Quality of life of the elderly in urban and rural areas in Serbia

Urošević, Jadranka; Odović, Gordana; Rapaić, Dragan; Davidović, Mladen; Trgovcević, Sanja; Milovanović, Verica

doi:10.2298/vsp140831107u

Cited by 22 publications

(25 citation statements)

References 14 publications

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“…In older patients who live in rural parts of the country, have low monthly earnings, and/or are detached from family members, access to the health care network requires more efforts. These were the main reasons for establishing a 14-day follow-up and a routine postoperative physical examination that was conducted after 2 weeks by surgeons [13]. Unlike developed countries, our patients were diagnosed with a higher stage of disease during the nonexistence of organized national screening at the time of this research, with an insolvent health care system and low health care consumption per capita [14, 15].…”

Section: Discussionmentioning

confidence: 99%

Preoperative Midregional Pro-Adrenomedullin and High-Sensitivity Troponin T Predict Perioperative Cardiovascular Events in Noncardiac Surgery

et al. 2018

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Objective: We evaluated the utility of preoperative midregional (MR) pro-adrenomedullin (proADM) and cardiac troponin T (TnT) for improved detection of patients at high risk for perioperative cardiac events and mortality after major noncardiac surgery. Subjects and Methods: This prospective, single-center, observational study enrolled 79 patients undergoing major noncardiac surgery. After initial clinical assessment (clinical history, physical examination, echocardiogram, blood tests, and chest X-ray), MR-proADM and high-sensitivity TnT (hsTnT) were measured within 48 h prior to surgery by immunoluminometric and electrochemiluminescence immunoassay. Patients were followed by the consulting physician until discharge or up to 14 days in the hospital after surgery. Perioperative cardiac events included myocardial infarction and development or aggravation of congestive heart failure. Data were compared between patients who developed target events and event-free patients. Results: Within 14 days of monitoring, 14 patients (17.72%) developed target events: 9 (11.39%) died and 5 (6.33%) developed cardiovascular events. The average age of the patients was 71.29 ± 6.62 years (range: 55–87). Sex, age, and hsTnT did not significantly differ between groups. MR- proADM concentration was higher in deceased patients (p = 0.01). The upper quartile of MR-proADM was associated with a fatal outcome (66.7 vs. 20.0%, p < 0.01) and with cardiovascular events (64.3 vs. 16.9%, p < 0.01). MR-proADM above the cutoff value (≥0.85) was associated with a fatal outcome (88.9 vs. 20.0%, p < 0.01) and cardiovascular events (71.4 vs. 28.6%, p < 0.01); this association was not observed for hsTnT. Conclusion: Preoperative measurement of MR-proADM provides useful information for perioperative cardiac events in high-risk patients scheduled for noncardiac surgery.

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Section: Discussionmentioning

confidence: 99%

Preoperative Midregional Pro-Adrenomedullin and High-Sensitivity Troponin T Predict Perioperative Cardiovascular Events in Noncardiac Surgery

et al. 2018

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“…It is assumed that recognition of a need is equal to the identification of a problem and allows for proper intervention [27,44]. In the process of shaping primary health systems, determining individual biopsychosocial needs of patients is becoming more and more essential [44]. We found here that when the level of needs met in patients living in rural areas decreases, the risk of the occurrence of anxiety increases.…”

Section: Discussionmentioning

confidence: 67%

“…It is believed to be an outcome of the level of a clinical condition and factors deriving from it such as the quality of life, healthcare behaviours and the evaluation of medical services. It is assumed that recognition of a need is equal to the identification of a problem and allows for proper intervention [27,44]. In the process of shaping primary health systems, determining individual biopsychosocial needs of patients is becoming more and more essential [44].…”

Section: Discussionmentioning

confidence: 99%

Anxiety and depression in patients with chronic cardiovascular disease—factors differentiating rural and urban subpopulations

Szlenk-Czyczerska

Guzek²,

Prusaczyk³

et al. 2019

Preprint

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Background. People suffering from cardiovascular diseases (CVD) increasingly experience depression and anxiety disorders. Therefore, it is essential to improve identification strategies and methods of coping for these conditions.Objectives. The aim of the study was to analyse selected variables differentiating rural from urban populations as well as identify potentially increased levels of depression and anxiety.Material and methods. The study was carried out in 193 CVD patients home-cared by a district nurse. Results. Women constituted the majority of respondents (71.7%, n = 81 City-C vs 65.8%, n = 50 Village-V). The median age of the C patients was 76 (range 17-101) vs. 72 (range 18-94) for the V patients. The correlation coefficients displayed significant differences in anxiety, number of cardiologist visits (p = 0.005) and interventions provided by a district nurse (p = 0.03). The rural population stood out in number of home visits, age, assessment of needs and QoL. In addition, a strong relationship between anxiety and age was noted in the rural population (1/OR=1.04; 95% CI: 0.91–0.99), the assessment of satisfied needs (1/OR=293.86; 95% CI: 0.00001–0.56), depression (OR=5.85; 95% CI: 1.58–25.66), QoL in physical (OR=1.56; 95% CI: 1.11–2.33), social (1/OR=1.53; 95% CI: 0.04–0.94) and environmental domains (OR=1.67; 95% CI: 1.06–3.00) as well as between depression and anxiety (OR=4.60; 95% CI: 1.45–16.28), QoL in physical (1/OR=1.39; 95% CI: 0.50–0.97) and psychological (OR=1.37; 95% CI: 1.01–1.93) domains.

