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  1. Article ; Online: The geriatric canon

    Renzo Rozzini

    Monaldi Archives for Chest Disease, Vol 89, Iss

    2019  Volume 1

    Abstract: Over the years Geriatrics and gerontology have developed a language shared by most clinicians and researchers who unequivocally defines the health conditions of aging people: one could speak of "geriatric canon", i.e. the set of fundamentals (paradigms, ... ...

    Abstract Over the years Geriatrics and gerontology have developed a language shared by most clinicians and researchers who unequivocally defines the health conditions of aging people: one could speak of "geriatric canon", i.e. the set of fundamentals (paradigms, principles, standard reference vocabulary) of geriatric knowledge, the heritage from which they draw inspiration and from which the actions for the care of the elderly can be driven, the scientific works for the study of their health. The aim of this paper is to describe and report the most important terms of the geriatric canon, in a simplified way, in order to establish a more precise use of geriatric terminology that can be easily utilized by the cardiologists, or other specialists who takes care of elderly patients, without depriving them of their clinical significance, and becoming heritage of ordinary medical language.
    Keywords Comorbidity ; multimorbidity ; frailty ; disability ; complexity ; Medicine ; R
    Language English
    Publishing date 2019-04-01T00:00:00Z
    Publisher PAGEPress Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Aging clinical problems

    Renzo Rozzini

    Monaldi Archives for Chest Disease, Vol 84, Iss 1-

    a difficult balance between age and frailty

    2016  Volume 2

    Abstract: Frailty is a common geriatric syndrome that embodies an elevated risk of catastrophic declines in health and function among older adults. Frailty is a condition associated with ageing with associated weakness, slowing, decreased energy, lower activity, ... ...

    Abstract Frailty is a common geriatric syndrome that embodies an elevated risk of catastrophic declines in health and function among older adults. Frailty is a condition associated with ageing with associated weakness, slowing, decreased energy, lower activity, and, when severe, unintended weight loss. As a population ages, a central focus of geriatricians and public health practitioners is to understand, and then beneficially intervene on, the factors and processes that put elders at such risk, especially the increased vulnerability to stressors (e.g. extremes of heat and cold, infection, injury, or even changes in medication) that characterizes many older adults. The syndrome of geriatric frailty is hypothesized to reflect impairments in the regulation of multiple physiologic systems, embodying a lack of resilience to physiologic challenges and thus elevated risk for a range of deleterious endpoints. The empirical assessment of geriatric frailty in individuals seeks to capture this or related features. Riassunto Fragilità è la predisposizione alla rottura, al danno. L’etimologia della parola fragilità da "frango", rompere, rimanda alla nozione di qualche cosa che se sottoposto a una pressione, a un impatto, rischia di danneggiarsi facilmente. E’ dunque una nozione ampia e intuitiva che può avere ambiti di precisazione più diversi a seconda che se ne parli in fisica (dove esistono dei coefficienti esatti) piuttosto che nei campi della morale o del sentimento, dove la valutazione sarà sempre più "poetica" e affidata alla sensibilità individuale.
    Keywords Medicine ; R
    Language English
    Publishing date 2016-06-01T00:00:00Z
    Publisher PAGEPress Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Goals of surgery and assessment tools for elderly patients referred for cardiac and noncardiac surgery

    Flaminia Coccia / Renzo Rozzini

    Monaldi Archives for Chest Disease, Vol 87, Iss

    2017  Volume 2

    Abstract: Surgery in elderly patients is associated with the risk of death, complications, functional decline and disability. Prior to surgery, therefore, an assessment of the health-related priorities, a realistic evaluation of the surgical risks, and ... ...

    Abstract Surgery in elderly patients is associated with the risk of death, complications, functional decline and disability. Prior to surgery, therefore, an assessment of the health-related priorities, a realistic evaluation of the surgical risks, and individualized optimization of the procedural pathway to follow are mandatory.
    Keywords Elderly surgical patient ; pre-op evaluation ; prognosis ; Medicine ; R
    Language English
    Publishing date 2017-07-01T00:00:00Z
    Publisher PAGEPress Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Delirium

    Renzo Rozzini / Angelo Bianchetti / Francesca Mazzeo / Giulia Cesaroni / Luca Bianchetti / Marco Trabucchi

    Frontiers in Psychiatry, Vol

    Clinical Presentation and Outcomes in Older COVID-19 Patients

    2020  Volume 11

    Abstract: The aim of the study is to describe the clinical characteristics and outcomes of a series of older patients consecutively admitted into a non-ICU ward due to SARS-CoV-2 infection (14, males 11), developing delirium. Hypokinetic delirium with lethargy and ...

