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Full-Text Articles in Medicine and Health Sciences
Elderly And Aged Asthma Have Different Characteristics: Results Of A Multicenter Study, Ebru Damadoğlu, Özge Öztürk Aktaş, Bilun Gemi̇ci̇oğlu, Nafiye Yilmaz, Fulşen Bozkuş, Vehbi Ayhan, Ayşe Füsun Kalpaklioğlu, Ferda Öner Erkekol, Yavuz Havlucu, Fuat Erel, Ömür Aydin, Aydanur Eki̇ci̇, Ayşe Baççioğlu, Serap Argun Bariş, Gözde Köycü Buhari̇, Berrin Ceyhan, Özlem Göksel, Mehmet Köse, Adile Berna Dursun, Füsun Yildiz, Arzu Yorgancioğlu, Sacide Rana Işik, Dane Edi̇ger, İpek Kıvılcım Oğuzülgen, Ahmet Uğur Demi̇r, Gül Karakaya, Ali Fuat Kalyoncu
Elderly And Aged Asthma Have Different Characteristics: Results Of A Multicenter Study, Ebru Damadoğlu, Özge Öztürk Aktaş, Bilun Gemi̇ci̇oğlu, Nafiye Yilmaz, Fulşen Bozkuş, Vehbi Ayhan, Ayşe Füsun Kalpaklioğlu, Ferda Öner Erkekol, Yavuz Havlucu, Fuat Erel, Ömür Aydin, Aydanur Eki̇ci̇, Ayşe Baççioğlu, Serap Argun Bariş, Gözde Köycü Buhari̇, Berrin Ceyhan, Özlem Göksel, Mehmet Köse, Adile Berna Dursun, Füsun Yildiz, Arzu Yorgancioğlu, Sacide Rana Işik, Dane Edi̇ger, İpek Kıvılcım Oğuzülgen, Ahmet Uğur Demi̇r, Gül Karakaya, Ali Fuat Kalyoncu
Turkish Journal of Medical Sciences
Characteristics of asthma in the elderly population is not well-known. The aim of the present study was to evaluateasthma in the elderly population, to compare disease characteristics between patients diagnosed <60 (aged asthma) and ≥60 (elderlyasthma) years of age.Materials and methods: The study was a prospective, multicenter, cross-sectional type. A questionnaire was filled out to patients 60years of age and over, that have been followed for asthma for at least 3 months. Asthma Control Test (ACT), eight-item MoriskyMedication Adherence Scale (MMAS-8) was filled out, inhaler device technique was assessed.Results: A total of 399 patients were included from 17 tertiary care centers across the country. Mean age was 67.11 years and 331 (83%)were female. The age at asthma diagnosis was ≥60 in 146 (36.6%) patients. Patients diagnosed ≥60 years were older (p < 0.001), hadhigher education level (p < 0.001), more commonly had first-degree relative with asthma (p = 0.038), asthma related comorbidities(p = 0.009) and accompanying rhinitis/rhinosinusitis (p = 0.005), had better asthma control (p = 0.001), were using less controllermedications (p = 0.014). Inhaler technique was correct in 37% of the patients with no difference in between the groups. Treatmentcompliance was better in elderly asthma patients (p < 0.001). In the multivariate logistic regression analysis, having well-controlledasthma (odds ratio = 1.61, CI = 1.04–2.51), and high medication adherence rate (odds ratio = 2.43, CI = 1.48–4.0) were associated withbeing in the elderly asthma group.Conclusion: The characteristics of asthma are different among patients aged 60 years and over which seems to be related to onset age ofasthma. In our cohort, the elderly asthma patients had higher education level, and treatment adherence and asthma control was better.Patients diagnosed ≥60 years of age did not have more severe disease.
