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Results 101 - 150 of 1747
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Hwang Jinyoung J Department of Anesthesiology and Pain Medicine, SMG-SNU Boramae Medical Center, Boramae-ro, Dongjak-gu, Seoul, 156-707, Republic of - - 2013
Hypotension during spinal anesthesia is a serious complication in elderly patients. We evaluated the effect of glycopyrrolate on hypotensive responses in elderly patients undergoing spinal anesthesia. Sixty-six patients older than 60 yr of age scheduled for elective surgery with spinal anesthesia were included in the study. They received either glycopyrrolate 0.2 mg ...
Jia Yitao Y Oncology Department, Hebei General Hospital, Shijiazhuang, Hebei, China, - - 2013
This study aims to investigate the role of fast-track surgery in preventing the development of postoperative delirium and other complications in elderly patients with colorectal carcinoma. A total of 240 elderly patients with colorectal carcinoma (aged ≥70 years) undergoing open colorectal surgery was randomly assigned into two groups, in which the ...
Koh Yong-Gon - - 2013
In the present study, the clinical outcomes and second-look arthroscopic findings of intra-articular injection of stem cells with arthroscopic lavage for treatment of elderly patients with knee osteoarthritis (OA) were evaluated. Stem cell injections combined with arthroscopic lavage were administered to 30 elderly patients (≥65 years) with knee OA. Subcutaneous adipose ...
Tang Xin - - 2013
The treatment of elderly KBD knee remains a significant clinical challenge, and clinical data are lacking. This study aimed to prospectively determine the functional outcomes of total knee arthroplasty (TKA) in adult patients with severe Kashin-Beck disease (KBD) of the knee. Fifteen cases that included 18 occurrences of KBD of ...
Karlsson J - - 2013
Abstract Objective A recent pharmacokinetic study with buprenorphine transdermal patches showed similar systemic exposures of buprenorphine in subjects aged ≥75 and 50-60 years. The current prospective, open-label study aimed to verify this in a clinical setting by evaluating efficacy and safety of buprenorphine patches in patients with chronic osteoarthritis (OA) ...
Belardi Jorge - - 2013
Aims: To evaluate the rate of clinical events and bleeding risk according to age in patients undergoing percutaneous coronary intervention (PCI) with new-generation drug-eluting stent enrolled in the RESOLUTE Global Clinical Program. Methods: This study represents a pooled analysis of 5 trials included in the RESOLUTE program including 5,130 patients, ...
Fernandes Alexandra - - 2013
More than 50% of liver tumors occur in patients aged 65 years or more. Assessment of functional liver regeneration capacity is crucial to minimize postoperative liver failure. We aimed to study functional hepatocellular regeneration, through scintigraphic quantification of Mebrofenin Hepatic Extraction Fraction (HEF), after partial hepatectomy, comparing elderly patients with ...
Spyropoulou Georgia-Alexandra - - 2013
The purpose of this study is to review our group of elderly patients and examine whether microsurgical reconstruction is safe to perform in these cases. From October 2006 to October 2009, 747 patients with head and neck cancer who underwent free flap reconstruction were divided into two groups: patients younger ...
Nishihata Yosuke - - 2013
Obstructive sleep apnea (OSA) is associated with the progression of cardiovascular disease (CVD), particularly in the middle-aged population. However, the clinical importance of OSA as a risk for CVD in the elderly population remains controversial. Moreover, evidence for the effectiveness of continuous positive airway pressure (CPAP) treatment for the secondary ...
Mekel Michal M Department of General Surgery, Rambam-Health Care Campus, Haifa, Israel, - - 2013
Single adenoma is the cause of 80 % of primary hyperparathyroidism (PHPT) resulting in wide acceptance of minimally invasive parathyroidectomy (MIP). The incidence of PHPT increases with age. Little information is available regarding the prevalence of multiglandular disease (MGD) in older patients. The records of 537 patients that underwent parathyroid surgery ...
Aleem Ilyas S IS Department of Surgery, University of Toronto, Toronto, ON, - - 2013
Older patients undergo surgery for lumbar spinal stenosis in great numbers, but as a result of substantial diagnostic and surgical heterogeneity, the impact of age on results after surgery is poorly defined. We compared groups of patients younger and older than 70 years with relative clinical and surgical homogeneity to determine ...
Zhang Jianjian - - 2013
External ventricular drainage (EVD) combined with intraventricular fibrinolysis (IVF) is rarely used in severe spontaneous cerebellar hemorrhage (SCH) with intraventricular hemorrhage (IVH). Recently, the treatment strategy was repeatedly performed in our hospital to elderly patients with severe SCH + IVH. To analyze its clinical value, we compared it to two treatment strategies ...
