Browsing by Publisher "Geriatrics Society"

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    The attitudes of medical students toward the elderly; [Tip fakültesi öğrencilerinin yaşlilara karşi tutumlari]
    (Geriatrics Society, 2015) Elbi H.; Altan S.; Rahman S.; Cengiz Özyurt B.; Şahin S.; Çam F.S.
    Introduction: Health workers must be prepared for the changes and developments due to the ever-increasing proportion of elderly individuals within the general population. This study aimed to identify the general attitudes of students of the Faculty of Medicine of Celal Bayar University (CBU) toward senility and evaluate differences in the attitudes of students at different stages of medical education. Materials and Method: This study was conducted between October and December 2014 and included a total of 406 students attending the Faculty of Medicine of the CBU. A questionnaire form composed of three sections was used to collect data. Results: The age range of study participants was 18-27 years (average age, 21.04 years) 60.8% were females, and 91.4% had a nuclear family structure. When assessing overall UCLA scores according to the stage of medical education, the average scores of first-year students were found to be higher than other year groups. The results of the UCLA questionnaire demonstrated significantly higher overall scores concerning attitudes toward older persons in female students compared with male students. No significant differences in KOGAN questionnaire scores concerning attitudes toward older people were observed between male and female students. Conclusion: The findings of the present study indicate that attitudes toward the elderly change negatively as students progress through medical education. In addition, female students had more positive attitudes toward elderly patients than male students. Considering the expectations from the healthcare providers of the elderly population, who are more fragile compared to normal individuals, it should be envisaged that the responsibilities of physicians have increased. © 2015, Geriatrics Society. All rights reserved.
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    Epidemiological characteristics of geriatric patients in emergency departments: Results of a multicenter study; [Acil servislerdeki geriatrik hastalarin epidemiyolojik özellikleri: Çok merkezli çalişma sonuçlari]
    (Geriatrics Society, 2015) Ergin M.; Karamercan M.A.; Ayranci M.; Yavuz Y.; Yavaşi Ö.; Serinken M.; Acar T.; Avcil M.; Al B.; Bayramoğlu A.; Durgun H.M.; Gölcük Y.; Arziman İ.; Dündar Z.D.
    Introduction: The increasing proportion of elderly individuals in the population due to increased life expectancy has necessitated greater provision of health care. Here we aimed to determine patient characteristics, reasons for referral, and outcomes of emergency department visits and hospitalization in patients aged ?65 years with referrals to emergency departments. Materials and Method: This prospective, multicenter observational study was conducted over one week at the emergency departments of 13 Turkey hospitals. All patients aged ?65 years who were referred to emergency departments with acute medical or surgical issues during the study period were included. Patients aged <65 years or those referred for trauma were excluded. Results: In total, 1299 patients with a mean age of 74.8±7.3 years were included. Of these 51.9% (n=674) were aged 65–74 years, 67.5% (n=877) were discharged from the hospital and 5.8% (n=75) died during admission. The most frequently diagnosed disorders in the emergency departments were cardiovascular, gastrointestinal, and pulmonary diseases. A significant difference in age was observed between the survival and non-survival groups (p=0.001), with no significant differences in gender distribution (p=0.259), length of stay in intensive care units (p=0.605), or length of stay in hospital (p=0.055). Conclusion: With an increased proportion of elderly individuals in the general population the number of elderly patients referred to emergency departments continues to increase. This study presents the demographic features and clinical course of elderly patients referred to study centers. © 2015, Geriatrics Society. All rights reserved.
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    Predicting the 28-day mortality rate in elderly patients with community acquired pneumonia: Evaluation of 11 risk prediction scores; [Toplum kökenli pnömonili yaşli hastalarda 28 günlük mortalite oraninin öngörülmesi: 11 risk tahmin skorunun değerlendirmesi]
    (Geriatrics Society, 2017) Elbi H.; Bilge A.; Dayangaç H.İ.; Dikmen O.
