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La Charité-sur-Loire, France

Bertoletti L.,Jean Monnet University | Bertoletti L.,French Institute of Health and Medical Research | Bertoletti G.,Gerontologie Clinique | De Magalhaes E.,French Institute of Health and Medical Research | And 7 more authors.
Geriatrie et Psychologie Neuropsychiatrie du Vieillissement

In the past decade, a significant improvement has been done in the management of pulmonary arterial hypertension, a devastating disease. Beside the aging population, one of the next challenges is to develop a specific management of a pulmonary hypertension's suspicion, in the aged patients. In fact, recent data have shown that if pulmonary hypertension were mostly related to chronic heart or lung failure, or pulmonary embolism, some elderly may in fact develop a real pulmonary arterial hypertension. Because of the potential therapies which may be proposed, the evaluation of a pulmonary hypertension's suspicion in the elderly needs a stringent evaluation by trained physicians, in collaboration with geriatricians. Source

Lombard M.O.,Gerontologie Clinique | Buisson A.,Gerontologie Clinique | Celarier T.,Gerontologie Clinique | Achour E.,Gerontologie Clinique | Gonthier R.,Gerontologie Clinique
NPG Neurologie - Psychiatrie - Geriatrie

Introduction: Undernourishment worsens frailty and loss of autonomy in elderly people. Undernourishment screening and treatment are registered in the nursing homes for elderly dependent patients (EHPAD) referenced certification. Precise recommendations are mentioned for the prescription and the reimbursement of oral nutritional supplements (ONS). Objective: Describe the importance of the use of ONS in such nursing homes. Method: Transversal quantitative study on a given day by exhaustive data collection in the medical records in five nursing homes in the Southern Loire department. Results: 407 medical records were included in the study. The studied sample comprised of 70% women, for an average age of 86 years old (±. 8). Average weight was 64kg (±. 16). Data records revealed 86% of the body weight at 6 months. 26% of the medical records comprised an albumin rate less than 1 year old. 30% of the patients were undernourished. 81% of the undernourished patients did not eat food with high nutritional value. 86% of the undernourished patients did not take any nutritional supplement. Conclusion: For the elderly people living in nursing homes, the undernourishment degrades their quality of life and increases the morbidity and mortality rate. Despite a large number of undernourished patients in nursing homes, the nutritional follow-up care is still rarely implemented. The staff of such establishments should benefit from regular training courses in the interest and means of management for the undernourished. Further studies could be conducted on the follow-up and frequency of undernourished patients and on the interest of reevaluating ONS prescription. © 2014 Elsevier Masson SAS. Source

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