Raveau Tommy T Département de réanimation médicale et de médecine hyperbare, CHU d'Angers, France, Département d'anesthésie réanimation, CHU d'Angers, - - 2013
Background: long-term outcomes of elderly patients after an intensive care unit (ICU) stay are not fully elucidated. The objective of the pre-Seniorea study was to examine the feasibility of comprehensive geriatric assessment (CGA) during and after the ICU stay. Methods: inpatients aged 75 years and over admitted to medical and ...
Kosilov Kirill K Far Eastern Federal University, Vladivostok, - - 2013
To improve the long-term efficiency of the pharmacologic management of overactive bladder (OAB) in elderly women. The study comprised 229 women (mean age, 66.3 years; range, 65-77 years) with urodynamically and clinically confirmed OAB. All patients received the most effective treatment regimen based on the data obtained in the initial ...
Antoniou George A GA Department of Vascular Surgery, Hellenic Red Cross Hospital, Athens, Greece2Department of Vascular and Endovascular Surgery, Democritus University of Thrace, Alexandroupolis, - - 2013
Uncertainty exists about the influence of advanced age on the outcomes of carotid revascularization. To undertake a comprehensive review of the literature and conduct an analysis of the outcomes of carotid interventions in the elderly. A systematic literature review was conducted to identify articles comparing early outcomes of carotid endarterectomy ...
Guha K - - 2013
Cardiac resynchronisation therapy (CRT) is an established treatment for selected patients with symptomatic left ventricular (LV) systolic dysfunction. Heart failure (HF) is primarily a disease of the elderly; however, these patients are underrepresented in CRT trials. Our aim was to evaluate the impact of age on clinical outcomes following CRT. ...
Biancari Fausto - - 2013
The aim of this study was to summarize the immediate outcome after aortic valve replacement (AVR) with or without coronary artery bypass grafting (CABG). Systematic review and meta-analysis. University hospitals. Participants were 683,286 patients who underwent AVR with or without CABG. Patients undergoing other major cardiac procedures were excluded from ...
Kazemian G H GH Department of Orthopedic Surgery, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, - - 2013
Although the use of a dynamic hip screw (DHS) is considered to be the preferred treatment for intertrochanteric fractures, the external fixation device could produce clinical outcomes comparable to the outcomes obtained with conventional treatment. Furthermore, because external fixation is minimally invasive, we expected a lower rate of morbidity. Therefore, ...
van Haelst Ingrid M M IM Hospital Pharmacist, Medical Center Alkmaar, Department of Clinical Pharmacy, Wilhelminalaan 12, Alkmaar 1815 JD, the Netherlands - - 2013
To investigate the association between the use of a selective serotonin reuptake inhibitor (SSRI) and the occurrence of QT interval prolongation in an elderly surgical population. A cross-sectional study was conducted among patients (> 60 years) scheduled for outpatient preanesthesia evaluation in the period 2007 until 2012. The index group ...
Gafoor Sameer - - 2013
Objectives: To determine the procedural safety, safety, and efficacy of left atrial appendage (LAA) occlusion in octogenarians. Background: Elderly patients with atrial fibrillation (AF) often do not receive appropriate anticoagulation. LAA occlusion is an option for patients with atrial fibrillation and contraindications to anticoagulation. Little is known about the procedural ...
Miyawaki Satoru - - 2013
Ischemic cardiac complication is one of the major perioperative complications of surgical treatment for cervical carotid stenosis, carotid endarterectomy (CEA), and carotid artery stenting (CAS), and may greatly affect surgical outcome, especially in elderly patients aged ≥ 80 years. We retrospectively analyzed the records of 259 patients (34 patients aged ...
Barreto-Filho José Augusto JA Division of Cardiology, Federal University of Sergipe, and the Clínica e Hospital São Lucas, Aracaju, Sergipe, Brazil10Center for Outcomes Research and Evaluation at Yale-New Haven Hospital (during the time that the work was - - 2013
There is a need to describe contemporary outcomes of surgical aortic valve replacement (AVR) as the population ages and transcatheter options emerge. To assess procedure rates and outcomes of surgical AVR over time. A serial cross-sectional cohort study of 82,755,924 Medicare fee-for-service beneficiaries undergoing AVR in the United States between ...
Patel Bhaveshkumar J - - 2013
Dilation of a cricopharyngeal (CP) bar can be a safe and effective means of nonsurgical treatment as elderly patient population has high morbidity and is at a higher risk of surgical complications. CP bar is a relatively uncommon radiologic finding, which is an infrequent cause of oropharyngeal dysphagia in the ...
Cull John D - - 2013
Published guidelines recommend early cholecystectomy for acute cholecystitis in the elderly. Alternatively, percutaneous cholecystostomy can be used in compromised patients. We reviewed 806 elderly patients diagnosed with biliary disease retrospectively identified through billing and diagnosis codes. Two hundred sixty-five patients with histologically documented acute cholecystitis were selected. Initially, 75 patients ...
