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Modifications to the Geriatric Nutritional Risk Index Predicts Complications after Total Joint Arthroplasty.
J Arthroplasty
January 2025
Virginia Tech Carilion School of Medicine, 2 Riverside Circle, Roanoke, Virginia, 24016, United States of America; Department of Orthopaedic Surgery, Carilion Clinic Institute for Orthopaedics & Neurosciences, 2331 Franklin Road Southwest, Roanoke, Virginia, 24014, United States of America.
Background: Preoperative malnutrition is a known risk factor for postoperative complications following total joint arthroplasty (TJA), however, there is scant literature comparing which nutritional index is best at predicting these outcomes. The purpose of this study was to investigate the utility of the Maastricht Index (MI), Onodera's Prognostic Index (OPNI), the Geriatric Nutritional Risk Index (GNRI), and a novel, modified Geriatric Nutritional Risk Index (mGNRI) in predicting periprosthetic joint infection (PJI), wound complications (WC), readmission, and reoperation rates after TJA.
Methods: A single-center, retrospective cohort study was performed of patients who underwent primary TJA from January 2016 to December 2021.
Repetitive Calf-Raise Pulse Provocative Test for Popliteal Artery Entrapment Syndrome.
Cureus
November 2024
Trauma and Orthopaedics, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, GBR.
Popliteal artery entrapment syndrome (PAES) is a rare cause of exertional leg pain in young adults, which is caused by compression of the popliteal artery by the surrounding muscular structure. Due to significant overlap in symptoms with other conditions, limitations of diagnostic imaging, and lack of awareness, PAES is frequently misdiagnosed, resulting in late complications and poor prognosis. Clinical assessment is crucial in making the initial diagnosis and referring for relevant investigations for PAES.
View Article and Find Full Text PDFEffects of physical activity on blood pressure and mortality among aged hypertensive patients: A cross-sectional study.
Medicine (Baltimore)
November 2024
Department of Cardiology, Zhejiang Hospital, Hangzhou, Zhejiang, P. R. China.
Article Synopsis
- Previous research has largely focused on specific physical activities and has not adequately explored their impacts on hypertension (HTN) and mortality, particularly in older adults.
- A study using National Health and Nutrition Examination Survey data analyzed over 11,000 seniors with HTN, finding that those who were physically active experienced fewer co-morbidities and lower blood pressure levels compared to inactive individuals.
- The research revealed that inactive seniors had a significantly higher risk of death from all causes and heart disease, even after considering factors like age and sex, highlighting the crucial role of physical activity in improving health outcomes for older adults with HTN.
The impact of a continuous care model utilizing a smartphone application on quality of life and anxiety levels among gynecologic cancer patients: a randomized controlled trial.
BMC Nurs
October 2024
Community-Oriented Nursing Midwifery Research Center, Department of Adult and Geriatric Nursing, Nursing and Midwifery School, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Article Synopsis
- This study looked at how a smartphone app could help women with gynecological cancers feel better and less anxious.
- They tested 70 women, dividing them into two groups: one used the app for 8 weeks, and the other received regular care.
- After the study, the group using the app reported feeling happier and less anxious, while the control group didn’t see much change.
The longitudinal study of the relationship between social participation pattern and depression symptoms in frail older adults.
Front Psychiatry
September 2024
Department of Anesthesiology, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu, China.
Article Synopsis
- The study investigates the relationship between depressive symptoms and social participation among frail older adults in China, using data from participants aged 60 and older in the China Health and Retirement Longitudinal Study (CHARLS).
- Researchers categorized social engagement into five subgroups and found that those who engaged in board games and extensive social interaction had lower depressive symptoms compared to the socially isolated.
- Results showed that females in rural areas with lower incomes and less sleep had more severe depression, and those who moved from social isolation to being helpful over three years reported increased depressive symptoms.
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