Ain Shams University, Faculty of Medicine, Geriatrics and Gerontology Department
The Egyptian Journal of Geriatrics and Gerontology
2356-8712
2536-9792
5
2
2018
10
01
Risk of falls and Effect of a Health Education Program in Prevention of Falls among Elderly in Geriatric Homes in Cairo, Egypt
1
7
EN
Ghada
M
Ismail
Department of Community, Environmental and Occupational Medicine, Ain Shams University.
dr-ghada87@live.com
Hoda
I
Fahim
Department of Community, Environmental and Occupational Medicine, Ain Shams University.
Iman
MA
Bakr
Department of Community, Environmental and Occupational Medicine, Ain Shams University.
Ghada
O
Wassif
Department of Community, Environmental and Occupational Medicine, Ain Shams University.
Sarah
A
Hamza
Geriatric Medicine & Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
10.21608/ejgg.2018.30902
Abstract<br />Background: Geriatric Falls are considered as one of the serious public health problems, as they are common causes of morbidity mortality and poor quality of life. Health education intervention programs for fall prevention improves knowledge and number of falls among elderly.<br />Aim: To assess risk of falling and home safety against falls among a group of elderly residents in Geriatric homes in Cairo, Egypt. Also, to explore the extent of falls` knowledge and evaluate the effectiveness of an intervention education program delivered to the elderly participants.<br />Methods: A quasi-experimental interventional study was conducted upon 120 elderly participants in 7 geriatric homes in different districts in Cairo. The interview questionnaire included sociodemographic, general geriatric health, falls` risk assessment, geriatric home safety, falls` knowledge and falls` history sections. Educational Intervention was provided as a series of lectures to the elderly in the selected geriatric homes about falls related topics. Participants were interviewed for 3 times, before the intervention (pretest), after the intervention (posttest), and 6 months later (follow up posttest)<br />Results: There was statistical significant improvement in the knowledge scores of geriatric participants regards different falls` topics in the posttest and follow up (6 months posttest) after implementation of the education intervention in comparison with the pretest scores (P=0.00). Elderly participants who experienced falling decreased from (35.8%) in the pre-test to (27.4 %) in the 6 months post-test after the education intervention.<br />Conclusions: The health education intervention proved to be effective in increasing knowledge and reducing number of falls among geriatric participants.
https://ejgg.journals.ekb.eg/article_30902.html
https://ejgg.journals.ekb.eg/article_30902_d611d1793485c5670cb7d1ce9e8065e2.pdf
Ain Shams University, Faculty of Medicine, Geriatrics and Gerontology Department
The Egyptian Journal of Geriatrics and Gerontology
2356-8712
2536-9792
5
2
2018
10
01
30-Days Readmission after cardiac surgery in elderly patients
1
4
EN
Rehab
R.
Desouki
Geriatric and Gerontology Department, Faculty of Medicine, Ain Shams University.
double_r87@hotmail.com
Heba
M
Tawfik
0000-0001-5688-961X
Geriatric and Gerontology Department, Faculty of Medicine, Ain Shams University.
hmt_82@yahoo.com
Salma
M
Elsaid
Geriatric and Gerontology Department, Faculty of Medicine, Ain Shams University.
Hamdy
A
Singab
Cardiovascular & Thoracic Surgery Department, Faculty of Medicine, Ain Shams University.
Sarah
A
Hamza
Geriatric and Gerontology Department, Faculty of Medicine, Ain Shams University.
10.21608/ejgg.2018.30903
Abstract: <br />
Background: Readmissions are a common problem in cardiac surgery. As cardiac operations being common major elective operations in older adults representing an increasing portion of surgical candidates. Data regarding prevalence of readmission and risk factors in such population is needed.
Aim: To assess the frequency and risk factors associated with hospital 30 days readmissions for elderly patients undergoing cardiac operations.
Methods: A prospective observational cohort study was conducted from the first of March, 2017 to the end of March, 2018, where 180 patients aged ≥60 years undergoing elective cardiac operations in Ain Shams University hospital were included. Participants were subjected to full history taking and physical examination. Type of operation and thirty days readmission following surgery were documented.
Results: 30 days readmission rate was 20.2% (number of readmissions, 36). When stratified by procedure type, readmission rates were isolated coronary artery bypass grafting (CABG), 66.7% (n=24); isolate valve, 8.3% (n=3); CABG + valve, 25% (n=9). Baseline patient characteristics associated with readmission included male gender, elevated creatinine, dementia, congestive heart failure and presence of multiple comorbidities”≥3”.
