المؤلفون: Bellani, G, Laffey, Jg, Pham, T, Fan, E, Brochard, L, Esteban, A, Gattinoni, L, van Haren, F, Larsson, A, Mcauley, Df, Ranieri, M, Rubenfeld, G, Thompson, Bt, Wrigge, H, Slutsky, As, Pesenti, A, Francois, Gm, Rabboni, F, Madotto, F, Conti, S, Sula, H, Nunci, L, Cani, A, Zazu, A, Dellera, C, Insaurralde, Cs, Alejandro, Rv, Daldin, J, Vinzio, M, Fernandez, Ro, Cardonnet, Lp, Bettini, Lr, Bisso, Mc, Osman, Em, Setten, Mg, Lovazzano, P, Alvarez, J, Villar, V, Pozo, Nc, Grubissich, N, Plotnikow, Ga, Vasquez, Dn, Ilutovich, S, Tiribelli, N, Chena, A, Pellegrini, Ca, Saenz, Mg, Estenssoro, E, Brizuela, M, Gianinetto, H, Gomez, Pe, Cerrato, Vi, Bezzi, Mg, Borello, Sa, Loiacono, Fa, Fernandez, Am, Knowles, S, Reynolds, C, Inskip, Dm, Miller, Jj, Kong, J, Whitehead, C, Bihari, S, Seven, A, Krstevski, A, Rodgers, Hj, Millar, Rt, Mckenna, Te, Bailey, Im, Hanlon, Gc, Aneman, A, Lynch, Jm, Azad, R, Neal, J, Woods, Pw, Roberts, Bl, Kol, Mr, Wong, Hs, Riss, Kc, Staudinger, T, Wittebole, X, Berghe, C, Bulpa, Pa, Dive, Am, Verstraete, R, Lebbinck, H, Depuydt, P, Vermassen, J, Meersseman, P, Ceunen, H, Rosa, Ji, Beraldo, Do, Piras, C, Rampinelli, Am, Nassar, Ap, Mataloun, S, Moock, M, Thompson, Mm, Gonçalves, Ch, Antônio, Ac, Ascoli, A, Biondi, Rs, Fontenele, Dc, Nobrega, D, Sales, Vm, Shindhe, S, Ismail, Dm, Laffey, J, Beloncle, F, Davies, Kg, Cirone, R, Manoharan, V, Ismail, M, Goligher, Ec, Jassal, M, Ferguson, Nd, Nishikawa, E, Javeed, A, Curley, G, Rittayamai, N, Parotto, M, Mehta, S, Knoll, J, Pronovost, A, Canestrini, S, Bruhn, Ar, Garcia, Ph, Aliaga, Fa, Farías, Pa, Yumha, Js, Ortiz, Ca, Salas, Je, Saez, Aa, Vega, Ld, Labarca, Ef, Martinez, Ft, Carreño, Ng, Lora, P, Liu, H, Qiu, H, Liu, L, Tang, R, Luo, X, An, Y, Zhao, H, Gao, Y, Zhai, Z, Ye, Zl, Wang, W, Li, W, Li, Q, Zheng, R, Yu, W, Shen, J, Li, X, Yu, T, Lu, W, Wu, Yq, Huang, Xb, He, Z, Lu, Y, Han, H, Zhang, F, Sun, R, Wang, Hx, Qin, Sh, Zhu, Bh, Zhao, J, Liu, J, Li, B, Liu, Jl, Zhou, Fc, Li, Qj, Zhang, Xy, Li Xin, Z, Xin Hua, Q, Jiang, L, Gao, Yn, Zhao, Xy, Li, Yy, Li, Xl, Wang, C, Yao, Q, Yu, R, Chen, K, Shao, H, Qin, B, Huang, Qq, Zhu, Wh, Hang, Ay, Hua, Mx, Li, Y, Xu, Y, Di, Yd, Ling, Ll, Qin, Th, Wang, Sh, Qin, J, Han, Y, Zhou, S, Vargas, Mp, Jimenez, Ji, Rojas, Ma, Solis Quesada, Je, Ramirez Alfaro, Cm, Máca, J, Sklienka, P, Gjedsted, J, Christiansen, A, Nielsen, J, Villamagua, Bg, Llano, M, Burtin, P, Buzancais, G, Beuret, P, Pelletier, N, Mortaza, S, Mercat, A, Chelly, J, Jochmans, S, Terzi, N, Daubin, C, Carteaux, G, de