    Introduction: Community-acquired pneumonia frequently causes infectious diseaserelated morbidity and mortality among patients. Elderly patients are at a higher risk of developing severe Community-acquired pneumonia due to underlying diseases and changes in health status. We evaluated the performance of existing risk scores for predicting the 28-day mortality rate in elderly patients presenting with Community-acquired pneumonia to Emergency Department. Materials and Method: We evaluated 151 elderly patients [mean age, 76.6±7.8 years (range, 65-94 years); 65.6% men] with Community-acquired pneumonia. There were 30 deaths by day 28, with an all-cause mortality rate of 19.9%. All scores, except the CAP-PIRO, achieved an area under the receiver operating characteristic curve >0.700. Z-test was used to determine significant differences between the scores. Results: We evaluated 151 elderly patients [mean age, 76.6±7.8 years (range, 65-94 years); 65.6% men] with Community-acquired pneumonia. There were 30 deaths by day 28, with an all-cause mortality rate of 19.9%. All scores, except the CAP-PIRO, achieved an area under the receiver operating characteristic curve >0.700. Z-test was used to determine significant differences between the scores. Conclusion: Of the existing scores, 4 had good discriminatory power to predict the 28-day mortality rate. The best discrimination was demonstrated by CURB-age, a score designed for elderly patients with Community-acquired pneumonia. Additional research is necessary to determine the best risk score for predicting early mortality rates in elderly patients with Community-acquired pneumonia. © 2017, Geriatrics Society. All rights reserved.
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    Prevalence of depression in the elderly population of manİsa and related risk factors; [Manisa’da yaşlilarda depresif belirti prevalansi ve ilişkili risk faktörleri]
    (Geriatrics Society, 2018) Cengiz Özyurt B.; Elbi H.; Serifhan M.
    Introduction: The present study aimed to determine the prevalence of depressive symptoms in elderly people living in Manisa and to reveal the possible risk factors. Materials and Method: The population of this cross-sectional study included 17760 elderly people living in the Manisa Celal Bayar University Health Education and Research District in 2017. The sample size of the study was calculated as 546 using Epi Info 7.0 software. Sample selection was performed by a simple random sampling method of the records of Manisa Provincial Public Health Directorate. The data were collected by authors, and the participation ratio was 97.8% (n=534). The Katz Index of Independence in Activities of Daily Living and Geriatric Depression Scale were used as data collection tools, in addition to a sociodemographic form. The data were analyzed by using descriptive statistics, univariate and multivariate Odds ratios (with logistic regression analysis). Results: The mean age of the participants was 72.70±6.35 years. Of note, 56.3% of the elderly participants were women, 44.3% were primary school graduates and 19.6% were living alone. Moreover, 78.6% of them had at least one chronic disease requiring continuous medication. The prevalence of depressive symptoms was 32.8%. Conclusion: Multivariate analyses indicated that the prevalence of depressive symptoms is more likely higher in individuals living alone and in those who are dependent on others for daily life activities. Additionally, negative expenditure income balance, perceived annual change in health status, history of previous psychiatric disease and history of abuse significantly increase the prevalence of depressive symptoms. © 2018, Geriatrics Society. All rights reserved.
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    Assessment of the impact of dementia care and support program in both patient and caregiver outcomes: An intervention study; [Demans bakim ve destek programinin hasta ve bakim verici çiktilari üzerindeki etkisinin değerlendirilmesi: Bir müdahale çalişmasi]
    (Geriatrics Society, 2019) Uyar F.; Özmen D.; Mavioğlu H.; Atalay N.
    Introduction: Dementia is one of the priority issues among the public health concerns. This study aims to assess the impact of the Dementia Care and Support Program in caregivers and patients with dementia. Materials and Methods: This study is an intervention study. Dementia Care and Support Program was a planned 16-week program. Sixty-one patient–caregiver pairs were randomized into two groups, the intervention (n=31) and control groups (n=30). Dementia Care and Support Program was applied to the intervention group, but the control group received routine hospital care. Data were collected between July and November 2016 from a dementia outpatient clinic. While data for patients were collected using the quality-of-life assessment in Alzheimer’s disease and Neuropsychiatric Inventory, data for caregivers were collected using the quality of life SF-36, Beck Depression, Beck Anxiety, and Zarit Caregiver Burden Care Inventory. Results: Fifty-four patient–caregiver pairs completed the study. The mean age of the patients was 76.7±11.2 (46–96) years old. There was no statistically significant difference in the quality-of-life scores and neuropsychiatric symptom scores between the patient groups (p>0.05). The mean age of caregivers was 53.6±14.8 (22–81) years old. Statistically significant differences were found in NPI-D, quality-of-life mental health, quality-of-life physical health, depression, and anxiety scores between the caregiver groups (p<0.05), but there was no statistically significant difference in burden scores (p>0.05). Conclusion: This study established that Dementia Care and Support Program has positive effects on caregivers. © 2019, Geriatrics Society. All rights reserved.
