Allergy Shots at Home Don't Raise Risk of Death

2006 ◽  
Vol 39 (8) ◽  
pp. 18
Author(s):  
MICHELE G. SULLIVAN
Keyword(s):  
Risk Of Death ◽  
At Home

scholarly journals The Impact of Social Isolation on Romantic Relationships During the COVID-19 Pandemic

2021 ◽  
Vol 04 (10) ◽  
Author(s):  
Bedia Kalemzer KARACA ◽  
Keyword(s):  
Romantic Relationships ◽  
Social Isolation ◽  
Social Distance ◽  
Romantic Relationship ◽  
Validity And Reliability ◽  
Risk Of Death ◽  
The Social ◽  
Education Levels ◽  
The Impact ◽  
At Home

Due to the severe course of COVID-19, the rate of transmission, and the high risk of death, country governments have taken many measures, such as social isolation, to reduce the rate of transmission. This study, it is aimed to reveal the effect of the social isolation process caused by the COVID-19 pandemic on the romantic relationships of individuals. In this correlational study, 540 people (n=433 females, n=107 males) who had a romantic relationship in Turkey were reached by random sampling method. The participants were given the Sociodemographic Information Form and the Anxiety in Romantic Relationships During the Covid-19 Pandemic Period. Validity and reliability analyzes of the scale were made. Romantic relationships of the Covid-19 pandemic process have been determined that it affects women more than men, those with low education levels more than those with higher levels, and those with short relationships than those with long-term relationships. At the same time, it was concluded that those who live separately are more affected than those who live together, those who avoid sexuality are more affected than those who do not, and those who apply social distance rules at home are more affected than those who do not apply social distance rules at home. The research has some limitations. The scale was applied online to 540 people and reached a limited number of people. The results need to be supported by different studies.

GINKGO BILOBA EXTRACT CONSUMPTION AND LONG-TERM OCCURRENCE OF DEATH AND DEMENTIA

2016 ◽  
pp. 1-5
Author(s):  
J.F. Dartigues ◽  
L. Grasset ◽  
C. Helmer ◽  
C. Féart ◽  
L. Letenneur ◽  
...  
Keyword(s):  
Ginkgo Biloba ◽  
Reference Group ◽  
Group Versus ◽  
Population Based ◽  
Ginkgo Biloba Extract ◽  
Interval Censoring ◽  
Risk Of Death ◽  
Incident Cases ◽  
At Home

Objectives: To study the benefit of Ginkgo Biloba Extract (GBe) consumption on the long term risk of dementia and death in elderly people. Design: The Paquid study is a population-based cohort with regular follow-up screenings up to twenty-two years and systematic detection of incident cases of dementia. Statistical analysis was conducted with an illness-death model dealing with interval censoring of dementia and competing risk of death. Setting: The sample was randomly selected from electoral rolls in two administrative areas of southwestern France in 1988-1989. Participants: 3,777 subjects aged 65 years or older at baseline who were living at home Measurement: Participants were visited at home by a trained psychologist at baseline in 1988/1989, and then again approximately every two years. Drug consumption for the treatment of cognitive or neurosensory impairment was collected at baseline. Participants were classified as GBe consumers, other drug (OD) consumers and untreated controls (UC) for this motive. Results: After adjustment for sociodemographic factors and cognitive measures at baseline the risk for dementia was not significantly different in GBe consumers and UC (Hazard Ratio (HR)=1.21, 95% Confidence Interval (95% CI)=0.95-1.55, p=0.42) and it was of the same magnitude but significantly increased in the OD group versus UC (HR=1.25, 95% CI=1.06-1.46, p=0.004). With the same adjustment, the risk of dying in non-demented subjects was reduced in GBe consumers versus UC (HR=0.67, 95% CI=0.49-0.93, p=0.02) while it was the same as the reference group in OD consumers. The mean lifetimes without dementia was of 11.2 years in the UC group (95% CI=10.9-11.5), 11.1 years in the GBe group (10.2-11.9) and 9.1 years for the OD group (8.7-9.6). Conclusion: GBe consumers have a lower risk of dying before dementia and a longer lifetime without dementia than participants taking other drugs for the same indication.

scholarly journals Should I stay or should I go? A retrospective propensity score-matched analysis using administrative data of hospital-at-home for older people in Scotland

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e023350 ◽  
Author(s):  
Apostolos Tsiachristas ◽  
Graham Ellis ◽  
Scott Buchanan ◽  
Peter Langhorne ◽  
David J Stott ◽  
...  
Keyword(s):  
Propensity Score ◽  
Administrative Data ◽  
Healthcare Costs ◽  
Data Set ◽  
Risk Of Death ◽  
Level Data ◽  
Increased Risk ◽  
Hospital At Home ◽  
At Home