Prost, N, Chiche, Jd, Daviaud, F, Fartoukh, M, Barberet, G, Biehler, J, Dellamonica, J, Doyen, D, Arnal, Jm, Briquet, A, Klasen, F, Papazian, L, Follin, A, Roux, D, Messika, J, Kalaitzis, E, Dangers, L, Combes, A, Au, Sm, Béduneau, G, Carpentier, D, Zogheib, Eh, Dupont, H, Ricome, S, Santoli, Fl, Besset, Sl, Michel, P, Gelée, B, Danin, Pe, Goubaux, B, Crova, Pj, Phan, Nt, Berkelmans, F, Badie, Jc, Tapponnier, R, Gally, J, Khebbeb, S, Herbrecht, Je, Schneider, F, Declercq, Pl, Rigaud, Jp, Duranteau, J, Harrois, A, Chabanne, R, Marin, J, Constantin, Jm, Thibault, S, Ghazi, M, Boukhazna, M, Zein, So, Richecoeur, Jr, Combaux, Dm, Grelon, F, Le Moal, C, Sauvadet, Ep, Robine, A, Lemiale, V, Reuter, D, Dres, M, Demoule, A, Goldgran Toledano, D, Baboi, L, Guérin, C, Lohner, R, Kraßler, J, Schäfer, S, Zacharowski, Kd, Meybohm, P, Reske, Aw, Simon, P, Hopf, Hb, Schuetz, M, Baltus, T, Papanikolaou, Mn, Papavasilopoulou, Tg, Zacharas, Ga, Ourailogloy, V, Mouloudi, Ek, Massa, Ev, Nagy, Eo, Stamou, Ee, Kiourtzieva, Ev, Oikonomou, Ma, Avila, Le, Cortez, Ca, Citalán, Je, Jog, Sa, Sable, Sd, Shah, B, Gurjar, M, Baronia, Ak, Memon, M, Muthuchellappan, R, Ramesh, Vj, Shenoy, A, Unnikrishnan, R, Dixit, Sb, Rhayakar, Rv, Ramakrishnan, N, Bhardwaj, Vk, Mahto, Hl, Sagar, Sv, Palaniswamy, V, Ganesan, D, Hashemian, Sm, Jamaati, H, Heidari, F, Meaney, Ea, Nichol, A, Knapman, Km, O'Croinin, D, Dunne, Es, Breen, Dm, Clarkson, Kp, Jaafar, Rf, Dwyer, R, Amir, F, Ajetunmobi, Oo, O'Muircheartaigh, Ac, Black, Cs, Treanor, N, Collins, Dv, Altaf, W, Zani, G, Fusari, M, Spadaro, S, Volta, Ca, Graziani, R, Brunettini, B, Palmese, S, Formenti, P, Umbrello, M, Lombardo, A, Pecci, E, Botteri, M, Savioli, M, Protti, A, Mattei, A, Schiavoni, L, Tinnirello, A, Todeschini, M, Giarratano, A, Cortegiani, A, Sher, S, Rossi, A, Antonelli, Mm, Montini, Lm, Casalena, P, Scafetti, S, Panarello, G, Occhipinti, G, Patroniti, N, Pozzi, M, Biscione, Rr, Poli, Mm, Raimondi, F, Albiero, D, Crapelli, G, Beck, E, Pota, V, Schiavone, V, Molin, A, Tarantino, F, Monti, G, Frati, E, Mirabella, L, Cinnella, G, Fossali, T, Colombo, R, Pattarino, Pt, BRASCHI, ANTONIO, Borotto, Ee, Cracchiolo, An, Palma, Dm, Raponi, F, Foti, G, Vascotto, Er, Coppadoro, A, Brazzi, L, Floris, L, Venti, A, Yamaguchi, O, Takagi, S, Maeyama, Hn, Watanabe, E, Yamaji, Y, Shimizu, K, Shiozaki, K, Futami, S, Ryosuke, S, Saito, K, Kameyama, Y, Ueno, K, Izawa, M, Okuda, N, Suzuki, H, Harasawa, T, Nasu, M, Takada, T, Ito, F, Nunomiya, S, Koyama, K, Abe, T, Andoh, K, Kusumoto, K, Hirata, A, Takaba, A, Kimura, H, Matsumoto, S, Higashijima, U, Honda, H, Aoki, N, Imai, H, Ogino, Y, Mizuguchi, I, Ichikado, K, Nitta, K, Mochizuki, K, Hashida, T, Tanaka, H, Nakamura, T, Niimi, D, Ueda, T, Kashiwa, Y, Uchiyama, A, Sabelnikovs, O, Oss, P, Haddad, Y, Liew, Ky, Ñamendys