The Association Between Geriatric Syndromes and Survival

Kane, Robert L; Shamliyan, Tatyana A.; Talley, Kristine Mc; Pacala, James T

doi:10.1111/j.1532-5415.2012.03942.x

Cited by 177 publications

(141 citation statements)

References 57 publications

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“…This more diffuse clustering could reflect more compromised nutritional reserves that can result from the physiological and psychosocial changes associated with aging. 39 The aerodigestive symptom cluster and the cluster comprising difficulty swallowing, dry mouth, constipation, drowsiness, and taste changes could similarly be explained by age-related decrements in organ function, or possibly the side effects of common pharmacological agents used to treat such physiological changes.…”

Section: Discussionmentioning

confidence: 99%

Differences in Composition of Symptom Clusters Between Older and Younger Oncology Patients

Yates

Miaskowski

Cataldo

et al. 2015

Journal of Pain and Symptom Management

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Section: Discussionmentioning

confidence: 99%

Differences in Composition of Symptom Clusters Between Older and Younger Oncology Patients

Yates

Miaskowski

Cataldo

et al. 2015

Journal of Pain and Symptom Management

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“…Death with or from dementia markedly increases with age: a UK study showed that 6% of people aged 65-69 years had dementia at death, increasing to over 58% of those aged 95 and over. 3 Dementia is also a life-limiting disease, [4][5][6][7][8] although not always an independent risk factor in selected hospitalized samples, [9][10][11] nor when adjusted for possible mediators such as decreased intake of foods and fluids. 11,12 Palliative care may help address patients' and families' concerns and needs.…”

Section: Introductionmentioning

confidence: 99%

White paper defining optimal palliative care in older people with dementia: A Delphi study and recommendations from the European Association for Palliative Care

et al. 2013

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Background: Dementia is a life-limiting disease without curative treatments. Patients and families may need palliative care specific to dementia. Aim: To define optimal palliative care in dementia. Methods: Five-round Delphi study. Based on literature, a core group of 12 experts from 6 countries drafted a set of core domains with salient recommendations for each domain. We invited 89 experts from 27 countries to evaluate these in a two-round online survey with feedback. Consensus was determined according to predefined criteria. The fourth round involved decisions by the core team, and the fifth involved input from the European Association for Palliative Care. Results: A total of 64 (72%) experts from 23 countries evaluated a set of 11 domains and 57 recommendations. There was immediate and full consensus on the following eight domains, including the recommendations: person-centred care, communication and shared decision-making; optimal treatment of symptoms and providing comfort (these two identified as central to care and research); setting care goals and advance planning; continuity of care; psychosocial and spiritual support; family care and involvement; education of the health care team; and societal and ethical issues. After revision, full consensus was additionally reached for prognostication and timely recognition of dying. Recommendations on nutrition and dehydration (avoiding overly aggressive, burdensome or futile treatment) and on dementia stages in relation to care goals (applicability of palliative care) achieved moderate consensus. Conclusion:We have provided the first definition of palliative care in dementia based on evidence and consensus, a framework to provide guidance for clinical practice, policy and research.

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“…Malnutrition and impaired homeostasis exerted twice the infl uence of factors such as multiple comorbidities and frailty (50)(51)(52). We observed a signifi cant increase in malnutrition with ageing ( Fig.…”

Section: Discussionmentioning

confidence: 49%

Geriatric giants – contemporary occurrence in 12,210 in-patients

Weber¹,

Meluzínová²,

MatějovskáKubešová³

et al. 2015

BLL

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OBJECTIVES: With advancing age, the degree of dependency and occurrence of great geriatric syndromes (GS), also referred to as geriatric giants, grow substantially. DESIGN: The prospective cohort study was aimed at conducting an analysis and comparison of geriatric syndromes (geriatric giants) among different age groups at admission to the acute geriatric department. SETTING, PARTICIPANTS: Between 1995 and 2012, we had altogether 12,210 elderly patients at an average age of 80.5 ± 7.0 y (range 65-103 y) hospitalised at the Department of Geriatrics. We divided the patient set into three different age subgroups (65-74 y; 75-84 y and ≥ 85 y; e.g. 21.4 %; 47.9 % and 30.7 %) and compared the results among them. RESULTS: 3,787 persons (31.0 %) were without any GS. The growing tendency of the occurrence of all geriatric syndromes in combinations with increased age (p < 0.001) is obvious. Their occurrence in the above mentioned different age sets was examined in relation to individual geriatric syndromes and sex (female and male), namely falls 22.0 %, 27.8 %, 39.9 % and 20.5 %, 27.0 %, 36.1 %; immobility 26.4 %, 29.3 %, 42.5 % and 30.3 %, 30.1 % and 39.2 %; incontinence 38.4 %, 50.6 %, 69.5 % and 38.2 %, 47.4 %, 61.8 %; dementia and cognitive impairment 13.4 %, 23.4 %, 38.1 % and 15.8 %, 24.3 %, 33.2 % respectively. Age cut-off for geriatric syndromes occurrence based on ROC analysis is 83.5-84.5 y for females and 78.5-82.5 y for males. CONCLUSION: The occurrence of geriatric giants increasing with age and female gender is of crucial importance not only for individuals and families but also for demands on costs of health and social care in oncoming decades (Tab. 6, Fig. 3, Ref. 52). Text in PDF www.elis.sk.

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The Association Between Geriatric Syndromes and Survival

Abstract: Geriatric syndrome information is helpful to understanding survival for younger old persons but provides little information about survival for the very old. Complex survival models add comparatively little benefit to more simply measured and calculated models.

Cited by 177 publications

References 57 publications

Differences in Composition of Symptom Clusters Between Older and Younger Oncology Patients

Differences in Composition of Symptom Clusters Between Older and Younger Oncology Patients

White paper defining optimal palliative care in older people with dementia: A Delphi study and recommendations from the European Association for Palliative Care

Geriatric giants – contemporary occurrence in 12,210 in-patients

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