A5002589379- Frailty in Older Adults
- Health Systems, Economic Evaluations, Quality of Life
- Nutrition and Health in Aging
- Cardiac, Anesthesia and Surgical Outcomes
- Emergency and Acute Care Studies
- Hip and Femur Fractures
- Geriatric Care and Nursing Homes
- Balance, Gait, and Falls Prevention
- Anesthesia and Sedative Agents
- Health, Nursing, Elderly Care
- Intensive Care Unit Cognitive Disorders
- Global Maternal and Child Health
- Chronic Disease Management Strategies
- Indigenous Health and Education
- Dementia and Cognitive Impairment Research
- Anesthesia and Neurotoxicity Research
Universidade de São Paulo
2016-2021
Universidade do Estado do Amazonas
2021
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
2016
Objectives To develop and examine the validity reliability of a targeted geriatric assessment (TaGA) for busy healthcare settings. Design The TaGA was developed through consensus experts (Delphi technique), we investigated its construct in cross‐sectional study. Setting Geriatric day hospital specializing acute care Brazil. Participants Older adults (N = 534) aged 79.5 ± 8.4, 63% female, consecutively admitted to hospital. Measurements Frailty Index (FI), Physical Phenotype, Identification...
To evaluate the ability of Short Physical Performance Battery (SPPB) for predicting 1-year adverse outcomes acutely ill older outpatients.
Older adults have a greater risk of experiencing functional decline and iatrogenic complications during hospitalization than younger individuals. Geriatric day hospitals (GDHs) been implemented mainly for rehabilitation. The goal the current study was to expand GDH spectrum care prevent hospital admissions in this population. This details an innovative model that offers short-term, nonrehabilitative treatment older who experienced acute event, those with decompensated chronic disease, or...
although the importance of identifying hip fracture patients with high risk for delirium has been well established, considerable controversy exists over choice screening tool. The most commonly used cognitive screeners take an excessive amount time and include drawing tasks that can be troublesome individuals who are invariably lying in bed.to evaluate properties 10-point Cognitive Screener (10-CS), a 2-min bedside tool, predicting older adults fracture.prospective cohort study.a tertiary...
To estimate whether a 10-minute Targeted Geriatric Assessment (10-TaGA) adds utility to sociodemographic characteristics and comorbidities in predicting one-year mortality busy acute care settings. We have also compared the performance of 10-TaGA with Identification Seniors at Risk (ISAR) scale. Prospective cohort study. day hospital specializing Brazil 751 older adults aged 79.4 ± 8.4 years (64% female), presenting non-surgical, medical illness requiring hospital-level (e.g., intravenous...
Limited time and resources hinder the use of comprehensive geriatric assessment in acute contexts. We investigated predictive value a 10-minute targeted (10-TaGA) for adverse outcomes over 6 months among acutely ill older outpatients.Prospective study comprising 819 outpatients (79.2 ± 8.4 years; 63% women) need intensive management (eg, intravenous therapy, laboratory test, radiology) to avoid hospitalization. The 10-TaGA provided validated measure cumulative deficits. Previously...
Implementing cognitive assessment in older people admitted to hospital with hip fracture-lying bed, experiencing pain-is challenging. We investigated the value of a quick and easy-to-administer 10-point Cognitive Screener (10-CS) predicting 1-year functional recovery survival after surgery.Prospective cohort study comprising 304 patients (mean age = 80.3 ± 9.1 years; women 72%) fracture consecutively specialized academic medical center that supports secondary hospitals Sao Paulo Metropolitan...
To investigate the existence of a causal association between orthopedic treatment and occurrence in hospital death.
Riverine communities in the vast Amazon rainforest primarily engage fishing, cultivation, and herding. These face significant challenges, however, health care access due to long distances nearest centers. To address this issue, floating primary centers (PHCs),
Physical performance could be performed safely and in a short time older hospitalized patients with good predictor for long-term outcomes, however has not been evaluated outpatients acute care conditions. To evaluate the predictive value of physical battery (SPPB) 6-month hospitalization functional decline, defined as decline at least one activity daily living, elderly attending day hospital care. A prospective cohort study 511 adults who were able to walk admitted Geriatric Day Hospital...
Comprehensive geriatric assessment is the most consistent predictor of adverse outcomes in older adults, but little known about its predictive value acute healthcare settings. We developed a 10-minute Targeted Geriatric Assessment (10-TaGA) with Delphi Technique for predicting poor prospective cohort involving 537 participants aged 60 and admitted to day hospital. The 10-TaGA includes information on cohabitation status, previous hospitalizations, falls, medications, functionality (Katz...