Comparison Of Primary Care Prescriptions For Old And Very Old Hypertensive Patients, Selcan Tülü Çolak, Caner Vizdiklar, Mert Kaşkal, Volkan Aydin, Ömer Ataç, Ahmet Akici
Comparison Of Primary Care Prescriptions For Old And Very Old Hypertensive Patients, Selcan Tülü Çolak, Caner Vizdiklar, Mert Kaşkal, Volkan Aydin, Ömer Ataç, Ahmet Akici
Turkish Journal of Medical Sciences
Background/aim: Elderly and very elderly individuals might be subject to different approaches for the treatment of hypertension. We aimed to compare drug utilization in hypertensive old patients and very old patients in primary care, along with the evaluation of potentially inappropriate drug prescribing. Materials and methods: In this cross-sectional study, we compared prescriptions of 65-79-year-old (old patient prescriptions [OPP], n = 433,988) vs. ≥80-year-old (very old patient prescriptions [VOPP], n = 134,079) with "essential hypertension" diagnosis, issued by 3:1 systematically-sampled primary care physicians (n = 1431) in İstanbul throughout 2016. Drug utilization patterns and distribution of antihypertensives based on drug …
Allergic Diseases In The Elderly Population: A Single-Center Experience, Eray Yildiz, Fati̇h Çölkesen, Şevket Arslan, Recep Evcen, Fi̇li̇z Sadi̇ Aykan, Mehmet Kilinç, Gökhan Ayteki̇n
Allergic Diseases In The Elderly Population: A Single-Center Experience, Eray Yildiz, Fati̇h Çölkesen, Şevket Arslan, Recep Evcen, Fi̇li̇z Sadi̇ Aykan, Mehmet Kilinç, Gökhan Ayteki̇n
Turkish Journal of Medical Sciences
Background/aim: Although allergic diseases are generally considered to be diseases of childhood and youth, the first symptoms of allergic diseases can be seen in old age sometimes. The aim of this study was to determine the prevalence and characteristics of allergic diseases in the elderly population admitted to the allergy unit on an outpatient basis. Materials and methods: The files of the patients who applied to our clinic's allergy unit during the 8-year period were retrospectively analyzed. The data of patients aged ≥ 65 years were obtained from the files of our allergy unit archive. Results: A total of 1272 …
The Effect Of Comorbidity On Mortality In Elderly Patients Undergoing Emergencyabdominal Surgery: A Systematic Review And Metaanalysis, Fadi̇me Çinar, Göknur Parlak, Fatma Eti̇ Aslan
The Effect Of Comorbidity On Mortality In Elderly Patients Undergoing Emergencyabdominal Surgery: A Systematic Review And Metaanalysis, Fadi̇me Çinar, Göknur Parlak, Fatma Eti̇ Aslan
Turkish Journal of Medical Sciences
Background/aim: With the increase in the elderly population, the elderly proportion needing emergency surgery is also increasing. Despite medical advances in surgery and anesthesia, negative postoperative outcomes and high mortality rates are still present in elderly patients undergoing emergency surgery. Comorbidities are described as the main determining factors in poor outcomes. In this metaanalysis, it was aimed to investigate the effect of comorbidity on mortality in elderly patients undergoing emergency abdominal surgery. Materials and methods: The studies published between 2010-2019 were scanned from databases of Google Scholar, Cinahl, Pub Med, Medline and Web of Science. Quality criteria proposed by Polit …
Risk Indices That Predict In-Hospital Mortality Of Elderly Patients, Di̇lek Dülger, Özgür Albuz
Risk Indices That Predict In-Hospital Mortality Of Elderly Patients, Di̇lek Dülger, Özgür Albuz
Turkish Journal of Medical Sciences
Background/aim: Mortality in the elderly population tends to be higher than in all other age groups; the risk factors that predict mortality among those in this age cohort are not fully understood. This large-scale clinical study aimed to identify effective risk factors that predict mortality in the elderly population with a particular focus on age and hospitalization status. Material and methods: We retrospectively analyzed outcomes from patients with clinical follow-up between July 2015 and January 2020 at 29 Mayıs State Hospital, Ankara, Turkey. Patient records with missing or ambiguous data were excluded. Age, sex, length of hospital stay, comorbidities, consultation …