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“…It has been suggested that individuals living in rural areas may have a greater sense of satisfaction or gratification with life and have well-established relationships within the community, and also visiting with friends, neighbors, and relatives has a stronger positive effect on subjective well-being. [40][41][42][43] Satisfaction with living conditions in rural settings may have bolstered the addition of cooling to standard of care in providing improved QOL and symptom reduction such that participants felt a greater sense of control and perceived well-being in overall health, 44 although control and well-being were not study outcomes.…”

Section: Discussionmentioning

confidence: 99%

Exploring the influence of a cooling treatment on quality of life in patients with chronic venous disease

Kelechi¹,

Mueller²,

Madisetti³

et al. 2017

CWCMR

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Purpose:The study aimed to evaluate the influence of a self-administered cooling intervention on quality of life (QOL) associated with chronic venous disease (CVD), stages clinical, etiological, anatomical, pathophysiological (CEAP) C4 (skin damage) and C5 (healed ulcer). Study design and subjects: A sample of 276 individuals was randomized to receive a cooling (n=138) or placebo control cuff (n=138) applied to the leg skin affected by CVD. Both groups also received standard of care that included compression, leg elevation, and physical activity. QOL was measured with the venous insufficiency epidemiological and economic study (VEINES)-QOL and symptom (Sym) subscale Questionnaire at 5 time points during the 9-month study. Relationships between treatment outcomes and demographics were analyzed. Results: Cooling and control groups had significant increases from baseline in mean change VEINES-QOL scores (13.5 vs 12.8, p<0.0001) and Sym scores (10.4 vs 6.7, p<0.0001). No significant difference was observed for VEINES-QOL between the groups (Δ =0.67, p=0.58); however, the difference was significant for Sym for cooling (Δ =3.7, p=0.015). Overall QOL improvements were significant for females compared to males (p<0.001), not employed fulltime (p<0.001), living in rural areas (p<0.002), and less effective for larger calf circumference (p=0.042). For age groups ≥65 years, cooling produced significant improvements in QOL (10.8 vs 4.5, p<0.0004); the control group symptoms worsened during the study (-1.0 vs 8.1, p<0.0001). Conclusion: This cooling intervention improved QOL. The greatest improvements were observed in older individuals, females, those who were married, not working full time, and living in rural areas. CVD remains a poorly controlled chronic condition and has a major negative influence on QOL. Keywords: chronic venous disease, quality of life, cooling therapy, negative symptoms, cryotherapy, venous disorders Plain language summaryThe purpose of this study was to determine whether quality of life (QOL) was affected by the use of a cooling cuff to reduce negative symptoms of chronic venous disease (CVD) of the lower legs where the skin was previously ulcerated and/or damaged. Individuals participating in the study received one of two treatments: a cooling cuff made of gel or a "placebo" cuff filled with cotton. The cuffs were kept in the freezer until they were ready to be applied to the affected skin, starting daily for 30 minutes for 30 days, then twice-weekly for 3 months and then weekly for 3 months. Participants also wore compression hosiery during the day and elevated their legs each evening during the treatment. The VEINES Sym/QOL Questionnaire was used to measure QOL. We found that QOL improved in individuals using the cooling cuff compared to those using the cotton cuff; symptoms become worse in the latter group. Greater improvements were reported by females and those 65 years of age and older. Females and those older in age may be more positively susceptible to the effects of cooling to reduce negative...

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Quality of life of the elderly in urban and rural areas in Serbia

Cited by 22 publications

References 14 publications

Preoperative Midregional Pro-Adrenomedullin and High-Sensitivity Troponin T Predict Perioperative Cardiovascular Events in Noncardiac Surgery

Preoperative Midregional Pro-Adrenomedullin and High-Sensitivity Troponin T Predict Perioperative Cardiovascular Events in Noncardiac Surgery

Anxiety and depression in patients with chronic cardiovascular disease—factors differentiating rural and urban subpopulations

Exploring the influence of a cooling treatment on quality of life in patients with chronic venous disease

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