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致我们终将到来的老年时光——中国青年人的晚景预期调查报告(2013) 被引量:1
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作者 董惠敏 顾智锦 《学术前沿》 2013年第15期88-94,共7页
本次问卷调查旨在研究18~35岁群体对老年生活的预期、影响老年预期的因素,以及当前行为选择中考虑养老因素的程度。调查发现,对经济、社会发展越有信心的受访者,对自己老年生活幸福程度的预期越高;养老制度和老年产业发展也对老年生活... 本次问卷调查旨在研究18~35岁群体对老年生活的预期、影响老年预期的因素,以及当前行为选择中考虑养老因素的程度。调查发现,对经济、社会发展越有信心的受访者,对自己老年生活幸福程度的预期越高;养老制度和老年产业发展也对老年生活预期有正向影响;人们在就业、移民等方面考虑养老因素的程度显著地受经济发展、社会稳定预期等因素的影响。应着力解决养老体系存在的问题,缓解公众的养老焦虑,提升长线信心。 展开更多
关键词 老年预期 养老制度 老年精神文化 量表
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Is frailty associated with short-term outcomes for elderly patients with acute coronary syndrome? 被引量:18
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作者 Lin KANG Shu-Yang ZHANG +5 位作者 Wen-Ling ZHU Hai-Yu PANG Li ZHANG Ming-Lei ZHU Xiao-Hong LIU Yong-Tai LIU 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2015年第6期662-667,共6页
Background Frailty is a new prognostic factor in cardiovascular medicine due to the aging and increasingly complex nature of elderly patients. It is useful and meaningful to prospectively analyze the manner in which f... Background Frailty is a new prognostic factor in cardiovascular medicine due to the aging and increasingly complex nature of elderly patients. It is useful and meaningful to prospectively analyze the manner in which frailty predicts short-term outcomes for elderly patients with acute coronary syndrome (ACS). Methods Patients aged 〉 65 years, with diagnosis of ACS from cardiology department and geriatrics department were included from single-center. Clinical data including geriatrics syndromes were collected using Comprehensive Geriatrics Assessment. Frailty was defined according to the Clinical Frailty Scale and the impact of the co-morbidities on risk was quantified by the coronary artery disease (CAD)--specific index. Patients were followed up by clinical visit or telephone consultation and the median follow-up time is 120 days. Following-up items included all-cause mortality, unscheduled return visit, in-hospital and recurrent major adverse cardiovascular events. Multivariable regression survival analysis was performed using Cox regression. Results Of the 352 patients, 152 (43.18%) were considered frail according to the study instrument (5-7 on the scale), and 93 (26.42%) were considered moderately or se- verely frail (6-7 on the scale). Geriatrics syndromes including incontinence, fall history, visual impairment, hearing impairment, constipation, chronic pain, sleeping disorder, dental problems, anxiety or depression, and delirium were more frequently in frail patients than in non-frail patients (P = 0.000, 0.031, 0.009, 0.014, 0.000, 0.003, 0.022, 0.000, 0.074, and 0.432, respectively). Adjusted for sex, age, severity of coro- nary artery diseases (left main coronary artery lesion or not) and co-morbidities (CAD specific index) by Cox survival analysis, frailty was found to be strongly and independently associated with risk for the primary composite outcomes: all-canse mortality [Hazard Ratio (HR) = 5.393; 95% CI: 1.477-19.692, P = 0.011] and unscheduled return visit (HR - 2.832; 95% CI: 1.140-7.037, P = 0.025). Conclusions Comprehensive Geriatrics Assessment and Clinical Frail Scale were useful in evaluation of elderly patients with ACS. Frailty was strongly and independently associated with short-term outcomes for elderly patients with ACS. 展开更多
关键词 Acute coronary syndrome Comprehensive Geriatrics Assessment FRAILTY Survival analysis Unscheduled return visit
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Systemic therapy of non-colorectal gastrointestinal malignancies in the elderly 被引量:1
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作者 Avni M.Desai Stuart M.Lichtman 《Cancer Biology & Medicine》 SCIE CAS CSCD 2015年第4期284-291,共8页
In the coming years life expectancy is expected to increase and with this the percentage of the population above age 65 will grow. Patients above 65 make up more than two thirds of those currently diagnosed with gastr... In the coming years life expectancy is expected to increase and with this the percentage of the population above age 65 will grow. Patients above 65 make up more than two thirds of those currently diagnosed with gastrointestinal malignancies. Available evidence based medicine does not focus on the average patient, above the age 70, encountered in every day practice. Most guidelines and clinical trials are not designed to take into account the special considerations needed when treating the elderly such as functional status, comorbidities, polypharmacy, life expectancy, and social support. The majority of available data is based on retrospective reviews or subset analyses of larger studies where the elderly represent a fraction of the studied population. This review focuses on the toxicities and tolerability of current standard therapies for noncolorectal gastrointestinal malignancies, including gastroesophageal, pancreatic, bile duct and hepatocellular cancers in the elderly. With careful patient selection and geriatric assessment the elderly can safely benefit from standard therapies offered to younger patients. 展开更多
关键词 Pancreatic cancer esophageal cancer biliary cancer hepatocellular carcinoma(HCC) chemotherapy elderly geriatrics gastric cancer
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