Predicting Hospital Admission and Prolonged Length of Stay in Older Adults in the Emergency Department: The PRO-AGE Scoring System.

Study Objective: We developed prediction models for hospital admission and prolonged length of stay in older adults admitted from the emergency department (ED).

Methods: This was a retrospective cohort study of patients aged 70 years or older who visited a geriatric ED in Brazil (N=5,025 visits). We randomly allocated participants to derivation and validation samples in a 2:1 ratio.

Delirium and post-discharge dementia: results from a cohort of older adults without baseline cognitive impairment.

Objectives: to investigate the association between delirium occurrence in acutely ill older adults and incident dementia after hospital discharge.

Methods: retrospective cohort study examining acutely ill older adults aged +60 years and consecutively admitted to the geriatric ward of a tertiary university hospital from 2010 to 2016. Inclusion criteria were absence of baseline cognitive decline on admission and documented clinical follow-up of +12 months after discharge.

Clinical and laboratory characteristics associated with referral of hospitalized elderly to palliative care.

Objective To investigate clinical and laboratory characteristics associated with referral of acutely ill older adults to exclusive palliative care. Methods A retrospective cohort study based on 572 admissions of acutely ill patients aged 60 years or over to a university hospital located in São Paulo, Brazil, from 2009 to 2013. The primary outcome was the clinical indication for exclusive palliative care.

Prognostic effects of delirium motor subtypes in hospitalized older adults: A prospective cohort study.

Objectives: To investigate the association between delirium motor subtypes and hospital mortality and 12-month mortality in hospitalized older adults.

Design: Prospective cohort study conducted from 2009 to 2015.

Setting: Geriatric ward of a university hospital in Sao Paulo, Brazil.

Association between delirium superimposed on dementia and mortality in hospitalized older adults: A prospective cohort study.

Background: Hospitalized older adults with preexisting dementia have increased risk of having delirium, but little is known regarding the effect of delirium superimposed on dementia (DSD) on the outcomes of these patients. Our aim was to investigate the association between DSD and hospital mortality and 12-mo mortality in hospitalized older adults.

Methods And Findings: This was a prospective cohort study completed in the geriatric ward of a university hospital in São Paulo, Brazil.

Predictors of Enteral Tube Feeding in Hospitalized Older Adults.

Background: Despite general recognition that enteral tube feeding (ETF) is frequently employed in long-term care facilities and patients with dementia, remarkably little research has determined which factors are associated with its use in acutely ill older adults. In this study, we aimed to investigate determinants of ETF introduction in hospitalized older adults.

Methods: We examined a retrospective cohort of acutely ill patients, aged 60 years and older, admitted to a university hospital's geriatric ward from 2014-2015, in São Paulo, Brazil.

Comprehensive geriatric assessment predicts mortality and adverse outcomes in hospitalized older adults.

Background: Comprehensive Geriatric Assessment (CGA) provides detailed information on clinical, functional and cognitive aspects of older patients and is especially useful for assessing frail individuals. Although a large proportion of hospitalized older adults demonstrate a high level of complexity, CGA was not developed specifically for this setting. Our aim was to evaluate the application of a CGA model for the clinical characterization and prognostic prediction of hospitalized older adults.

Delirium in hospitalized elderly patients and post-discharge mortality.

Objective: To determine the impact of delirium on post-discharge mortality in hospitalized older patients.

Introduction: Delirium is frequent in hospitalized older patients and correlates with high hospital mortality. There are only a few studies about its impact on post-discharge mortality.

Effects of Tai Chi Chuan on cognition of elderly women with mild cognitive impairment.

Objective: To detect the effects of Tai Chi Chuan practice on the cognition of elderly subjects with Mild Cognitive Impairment.

Methods: This is a pilot study with 26 elderly patients (mean age of 74 years) with Mild Cognitive Impairment. The evaluation instruments were Subjective Memory Complaint Scale (SMC), Rivermead Behavioral Memory Test (RBMT) and Digit Span Forward and Backward (DSF and DSB) from the Wechsler Adult Intelligence Scale (WAIS).

Predictors of in-hospital mortality among older patients.

Objective: The objective of this study was to determine predictors of in-hospital mortality among older patients admitted to a geriatric care unit.

Introduction: The growing number of older individuals among hospitalized patients demands a thorough investigation of the factors that contribute to their mortality.

Methods: This was a prospective observational study implemented from February 2004 to October 2007 in a tertiary university hospital.

[Correlation between burden on caregiver and clinical characteristics of patients with dementia].

Objective: To verify the correlation between caregiver burden in dementia and characteristics of patients and caregivers.

Methods: Analysis of medical records. Patient data: socio-demographic characteristics, comorbidities, medications (previous and current), onset of diagnosis and symptoms, type of dementia and severity (cognitive impairment and functional abilities), behavioral disorders.

Bilateral adrenal [corrected] nodules due to histoplasmosis in an elderly.

We report a case history of an 84-year-old elderly male patient that presented with a clinical picture suggestive of adrenal failure and bilateral adrenal nodules detected by abdominal computed tomography. A fine needle-guided biopsy was inconclusive for achieving a final diagnosis. The patient died due to septic shock and the autopsy disclosed histoplasmosis with extensive bilateral necrosis of the adrenal glands.