    Abstract The aim of the study is to describe the clinical characteristics and outcomes of a series of older patients consecutively admitted into a non-ICU ward due to SARS-CoV-2 infection (14, males 11), developing delirium. Hypokinetic delirium with lethargy and confusion was observed in 43% of cases (6/14 patients). A total of eight patients exhibited hyperkinetic delirium and 50% of these patients (4/8) died. The overall mortality rate was 71% (10/14 patients). Among the four survivors we observed two different clinical patterns: two patients exhibited dementia and no ARDS (acute respiratory distress syndrome), while the remaining two patients exhibited ARDS and no dementia. The observed different clinical patterns of delirium (hypokinetic delirium; hyperkinetic delirium with or without dementia; hyperkinetic delirium with or without ARDS) identified patients with different prognosis: we believe these observations may have an impact on the management of older subjects with delirium due to COVID-19.
    Keywords COVID 19 ; delirium ; elderly ; frailty ; mortality ; Psychiatry ; RC435-571 ; covid19
    Subject code 610
    Language English
    Publishing date 2020-11-01T00:00:00Z
    Publisher Frontiers Media S.A.
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Clinical risk score to predict in-hospital mortality in COVID-19 patients

    Federico Lavorini / Alessandro Bartoloni / Rossella Marcucci / Giulia Cesaroni / Riccardo Pini / Carlo Nozzoli / Carlo Fumagalli / Renzo Rozzini / Matteo Vannini / Flaminia Coccia / Francesca Mazzeo / Maria Cola / Paolo Fontanari / Alessandro Morettini / Filippo Pieralli / Loredana Poggesi

    BMJ Open, Vol 10, Iss

    a retrospective cohort study

    2020  Volume 9

    Keywords Medicine ; R
    Language English
    Publishing date 2020-09-01T00:00:00Z
    Publisher BMJ Publishing Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Behavioral and Psychological Effects of Coronavirus Disease-19 Quarantine in Patients With Dementia

    Annachiara Cagnin / Raffaele Di Lorenzo / Camillo Marra / Laura Bonanni / Chiara Cupidi / Valentina Laganà / Elisa Rubino / Alessandro Vacca / Paolo Provero / Valeria Isella / Nicola Vanacore / Federica Agosta / Ildebrando Appollonio / Paolo Caffarra / Ilaria Pettenuzzo / Renato Sambati / Davide Quaranta / Valeria Guglielmi / Giancarlo Logroscino /
    Massimo Filippi / Gioacchino Tedeschi / Carlo Ferrarese / Innocenzo Rainero / Amalia C. Bruni / SINdem COVID-19 Study Group / Erica Gallo / Alberto Grassini / Andrea Marcinnò / Fausto Roveta / Paola De Martino / Francesca Frangipane / Gianfranco Puccio / Rosanna Colao / Maria Mirabelli / Noemi Martellacci / Federica Lino / Stefano Mozzetta / Cinzia Bussè / Giulia Camporese / Simona Sacco / Maria Carmela Lechiara / Claudia Carrarini / Mirella Russo / Alfonsina Casalena / Patrizia Sucapane / Pietro Tiraboschi / Paola Caroppo / Veronica Redaelli / Giuseppe Di Fede / Daniela Coppa / Lenino Peluso / Pasqualina Insarda / Matteo De Bartolo / Sabrina Esposito / Alessandro Iavarone / Anna Vittoria Marta Orsini / Elena Salvatore / Chiara Criscuolo / Luisa Sambati / Rossella Santoro / Daniela Gragnaniello / Ilaria Pedriali / Livia Ludovico / Annalisa Chiari / Andrea Fabbo / Petra Bevilacqua / Chiara Galli / Silvia Magarelli / Marta Perini / Gianfranco Spalletta / Nerisa Banaj / Desirée Estela Porcari / Giulia Caruso / Virginia Cipollini / Anna Rosa Casini / Francesca Ursini / Giuseppe Bruno / Renzo Rozzini / Michela Brambilla / Giuseppe Magnani / Francesca Caso / Edoardo G. Spinelli / Matteo Cotta Ramusino / Giulia Perini / Simona Luzzi / Gabriella Cacchiò / Rossano Angeloni / Cinzia Giuli / Katia Fabi / Marco Guidi / Cristina Paci / Annaelisa Castellano / Elena Carapelle / Rossella Petrucci / Miriam Accogli / Gianluigi Calabrese / Giovanna Nicoletta Trevisi / Brigida Coluccia / Antonella Vasquez Giuliano / Marcella Caggiula / Fulvio Da Re / Antonio Milia / Giuseppina Pilia / Maria Giuseppina Mascia / Valeria Putzu / Tommaso Piccoli / Luca Cuffaro / Roberto Monastero / Antonella Battaglia / Valeria Blandino / Federica Lupo / Eduardo Cumbo / Luca Antonina / Giuseppe Caravaglios / Annalisa Vezzosi / Valentina Bessi / Gloria Tognoni / Valeria Calsolaro / Enrico Mossello / Serena Amici / Alberto Trequattrini / Salvatore Pezzuto / Patrizia Mecocci / Giulia Fichera / Samantha Pradelli / Marino Formilan / Alessandra Coin / Laura Detogni / Francesca Sala / Giulia Sandri / Maurizio Gallucci / Anna Paola Mazzarolo / Cristina Bergamelli

