Abstract:
BACKGROUND:Diabetes management has not been evaluated in French nursing homes (NHs) for 10 years. OBJECTIVES:The present study aimed to compare the management of diabetes with guidelines in older patients living in NHs. DESIGN:Observational, retrospective and multicentre study carried out in 13 NH in the Cote d'Or region of France. SETTINGS AND SUBJECTS:Between January and June 2018, all NH residents older than 65 years and known to have diabetes (n = 148) were included. METHODS:Epidemiological, clinical and biological data and diabetes characteristics were collected from the medical records. RESULTS:The average glycated haemoglobin (HbA1C) was 7.2 ± 1.2%. In total, 51% of patients had HbA1C < 7% (n = 70), of which 39 took one or more antidiabetic drugs. In total, 28 of those patients (40%) were at risk of developing hypoglycaemia as a result of their treatment. In all, 44.6% of patients were treated with insulin. Glinides were the most commonly prescribed oral antidiabetic drug (OAD) (27%). Capillary blood glucose monitoring (CBGM) was not carried out daily for 75% of patients taking a potentially hypoglycaemia-inducing OAD. CONCLUSIONS:We found that glycaemic control was too tight in at least 36.5% of the total population and that 40% of patients with HbA1C < 7% were potentially overtreated. The use of dipeptidyl peptidase 4 (DPP-4) inhibitors was still insufficient, as was CBGM. Avoiding hypoglycaemia is one of the priorities in the management of older patients with diabetes. Therefore, NHs should focus on improving the use of glycaemic targets and antidiabetic drugs that do not induce hypoglycaemia, as well as better monitoring of capillary blood glucose.
journal_name
Age Ageingjournal_title
Age and ageingauthors
Quilot E,Petit JM,Vergès B,Bouillet Bdoi
10.1093/ageing/afaa051subject
Has Abstractpub_date
2020-08-24 00:00:00pages
878-882issue
5eissn
0002-0729issn
1468-2834pii
5842242journal_volume
49pub_type
杂志文章相关文献
AGE AND AGEING文献大全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
更新日期:2018-11-01 00:00:00
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
更新日期:1990-09-01 00:00:00
abstract:Objective:to investigate a high-intensity functional exercise (HIFE) group in hospitalised older adults. Design:assessor-blinded, randomised-controlled trial. Setting:sub-acute wards at a metropolitan rehabilitation hospital. Participants:older adults ≥65 years (n = 468) able to stand with minimum assistance or less...
journal_title:Age and ageing
pub_type: 杂志文章,随机对照试验
doi:10.1093/ageing/afw215
更新日期:2017-03-01 00:00:00
abstract:Introduction:frailty is an increased vulnerability to adverse health outcomes, across multiple physiological systems, with both environmental and genetic drivers. The two most commonly used measures are Rockwood's frailty index (FI) and Fried's frailty phenotype (FP). Material and methods:the present study included 36...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afx122
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:early mobilization after hip fracture (HF) is an important predictor of outcome, but knowledge of the consequences of not achieving the pre-fracture basic mobility status in acute hospital recovery is sparse. OBJECTIVE:we examined whether the regain of pre-fracture basic mobility status evaluated with the c...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afy185
更新日期:2019-03-01 00:00:00
abstract::The Rivermead ADL scale was developed for assessing activities of daily living in stroke patients but was not validated for elderly subjects. This study was designed to validate the scale for patients aged over 64 years. A series of 150 stroke patients was assessed on the scale, of whom 103 were aged over 64 years. Th...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/19.1.19
更新日期:1990-01-01 00:00:00
abstract:OBJECTIVES:To examine whether in older people perceived age is associated with risk of total mortality independent of chronological age. DESIGN:Prospective population-based study (Evergreen project) with mortality surveillance for 13 years after the baseline. SETTING:Face-to-face interview among community-dwelling re...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afi091
更新日期:2005-07-01 00:00:00
abstract::Vaginal pessaries are widely considered to be a safe alternative to surgery in older women. We report a case of near fatal septicaemia in a 75-year-old woman associated with a shelf pessary, the presence of which was identified during an exploratory laparotomy. This case highlights the importance of the gynaecological...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afh170
更新日期:2004-09-01 00:00:00
abstract::The clinical diagnosis of Parkinson's disease may be difficult. In elderly patients there may be other causes of the triad of rigidity, bradykinesia and tremor. This study was designed to assess whether a single levodopa challenge could predict dopa responsiveness in patients with Parkinson's disease. Twenty-two of 27...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/24.3.210
更新日期:1995-05-01 00:00:00
abstract::Recent studies have shown a defect in the cholinergic system of the cerebral cortex of patients suffering from nonvascular senile dementia. This observation suggests the possibility of instituting some kind of replacement therapy and trial have been carried out. At this juncture it seem pertinent to ask what lessons c...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/8.2.86
更新日期:1979-05-01 00:00:00
abstract:BACKGROUND:essential aspects of independence in community mobility among older people concern the control over where, when and how to participate (perceived autonomy), and actual mobility (life-space mobility; frequency, distance and need of assistance). We studied relationships between frailty and life-space mobility ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afw072
更新日期:2016-07-01 00:00:00
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
更新日期:2009-11-01 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:BACKGROUND:The number of new world records has decreased substantially in most athletic events in recent years. There has been enormous growth in participation at Masters events, and older athletes have been competing at the highest levels with much younger athletes. However, the progression of athletic performance ove...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afv023
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:dementia is associated with an excess risk of death but mortality after chronic subdural hematoma (CSDH) evacuation in older people with dementia is unknown. We assessed the association between dementia and 1-year case-fatality in older persons undergoing CSDH evacuation. METHODS:we conducted a nationwide F...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afaa193
更新日期:2020-10-06 00:00:00
abstract:BACKGROUND:Eating by oneself may be a risk factor for mental illness among older adults, but may be influenced by cohabitation status. We examined the association between eating alone and depression in the context of cohabitation status in older adults in Japan. DESIGN:A longitudinal, population-based study. SETTING:...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afv145
更新日期:2015-11-01 00:00:00
abstract::Formal assessment of cognitive decline with cognitive tests can be difficult, requiring either two measurement points or a comparison of 'hold' with 'don't hold' tests. Informant-based assessment provides an alternative approach because informants can adopt a longitudinal perspective and directly rate cognitive change...
