Recommendations on the comprehensive, multidimensional assessment of hospitalized elderly people. Position of the Spanish Society of Internal Medicine

Maroto, Ignacio Vallejo; Romano, P. Cubo; Nogueroles, M.C. Mafé; Matesanz-Fernández, María; Pérez‐Belmonte, Luis M.; Criado, I. Said; Gómez‐Huelgas, Ricardo; Díez-Manglano, Jesús; Age, Advanced

doi:10.1016/j.rceng.2020.10.007

Cited by 2 publications

(3 citation statements)

References 86 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Systemic arterial hypertension (SAH) is a silent disease that easily becomes decompensated in older individuals and can be compounded by neglect related to inappropriate medication use and lack of cardiac follow-up, which affect a significant number of geriatric patients. 19 Lack of correct monitoring can contribute to worsening of this specific condition, so hospitalized patients must receive proper support, as evidenced in this study.…”

Section: Discussionmentioning

confidence: 83%

See 1 more Smart Citation

Systemic and oral health status of older adult inpatients in an intensive care unit

Miranda

Félix

Sá

et al. 2023

Geriatr Gerontol Aging

View full text Add to dashboard Cite

Objective: To assess the systemic and oral health status of geriatric patients hospitalized in an intensive care unit (ICU). Methods: A cross-sectional descriptive study of a convenience sample of 78 older ICU inpatients. A single calibrated examiner collected demographic and clinical data by analyzing patients’ records and assessing their oral cavities. Descriptive data analysis was performed to a 5.00% significance level. All patients provided informed consent and were conscious during the oral health assessment. Results: The mean age was 77.69 years and 51.28% of the sample were male. The main reasons patients were admitted to the ICU investigated were postoperative conditions (23.08%) and cardiac abnormalities (20.51%). Systemic arterial hypertension (69.23%) was the most prevalent comorbidity and patients were being treated with anticoagulants (57.69%) and antimicrobials (53.85%). Most patients did not receive oral care (64.10%), while 29.49% of them received it only once, and 57.69% were denture users. The mean decayed, missing, and filled teeth index was 23.74 (17.44 missing teeth, on average) and majorities had tongue biofilm (71.79%) and unsatisfactory oral hygiene during their time in hospital (84.62%). Conclusion: The oral status of hospitalized geriatric patients was characterized by poor hygiene and edentulism.

show abstract

Section: Discussionmentioning

confidence: 83%

“…All patients were conscious and none of them were on any type of mechanical ventilator support. Only 1 geriatric patient was accompanied by a family member in the ICU, probably due to the ongoing pandemic (COVID- 19).…”

Section: Resultsmentioning

confidence: 99%

Systemic and oral health status of older adult inpatients in an intensive care unit

Miranda

Félix

Sá

et al. 2023

Geriatr Gerontol Aging

View full text Add to dashboard Cite

show abstract

“…Such changes can lead older adults to require hospitalization to take care of their health/disease and extend their lives, even though it represents a high risk to their health by itself, especially when it happens for prolonged periods of time. At this moment, there is a high probability of suffering negative clinical outcomes such as incontinence, malnutrition, depression, worsening of morbidities and comorbidity, cognitive decline, deterioration of functional capacity and death [3].…”

Section: Introductionmentioning

confidence: 99%

Elderly Feeding and Nutrition during Hospitalization: An Integrative Review

Belzarez Guedez,

Helena Lenardt,

Cechinel

et al. 2023

OJN

View full text Add to dashboard Cite

Objective: to search in the current literature the elements that exert an influence on feeding and nutrition in hospitalized aged people. Method: the following strategies were used for the integrative review stages: research question (Population or Patients; Exposure; Outcomes); analysis flowchart (Preferred Reporting Items for Systematic Reviews and Meta-analyses); and levels of evidence corresponding to the studies (Oxford Centre for Evidence-Based Medicine). The searches were conducted in the MEDLINE/PubMed, Biblioteca Virtual em Saúde, Embase, CINAHL and Scopus databases. Results: the initial search yielded 1808 studies, of which 34 comprised the analysis corpus after applying the inclusion/exclusion criteria. The assessments corresponding to nutritional status and to the risk factors for hospitalized aged people are fundamental in defining the diet. An association was found between inadequate energy intake, lack of appetite, infections, malignity, delirium and need for assistance in feeding. Dysphagia affected nutritional status and was associated with multimorbidities, cognitive impairment, malnutrition, higher dependence for the activities of daily living, and greater care need. Nutritional support improved the perioperative nutritional status, in addition to reducing the hospitalization times and the number of infectious complications. Conclusion: the main disorder that hinders meeting the nutritional needs is dysphagia, and is associated with aged people's multimorbidity and dependence. The results provide geriatric and gerontological knowledge about elderly nutrition, in addition to targeting preventive and intervention treatments and care during hospitalization.

show abstract

Recommendations on the comprehensive, multidimensional assessment of hospitalized elderly people. Position of the Spanish Society of Internal Medicine

Cited by 2 publications

References 86 publications

Systemic and oral health status of older adult inpatients in an intensive care unit

Systemic and oral health status of older adult inpatients in an intensive care unit

Elderly Feeding and Nutrition during Hospitalization: An Integrative Review

Contact Info

Product

Resources

About