloyd-Smith W

    更新日期:2005-01-01 00:00:00

  • Quantification of proteinuria: a re-evaluation of the protein/creatinine ratio for elderly subjects.

    abstract::The difficulties of 24-hour urine collection are well recognized, especially for elderly people for whom a means of estimating protein excretion from a single casual unit sample would be preferable. We compared measurement of total urinary protein estimated by the protein/creatinine ratio with 24-h urine collection an...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/22.6.443

    authors: Mitchell SC,Sheldon TA,Shaw AB

    更新日期:1993-11-01 00:00:00

  • Confusion ratings and abbreviated mental test performance: a comparison.

    abstract::Ninety-nine residents, 10% of the total population of elderly in Part III accommodation in Newcastle upon Tyne, were examined for the presence of psychiatric disorder, tested for cognitive impairment, and rated for the presence of confusion. Those allocated a diagnosis of dementia were most impaired and confused, and ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/15.3.139

    authors: Vardon VM,Blessed G

    更新日期:1986-05-01 00:00:00

  • Polypharmacy including falls risk-increasing medications and subsequent falls in community-dwelling middle-aged and older adults.

    abstract:BACKGROUND:polypharmacy is an important risk factor for falls, but recent studies suggest only when including medications associated with increasing the risk of falls. DESIGN:a prospective, population-based cohort study. SUBJECTS:6,666 adults aged ≥50 years from The Irish Longitudinal study on Ageing. METHODS:partic...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afu141

    authors: Richardson K,Bennett K,Kenny RA

    更新日期:2015-01-01 00:00:00

  • Factors associated with the wish to die in elderly people.

    abstract::This study aimed to determine the prevalence of the wish to die in elderly people and investigate the factors associated with it, in particular, whether factors other than depression contribute to the wish to die. Data were obtained from an Australian epidemiological survey of people aged 70 or more. Survey participan...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/24.5.389

    authors: Jorm AF,Henderson AS,Scott R,Korten AE,Christensen H,Mackinnon AJ

    更新日期:1995-09-01 00:00:00

  • Reduced survival with increasing plasma osmolality in elderly continuing-care patients.

    abstract::The results reported here are from a 2-year follow-up study of 58 elderly patients in a continuing-care unit. Most of these patients were in a hyperosmolar state at the time of entry (mean plasma osmolality 304 +/- 8 mOsmol/kg). The survival of those patients with the highest osmolality (greater than 308 mOsmol/kg) wa...

    journal_title:Age and ageing

    pub_type: 临床试验,杂志文章

    doi:10.1093/ageing/19.1.68

    authors: O'Neill PA,Faragher EB,Davies I,Wears R,McLean KA,Fairweather DS

    更新日期:1990-01-01 00:00:00

  • Much more medicine for the oldest old: trends in UK electronic clinical records.

    abstract:BACKGROUND:the oldest old (85+) pose complex medical challenges. Both underdiagnosis and overdiagnosis are claimed in this group. OBJECTIVE:to estimate diagnosis, prescribing and hospital admission prevalence from 2003/4 to 2011/12, to monitor trends in medicalisation. DESIGN AND SETTING:observational study of Clinic...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afu113

    authors: Melzer D,Tavakoly B,Winder RE,Masoli JA,Henley WE,Ble A,Richards SH

    更新日期:2015-01-01 00:00:00

  • Severity of age-related hearing loss is associated with impaired activities of daily living.

    abstract:BACKGROUND:age-related hearing loss is a common chronic condition; hence, it is important to understand its influence on the functional status of older adults. We assessed the association between hearing impairment with activity limitations as assessed by the activities of daily living (ADL) scale. METHODS:a total of ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afr155

    authors: Gopinath B,Schneider J,McMahon CM,Teber E,Leeder SR,Mitchell P

    更新日期:2012-03-01 00:00:00

  • Improving the recording of the clinical assessment of stroke patients using a clerking pro forma.

    abstract::In this study we examine whether the introduction of a clerking pro forma improves the completeness of the recording of the management of stroke patients and we review methodological issues important in this type of audit. We prospectively identified 244 consecutive stroke patients before and after the introduction of...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/24.1.43

    authors: Davenport RJ,Dennis MS,Warlow CP

    更新日期:1995-01-01 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

  • 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

  • Functional profiles of healthy older persons.

    abstract::To learn whether the percentage of time spent at different functional levels varies as a function of age, we studied 44 older (mean age 70 years) and 46 younger (mean age 27 years) urban, community-dwelling volunteers who participated in a study of normative ageing of the cardiovascular system. Each subject completed ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/23.1.34

    authors: Ashworth JB,Reuben DB,Benton LA

    更新日期:1994-01-01 00:00:00

  • Fixing the broken image of care homes, could a 'care home innovation centre' be the answer?

    abstract::The UK has many excellent care homes that provide high-quality care for their residents; however, across the care home sector, there is a significant need for improvement. Even though the majority of care homes receive a rating of 'good' from regulators, still significant numbers are identified as requiring 'improveme...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afw154

    authors: Hockley J,Harrison JK,Watson J,Randall M,Murray S

    更新日期:2017-03-01 00:00:00

  • Cost-effectiveness of telecare for people with social care needs: the Whole Systems Demonstrator cluster randomised trial.

    abstract:PURPOSE OF THE STUDY:to examine the costs and cost-effectiveness of 'second-generation' telecare, in addition to standard support and care that could include 'first-generation' forms of telecare, compared with standard support and care that could include 'first-generation' forms of telecare. DESIGN AND METHODS:a pragm...

    journal_title:Age and ageing

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1093/ageing/afu067

    authors: Henderson C,Knapp M,Fernández JL,Beecham J,Hirani SP,Beynon M,Cartwright M,Rixon L,Doll H,Bower P,Steventon A,Rogers A,Fitzpatrick R,Barlow J,Bardsley M,Newman SP

    更新日期:2014-11-01 00:00:00