Silva, Sa, Jarquin Badiola, Yd, Sanchez Hurtado, La, Gomez Flores, Ss, Marin, Mc, Villagomez, Aj, Lemus, Js, Fierro, Jm, Cervantes, Mr, Mejia, Fj, Dector, D, Dector, Dm, Gonzalez, Dr, Estrella, Cr, Sanchez Medina, Jr, Ramirez Gutierrez, A, George, Fg, Aguirre, Js, Buensuseso, Ja, Poblano, M, Dendane, T, Zeggwagh, Aa, Balkhi, H, Elkhayari, M, Samkaoui, N, Ezzouine, H, Benslama, A, Amor, M, Maazouzi, W, Cimic, N, Beck, O, Bruns, Mm, Schouten, Ja, Rinia, M, Raaijmakers, M, Heunks, Lm, Van Wezel, Hm, Heines, Sj, Strauch, U, Buise, Mp, Simonis, Fd, Schultz, Mj, Goodson, Jc, Browne, Ts, Navarra, L, Hunt, A, Hutchison, Ra, Bailey, Mb, Newby, L, Mcarthur, C, Kalkoff, M, Mcleod, A, Casement, J, Hacking, Dj, Andersen, Fh, Dolva, Ms, Laake, Jh, Barratt Due, A, Noremark, Ka, Søreide, E, Sjøbø, Bå, Guttormsen, Ab, Yoshido, Hh, Aguilar, Rz, Oscanoa, Fa, Alisasis, Au, Robles, Jb, Pasanting Lim, Ra, Tan, Bc, Andruszkiewicz, P, Jakubowska, K, Coxo, Cm, Alvarez, Am, Oliveira, Bs, Montanha, Gm, Barros, Nc, Pereira, Cs, Messias, Am, Monteiro, Jm, Araujo, Am, Catorze, Nt, Marum, Sm, Bouw, Mj, Gomes, Rm, Brito, Va, Castro, S, Estilita, Jm, Barros, Fm, Serra, Im, Martinho, Am, Tomescu, Dr, Marcu, A, Bedreag, Oh, Papurica, M, Corneci, De, Negoita, Si, Grigoriev, E, Gritsan, Ai, Gazenkampf, Aa, Almekhlafi, G, Albarrak, Mm, Mustafa, Gm, Maghrabi, Ka, Salahuddin, N, Aisa, Tm, Al Jabbary, As, Tabhan, E, Arabi, Ym, Trinidad, Oa, Al Dorzi, Hm, Tabhan, Ee, Bolon, S, Smith, O, Mancebo, J, Aguirre Bermeo, H, Lopez Delgado, Jc, Esteve, F, Rialp, G, Forteza, C, De Haro, C, Artigas, A, Albaiceta, Gm, De Cima Iglesias, S, Seoane Quiroga, L, Ceniceros Barros, A, Ruiz Aguilar, Al, Claraco Vega, Lm, Soler, Ja, Lorente Mdel, C, Hermosa, C, Gordo, F, Prieto González, M, López Messa, Jb, Perez, Mp, Perez, Cp, Allue, Rm, Roche Campo, F, Ibañez Santacruz, M, Temprano, S, Pintado, Mc, De Pablo, R, Gómez, Pr, Ruiz, Sr, Moles, Si, Jurado, Mt, Arizmendi, A, Piacentini, Ea, Franco, N, Honrubia, T, Cheng, Mp, Losada, Ep, Blanco, J, Yuste, Lj, Carbayo Gorriz, C, Cazorla Barranquero, Fg, Alonso, Jg, Alda, Rs, Algaba, Á, Navarro, G, Cereijo, E, Diaz Rodriguez, E, Marcos, Dp, Montero, La, Para, Lh, Sanchez, Rj, Navalpotro, Ma, Abad, Rd, González, Rm, Toribio, Dp, Castro, Ag, Artiga, Mj, Penuelas, O, Roser, Tp, Olga, Mf, Curto, Eg, Sánchez, Rm, Imma, Vp, Elisabet, Gm, Claverias, L, Magret, M, Pellicer, Am, Rodriguez, Ll, Sánchez Ballesteros, J, González