Effect Of 4 Weeks Of Frankincense Consumption On Explicit Motor Memory And Serum Bdnf In Elderly Men, Elham Asadi, Mohammad Reza Shahabi Kaseb, Rasool Zeidabadi, Mohammad Reza Hamedinia
Effect Of 4 Weeks Of Frankincense Consumption On Explicit Motor Memory And Serum Bdnf In Elderly Men, Elham Asadi, Mohammad Reza Shahabi Kaseb, Rasool Zeidabadi, Mohammad Reza Hamedinia
Turkish Journal of Medical Sciences
Background/aim: Memory is a mechanism for coding, storing, and recalling information. Weak memory and learning disability are common psychological problems in the elderly. The aim of this study was to investigate the effect of 4 weeks of frankincense consumption on explicit motor memory and serum BDNF in the elderly.Materials and methods: Twenty elderly men (mean age of 60.2 ± 1.7 years) were randomly divided into two groups: experimental (n = 12) and placebo (n = 8). The first blood samples were collected 24 h before the pretest. Then both groups participated in a 4-week exercise program based on the protocol …
The Turkish Version Of The Modified Falls Efficacy Scale: Reliability And Validity From The Viewpoint Of Balance, Ni̇lüfer Çeti̇şli̇ Korkmaz, Mehmet Duray, Esra Doğru Hüzmeli̇, Hande Şenol
The Turkish Version Of The Modified Falls Efficacy Scale: Reliability And Validity From The Viewpoint Of Balance, Ni̇lüfer Çeti̇şli̇ Korkmaz, Mehmet Duray, Esra Doğru Hüzmeli̇, Hande Şenol
Turkish Journal of Medical Sciences
Background/aim: The factors associated with fall-related self-efficacy should be addressed, especially in the elderly. The Modified Falls Efficacy Scale (MFES) is a simple instrument with good scaling properties and reliability. The aim of the present study was to determine the reliability and the validity of the Turkish version of the MFES from the viewpoint of balance.Materials and methods: In this study, 164 participants aged >65 years were included. The use of walking aids and assistive devices, history and frequency of falls in the previous year, living environment, and exercise habits were noted. Balance and risk of falling were assessed with …
The Turkish Version Of The Physical Activity Scale For Theelderly (Pase): Its Cultural Adaptation, Validation, And Reliability, Ender Ayvat, Muhammed Kilinç, Nuray Kirdi
The Turkish Version Of The Physical Activity Scale For Theelderly (Pase): Its Cultural Adaptation, Validation, And Reliability, Ender Ayvat, Muhammed Kilinç, Nuray Kirdi
Turkish Journal of Medical Sciences
Background/aim: This study aimed to describe the cultural adaptation of the Turkish Physical Activity Scale for the Elderly (PASE) and to examine the reliability and validity of the scale in older Turkish adults. Materials and methods: Eighty elderly people were recruited for the study. The assessments included the PASE, the International Physical Activity Questionnaire (IPAQ), the Short Physical Performance Battery and Short Form-36 Quality of Life Questionnaire (SF-36), and the Mini Mental State Test. Outcome measures were conducted twice within a week (test-retest) for reliability. Results: Cronbach's α coefficient was 0.714 for the initial evaluation. The intraclass correlation coefficient for …
Microvascular Tissue Transfers In The Elderly: Safety Analysis For A Challenging Area, Ali̇ Emre Aksu, Gali̇p Gencay Üstün, Ozan Bi̇ti̇k, Murat Kara, Ahmet Hamdi̇ Sakarya, Tunç Şafak
Microvascular Tissue Transfers In The Elderly: Safety Analysis For A Challenging Area, Ali̇ Emre Aksu, Gali̇p Gencay Üstün, Ozan Bi̇ti̇k, Murat Kara, Ahmet Hamdi̇ Sakarya, Tunç Şafak
Turkish Journal of Medical Sciences
Background/Aim: Due to increased average life expectancy, the number of elderly patients requiring complex reconstructive microsurgical procedures is rising. Age, comorbid conditions, and location of operation are all possible risk factors. The aim of this study is to evaluate surgical outcomes to set the right criteria. Materials and methods: Between 1996 and 2014, the data of 30 patients over the age of 70, who were treated with microsurgical techniques in our clinic, were extracted from patient records and analyzed retrospectively. Results: In this patient population, flap success rate was 94%. Systemic and surgical complication rates were 40% and 48%, respectively. …