journal_title:Age and ageing
pub_type: 杂志文章
doi:
更新日期:1996-03-01 00:00:00
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:OBJECTIVE:the aim of this study was to compare the effects of a functional tasks exercise programme to a cognitive training programme in older adults with mild cognitive impairment. DESIGN:a single-blind randomised control trial with the intervention group compared with an active control group. SETTING:out-patient cl...
journal_title:Age and ageing
pub_type: 杂志文章,随机对照试验
doi:10.1093/ageing/afu055
更新日期:2014-11-01 00:00:00
abstract::An assessment of thiamine status was made in two groups of elderly orthopaedic patients. None of the 30 men and women presenting for elective total hip replacement was malnourished before operation but there was a significant fall in the thiamine status 48 hours later, which had returned to normal by 14 days. In contr...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/11.2.101
更新日期:1982-05-01 00:00:00
abstract:BACKGROUND:the human body composition changes with advances in age. Particularly, the central fat amount increases. Because the central fat mass is a cardiovascular risk factor, we investigated whether in an elderly population, fat mass (measured at different bodily locations) is associated with peripheral and central ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afs056
更新日期:2012-07-01 00:00:00
abstract::In a study of two representative population samples of 70-year-olds, one of which was followed up at 75 years of age, digitalis treatment was associated with oestrogen-like metabolic effects, indicated by changes in the composition of the plasma phospholipid fraction. Digitalis treatment, at least at these ages, is re...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/11.4.261
更新日期:1982-11-01 00:00:00
abstract::Fracture is the clinical outcome of concern in osteoporosis, a disease variably defined over the last 30 years, mostly in terms of bone mineral density (BMD). However, an 'osseocentric' view of the condition may have hampered our understanding of how best to identify patients at the greatest risk of fragility fracture...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/aft095
更新日期:2013-09-01 00:00:00
abstract::Clinical observations suggest an age-associated decline in skin perfusion but there are few quantitative in vivo data on skin perfusion at various ages. We studied skin perfusion of the dorsum of the foot by determining the capillary blood flow velocity (CBFV) expressed in millivolts (mV), using laser Doppler flowmetr...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/21.4.237
更新日期:1992-07-01 00:00:00
abstract:BACKGROUND:Obtaining well-founded estimates of the effect of demographic change on future health expenditures is a pressing issue in all developed countries. Thus far, expenditure projections have examined the effect of age on health care costs, but fail to account for the influence of remaining life expectancy on cost...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afh187
更新日期:2004-11-01 00:00:00
abstract:OBJECTIVES:Previous research has indicated that age-related medical or health conditions can affect driving performance in older adults but little, if any, research has examined the mechanisms through which health conditions affect driving difficulties in older adults. DESIGN:Cross-sectional, correlational study. SET...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afm032
更新日期:2007-07-01 00:00:00
abstract:OBJECTIVES:To evaluate the influence of age on the day-night blood pressure rhythm and on the prevalence of vascular events in those whose systolic blood pressure (SBP) fell by <10% overnight (non-dippers). DESIGN:Cross-sectional observational cohort study. SETTING:Outpatient hypertension clinic. PARTICIPANTS:419 Hy...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/28.1.23
更新日期:1999-01-01 00:00:00
abstract::A 73-year-old man presented with a huge intra-abdominal mass. Initially a gastrointestinal stromal tumour (GIST) was diagnosed, but his tumour was subsequently classified as a spindle cell sarcoma. Difficulties in the classification of rare intra-abdominal tumours are discussed. ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afi002
更新日期:2005-01-01 00:00:00
abstract::The General Medical Council (GMC) provides a core curriculum for all medical degrees in the UK. However, these guidelines do not provide in-depth, specific learning outcomes for the various medical specialties. Recognising our ageing population, the British Geriatrics Society in 2013 published their own supplementary ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afw003
更新日期:2016-03-01 00:00:00
abstract:BACKGROUND:Cognitive health expectancy estimates the proportion of the lifespan that is lived in good cognitive health at the population level. A number of cardiovascular diseases have been identified to be risk factors for cognitive decline and dementia including diabetes, stroke, heart diseases and hypertension. The ...
journal_title:Age and ageing
pub_type: 杂志文章
doi:10.1093/ageing/afaa111
更新日期:2021-01-08 00:00:00