Publications by authors named "Alexandra Monti"

Article Synopsis
  • Obstructive sleep apnea (OSA) is common in older adults but often goes undiagnosed due to factors like underreported symptoms and the normalizing of sleep issues with aging.
  • A study of 102 geriatric inpatients identified that excessive daytime sleepiness and nocturnal choking were the main symptoms linked to diagnosed OSA, with similarity in comorbidities between OSA and non-OSA patients.
  • The findings highlight that excessive daytime sleepiness should be a key indicator for potential OSA in older patients, necessitating further nocturnal evaluation.
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Article Synopsis
  • A multicentric study in Paris analyzed characteristics and outcomes of 821 hospitalized patients aged 70 and older with confirmed COVID-19 from March to April 2020.
  • Patients had a mean age of 86, with 85% having two or more pre-existing health conditions, and exhibiting common symptoms such as asthenia, fever, and dyspnea.
  • The in-hospital mortality rate was 31%, with factors like male gender, lower functional status, and specific health anomalies increasing the likelihood of death, highlighting the importance of early risk assessment for older patients.
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Giant cell arteritis (GCA) is associated with an increased risk of cardio- or cerebro-vascular death. The stroke rate in patients with GCA varies between 2.7 and 7.

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Physiological ageing and pathologies can have an influence on the pharmacology of numerous medicines, leading to serious iatrogenic accidents, polypharmacy and incorrect use of a medicine in elderly people. An observational study carried out in a short-stay geriatric unit focused on the issues surrounding the difficulties the elderly may encounter when taking medicines and the prevalence of the manipulation of galenic forms.

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Iron deficiency, due to blood loss or malabsorption, is commonly observed in geriatric practice. In elderly people, association of inflammatory diseases to iron loss makes diagnosis of absolute iron deficiency sometimes difficult. In case of inflammation, the interpretation of usual biomarkers of iron deficiency (serum ferritin, transferrin saturation, serum iron) may be difficult.

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Background: Red blood cell transfusion in elderly patients with anemia requires taking into account a hemoglobin threshold, as well as comorbidities that may be decompensated by anemia. In the absence of consensual indications for blood transfusion in the elderly population, it seems important to evaluate the practical approach of blood transfusion in geriatrics. We analyzed prescriptions of red blood cell transfusion in very old patients hospitalized in a geriatric teaching hospital.

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The sleep apnoea syndrome is a common disorder, unrecognised in the elderly. Several studies have shown that it can cause or exacerbate cognitive impairment, mainly related to attention, memory and learning and adaptation abilities. However, continuous positive airway pressure treatment appears to be effective on these cognitive disorders, including in elderly patients.

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We report a case of Hodgkin's lymphoma in a patient aged 75, presenting with acute cardiopulmonary insufficiency, hospitalized in a geriatrics ward. The deterioration of his general condition and the discovery of several lymph nodes led us to perform an aspiration of a lymph node and a bone marrow biopsy. Reed-Sternberg cells, pathognomonic of Hodgkin's disease were identified on the smears and biopsy sections.

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