Outcomes After Lobectomy And Pneumonectomy In Lungcancer Patients Aged 70 Years Or Older, İlknur Ayteki̇n, Maruf Şanli, Ahmet Ferudun Işik, Bülent Tunçözgür, Ahmet Uluşan, Kemal Bakir, Seval Kul, Levent Elbeyli̇
Outcomes After Lobectomy And Pneumonectomy In Lungcancer Patients Aged 70 Years Or Older, İlknur Ayteki̇n, Maruf Şanli, Ahmet Ferudun Işik, Bülent Tunçözgür, Ahmet Uluşan, Kemal Bakir, Seval Kul, Levent Elbeyli̇
Turkish Journal of Medical Sciences
Background/aim: For the early stage of nonsmall-cell lung cancer, surgical resection provides the best survival, but the surgical risk generally increases with age because of the increased prevalence of comorbidities, especially cardiovascular disorders. The aim of this study was to compare survival and mortality rates of two groups with different ages, younger and older than 70 years, who went curative resection for nonsmall-cell lung cancer. Materials and methods: We analyzed the patients who underwent curative lung cancer surgery in the Department of Thoracic Surgery of Gaziantep University Research Hospital between January 1997 and November 2014. Patients were divided into 2 …
Prevalence Of Cognitive Impairment And Related Risk Factors Incommunity-Dwelling Elderly In Kayseri, Turkey, Si̇bel Arguvanli, Si̇bel Akin, Eli̇f Deni̇z Şafak, Sali̇me Mucuk, Ahmet Öztürk, Mustafa Mümtaz Mazicioğlu, Hati̇ce Duygu Kizilçay, Şemsi̇nnur Göçer
Prevalence Of Cognitive Impairment And Related Risk Factors Incommunity-Dwelling Elderly In Kayseri, Turkey, Si̇bel Arguvanli, Si̇bel Akin, Eli̇f Deni̇z Şafak, Sali̇me Mucuk, Ahmet Öztürk, Mustafa Mümtaz Mazicioğlu, Hati̇ce Duygu Kizilçay, Şemsi̇nnur Göçer
Turkish Journal of Medical Sciences
Background/aim: The increased rate of elderly individuals in the general population leads to functional decline because of cognitive impairment (CImp). We aimed to detect the prevalence of CImp and related risk factors in community-dwelling elders living in an urban area (Kayseri, Turkey). Materials and methods: This is a cross-sectional, population-based study conducted in a sample of 900 community-dwelling elders aged 60 years and older. Cognitive status and depressive symptoms were assessed by standardized Mini Mental State Examination (MMSE) and the Geriatric Depression Scale (GDS), respectively. Results: The mean age of the participants was 71.6 ± 0.18 years, of whom 47.9% …
Factors Affecting Daily Instrumental Activities Of The Elderly, Ayfer Şahi̇n, Oğuz Teki̇n, Sevsen Cebeci̇, Bünyami̇n Işik, Adem Özkara, Rabi̇a Kahveci̇, Meti̇n Canbal, Şeyda Kunt, İrfan Şencan
Factors Affecting Daily Instrumental Activities Of The Elderly, Ayfer Şahi̇n, Oğuz Teki̇n, Sevsen Cebeci̇, Bünyami̇n Işik, Adem Özkara, Rabi̇a Kahveci̇, Meti̇n Canbal, Şeyda Kunt, İrfan Şencan
Turkish Journal of Medical Sciences
Background/aim: In order to determine elderly people's capabilities in daily activities, we evaluated the factors that may affect their daily instrumental activities. Materials and methods: We performed an observational, analytical, and cross-sectional study on 101 patients above 60 years of age in 2008 and 2009. We applied the Lawton Instrumental Activity of Daily Living (IADL) scale, the Standardized Mini-Mental State Examination (SMMSE), and the Geriatric Depression Scale (GDS) during one-on-one interviews with the patients. Demographic data and disability levels were also recorded. These data were used to evaluate the possible effects of factors on the IADL scale. Results: Statistical analyses …
Do Characteristics Of Seriously Injured Older Adults Differ From Those Of Their Younger Counterparts In The Emergency Department?, Ayhan Aköz, Memet Işik, Hüseyi̇n Şahi̇n, Mücahi̇t Emet
Do Characteristics Of Seriously Injured Older Adults Differ From Those Of Their Younger Counterparts In The Emergency Department?, Ayhan Aköz, Memet Işik, Hüseyi̇n Şahi̇n, Mücahi̇t Emet
Turkish Journal of Medical Sciences
