Publications by authors named "Max Haine"

Article Synopsis
  • The study aimed to evaluate the awareness and practical use of the 2021 French National Authority for Health (HAS) guidelines for diagnosing malnutrition in older adults (70+ years) among healthcare professionals.
  • An online survey was conducted with 132 members of the French Society of Geriatrics and Gerontology, revealing that while 81% had heard of the guidelines, only 41.6% felt they knew them in detail.
  • Respondents reported using the recommendations frequently (76.8%), but encountered significant challenges measuring muscle strength and mass, indicating a need for improved routine practices and simpler measurement alternatives.
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Article Synopsis
  • The study examines ethical concerns regarding resource allocation and mortality among elderly patients with COVID-19 admitted to intensive care units (ICUs) during early 2020.
  • A total of 231 patients over 60 were analyzed, revealing that 26% died within 30 days; key factors influencing mortality included age, autonomy, severity of illness, and the presence of dementia.
  • A nomogram was created to help visualize the risk factors for 30-day mortality, facilitating better decision-making for healthcare providers and communication with patients' families.
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The SARS-COV2 pandemic induces tensions on health systems and ethical dilemmas. Practitioners need help tools to define patients not candidate for ICU admission. A multicentre observational study was performed to evaluate the impact of age and geriatric parameters on 30-day mortality in patients aged ≥60 years of age.

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Sarcopenia is defined as a progressive and generalised loss of muscle strength, muscle mass and physical performance with advancing age. Among the multiple consequences of sarcopenia, the reduction in the quality of life associated with it can undeniably be considered as a major consequence. Quality of life is measured via generic or specific questionnaires.

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Sarcopenia is defined as a progressive and generalized loss of muscle strength, muscle mass and physical performance with advancing age. Among the multiple consequences of sarcopenia, the reduction in the quality of life associated with it can undeniably be considered as a major consequence. Quality of life is measured via generic or specific questionnaires.

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Background: Ageing is associated with an increased prevalence of comorbidities and sarcopenia as well as a decline of functional reserve of multiple organ systems, which may lead, in the context of the disease-related and/or treatment-related stress, to functional deconditioning. The multicomponent 'Prehabilitation & Rehabilitation in Oncogeriatrics: Adaptation to Deconditioning risk and Accompaniment of Patients' Trajectories (PROADAPT)' intervention was developed multiprofessionally to implement prehabilitation in older patients with cancer.

Methods: The PROADAPT pilot study is an interventional, non-comparative, prospective, multicentre study.

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Background: In the context of an aging population, identifying risk factors for Vancomycin-resistant enterococci (VRE), specific to older people, is important. However, if age is a known risk factor for VRE infection, a limited number of studies have focused on older patients. This study aimed to identify potential risk factors for VRE acquisition in a population aged 65 years and older, during a large VRE outbreak that occurred in a teaching hospital in Lyon, France, from December 2013 to July 2014.

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Minimum levels of protein intake are essential for the preservation of muscle mass and function, which is a major preventive issue of successful aging. Epidemiological studies suggest strong associations between protein intake and the different elements of sarcopenia, namely maintenance of lean mass and muscle strength. Most often, protein intakes among older patients are below requirements, independently from situations of under nutrition.

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Background: Undernutrition prior to major abdominal surgery is frequent and increases morbidity and mortality, especially in older patients. The management of undernutrition reduces postoperative complications. Nutritional management should be a priority in patient care during the preoperative period.

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Virchow-Robin spaces (VRS) are extensions of the subarachnoid space surrounding perforating blood vessels entering the brain parenchyma. VRS are fluid filled, but almost virtual and only visible on MRI of the brain when dilated. Such dilations are commonly asymptomatic.

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