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    Validation of the turkish version of the whoqol-age and a proposed alternative scale structure
    (Geriatrics Society, 2020) Özcan C.; Eser E.
    Purpose: The WHOQOL-AGE is a combination of the EUROHIS-QOL.8 and the short version of the WHOQOL-OLD. The aim of the present study is to explore the psychometric properties of the Turkish version of the WHOQOL-AGE in terms of its validity and reliability. Methods: Internal consistency, item–total correlations, and item success were analyzed taking the original structure into account. The validity tests consisted of construct validity and criterion validity analyses. The original scale structure was compared with a proposed new scale structure, comprised of two domains and based on the exploratory and confirmatory factor analysis, in terms of goodness-of-fit measures. Results: The mean age of the sample population (n = 550) was 73.09 ± 6.77, and 58.9% were female. Skewness and kurtosis were both within accepted limits (<1.0) and the floor and ceiling percentages also showed good measuring capacity (<10%). The Cronbach alpha value was 0.90 for domain 1 and 0.86 for domain 2. The goodness-of-fit analysis results for the original scale structure and the new scale structure, respectively, were comparative fit index = 0.89 and 0.83, Tucker Levis index = 0.87 and 0.81, and root mean square error of approximation (RMSEA) = 0.12 and 0.073. Conclusion: The WHOQOL-AGE.TR is moderately compatible with the original scale structure. The EFA revealed a new scale structure: the domain 1 (‘satisfaction with physical and mental health and well-being’ domain) includes items 1–5, 9 and 10, and the domain 2 (‘satisfaction with economic and social well-being’domain) includes items 6–8 and 11–13. © 2020, Geriatrics Society. All rights reserved.
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    Attitudes of family physicians towards the elderly
    (Geriatrics Society, 2020) Elbi H.; Özcan F.; Cengiz Özyurt B.; Yayla M.E.
    Introduction: It is stated that negative attitudes towards the elderly affect the diagnosis and treatment processes negatively. Nevertheless, there are not enough recent studies examining the attitudes of family physicians who provide widespread healthcare to the elderly. The aim of this study was to evaluate the attitudes of family physicians towards the elderly. Material and Methods: Participants of this descriptive study are family physicians working actively in primary care. Data were collected through the software program, between January and June 2018. The link to the questionnaire was sent to the participants via e-mail. The questionnaire consisted of two parts: the sociodemographic data and University of California at Los Angeles Geriatrics Attitude (UCLA-GA) scale. Results: A total of 401 family physicians, 216 of whom (53.9%) were women, participated in the study. The mean age of the participants was 41.19 ± 8.51 years. On evaluation of both the mean total score (42.36 ± 3.42) and mean subscale score (3.02 ± 0.24), it was observed that female participants scored significantly higher (p = 0.001). Moreover, the UCLA-GA medical care subscale score raised with increased working time at family medicine (r = 0.151, p = 0.002) or being a medical doctor (r = 0.14, p = 0.005) and with growing age (r = 0.15, p = 0.003). Conclusion: The results of our study showed that those with longer professional experience, being older age, and women are associated with positive attitude towards the elderly. However, intervention studies are required to improve family physicians’ attitudes towards the elderly. © 2020, Geriatrics Society. All rights reserved.
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    HOW AWARE ARE FAMILY PHYSICIANS OF THE SOCIAL LIFE AND LONELINESS OF OLDER PEOPLE?
    (Geriatrics Society, 2022) Üstündağ Ö.; Elbi H.; Ozan E.; Özcan F.
    Introduction: The consequences of social isolation and loneliness on health and well-being in old age are increasingly being acknowledged. In this study, we examined how older patients perceive their social relationships and loneliness and explored family physicians’ awareness of these issues. Materials and Methods: This descriptive study evaluated social relations and the loneliness of older patients using the UCLA loneliness scale (UCLA-LS), the Nottingham Health Profile Social Isolation (NHP-SI) subscale, and a social relations questionnaire. The responses of these patients to loneliness and being socially active were compared with the reactions of family physicians to the same topics. Results: Five family physicians and 200 older patients participated in this study. According to the patients’ education levels and economic status, both scales exhibited significant differences. A significant correlation was found between chronic disease and UCLA loneliness on the scale, while a significant difference was found in the social isolation subscale according to those who lived with. Moreover, the family physicians clearly understood the relationship between living alone and their economic status. Conclusion: This study revealed that the social isolation of older patients was affected by their education level, economic status, and who they lived with. It was also found that loneliness was affected by education level, financial situation, chronic disease, and disability. © 2022, Geriatrics Society. All rights reserved.
