Browsing by Publisher "Turkish Geriatrics Society"

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    FRAILTY AND RELATED FACTORS IN ELDERLY PATIENTS WITH CHRONIC KIDNEY DISEASE
    (Turkish Geriatrics Society, 2023) Alp A.; Elbi H.; Toraman A.
    Introduction: Chronic kidney disease and frailty are two crucial clinical conditions increasing in prevalence globally. Both lead to severe complications that increase mortality and morbidity in patients. Conditions that may potentiate frailty in chronic kidney disease patients may complicate the follow-up of chronic disease and complicate long-term survival in this patient group. In this study, we aimed to evaluate frailty and related factors in chronic kidney disease patients over 65 years of age who were on dialysis and who were not. Materials and Methods: This cross-sectional study was carried out in geriatric chronic kidney disease patients followed in nephrology outpatient clinics or undergoing routine hemodialysis. Frailty was assessed using a scoring scale. Laboratory findings and their relationship with demographic and epidemiological data were investigated. Results: One hundred eighty-eight patients aged 65 and over were included in our study. Of the patients, 92 were female, and 96 were male. The mean age was 72.86 years. We found frailty in 82 patients (43.6%). Female gender, over 75 years old, under dialysis treatment, low-income status, and low education level were parameters significantly associated with frailty. In the regression analysis, we found that economic status and dialysis were variables that independently affected frailty in chronic kidney disease patients. Conclusions: In our study, the frequency of frailty was found to be high. Practical management and early assessment of frailty seem rational with the basic nephrological approach in patients with chronic kidney disease. Considering the high mortality rate among frail patients, we think these patients should be followed up more closely. © 2023, Turkish Geriatrics Society. All rights reserved.
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    VALIDITY AND RELIABILITY OF THE TURKISH VERSION OF ‘AACHEN FALLS PREVENTION SCALE’ IN OLDER INDIVIDUALS
    (Turkish Geriatrics Society, 2024) Öztürk Z.Ö.; Eser E.; İlgün M.
    Introduction: This study aimed to develop a Turkish version of the Aachen Falls Prevention Scale and determine its psychometric properties (reliability and validity). Materials and Method: This methodological study involved 200 individuals aged ≥ 65 years from selected Family Health Centers in Manisa, Turkey, who were categorised as fallers and non-fallers. The study proceeded with distribution and item analyses of the scale, followed by reliability and validity assessments, including criterion validity, confirmatory factor analysis, known groups, and parallel form validity for construct validity. Results:The Turkish version of Aachen Falls Prevention Scale demonstrated a sensitivity of 71.0% and specificity of 75.0% for the first part of the index score and a sensitivity of 75.0% and specificity of 55.0% for the third part. Confirmatory factor analysis for the single-factor structure of the first section yielded a chi-square/degrees of freedom ratio of 1.13, a comparative fit index of 0.939, and a root mean square error of approximation of 0.025. According to the results of known-groups analysis, the 1st and the 3rd parts of the scale were discriminative for all known groups whereas the 2nd part was not sensitive to some variables. Conclusion: The study findings indicate highly satisfactory psychometric results for the Aachen Falls Prevention Scale. Specifically, the tool showed superior predictive capability for fall risk in older individuals compared to balance tests, such as the Tinetti test. Consequently, the Aachen Falls Prevention Scale can effectively assess fall risk among Turkish-speaking older adults in hospitals and primary healthcare settings. © 2024, Turkish Geriatrics Society. All rights reserved.
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    THE ROLE OF ENDOSCOPY-INDEPENDENT GASTROINTESTINAL BLEEDING SCORES IN PREDICTING 30-DAY MORTALITY IN AGED OVER 65
    (Turkish Geriatrics Society, 2024) Elbi H.; Vatansever Balcan M.; Buran T.; Kasap E.
    Introduction: The aim of this study was to assess the power of clinical findings and scoring systems to predict mortality in patients over 65 years of age with non-variceal upper gastrointestinal bleeding. Materials and Method: Data on demographic profiles and risk estimation scores were retrospectively extracted from electronic hospital medical records and other electronic databases using a standard data extraction form. The AIMS65, pre-Rockall, modified Glasgow-Blatchford, T, and Baylor bleeding scores were calculated to estimate the 30-day mortality risk. The inclusion criteria were patients aged 65 and over who presented with active bleeding symptoms and had been diagnosed with acute upper gastrointestinal bleeding by the gastroenterology department. Results: The mean age was 75.23 years, and 23.6% of the patients died within 30 days. The 30-day mortality was associated with albumin levels, malignancy, and intensive care unit hospitalization. An inverse relationship was found between the albumin level and mortality, whereas the presence of cancer and the need for intensive care were associated with 2.8-fold and 2.2-fold increases in the risk of death, respectively. The AIMS65 score (AUC: 0.794) had the highest discriminative ability to predict 30-day mortality among all risk scores. Conclusion: Albumin levels, malignancy presence, and ICU admission were indicators of mortality risk in elderly patients with upper gastrointestinal bleeding. Calculating all the scores, excluding the Baylor Bleeding score, is beneficial for assessing the risk of mortality associated with upper gastrointestinal bleeding. The AIMS65 score demonstrates the highest discriminative ability. However, using these risk-scoring systems necessitates additional data. © 2024, Turkish Geriatrics Society. All rights reserved.