Salamanca, Á, Jimenez, Ag, Huerta, Fp, Diaz, Jc, Lopez, Eb, Moya, Dd, Alfonso, Aa, Luis, Ps, Cesar, Ps, Rafael, Si, Virgilio, Cg, Recio, Nn, Adamsson, Ro, Rylander, Cc, Holzgraefe, B, Broman, Lm, Wessbergh, J, Persson, L, Schiöler, F, Kedelv, H, Tibblin, Ao, Appelberg, H, Hedlund, L, Helleberg, J, Eriksson, Ke, Glietsch, R, Larsson, N, Nygren, I, Nunes, Sl, Morin, Ak, Kander, T, Adolfsson, A, Piquilloud, L, Zender, Ho, Leemann Refondini, C, Elatrous, S, Bouchoucha, S, Chouchene, I, Ouanes, I, Ben Souissi, A, Kamoun, S, Demirkiran, O, Aker, M, Erbabacan, E, Ceylan, I, Girgin, Nk, Ozcelik, M, Ünal, N, Meco, Bc, Akyol, Oo, Derman, Ss, Kennedy, B, Parhar, K, Srinivasa, L, Mcnamee, L, Mcauley, D, Steinberg, J, Hopkins, P, Mellis, C, Kakar, V, Hadfield, D, Vercueil, A, Bhowmick, K, Humphreys, Sk, Ferguson, A, Mckee, R, Raj, As, Fawkes, Da, Watt, P, Twohey, L, Jha, Rr, Thomas, M, Morton, A, Kadaba, V, Smith, Mj, Hormis, Ap, Kannan, Sg, Namih, M, Reschreiter, H, Camsooksai, J, Kumar, A, Rugonfalvi, S, Nutt, C, Oneill, O, Seasman, C, Dempsey, G, Scott, Cj, Ellis, He, Mckechnie, S, Hutton, Pj, Di Tomasso, Nn, Vitale, Mn, Griffin, Ro, Dean, Mn, Cranshaw, Jh, Willett, El, Ioannou, N, Gillis, S, Csabi, P, Macfadyen, R, Dawson, H, Preez, Pd, Williams, Aj, Boyd, O, De Gordoa, Lo, Bramall, J, Symmonds, S, Chau, Sk, Wenham, T, Szakmany, T, Toth Tarsoly, P, Mccalman, Kh, Alexander, P, Stephenson, L, Collyer, T, Chapman, R, Cooper, R, Allan, Rm, Sim, M, Wrathall, Dw, Irvine, Da, Zantua, Ks, Adams, Jc, Burtenshaw, Aj, Sellors, Gp, Welters, Id, Williams, Ke, Hessell, Rj, Oldroyd, Mg, Battle, Ce, Pillai, S, Kajtor, I, Sivashanmugavel, M, Okane, Sc, Donnelly, A, Frigyik, Ad, Careless, Jp, May, Mm, Stewart, R, Trinder, Tj, Hagan, Sj, Wise, Mp, Cole, Jm, Macfie, Cc, Dowling, At, Hurtado, J, Nin, N, Nuñez, E, Pittini, G, Rodriguez, R, Imperio, Mc, Santos, C, França, Ag, Ebeid, A, Deicas, A, Serra, C, Uppalapati, A, Kamel, G, Banner Goodspeed, Vm, Beitler, Jr, Mukkera, Sr, Kulkarni, S, Lee, J, Mesar, T, Shinn, Jo, Gomaa, D, Tainter, C, Yeatts, Dj, Warren, J, Lanspa, Mj, Miller, Rr, Grissom, Ck, Brown, Sm, Bauer, Pr, Gosselin, Rj, Kitch, Bt, Cohen, Je, Beegle, Sh, Stoger, Jh, Gueret, Rm, Tulaimat, A, Choudry, S, Stigler, W, Batra, H, Huff, Ng, Lamb, Kd, Oetting, Tw, Mohr, Nm, Judy, C, Saito, S, Kheir, Fm, Kheir, F, Schlichting, Ab, Delsing, A, Crouch, Dr, Elmasri, M, Ismail, D, Dreyer, Kr, Blakeman, Tc, Baron, Rm, Grijalba, Cq, Hou, Pc, Seethala, R, Aisiku, I, Henderson, G, Frendl, G, Hou, Sk, Owens, Rl, Schomer, A, Bumbasirevic, V, Jovanovic, B, Surbatovic, M, Veljovic, M., MOJOLI, FRANCESCO, IOTTI, GIORGIO ANTONIO

