Morbidity and Comorbidity in Relation to Functional Status: A Community‐Based Study of the Oldest Old (90+ Years)

Strauss, Esther; Fratiglioni, Laura; Viitanen, Matti; Forsell, Yvonne; Winblad, Bengt

doi:10.1111/j.1532-5415.2000.tb02638.x

Cited by 65 publications

(45 citation statements)

References 36 publications

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“…It is also reported that in spite of their advanced age, a great proportion of nonagenarians are functionally independent [25]. In agreement with the existing literature, we found that the functional status of more than 50% of our patients was rather well preserved.…”

Section: Discussionsupporting

confidence: 81%

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Mortality and Morbidity in Nonagenarian Patients following Hip Fracture Surgery

et al. 2002

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Background: The number of people living more than 90 years is increasing, and this population shows a high incidence of hip fractures. Objective: To study prospectively the mortality and morbidity following hip fracture surgery in nonagenarian patients. Methods and Subjects: 106 nonagenarian patients were admitted for femoral neck fracture and treated surgically in the traumatology and geriatric departments of two university hospitals. All patients received comprehensive geriatric assessment. 75 patients were followed up after a 3-month control period. Mortality and functional status were assessed using the Barthel index (BI) and mobility, dependency on walking aids, residential status, and degree of residual pain were the items assessed for morbidity. Results: In-hospital mortality was 10%; the 3-month accumulate mortality was 20%. The mean BI of the 75 patients who survived was 53 showing a persistent decrease compared with their BI previous to the hip fracture (79; p < 0.003). The decline in BI after 3 months persisted in 91% of patients. Before injury, 11% patients were housebound, while 45% were housebound 3 months later. 54% were independent before the fracture occurred, and only 16% 3 months later. Only 12% of patients who survived were unable to return to their pre-admission dwelling. Conclusions: Findings of low perioperative mortality and acceptable morbidity support the view that surgery followed by rehabilitation is indicated in selected nonagenarian patients.

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Section: Discussionsupporting

confidence: 81%

“…Previous data from studies about the very old have shown that the majority of them are women, usually widowed, and living at home [25]. It is also reported that in spite of their advanced age, a great proportion of nonagenarians are functionally independent [25].…”

Section: Discussionmentioning

confidence: 99%

Mortality and Morbidity in Nonagenarian Patients following Hip Fracture Surgery

et al. 2002

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“…One surprising finding was the absence of a statistically significant association between gender and functional capacity, differently from other studies in which functional incapacity was associated with the female gender (4)(5)(6)(16)(17) . No association was found for the marital status variable either when included in the logistic regression model.…”

Section: Discussioncontrasting

confidence: 53%

Functional capacity of elder elderly: comparative study in three regions of Rio Grande do Sul

Aires

Paskulin

Morais

2010

Rev. Latino-Am. Enfermagem

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Study conducted with secondary data from cross-sectional population-based studies developed in three regions of the state of Rio Grande do Sul (RS), which aimed to compare the level of dependency for activities of daily living (ADL) of 155 older persons aged 80 years and over. Demographic data and the ADL scale from the 3 studies were used and a multinomial multivariate logistic regression analysis was carried out. The older persons from the urban region of Porto Alegre/RS and from the Northern region of this state presented significantly higher severe dependency than people from the countryside. The results illustrate the heterogeneity of the aging process. Health policies and actions should be planned for the elder elderly in this state.Descriptors: Aged, 80 and over; Activities of Daily Living; Cross-Sectional Studies. Capacidad funcional de ancianos com edad avanzada: estudio comparativo en tres regiones de Rio Grande del SurSe trata de un estudio realizado con datos secundarios de investigaciones poblacionales transversales, desarrolladas en tres regiones de Rio Grande del Sur, que tuvo por objetivo comparar el grado de dependencia para las actividades de la vida diaria (AVD) de 155 ancianos con 80 años o más. Fueron utilizadas preguntas demográficas y la escala de AVD de los tres estudios y realizado un análisis multivariado de regresión logística multinomial. Los ancianos de la región urbana de la ciudad de Porto Alegre y del norte del Estado presentaron, de modo estadísticamente significativo, una mayor dependencia grave que aquellos de la región rural. Los resultados demuestran la heterogeneidad del proceso de envejecimiento, lo que nos lleva a recomendarse la planificación de políticas y acciones de salud dirigidas a ese grupo de personas con la misma edad, en el Estado de Rio Grande del Sur, en Brasil. Descriptores: Ancianos de 80 años y más; Actividades Cotidianas; Estudios Transversales.

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“…The Vantaa 85+ Study [31] recruited all people at least 85 years of age living in the city of Vantaa, Finland. Two Swedish studies have used a similar approach to recruiting: one recruited all 95+ year olds registered in the city of Göteborg [48], the other recruited all 90+ year old inhabitants of the Kungsholmen district [49]. As we can see, these studies have selected different methods for investigating extreme aging.…”

Section: Investigations In the Oldest-oldmentioning

confidence: 99%

Alzheimers and Dementia in the Oldest-Old: A Century of Challenges

Kawas

Corrada²

2006

CAR

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Alzheimer's disease (AD) is the most common type of dementia in the US and much of the world with rates increasing exponentially from age 65. Increases in life expectancy in the last century have resulted in a large number of people living to old ages and will result in a quadrupling of AD cases by the middle of the century. Preventing or delaying the onset of AD could have a huge impact in the number of cases expected to develop. The oldest-old are the fastest growing segment of the population and are estimated to account for 12% of the population over 65. Establishing accurate estimates of dementia and AD rates in this group is crucial for public health planning. Prevalence and incidence estimates above age 85 are imprecise and inconsistent because of the lack of very old individuals in most studies. Moreover, risk and protective factors in our oldest citizens have been studied little, and clinical-pathological correlations appear to be poor. We introduce The 90+ Study, established to address some of the unanswered questions about AD and dementia in the oldest-old. Our preliminary results show that close to half of demented oldest-old do not have known cerebral pathology to account for their cognitive deficits. Furthermore, the APOE-e4 allele appears to be a risk factor for AD only in the women in our study. In addition to the challenge of preventing and treating AD, the oldest-old will require major investigative energy to better understand the concomitants of longevity, the causes of dementia, and the factors that promote successful aging in oldest citizens.

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Morbidity and Comorbidity in Relation to Functional Status: A Community‐Based Study of the Oldest Old (90+ Years)

Cited by 65 publications

References 36 publications

Mortality and Morbidity in Nonagenarian Patients following Hip Fracture Surgery

Mortality and Morbidity in Nonagenarian Patients following Hip Fracture Surgery

Functional capacity of elder elderly: comparative study in three regions of Rio Grande do Sul

Alzheimers and Dementia in the Oldest-Old: A Century of Challenges

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