    Frontiers in Psychiatry, Vol

    2020  Volume 11

    Abstract: BackgroundIn March 2020, the World Health Organization declared a global pandemic due to the novel coronavirus SARS-CoV-2 and several governments planned a national quarantine in order to control the virus spread. Acute psychological effects of ... ...

    Abstract BackgroundIn March 2020, the World Health Organization declared a global pandemic due to the novel coronavirus SARS-CoV-2 and several governments planned a national quarantine in order to control the virus spread. Acute psychological effects of quarantine in frail elderly subjects with special needs, such as patients with dementia, have been poorly investigated. The aim of this study was to assess modifications of neuropsychiatric symptoms during quarantine in patients with dementia and their caregivers.MethodsThis is a sub-study of a multicenter nation-wide survey. A structured telephone interview was delivered to family caregivers of patients with diagnosis of Alzheimer disease (AD), dementia with Lewy bodies (DLB), frontotemporal dementia (FTD), and vascular dementia (VD), followed regularly at 87 Italian memory clinics. Variations in behavioral and psychological symptoms (BPSD) were collected after 1 month since quarantine declaration and associations with disease type, severity, gender, and caregiver’s stress burden were analyzed.ResultsA total of 4,913 caregivers participated in the survey. Increased BPSD was reported in 59.6% of patients as worsening of preexisting symptoms (51.9%) or as new onset (26%), and requested drug modifications in 27.6% of these cases. Irritability, apathy, agitation, and anxiety were the most frequently reported worsening symptoms and sleep disorder and irritability the most frequent new symptoms. Profile of BPSD varied according to dementia type, disease severity, and patients’ gender. Anxiety and depression were associated with a diagnosis of AD (OR 1.35, CI: 1.12–1.62), mild to moderate disease severity and female gender. DLB was significantly associated with a higher risk of worsening hallucinations (OR 5.29, CI 3.66–7.64) and sleep disorder (OR 1.69, CI 1.25–2.29), FTD with wandering (OR 1.62, CI 1.12–2.35), and change of appetite (OR 1.52, CI 1.03–2.25). Stress-related symptoms were experienced by two-thirds of caregivers and were associated with increased patients’ neuropsychiatric burden (p<0.0001).ConclusionQuarantine induces a rapid increase of BPSD in approximately 60% of patients and stress-related symptoms in two-thirds of caregivers. Health services need to plan a post-pandemic strategy in order to address these emerging needs.
    Keywords behavioral and psychological symptoms ; behavioral symptoms ; psychological symptoms ; quarantine ; dementia ; caregiver ; Psychiatry ; RC435-571 ; covid19
    Subject code 150
    Language English
    Publishing date 2020-09-01T00:00:00Z
    Publisher Frontiers Media S.A.
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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