Conclusions: 1 of 5 elderly patients undergoing cardiac operations requires readmission within 30 days after surgery. This outcome has significant health and economic implications. Further studies are needed to assess causes of readmission and to determine which readmission strategies are most effective for elderly patients undergoing cardiac surgeries.
Surgery in Elderly,Coronary artery bypasses grafting,Cardiac surgery in eldery
https://ejgg.journals.ekb.eg/article_30903.html
https://ejgg.journals.ekb.eg/article_30903_04a345e31ae4d2455a96072055cb43f8.pdf
Ain Shams University, Faculty of Medicine, Geriatrics and Gerontology Department
The Egyptian Journal of Geriatrics and Gerontology
2356-8712
2536-9792
5
2
2018
10
01
Nutritional Status and Health-Related Quality of Life Among Elderly in Rural Area in Egypt.
1
5
EN
Sara
A.
Hamza
Geriatric Medicine & Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Samia
A.
Abdul-Rahman
Geriatric Medicine & Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Asmaa
M.
Nabiel
Geriatric Medicine & Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Ahmed
S.
Sedky
Resident of Geriatrics and Gerontology, Faculty of Medicine, Mansoura University.
10.21608/ejgg.2018.30904
Abstract<br />Background: Malnutrition is a global health problem especially in extremes of age. Elderly people are a fast-growing group that is at greater risk of malnutrition due to high prevalence of comorbidities and limited resources available for them. Elderly are more prone to negative effects of malnutrition on quality of life and health outcomes due to their vulnerable nature and this is often preventable.<br />Aim: To assess the effect of nutritional status on Health-Related Quality of Life (HRQoL) among community-dwelling elderly living in a rural village in Dakahliya, Egypt.<br />.Methods: A cross-sectional study. A random sample of 170 community-dwelling elderly living in Dakahliya. Demographic data were collected, and comprehensive geriatric assessment was done for each participant including history taking, clinical examination, psychological, mental and functional assessment. Assessment of nutritional status was done using the Mini-Nutritional Assessment (MNA) questionnaire and anthropometric measurements. HRQoL was measured using the Short-Form Health Survey-36 items (SF-36) questionnaire.<br />Results: The present study showed that among the 170 participants; 45(26.5%) of them were malnourished, 69 (40.6%) were at risk of malnutrition and 56 (32.9%) were well nourished, and showed that HRQoL was significantly poorer in malnourished elderly (P ˂0.001).<br />Conclusions: The high prevalence of malnutrition highlights the importance of regular screening of elderly at community settings. As improvement in HRQoL is a growing goal for the worldwide health care and the strong effect of nutritional status on HRQoL, nutritional screening and intervention are extremely important especially for elderly.
Malnutrition,quality of life,Elderly,Community-dwelling,Egypt
https://ejgg.journals.ekb.eg/article_30904.html
https://ejgg.journals.ekb.eg/article_30904_0521dfd20b5b80f9016e07bfb9acea18.pdf
Ain Shams University, Faculty of Medicine, Geriatrics and Gerontology Department
The Egyptian Journal of Geriatrics and Gerontology
2356-8712
2536-9792
5
2
2018
10
01
Study of the Relation between Body Composition and Physical Performance among Elderly
1
5
EN
Wageeh
M
Geriatric Medicine & Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Abdul-Rahman
E
E
Geriatric Medicine & Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Khater
M
S
Geriatric Medicine & Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Mamoun
M
M
Geriatric Medicine & Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Mortagy
A
K
Geriatric Medicine & Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
10.21608/ejgg.2018.30905
Abstract<br />Aim: To study the relation between body composition and physical performance in elderly population.<br />.Methods: A cross sectional study conducted on 267 elderly participants 60 years old or more. All of them were subjected to assessment of body composition using anthropometric measures and Bioelectrical impedance analysis, as well as assessment of physical performance hand grip strength, 6 meters walking speed, Basic activity of daily living and Instrumental activity of daily living .<br />Results: Study showed that elderly participants either with low skeletal muscle mass index or high fat mass percentage measured by Bioelectrical Impedance have the lowest physical performance measures. Also increased age, smoking, institutionalization and malnutrition were associated with low physical performance.<br />Conclusions: low skeletal muscle mass index and high fat mass percentage were both risk factors of low physical performance measures. Combination of both showed the worst physical performance measures. Increasing age, institutionalization and low nutritional state were also independent risk factors of low physical performance in elderly
body composition – functional assessment- elderly- Egyptians
https://ejgg.journals.ekb.eg/article_30905.html
https://ejgg.journals.ekb.eg/article_30905_d7b42dbbe36ec8b7d97f84f6ae7d17a6.pdf
Ain Shams University, Faculty of Medicine, Geriatrics and Gerontology Department
The Egyptian Journal of Geriatrics and Gerontology
2356-8712
2536-9792
5
2
2018
10
01
Opalski Syndrome
1
2
EN
Shawkat
MA
G
Geriatric Medicine & Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
10.21608/ejgg.2018.30906
Abstract<br />Lateral Medullary Syndrome (LMS) is a well-documented vascular syndrome of the posterior circulation territory. This syndrome is easily localized because of characteristic presentation, unique territory of blood supply and very small area of involvement. We present a case of Wallenberg’s syndrome which did not have all the classical components of the syndrome, like Horner’s syndrome. It was diagnosed as Opalski syndrome, which is a rare variant of Wallenberg syndrome, where lateral medullary syndrome is associated with ipsilateral hemiparesis. This case report highlights how differential involvement of the lateral part of medulla can result in varied presentation.