To analyze the injury characteristics of younger and older adult trauma victims. Materials and methods: This was a prospective, cross-sectional, observational, and single-center study including both younger adult and geriatric trauma patients. The relationships between the age groups and the number of consultations in the emergency department (ED) were compared with analysis of covariance after adjusting for Injury Severity Score (ISS). Results: The data consisted of 779 patients, 131 (16.8%) of whom were elderly. The intensive care unit admission rate was 7.2%. Our results showed a significantly higher incidence of intracranial hemorrhage, fracture and/or dislocation of the femur, and fracture …
Caudal Epidural Block For Elderly Patients Who Have Limited Cardiac Reserve, Emi̇ne Arzu Köse, Ali̇ye Öztürk, Gülnaz Ateş, Alparslan Apan
Caudal Epidural Block For Elderly Patients Who Have Limited Cardiac Reserve, Emi̇ne Arzu Köse, Ali̇ye Öztürk, Gülnaz Ateş, Alparslan Apan
Turkish Journal of Medical Sciences
The choice of anesthetic technique based on its advantages and disadvantages in elderly patients will inevitably be influenced by the patient's comorbidities, such as cardiovascular disease, diabetes mellitus, stroke, renal insufficiency, and pulmonary disease. The patient's underlying cardiac conditions, although apparently stable at present, may become manifest during perioperative stresses. Caudal epidural block should be taken into consideration as a safe and effective anesthetic technique for the elderly patients who have limited cardiac reserve and comorbidities. Six patients with low ejection fraction and poor functional status due to ischemic cardiac disease scheduled for surgery under caudal epidural block are presented.
Which Predicts The Cardiovascular Risk Best In Elderly Metabolic Syndrome Patients: Atp Iii Or Idf?, Serpi̇l Aydin, Ayfer Gemalmaz, Tufan Nayi̇r, Şule Özkan
Which Predicts The Cardiovascular Risk Best In Elderly Metabolic Syndrome Patients: Atp Iii Or Idf?, Serpi̇l Aydin, Ayfer Gemalmaz, Tufan Nayi̇r, Şule Özkan
Turkish Journal of Medical Sciences
As metabolic syndrome (MetS) is one of the major determinants of cardiovascular disease, it is important to detect and intervene with MetS in order to minimize cardiovascular risk. The objectives of this study were to identify the prevalence of MetS in our elderly patients and to evaluate the ability IDF and ATP III to predict the cardiovascular risk. Materials and methods: This cross-sectional study included patients above 65 years attending the outpatient clinic of a hospital over a 4-year period and who gave oral informed consent for participation in the study. ATP III and IDF criteria were compared according to …
The Prevalence Of Home Injuries Among Elderly People In Samsun, Turkey, And The Influencing Factors, Hülya Doğan, Sevgi̇ Canbaz, Berna Tander, Yildiz Pekşen, Ferhan Cantürk, Ni̇met Özal Oruç
The Prevalence Of Home Injuries Among Elderly People In Samsun, Turkey, And The Influencing Factors, Hülya Doğan, Sevgi̇ Canbaz, Berna Tander, Yildiz Pekşen, Ferhan Cantürk, Ni̇met Özal Oruç
Turkish Journal of Medical Sciences
Home injuries are a serious public health problem for the elderly. Our aim was to investigate the prevalence of home injuries among elderly people in Samsun, Turkey, and the influencing factors. Materials and methods: This cross-sectional study was conducted between 1 January and 28 February 2007. A questionnaire, the Home-Screen Scale (HSS), and the Geriatric Depression Scale (GDS) were administered to the elderly subjects. Results: Of all participants, 20.6% had experienced some kind of home injury. Seven participants living alone and 14 living with their families had suffered home injuries, suggesting a statistically significant difference between these 2 groups (P < 0.05). Eleven (14.7%) subjects living in secure housing and 10 (37.0%) living in unsecure housing had suffered home injuries, the difference again being statistically significant (P < 0.05). Conclusion: Home injuries are more common among people living alone and in unsecure housing according to the HSS.