ObjectivesTo compare the characteristics of populations admitted to hospital-at-home services with the population admitted to hospital and assess the association of these services with healthcare costs and mortality.DesignIn a retrospective observational cohort study of linked patient level data, we used propensity score matching in combination with regression analysis.ParticipantsPatients aged 65 years and older admitted to hospital-at-home or hospital.InterventionsThree geriatrician-led admission avoidance hospital-at-home services in Scotland.Outcome measuresHealthcare costs and mortality.ResultsPatients in hospital-at-home were older and more socioeconomically disadvantaged, had higher rates of previous hospitalisation and there was a greater proportion of women and people with several chronic conditions compared with the population admitted to hospital. The cost of providing hospital-at-home varied between the three sites from £628 to £2928 per admission. Hospital-at-home was associated with 18% lower costs during the follow-up period in site 1 (ratio of means 0.82; 95% CI: 0.76 to 0.89). Limiting the analysis to costs during the 6 months following index discharge, patients in the hospital-at-home cohorts had 27% higher costs (ratio of means 1.27; 95% CI: 1.14 to 1.41) in site 1, 9% (ratio of means 1.09; 95% CI: 0.95 to 1.24) in site 2 and 70% in site 3 (ratio of means 1.70; 95% CI: 1.40 to 2.07) compared with patients in the control cohorts. Admission to hospital-at-home was associated with an increased risk of death during the follow-up period in all three sites (1.09, 95% CI: 1.00 to 1.19 site 1; 1.29, 95% CI: 1.15 to 1.44 site 2; 1.27, 95% CI: 1.06 to 1.54 site 3).ConclusionsOur findings indicate that in these three cohorts, the populations admitted to hospital-at-home and hospital differ. We cannot rule out the risk of residual confounding, as our analysis relied on an administrative data set and we lacked data on disease severity and type of hospitalised care received in the control cohorts.

On the Assurance Risks incident to Professional Military and Naval Lives; and the Rates of Extra Premiums which should be charged for such Risks

1899 ◽  
Vol 34 (4) ◽  
pp. 358-385
Author(s):  
A. H. Smee ◽  
Thomas G. Ackland
Keyword(s):  
Military Service ◽  
Climate Risk ◽  
Military Operations ◽  
Foreign Service ◽  
Risk Of Death ◽  
Small Wars ◽  
Active Service ◽  
At Home

In assessing the risks to be provided against in the case of professional military and naval lives, consideration has to be given to the following distinct elements:(1) The risk of death at home stations, or the normal mortality.(2) The risk of death at foreign stations in time of peace, or the climate risk.(3) The risk of death in active military service in the constantly recurring “small wars.”(4) The risk of death in active military operations in “national wars.”(5) The liability, in time of peace, to foreign service.(6) The liability to active service in the field in “small wars.”(7) The liability to active service in the field in “national wars.”

The Pattern of Hospital Admissions Prior to Care Home Placement in People With Parkinson’s Disease: Evidence of a Period of Crisis for Patients and Carers

2018 ◽  
Vol 31 (9) ◽  
pp. 1616-1630 ◽  
Author(s):  
Joanna Klaptocz ◽  
William K. Gray ◽  
Sophie Marwood ◽  
Mitali Agarwal ◽  
Joseph Ziegler ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Hospital Stay ◽  
Hospital Admissions ◽  
Care Home ◽  
Competing Risk ◽  
Exit Point ◽  
Risk Of Death ◽  
Home Placement ◽  
At Home

Objectives: We hypothesized that the number and length of hospital admissions in people with Parkinson’s disease (PD) would increase immediately prior to admission to a care home relative to those who were able to continue living at home or who died. Method: PD patients at Hoehn and Yahr Stages III to V were followed-up over two and a half years with deaths and care home placements recorded. Hospital admissions data were collected over this period. Results: Of 286 patients included in the study, 7.3% entered a care home and 28.3% died. In the final 120 days prior to the study exit point (care home placement, death, or continued living at home), longer hospital stay was significantly associated with care home placement, after adjusting for the competing risk of death. Conclusion: Our data provide evidence that, for many people with PD, a period of crisis is reached immediately prior to care home placement.

scholarly journals Impact of Home Quarantine on Physical Activity Among Older Adults Living at Home During the COVID-19 Pandemic: Qualitative Interview Study (Preprint)

