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 Ageingjournal_title
Age and ageingauthors
von Berenberg P,Dräger D,Zahn T,Neuwirth J,Kuhlmey A,Gellert Pdoi
10.1093/ageing/afx008subject
Has Abstractpub_date
2017-11-01 00:00:00pages
939-945issue
6eissn
0002-0729issn
1468-2834pii
2970255journal_volume
46pub_type
杂志文章相关文献
AGE AND AGEING文献大全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
更新日期:2020-04-27 00:00:00
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
更新日期:2006-05-01 00:00:00
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
更新日期:1987-07-01 00:00:00
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
更新日期:2002-05-01 00:00:00
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
更新日期:2020-10-23 00:00:00
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
更新日期:1991-09-01 00:00:00
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
更新日期:1993-05-01 00:00:00
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
更新日期:2014-03-01 00:00:00
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
更新日期:2021-01-08 00:00:00
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
更新日期:2018-01-01 00:00:00
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
更新日期:2003-07-01 00:00:00
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
更新日期:2015-07-01 00:00:00
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
更新日期:2006-03-01 00:00:00
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
更新日期:2019-05-01 00:00:00
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
更新日期:2016-05-01 00:00:00
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
更新日期:2012-11-01 00:00:00
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
更新日期:2005-01-01 00:00:00
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
更新日期:1993-11-01 00:00:00
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
更新日期:1986-05-01 00:00:00
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
更新日期:2015-01-01 00:00:00
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
更新日期:1995-09-01 00:00:00
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
更新日期:1990-01-01 00:00:00
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
更新日期:2015-01-01 00:00:00
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
更新日期:2012-03-01 00:00:00
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
更新日期:1995-01-01 00:00:00
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
更新日期:2005-11-01 00:00:00
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
更新日期:2018-05-01 00:00:00
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
更新日期:1994-01-01 00:00:00
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
更新日期:2017-03-01 00:00:00
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
更新日期:2014-11-01 00:00:00