Morbidity Pattern Among The Elderly Population In The Rural Area Of Tamil Nadu, India, Anil Jacob Purty, Joy Bazroy, Malini Kar, Kavita Vasudevan, P. Zacharia, Purushottam Panda
Morbidity Pattern Among The Elderly Population In The Rural Area Of Tamil Nadu, India, Anil Jacob Purty, Joy Bazroy, Malini Kar, Kavita Vasudevan, P. Zacharia, Purushottam Panda
Turkish Journal of Medical Sciences
Globally there are an estimated 605 million people aged 60 years and above. From the morbidity point of view, almost 50 per cent of the Indian elderly have chronic diseases and 5 percent suffer from immobility. A major component of the burden of illness for the elderly derives from prevalent chronic disease. Hence a study was undertaken to assess the present morbidity pattern of rural elderly persons. A community based cross-sectional study was undertaken in the rural service area of Pondicherry Institute of Medical Sciences (PIMS) between october 1, 2002 to October 31, 2003. All persons above the age of …
Laparoscopic Cholecystectomy In The Elderly, I. Oskay Kaya, Alper Özkardeş, Fati̇h Özdemi̇r, Gaye Şeker, Mehmet Tokaç, M. Mahi̇r Özmen
Laparoscopic Cholecystectomy In The Elderly, I. Oskay Kaya, Alper Özkardeş, Fati̇h Özdemi̇r, Gaye Şeker, Mehmet Tokaç, M. Mahi̇r Özmen
Turkish Journal of Medical Sciences
Aim: Our aim was to evaluate the rate of laparoscopic surgery in elderly patients with gallstones and to compare it with their younger counterparts. The relation between age and the rate of conversion was also evaluated. Materials and Methods: Medical records of the patients who underwent surgery for gallstones during the last six years were evaluated. Patients were divided into two groups according to their age as below and above 65 years. Age, sex, type of operation and rate of conversion were all recorded for both groups and analyzed. Results: There were 1783 patients aged under 65 years in Group …
Prevalence Of Rheumatoid Factor (Rf) Andanti-Native-Dna Antibodies (Anti-N Dna) Indifferent Age Subpopulations, Fatoş Önen, Cansel Türkay, Ali Meydan, H. Sebila Dökmetaş, Haldun Sümer, Lütfi Hocaoğlu, Serhat Içagasioğlu, M. Zahir Bakici
Prevalence Of Rheumatoid Factor (Rf) Andanti-Native-Dna Antibodies (Anti-N Dna) Indifferent Age Subpopulations, Fatoş Önen, Cansel Türkay, Ali Meydan, H. Sebila Dökmetaş, Haldun Sümer, Lütfi Hocaoğlu, Serhat Içagasioğlu, M. Zahir Bakici
Turkish Journal of Medical Sciences
In this study, we have evaluated the prevalence of RF and anti-n-DNA in dif-ferent age subpopulations grouped according to their clinical status. RF and anti-n-DNA were measured in the serum of 51 elderly people considered to be successfully aging (group 1), 65 chronically ill elderly (group 2), 65 chronically ill patients under 65 years (group 3) and 30 patients with rheumatoid arthritis (group 4). The results were compared to 100 healthy persons as a control group under 65 years. The prevalences of RF in group 1, group 2 and group 3 were significantly higher than the healthy younger controls. Particularly …