2020 ◽  
Author(s):  
Luc Goethals ◽  
Nathalie Barth ◽  
Jessica Guyot ◽  
David Hupin ◽  
Thomas Celarier ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Older Adults ◽  
Sedentary Lifestyle ◽  
Well Being ◽  
Risk Of Death ◽  
Qualitative Interview Study ◽  
Physical Activity Programs ◽  
The Impact ◽  
At Home

BACKGROUND Older adults and those with pre-existing medical conditions are at risk of death from severe acute respiratory syndrome coronavirus 2 (SARS CoV-2). In this period of quarantine, one of the reasons for going out is physical activity. This issue is important, as the impact of a sedentary lifestyle might be lower for children and young adults, but is far more severe for older adults. Although older adults need to stay at home because they have a higher risk of coronavirus disease (COVID-19), they need to avoid a sedentary lifestyle. Physical activity is important for older adults, especially to maintain their level of independence, mental health, and well-being. Maintaining mobility in old age is necessary, as it may predict loss of independence in older adults. OBJECTIVE Our first objective was to evaluate the impact of this quarantine period on physical activity programs and on the physical and mental health of older adults. Our second objective was to discuss alternatives to physical activity programs that could be suggested for this population to avoid a sedentary lifestyle. METHODS We conducted a qualitative survey using semistructured interviews with professionals (managers in charge of physical activity programs for older adults and sports trainers who run these physical activity programs) from the French Federation of Physical Education and Voluntary Gymnastics (FFPEVG) and older adults participating in a physical activity program of the FFPEVG. We followed a common interview guide. For analysis, we carried out a thematic analysis of the interviews. RESULTS This study suggests that the COVID-19 epidemic has affected, before quarantine measures, the number of seniors attending group physical activity programs in the two study territories. In addition, despite the decline in their participation in group physical activities before the quarantine, older adults expressed the need to perform physical activity at home. There is a need to help older adults integrate simple and safe ways to stay physically active in a limited space. A national policy to support older adults for physical activity at home appears essential in this context. CONCLUSIONS Given the results of our study, it seems necessary to globally communicate how important it is for older adults to maintain physical activity at home. We are concerned about the level of independence and mental health state of older adults after the end of quarantine if there is no appropriate campaign to promote physical activity among them at home.

Abstract TP175: Impact of Living Alone on Stroke Outcomes: Results from the Registry of the Canadian Stroke Network

Stroke ◽  
2013 ◽  
Vol 44 (suppl_1) ◽  
Author(s):  
Mathew J Reeves ◽  
Jiming Fang ◽  
Marla Prager ◽  
Moira Kapral
Keyword(s):  
Social Isolation ◽  
Developed Countries ◽  
Living Alone ◽  
Readmission Rates ◽  
Stroke Outcomes ◽  
Risk Of Death ◽  
Increased Risk ◽  
Proxy Measure ◽  
Independent Effects ◽  
At Home

Background: Social isolation is a risk factor for poor health outcomes and living alone is a commonly used proxy measure for social isolation. We examined the relationships between living alone and stroke outcomes in patients enrolled in the Registry of the Canadian Stroke Network. Methods: Between 2003-2008, 24526 patients with ischemic stroke, hemorrhagic stroke, or TIA were admitted to 11 Ontario registry hospitals. Patients not living at home (n= 7364), repeat stroke admissions (n=1246) or with missing data (n= 1946) were excluded. Outcomes included onset to arrival time ≤2.5 hrs, discharge to home, mortality (in-hospital, 30-day, 1-year, 3-year), and readmission (1-year). The independent effects of living alone on outcomes were determined using multivariable logistic regression. Results: Overall, 22.5% (n= 3146/13970) of patients were living alone at home prior to admission. Compared to patients living at home with others, patients living alone were significantly more likely to be ≥80 years of age (41.6% vs. 28.8%), female (62.7% vs. 41.4%), white (58.9% vs. 53.7%), widowed (53.5% vs. 11.5%), or single (21.7% vs. 3.7%), and significantly less likely to have diabetes (21.8% vs. 24.8%) or dyslipidemia (32.2% vs. 37.3%). The prevalence of severe stroke was similar (12.4% vs. 14.9%). Patients living alone were less likely to arrive ≤2.5 hrs after onset (32.9% vs. 42.7%) or be discharged to home (61.1% vs. 68.2%), however, differences in mortality or readmission rates were minimal (Table). Adjustment for confounding variables did not appreciably change these results. Conclusions: Patients living alone had delayed hospital arrival and were less likely to return home, but were not at increased risk of death or readmission. Further research is needed to understand the inter-relationships between living alone, social isolation, and poor stroke outcomes, especially given the increasing prevalence of living alone in developed countries.