Charach Gideon - - 2013
Objectives: There are conflicting reports on the role of cholesterol as an adverse prognostic predictor in patients with heart failure (HF). This study aimed to examine the impact of low levels of low-density lipoprotein cholesterol (LDL-c) on cardiac mortality in a cohort of elderly patients with moderate and severe HF. ...
Jansen J A - - 2013
Vitamin D deficiency has been reported previously in patients with osteoarthritis undergoing total hip arthroplasty. We found a high prevalence of vitamin D deficiency in elderly patients with advanced knee osteoarthritis scheduled for total knee replacement and also a significant association with a lower preoperative functional state. A review of ...
Gaca Jeffrey G JG Duke University Medical Center, Durham, NC 27710, USA. - - 2013
Detailed analyses of risk-adjusted outcomes after mitral valve surgery have documented significant survival decrements with tissue valves at any age. Several recent studies of prosthetic aortic valve replacement (AVR) also have suggested a poorer performance of tissue valves, although analyses have been limited to small matched series. The study aim ...
Hariram Vuppaladadhiam V Department of Cardiology, UIsha Mullapudi Cardiac Center, Hyderabad, India. - - 2013
Prosthetic valve thrombosis (PVT) is a serious complication of mechanical prosthetic heart valves, the available treatment options for which are either thrombolytic therapy or surgery. In patients who have already received streptokinase to treat a previous episode of PVT, the therapeutic options are limited. Herein, the case is reported of ...
Guénette Line - - 2013
Canadian practice guidelines recommend the use of angiotensin-converting enzyme inhibitors (ACEIs) or angiotensin II receptor blockers (ARBs) for vascular protection in individuals with diabetes who are at high risk of cardiovascular events, including those ≥ 65 years. We estimated the proportion of elderly persons who initiated an ACEI or an ...
Graham Michelle M - - 2013
Frailty is superior to chronological age as a predictor of outcome. The Edmonton Frail Scale (EFS) is a simple valid measure of frailty, covering multiple important domains, with scores ranging from 0 (not frail) to 17 (very frail). The purpose of this pilot study was to assess the EFS in ...
Lee Chang-Hyun - - 2013
As the population ages, more elderly patients suffer from spinal stenosis requiring lumbar fusion. However, there are few and conflicting results regarding the clinical outcome of lumbar fusion. The purpose of this study is to evaluate the safety and efficiency of posterior lumbar interbody fusion (PLIF) in over 75-year-old patients ...
Gupta Anita - - 2013
Treatment of postherpetic neuralgia (PHN) is more complicated in elderly patients, and multiple daily dosing, complex titration, and high incidences of adverse events can be limiting for many pharmacological treatment options. The aim of this study was to determine whether the efficacy and tolerability of once-daily gastroretentive gabapentin (G-GR) is ...
Palmisano Pietro - - 2013
There is little information on any seasonal variations or meteorological factors associated with symptomatic bradyarrhythmias requiring cardiac pacing. The aim of this single-center study was to investigate the seasonal distribution of the incidence of severe, life-threatening bradyarrhythmias requiring urgent temporary transvenous cardiac pacing in an elderly population. Consecutive patients who ...
Hwang Wonjung W Department of Anesthesiology, College of Medicine, The Catholic University of Korea, Seoul St. Mary's Hospital, 202 Banpo-Daero, Seocho-gu, Seoul 137-701, - - 2013
Induced hypotension is widely used intraoperatively to reduce blood loss and to improve the surgical field during spinal surgery. To determine the effect of milrinone on induced hypotension during spinal surgery in elderly patients. Prospective randomized clinical trial. Forty patients, 60 to 70 years old, ASA I-II, who underwent elective ...
Pierides G - - 2013
A growing proportion of inguinal hernia patients are at least 65 years old. Assessing operational benefits versus risks in this group of elderly patients merits research. Patients in two prospective trials (1:n = 134, 89 elderly; 2:n = 398, 70 elderly) completed RAND-36 questionnaires preoperatively (response rate 100 and 98.5 %, respectively) and at 3 (98.5 %) ...
Sasao Yutaka - - 2013
Retrospective study. To evaluate clinical and radiographic outcome of posterior decompression and occipito-cervical/thoracic (OCT) fusion in patients with irreducible atlantoaxial kyphosis (IAK). Posterior OCT fusion is an effective surgical procedure for treating IAK in the elderly. However, it is unclear whether correction can be obtained by the strong corrective force ...
Pellino Gianluca - - 2013
Restorative proctocolectomy with ileopouch-anal anastomosis (IPAA) is the treatment of choice for intractable or complicated ulcerative colitis (UC). Debate exists concerning outcomes of IPAA in the elderly and literature data are scarce. We report our experience of IPAA in older population. We gathered data on a prospective database of patients ...