المساهمون: Bellani, G, Laffey, Jg, Pham, T, Fan, E, Brochard, L, Esteban, A, Gattinoni, L, van Haren, F, Larsson, A, Mcauley, Df, Ranieri, M, Rubenfeld, G, Thompson, Bt, Wrigge, H, Slutsky, A, Pesenti, A, Francois, Gm, Rabboni, F, Madotto, F, Conti, S, Sula, H, Nunci, L, Cani, A, Zazu, A, Dellera, C, Insaurralde, C, Alejandro, Rv, Daldin, J, Vinzio, M, Fernandez, Ro, Cardonnet, Lp, Bettini, Lr, Bisso, Mc, Osman, Em, Setten, Mg, Lovazzano, P, Alvarez, J, Villar, V, Pozo, Nc, Grubissich, N, Plotnikow, Ga, Vasquez, Dn, Ilutovich, S, Tiribelli, N, Chena, A, Pellegrini, Ca, Saenz, Mg, Estenssoro, E, Brizuela, M, Gianinetto, H, Gomez, Pe, Cerrato, Vi, Bezzi, Mg, Borello, Sa, Loiacono, Fa, Fernandez, Am, Knowles, S, Reynolds, C, Inskip, Dm, Miller, Jj, Kong, J, Whitehead, C, Bihari, S, Seven, A, Krstevski, A, Rodgers, Hj, Millar, Rt, Mckenna, Te, Bailey, Im, Hanlon, Gc, Aneman, A, Lynch, Jm, Azad, R, Neal, J, Woods, Pw, Roberts, Bl, Kol, Mr, Wong, H, Riss, Kc, Staudinger, T, Wittebole, X, Berghe, C, Bulpa, Pa, Dive, Am, Verstraete, R, Lebbinck, H, Depuydt, P, Vermassen, J, Meersseman, P, Ceunen, H, Rosa, Ji, Beraldo, Do, Piras, C, Rampinelli, Am, Nassar, Ap, Mataloun, S, Moock, M, Thompson, Mm, Gonçalves, Ch, Antônio, Ac

