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At least 415 records · Page 23Linked to original sources
PubMedDate not supplied

Geriatric trauma patients at a suburban level-I trauma center in Japan.

BACKGROUND: Despite the increases in the aged population in Japan, there are little data on geriatric patients with traumatic injuries. A prospective clinical study was carried out to evaluate the use of the emergency medical services (EMS) system, mechanisms of injury, and prehospital assessment and triage of elderly victims of trauma. PATIENTS AND METHODS: From July 1996 through June 1997, a group of geriatric trauma (Group G, n = 22) and a control group of younger trauma patients (n = 173) were compared with respect to transfer method to an Emergency Center (direct or indirect), Revised Trauma Scores on the scene of the accident (RTS-1) and on admission to the Emergency Center (RTS-2), and outcome (survival). RESULTS: The mean values for RTS-1 in the Control Group (Group C) were not different from those in Group G, but RTS-2 of the indirect-transfer patients (IP) in Group G were significantly lower than were those for Group C. Group G mortality rates were significantly higher than were the control rates (p = 0.0001). The mortality rate of the IP subgroup was significantly lower than that of the direct transfer subgroup (DP) (30/68 vs. 5/70, p < 0.0001) in the Group C, but mortality rate of the IP subgroup exceeded that of the DP subgroup of Group G (8/14 vs. 5/8). CONCLUSION: The data suggest that in geriatric-age patients, direct transfer patients have a lower mortality rate than do indirect transfer patients when controlled for ISS. Therefore, it seems that a different set of triage criteria should be developed and implemented for geriatric-age victims with trauma-induced injuries and that those who meet these more stringent criteria should be transferred directly to a Trauma Center.

Accidents, Traffic↗
PubMed1999

[Relationship between food habits and serum cholesterol levels in a suburban population in Argentina].

Studies of cholesterol levels in a population of Gran Buenos Aires was made in 1983, 1988, 1993 and 1996, and the Argentinian alimentary habits in this period were analyzed. It was noticed a change in food consumption, with reduction in the intake of fatty foods, such as meat, butter, milk, and other dairy products, with the concomitant increment in fiber rich products and oil, meat and dairy products reduced in fats. Changes in serum cholesterol level were analysed in 3051 persons along 1983-1996. They were grouped according their age and sex: A) 1-6 years old, B) 6-12, C) 12-17, D) 17-30, E) 30-60, F) 60-80. It was observed an increment in cholesterol level with age. For each group during the first 10 years of study was noticed a constant decrease in total cholesterol being higher in women than in men and according with the alimentary changes. Group D in 1983 became group E in 1993, maintained their cholesterol level along 10 years of life, being lower than the corresponding E group of 1983, while the older ones did not present differences. Values of cholesterol/cholesterol-HDL index over 6.5 correlate with a high incidence in cardiovascular diseases. The 40% of the population studied during 1993 and 1996 was evaluated, and the maximum average value found was 4.90. These results suggest that reduction in fat intake and diversification in food consumption during this period has contributed to decrease cholesterol levels and cholesterol/cholesterol-HDL index, particularly in younger than 30 years old and women, contributing to reduce metabolical cardiovascular diseases.

Adolescent↗
PubMed2000

Alcohol habits in a suburban male cohort.

OBJECTIVE: Using data from a prospective birth-to-maturity project, the study presents normally occurring variations in alcohol involvement of alcohol-related problems among a representative cohort of Swedish males in young middle age, born in a Swedish metropolitan area (n = 106). METHODS: Description and classification were based on an analysis of self-reported information (collected at about 36 years of age) about frequency and quantity of alcohol consumption (four-week timeline), self-reported alcohol-related symptoms, and registry data. RESULTS: According to a broad, operationally defined classification of "harmful drinking" (at least three alcohol-related symptoms, including alcohol-related crimes), 43 subjects (41%) had experienced a substantial drinking problem during their lifetime, to an extent that might warrant labels such as "alcoholism" or "hazardous drinking". About one-third of these misusers were currently using other drugs. Of the 106 subjects, 80 (75%) reported having had at least one alcohol-related symptom or problem at some time during their life. Taking various life events into account, including sociomedical circumstances and heavy consumption at 18 and 25 years, 23 subjects (22%) were classified as having a lifetime prevalence of alcohol abuse/dependence according to DSM-III criteria. CONCLUSION: Problem drinking was largely unknown to the healthcare system and only a few subjects had received treatment. The results are discussed in the light of data from other national and international epidemiological surveys.

Adult↗
PubMed2003

Perceived self-efficacy in performing and willingness to learn cardiopulmonary resuscitation in an elderly population in a suburban community.

BACKGROUND: Older persons are the group most likely to respond to cardiac arrests in private residences. OBJECTIVE: To characterize the knowledge about, attitudes toward, and perceived self-efficacy of older persons in learning and providing cardiopulmonary resuscitation. METHODS: A total of 2743 surveys were mailed to adults 55 years and older who resided in a single Michigan suburb. Data were collected on demographics, medical history, training in and willingness to provide cardiopulmonary resuscitation, and concerns about providing this intervention. RESULTS: The 631 persons (24.6%) who responded were elderly (mean age, 73.5 years) and had a mean of 1.7 occupants per household. More than one third lived alone. Of all respondents, 275 (43.6%) had received training in cardiopulmonary resuscitation, 370 (58.6%) indicated a willingness to learn cardiopulmonary resuscitation, and 412 (65.3%) thought that they had the ability to perform this intervention. Respondents 80 years or younger were significantly more likely than respondents more than 80 years old to be willing to learn cardiopulmonary resuscitation (65.7% vs 19.0%, P < .001) and perceived themselves as able to perform it (73.0% vs 34.0%, P < .001). The absence of mouth-to-mouth ventilation as part of training had minimal impact on the willingness of either age group to receive training (61.2% vs 58.6%, P = .19). Perceived ability to learn and perform cardiopulmonary resuscitation did not vary with the medical history of the respondent or the respondent's spouse. CONCLUSION: Adults 56 to 80 years old perceive themselves as able to perform cardiopulmonary resuscitation and are interested in receiving training.

Aged↗
PubMed2002

Factors that promote success in home palliative care: a study of a large suburban palliative care practice.

It has been repeatedly shown that most people would prefer to die in their own homes. However, many factors affect the feasibility of this choice. This study retrospectively examined the medical and nursing charts of 402 cancer patients who wished to die at home and had been referred to a palliative care service. Of those reviewed, 223 (55%) died at home, while 179 died in hospitals. The presence of more than one caregiver, an increased length of time between diagnosis and referral to a palliative care physician, an increased length of time under that physician's care, older age at referral, home ownership, and race were all significantly associated with home death, as were certain cancer diagnoses. The most compelling of these predictive factors have formed the basis for an evaluation tool, soon to be validated, to help palliative health professionals assess the viability of home-based palliative care culminating in a home death.

Adult↗
PubMed1955

Suburbanization.

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Housing↗
PubMedDate not supplied

Outer suburban practice.

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Education, Medical, Graduate↗
PubMed2001

[Contraceptive use prevalence in a suburban zone around Sousse (Tunisia)].

A contraceptive prevalence survey was conducted among 1277 women of reproductive age, to explore knowledge of and attitudes to contraceptive use and study factors influencing contraceptive use. We found that family planning methods were generally well known. The prevalence of modern contraceptive use was 53.6%, IUDs being the most commonly used followed by sterilization and pills. The public sector was the main source for obtaining contraceptives although pills and condoms tended to be obtained from the private sector. There was a significant correlation between contraceptive use and urban residence.

Adolescent↗