Ueno Masaki - - 2013
The incidence of hepatocellular carcinoma (HCC) in the elderly population has recently been increasing. In this study, we focused on a recent 10-year survey, and compared the clinicopathological features and postoperative outcomes of HCC in elderly (≥75 years of age) and younger patients (<75 years of age). A total of 255 patients ...
Liu Pei - - 2013
The relationship between inflammation and delirium remains to be determined. The purposes of this study were to investigate the association between serum interleukin-6 levels and the occurrence of delirium in elderly patients after major noncardiac surgery. A total of 338 elderly patients (60 years of age and over) undergoing major ...
Xu Rong-He - - 2013
Contrast-induced nephropathy (CIN) is a complex syndrome of acute kidney injury that follows exposure to intravascular contrast media. Although a series of preventive measures have been developed, CIN remains a major challenge encountered in elderly patients by interventional cardiologists. No data are currently available concerning the potential effects of the ...
Kilinc Leyla T LT Department of Anesthesiology and Reanimation, Sisli Etfal Training and Research Hospital, Istanbul, - - 2013
Continous spinal anesthesia (CSA) and frequently unilateral spinal anesthesia (USpA) are usually preferred for lower extremity surgeries. In this study, we aimed to compare the effects of these anesthetic techniques, on hemodynamic parameters, quality of anesthesia and complications in elderly patients undergoing hip surgeries. Forty patients aged 65 years and ...
Sarkar Anindya A Department of Radiotherapy, North Bengal Medical College, Siliguri, - - 2013
This prospective study aimed to assess the profiles of elderly cancer patient to optimize cancer care in Indian setup. The profiles have been compared with that of younger patients in terms of epidemiological, clinical data, co-morbidity, treatment, toxicity, clinical outcome, and survival pattern. The study comprised cancer patients attending radiotherapy ...
Zheng Songbai S Huangdong Hospital, Fudan University, Department of Gastroenterology, Shanghai, - - 2013
Background/aims:Adverse events during colonoscopy are more likely to occur in elderly. To avoid the adverse events without decreasing the bowel cleanliness is still an unsolved problem. The aim of this study was to determine the effect of enteral nutrition before colonoscopy in a randomized controlled trail. Materials and Method:A total ...
Costa Francesco - - 2013
To evaluate the clinical and radiological outcomes of elderly (>75 years old) patients who underwent spinal instrumented fusion surgery. Patients underwent lumbar pedicle screw fixation and fusion for degenerative spondylolisthesis. Clinical and radiological outcomes were assessed. 53 patients were studied. Pre-operative VAS was 7.8, ODI was 47.6 %. 254 screws were placed ...
Roghmann Florian - - 2013
Introduction: To examine national trends of radical cystectomy (RC) for urothelial carcinoma of urinary bladder in octogenarian patients and to assess the rates of adverse outcomes. Materials and Methods: Within the Nationwide Inpatient Sample (NIS), we focused on RCs performed between 1998 and 2007. Age was stratified as <80 versus ...
Hamm Christian W - - 2013
Aortic stenosis is a frequent valvular disease especially in elderly patients. Catheter-based valve implantation has emerged as a valuable treatment approach for these patients being either at very high risk for conventional surgery or even deemed inoperable. The German Aortic Valve Registry (GARY) provides data on conventional and catheter-based aortic ...
Wutzler Alexander - - 2013
Atrial fibrillation (AF) is the most common cardiac arrhythmia. AF incidence increases with age. AF ablation procedures are routinely performed under deep sedation with propofol. The purpose of the study was to evaluate if propofol deep sedation during AF ablation is safe in elderly patients. Four hundred one consecutive patients ...
Robenshtok Eyal - - 2013
Objective: Non-functioning pituitary adenomas (NFPA) are the most common type of pituitary adenomas diagnosed in older patients. However, there is insufficient data regarding the clinical course, risk of regrowth and long term prognosis in elderly patients compared to younger age groups.Methods: This retrospective cohort study observed 105 adult patients with ...
Yamazaki Hajime - - 2013
The use of radiofrequency ablation (RFA) in elderly patients is increasing in those with hepatocellular carcinoma (HCC). This study compares the elderly (≧75 years old) to non-elderly patients (<75 years old) in the outcomes of the efficacy and safety of RFA. Three hundred thirty-five patients, 103 elderly and 232 non-elderly, ...
Czyżewski Piotr - - 2013
Abstract Aging population, increases the number of major abdominal surgery (MAS) performed in the elderly. Main goal of physiotherapy after that surgery is prevention postoperative complications and reduction of functional limitation. The aim of the study was to asses functional status elderly people after MAS during early postoperative physiotherapy. Material ...
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