https://ejgg.journals.ekb.eg/article_30906.html
https://ejgg.journals.ekb.eg/article_30906_90f7d6268f10da0c9fab978d9a592cb9.pdf
Ain Shams University, Faculty of Medicine, Geriatrics and Gerontology Department
The Egyptian Journal of Geriatrics and Gerontology
2356-8712
2536-9792
5
2
2018
10
01
Association Between Costo-iliac Distance /Arm Span Ratio and Lumber Height and its Relation with Osteoporosis in a Group of Egyption Post-menopausal Women
1
3
EN
Essam
Mohammed
Bayomi
Department of Internal medicine. Faculty of Medicine, Ain Shams University.
Samia
Ahmed
Abdul Rahamn
Department of Geraitrics and Geronotolgy. Faculty of Medicine, Ain Shams University.
Ghada
Essam Eldin
Amin
Department of Community Environmental and Occupational medicine. Faculty of Medicine, Ain Shams University.
ghadaessam95@yahoo.com
Manar
Atya
Abd Elmaksoud
Ministry of Health and population.
10.21608/ejgg.2018.30907
Abstract<br />Background: Osteoporosis is a common condition, especially affecting the older female population. The ability to predict loss of lumbar height using simple anatomical measurements would be a useful tool.<br />Aim: To examine the relationship between CID/AS ratio and spinal height. And if there was a correlation between CID/AS ratio and early osteoporosis.<br />.Methods: A case-control study was designed, 50 post-menopausal women as cases and 50 as controls aged 50-70 were recruited who attending DEXA unit, Eldemerdash hospital, Ain Shams University during the period between June 2016 to Marsh 2017. Arm span (AS) and the costo-iliac distance (CID) was measured as the number of cm between the costal margin and the pelvic ridge of a patient, measured in the midaxillary line, the CID/AS ratio was calculated. The L1–L4 vertebral height of each patient was obtained from dual-energy X-ray absorptiometry (DEXA).<br />Results: The age of the studied cases, mean age 59.65 and SD 5.25. While the age of studied controls, mean age 57.67 and SD 5.48 (P value 0.07), the study was showed that no significant association between CID/AS ratio and lumber vertebral height, but there was a statistically correlation between CID/AS ratio and DEXA results (T score) with best cut off value CID/AS ratio > 0.058, Sensitivity = 74% Specificity = 60%<br />Conclusions: The CID/AS ratio is a useful bedside test in identifying patients with osteoporosis.
Osteoporosis,Costo-iliac distance,Arm span,dual-energy X-ray absorptiometry – Lumber height
https://ejgg.journals.ekb.eg/article_30907.html
https://ejgg.journals.ekb.eg/article_30907_190379eadf66aeb05bda645ecefd7a6b.pdf
Ain Shams University, Faculty of Medicine, Geriatrics and Gerontology Department
The Egyptian Journal of Geriatrics and Gerontology
2356-8712
2536-9792
5
2
2018
10
01
Frailty and malnutrition among Egyptian elderly: prevalence and risk factors in nursing home and community dwelling elderly
1
5
EN
Sahar
Mohamed
Sabbour
Department of Community Environmental and Occupational medicine. Faculty of Medicine, Ain Shams University.
sabbour_s@hotmail.com
Samia
Ahmed
Abdul Rahamn
Department of Geraitrics and Geronotolgy. Faculty of Medicine, Ain Shams University.
