Publications by authors named "C Gaxatte"

The occurrence of bone fractures is frequent in the elderly population, and in cancer patients, especially with bone metastases. The growing incidence of cancer associated with an aging population implies important health challenges, including bone health. Decisions on cancer care in older adults have to take into account older adults' specificities.

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Background: Acute geriatric units (AGUs) require efficient discharge planning tools. Risk factors for discharge from an AGU to post-acute care (PAC) have not previously been investigated in detail.

Methods: The objective is to identify risk factors for PAC transfer.

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This study assesses the efficacy of Geriatric Assessment (GA)-driven interventions and follow-up on six-month mortality, functional, and nutritional status in older patients with head and neck cancer (HNC). HNC patients aged 65 years or over were included between November 2013 and September 2018 by 15 Ear, Nose, and Throat (ENT) and maxillofacial surgery departments at 13 centers in France. The study was of an open-label, multicenter, randomized, controlled, and parallel-group design, with independent outcome assessments.

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Article Synopsis
  • Comfort care improves the quality of life for dying patients, and the study focused on how often patients in acute geriatric units (AGUs) transition to this type of care and its relation to different end-of-life trajectories.
  • In a sample of 177 patients, 69.5% transitioned to comfort care, with frailty being the most common condition affecting end-of-life decisions, especially in patients with dementia.
  • The findings suggest that while transitioning to comfort care is common in AGUs and related to various end-of-life trajectories, frailty without dementia does not significantly increase the likelihood of this transition, indicating a need for improved practices among healthcare providers.
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Objective: To analyze the impact of the number of hospital readmissions on the risks of further hospital readmission and death after adjustment for a range of risk factors.

Methods: We performed a multicentre prospective study of the DAMAGE cohort in the Hauts-de-France region of France. Patients aged 75 and over hospitalized initially in an acute geriatric unit (AGU) were included and followed up for 12 months.

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