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    NORMATIVE AND PSYCHOMETRIC PROPERTIES OF THE WHOQOL OLDER ADULTS MODULE (WHOQOL-OLD) IN THE NATIONAL REPOSITORY
    (Geriatrics Society, 2022) Eser E.; Bilgin Şahin B.; Eser S.
    Introduction: The main objectives of this study were to present population norms and the construct validity of the WHOQOL-OLD using classical and modern (Rasch) psychometric analyses. Methods: This study was conducted on the pooled data of 29 studies, 16 of which were representative of the population (n=6951). The psychometric properties of the WHOQOL-OLD were evaluated with classical (confirmatory factor analysis and multivariate regression model) and probabilistic test theory (Rasch and DIF) analyses. Results: The mean age of the Turkish WHOQOL-OLD data pool was 73.2±6.8. The mean overall scale score was 81.27±13.57 and the range of the mean dimension scores was between 12.34 (social participation) and 14.59 (intimacy). The elderly (advanced age) and women are more sensitive to the decrease in quality-of-life (QoL) scores. Both Cronbach’s alpha values and item analyses indicated good internal consistency for all dimensions. Exploratory factor analyses (EFA) generated five factors instead of a six-factor original scale structure. “Past, present, and future activities” and “social participation” were combined in a single dimension in the EFA. Confirmatory factor analyses resulted in acceptable goodness of fit indices, such as Confirmation Fit Index (CFI)=0.951 and Root Mean Square Error of Approximation (RMSEA)=0.055. Turkish elders perceive the death and dying dimension as culturally closer to the culture of developing countries than developed Western cultures. Conclusion: Turkish older adults’ QoL scores were more or less like those of other older adults in developing countries. This study’s results confirm that the acceptable psychometric properties of the WHOQOL-OLD-TR with some items (items 9 and 20) need to be worked on further. © 2022, Geriatrics Society. All rights reserved.
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    THE PREDICTORS OF IN-HOSPITAL MORTALITY IN HYPERTENSIVE ELDERLY INTENSIVE CARE UNIT PATIENTS WITH CORONAVIRUS DISEASE 2019
    (Geriatrics Society, 2022) Çetin N.; Özdemir İ.H.
    Introduction: Advanced age is an important prognostic indicator for the mortality of coronavirus disease 2019, especially in patients over 65. Patients with chronic underlying conditions such as hypertension showed the worst outcomes. This study aimed to identify predictors of mortality in elderly hypertensive patients hospitalized in intensive care units. Materials and Methods: Demographic, clinical, treatment, and laboratory data were extracted from electronic medical records and compared between survivors and non-survivors. Univariate and multivariate logistic regression methods were used to explore the indicators of in-hospital mortality. Results: One hundred and ninety-eight patients with a median age of 75 years (65–94 years) were included in this study, of whom 95 were discharged from the intensive care units, and 103 died. Shortness of breath [hazard ratio (HR): 1.65, 95% confidence interval (CI): 1.04–2.61, p: 0.034], C-reactive protein (CRP)/albumin ratio (>51.32) (HR: 1.83, 95% CI: 1.12–2.97, p: 0.015), serum creatinine (>1.62 mg/dl) (HR: 2.04, 95% CI: 1.13–3.33, p: 0.001), aspartate transaminase (>34 u/l) (HR: 1.99, 95% CI: 1.28–3.09, p: 0.002), D-dimer (>781 ng/ml) (HR: 1.59, 95% CI: 1.04–2.43, p: 0.031), leukocyte (>12,000´ 103/µl) (HR: 1.68, 95% CI: 1.09–2.59, p: 0.018) and lymphocyte count, (≤660´ 103/µl) (HR: 1.76, 95% CI: 1.17–2.63, p: 0.006) were independent predictors for mortality in elderly hypertensive patients. Conclusion: Using these predictors with cut-off values can identify patients at risk of death and needing aggressive intervention earlier in the disease course. © 2022, Geriatrics Society. All rights reserved.