Ghada
Essam Eldin
Amin
Department of Community Environmental and Occupational medicine. Faculty of Medicine, Ain Shams University.
ghadaessam95@yahoo.com
Bassant
Abdullah
Mohamed
Ministry of Health and population.
allah.rabi@hotmail.com
10.21608/ejgg.2018.30909
Abstract<br />Background: frailty and malnutrition are common problems among elders. Studying these two concepts is very important as both of them are amenable for preventive interventions and are reversible.<br />Aim: To measure the prevalence of frailty and malnutrition among two groups of Egyptian elderly; nursing homes and community dwellers and to identify risk factors of these two problems.<br />Methods: the study included 350 elderly males and females aged 60 and over, 175 participants from nursing homes and 175 community dwellers. An interview questionnaire collected data about: sociodemographic data, health status, functionality of family (family APGAR score), screening for depression (5 item Geriatric Depression Scale) and cognitive status (Mini-Mental state). Frailty was measured using SHARE frailty index whereas nutritional status was measured using the Mini Nutritional Assessment questionnaire (MNA).<br />Results: Prevalence of frailty was 77.1% among elderly in nursing homes compared to 66.3% among community dwellers with no significant difference between them. As regard Nutritional status, nursing home had significantly higher percentage of malnourished participants compared to community dwelling participants (43.4% Vs 30.9%). Using the 5 items GDS, 57.7% of elderly were at risk of depression while 42% had impaired cognitive function using the MMSE. Frailty and malnutrition were highly prevalent in older age, in females, in widowed elderly, in those living alone, in participants with dysfunctional family, with comorbidities, with more than three comorbidities, with ischemic heart disease, receiving more than 3 drugs, with depressive symptoms and in those with lower cognitive performances<br />Conclusions: Frailty and malnutrition are highly prevalent problems among elderly in both nursing homes and
https://ejgg.journals.ekb.eg/article_30909.html
https://ejgg.journals.ekb.eg/article_30909_3f7ea64c5f7aef959f75cc35ee6c80a6.pdf
Ain Shams University, Faculty of Medicine, Geriatrics and Gerontology Department
The Egyptian Journal of Geriatrics and Gerontology
2356-8712
2536-9792
5
2
2018
10
01
EFFECT OF VITAMIN D SUPPLEMENTATION ON MUSCLE FUNCTION IN ELDERLY INDIVIDUALS: A META-ANALYSIS
1
9
EN
Tomader
Taha
Abdel Rahman
Geriatric Medicine & Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Mohamed
Shawky
Khater
Geriatric Medicine & Gerontology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Mohamad
Farouk
Allam
Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Ain Shams University.
10.21608/ejgg.2018.30912
Abstract<br />Background: Sarcopenia (the loss of muscle mass and strength) has estimated prevalence rates of 5-13% and 11-50% in the young-old and old-old, respectively. Recent studies have shown that vitamin D plays important roles in various systems, including the musculoskeletal system. Objective:<br />The aim of this meta-analysis was to determine the effects of vitamin D supplementation on muscle function in community‐dwelling elderly individuals.<br />Methods: We conducted systematic searches of PubMed, Medline, Egyptian Knowledge Bank, and the reference sections of previous reviews, and we discussed the topic with several experts in the field. Only randomized controlled trials that evaluated the effect of vitamin D supplementation on muscle function [muscle strength was evaluated by the hand grip strength (HGS) test, and physical performance was evaluated by the timed up-and-go (TUG) test] were included. Only studies published in English between January 2000 and June 2018 were considered.<br />Results: In total, 14 randomized controlled clinical trials (RCTs) met our inclusion criteria. The participants in these studies were all community-dwelling elderly individuals, who were generally in good health for their age. The pooled mean difference in HGS was higher in the vitamin D supplementation group than in the control group. The pooled mean difference in the TUG test was slightly lower in the vitamin D supplementation group than in the control group.<br />Conclusions: Our meta-analysis shows that vitamin D supplementation could improve muscle function in elderly individuals. Future studies should use standardized durations and doses of vitamin D supplementation.
Vitamin D supplementation,Sarcopenia,Muscle function,Meta-Analysis,Randomized controlled clinical trials,systematic review
https://ejgg.journals.ekb.eg/article_30912.html
https://ejgg.journals.ekb.eg/article_30912_7b593da78b6c8489ce2f86c9e65d3e61.pdf