scholarly journals 32 Exploring the Efficacy of a Discharge to Assess Model using a Combined Approach Involving FITT, OPAT and CIT

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
Louise Lawlor ◽  
Ciara O'Reilly ◽  
Anne Platts ◽  
Lorraine Myler
Keyword(s):  
Hospital Admission ◽  
Older Patients ◽  
Medication Management ◽  
Cost Effective ◽  
Service Planning ◽  
Nursing Home Care ◽  
Discharge Process ◽  
Risk Of Death ◽  
Increased Risk ◽  
At Home

Abstract Background Following hospital admission, older patients are at an increased risk of death and admission to nursing home care (Bachmann et al, 2010). Functional deterioration in older patients occurring prior to hospital admission is as a result of acute illness however deterioration following admission can be as a result of polypharmacy, excessive bedrest, sleep deprivation, institutionalisation and inadequate nutrition and may be amenable to changes in the processes of hospital care (Coleman et al, 2012) In terms of reducing costs in an ever-increasing older population, maintaining people in their own homes is more cost effective than high numbers going to residential care. Methods Therapists in the hospital identified appropriate patients and referred to FITT therapist’s (0.5 Occupational Therapist and Physiotherapist) and CIT nurses for review. Within 24 hours of discharge, patients were followed up by a home visit by FITT. The therapy team communicated the needs of the patient and the CIT nursing team would complete a visit. Once patient’s immediate needs were met and situation stabilised at home, onward referrals to both community and hospital services were co-ordinated as required. Results Sixteen patients over a four-week period were included. The main reason for referrals included: functional review in home environment, pain and medication management, patient and carer support.100% of patients were reviewed at home within 24 hours of discharge and required on average of 5 visits at home which equated to 119 bed days at home. This cross organisational project identified that rapid discharges can be facilitated which reduced length of stay and increased patient and family’s satisfaction with the discharge process. Conclusion This alternative model to the traditional hospital-based rehabilitation model needs to be considered in future service planning.

scholarly journals Impact of Home Quarantine on Physical Activity Among Older Adults Living at Home During the COVID-19 Pandemic: Qualitative Interview Study

JMIR Aging ◽  
10.2196/19007 ◽  
2020 ◽  
Vol 3 (1) ◽  
pp. e19007 ◽  
Author(s):  
Luc Goethals ◽  
Nathalie Barth ◽  
Jessica Guyot ◽  
David Hupin ◽  
Thomas Celarier ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Older Adults ◽  
Sedentary Lifestyle ◽  
Well Being ◽  
Risk Of Death ◽  
Qualitative Interview Study ◽  
Physical Activity Programs ◽  
The Impact ◽  
At Home

Background Older adults and those with pre-existing medical conditions are at risk of death from severe acute respiratory syndrome coronavirus 2 (SARS CoV-2). In this period of quarantine, one of the reasons for going out is physical activity. This issue is important, as the impact of a sedentary lifestyle might be lower for children and young adults, but is far more severe for older adults. Although older adults need to stay at home because they have a higher risk of coronavirus disease (COVID-19), they need to avoid a sedentary lifestyle. Physical activity is important for older adults, especially to maintain their level of independence, mental health, and well-being. Maintaining mobility in old age is necessary, as it may predict loss of independence in older adults. Objective Our first objective was to evaluate the impact of this quarantine period on physical activity programs and on the physical and mental health of older adults. Our second objective was to discuss alternatives to physical activity programs that could be suggested for this population to avoid a sedentary lifestyle. Methods We conducted a qualitative survey using semistructured interviews with professionals (managers in charge of physical activity programs for older adults and sports trainers who run these physical activity programs) from the French Federation of Physical Education and Voluntary Gymnastics (FFPEVG) and older adults participating in a physical activity program of the FFPEVG. We followed a common interview guide. For analysis, we carried out a thematic analysis of the interviews. Results This study suggests that the COVID-19 epidemic has affected, before quarantine measures, the number of seniors attending group physical activity programs in the two study territories. In addition, despite the decline in their participation in group physical activities before the quarantine, older adults expressed the need to perform physical activity at home. There is a need to help older adults integrate simple and safe ways to stay physically active in a limited space. A national policy to support older adults for physical activity at home appears essential in this context. Conclusions Given the results of our study, it seems necessary to globally communicate how important it is for older adults to maintain physical activity at home. We are concerned about the level of independence and mental health state of older adults after the end of quarantine if there is no appropriate campaign to promote physical activity among them at home.

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