مصطلحات موضوعية: Algorithm, Female, Global Health, Hospital Mortality, Human, Incidence, Intensive Care Unit, Male, Middle Aged, Neuromuscular Blockade, Organ Dysfunction Score, Patient Positioning, Positive-Pressure Respiration, Prevalence, Prone Position, Prospective Studie, Respiratory Distress Syndrome, Adult, Severity of Illness Index, Treatment Outcome, Medicine (all)

الوصف: IMPORTANCE: Limited information exists about the epidemiology, recognition, management, and outcomes of patients with the acute respiratory distress syndrome (ARDS). OBJECTIVES: To evaluate intensive care unit (ICU) incidence and outcome of ARDS and to assess clinician recognition, ventilation management, and use of adjuncts-for example prone positioning-in routine clinical practice for patients fulfilling the ARDS Berlin Definition. DESIGN, SETTING, AND PARTICIPANTS: The Large Observational Study to Understand the Global Impact of Severe Acute Respiratory Failure (LUNG SAFE) was an international, multicenter, prospective cohort study of patients undergoing invasive or noninvasive ventilation, conducted during 4 consecutive weeks in the winter of 2014 in a convenience sample of 459 ICUs from 50 countries across 5 continents. EXPOSURES: Acute respiratory distress syndrome. MAIN OUTCOMES AND MEASURES: The primary outcome was ICU incidence of ARDS. Secondary outcomes included assessment of clinician recognition of ARDS, the application of ventilatory management, the use of adjunctive interventions in routine clinical practice, and clinical outcomes from ARDS. RESULTS: Of 29,144 patients admitted to participating ICUs, 3022 (10.4%) fulfilled ARDS criteria. Of these, 2377 patients developed ARDS in the first 48 hours and whose respiratory failure was managed with invasive mechanical ventilation. The period prevalence of mild ARDS was 30.0% (95% CI, 28.2%-31.9%); of moderate ARDS, 46.6% (95% CI, 44.5%-48.6%); and of severe ARDS, 23.4% (95% CI, 21.7%-25.2%). ARDS represented 0.42 cases per ICU bed over 4 weeks and represented 10.4% (95% CI, 10.0%-10.7%) of ICU admissions and 23.4% of patients requiring mechanical ventilation. Clinical recognition of ARDS ranged from 51.3% (95% CI, 47.5%-55.0%) in mild to 78.5% (95% CI, 74.8%-81.8%) in severe ARDS. Less than two-thirds of patients with ARDS received a tidal volume 8 of mL/kg or less of predicted body weight. Plateau pressure was measured in 40.1% (95% CI, ...

وصف الملف: STAMPA

العلاقة: info:eu-repo/semantics/altIdentifier/pmid/26903337; info:eu-repo/semantics/altIdentifier/wos/WOS:000370700500014; volume:315; issue:8; firstpage:788; lastpage:800; numberofpages:13; journal:JAMA; http://hdl.handle.net/11571/1165481Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-84959277025; http://jama.jamanetwork.com/article.aspx?articleid=2492877Test

الإتاحة: https://doi.org/10.1001/jama.2016.0291Test
http://hdl.handle.net/11571/1165481Test
http://jama.jamanetwork.com/article.aspx?articleid=2492877Test

المؤلفون: Gláucia R, Falsarella, Ibsen B, Coimbra, Caroline C, Barcelos, Lilian Tl, Costallat, Olga Mf, Carvalho, Arlete Mv, Coimbra

المصدر: Geriatricsgerontology international. 13(4)

مصطلحات موضوعية: Male, Cross-Sectional Studies, Risk Factors, Rheumatic Diseases, Chronic Disease, Prevalence, Humans, Female, Joint Diseases, Middle Aged, Aged

الوصف: In the elderly population, rheumatic conditions are major causes of pain that restrict participation in activities and mobility, and cause difficulties in the execution of self-care tasks. The present study aimed to analyze the prevalence and factors associated with the self-reported rheumatic diseases and chronic joint symptoms of the elderly.This transversal epidemiological survey involved 2209 older adults (aged ≥ 60 years). The investigation included sociodemographic factors, anthropometrics, activities of daily living, chronic conditions, medication and quality of life. Univariate and multivariate regression analysis were used for statistical procedures, P ≤ 0.05.The prevalence of rheumatism was 22.7%. Multivariate analysis showed that rheumatism was correlated with the following: female sex (OR = 1.91), high income (OR = 2.34), cardiovascular disease (OR = 1.42), cataracts (OR = 1.39), glucocorticoids (OR = 5.24), other anti-inflammatory medications (OR = 2.24) and pain (OR = 0.983). After adjusting for age and glucocorticoids, an association between cataracts and rheumatism was detected (OR = 1.32). The prevalence of symptoms was 45.6%. Multivariate regression results for symptoms included the following: female sex (OR = 1.40), body mass index ≥ 30.0 kg/m(2) (OR = 3.31), functional capacity (OR = 0.990), general health (OR = 0.993) and pain (OR = 0.981). After adjustment for age and glucocorticoids, an association between cataracts and symptoms was detected (OR = 1.26).There was a significant association of rheumatism and symptoms with women and high incomes. Obesity was associated with joint symptoms, which in turn were associated with an impaired quality of life. Cataracts and cardiovascular disease were associated with rheumatism. The identification of these characteristics in the elderly will contribute to a better understanding of this systemic disease and should be used to plan effective preventive measures.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=pmid________::654c4c9e5e2f09c406d853e93dc359c7Test
https://pubmed.ncbi.nlm.nih.gov/23506046Test

المؤلفون: Falsarella, Gláucia R, Coimbra, Ibsen B, Barcelos, Caroline C, Costallat, Lilian TL, Carvalho, Olga MF, Coimbra, Arlete MV

المصدر: Geriatrics & Gerontology International; Oct2013, Vol. 13 Issue 4, p1043-1050, 8p

مصطلحات موضوعية: CARDIOVASCULAR diseases risk factors, CATARACT, CHI-squared test, CONFIDENCE intervals, STATISTICAL correlation, EPIDEMIOLOGY, HEALTH surveys, INTERVIEWING, JOINT diseases, MULTIVARIATE analysis, PRIMARY health care, PSYCHOLOGICAL tests, PUBLIC health surveillance, QUESTIONNAIRES, RESEARCH funding, RHEUMATISM, STATISTICAL sampling, SELF-evaluation, SEX distribution, LOGISTIC regression analysis, DATA analysis, SOCIOECONOMIC factors, BODY movement, DISEASE prevalence, GERIATRIC Depression Scale, DESCRIPTIVE statistics

مصطلحات جغرافية: BRAZIL

مستخلص: Aim In the elderly population, rheumatic conditions are major causes of pain that restrict participation in activities and mobility, and cause difficulties in the execution of self-care tasks. The present study aimed to analyze the prevalence and factors associated with the self-reported rheumatic diseases and chronic joint symptoms of the elderly. Methods This transversal epidemiological survey involved 2209 older adults (aged ≥60 years). The investigation included sociodemographic factors, anthropometrics, activities of daily living, chronic conditions, medication and quality of life. Univariate and multivariate regression analysis were used for statistical procedures, P ≤ 0.05. Results The prevalence of rheumatism was 22.7%. Multivariate analysis showed that rheumatism was correlated with the following: female sex ( OR = 1.91), high income ( OR = 2.34), cardiovascular disease ( OR = 1.42), cataracts ( OR = 1.39), glucocorticoids ( OR = 5.24), other anti-inflammatory medications ( OR = 2.24) and pain ( OR = 0.983). After adjusting for age and glucocorticoids, an association between cataracts and rheumatism was detected ( OR = 1.32). The prevalence of symptoms was 45.6%. Multivariate regression results for symptoms included the following: female sex ( OR = 1.40), body mass index ≥30.0 kg/m² ( OR = 3.31), functional capacity ( OR = 0.990), general health ( OR = 0.993) and pain ( OR = 0.981). After adjustment for age and glucocorticoids, an association between cataracts and symptoms was detected ( OR = 1.26). Conclusion There was a significant association of rheumatism and symptoms with women and high incomes. Obesity was associated with joint symptoms, which in turn were associated with an impaired quality of life. Cataracts and cardiovascular disease were associated with rheumatism. The identification of these characteristics in the elderly will contribute to a better understanding of this systemic disease and should be used to plan effective preventive measures. Geriatr Gerontol Int 2013; 13: 1043-1050. [ABSTRACT FROM AUTHOR]

: Copyright of Geriatrics & Gerontology International is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)