文章基本信息

标题：Challenges in the performance of real-life studies in older patients: focus on long-term care facilities
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作者：Johanna Marietta Christiansen ; Anna Maria Meyer ; Lena Pickert 等
期刊名称：Geriatric Care
印刷版ISSN：2465-1109
电子版ISSN：2465-1397
出版年度：2022
卷号：8
期号：1
DOI：10.4081/gc.2022.10384
语种：English
出版社：PAGEPress Publications
摘要：Research on geriatric conditions and atypical disease presentation in poorly studied patients’ groups is becoming increasingly important. Aim of the present investigation was addressing prevalence and prognostic significance of aortic valve stenosis (AVS) in older residents of long-term care facilities (LTCF). For the planned recruitment of 500 LTCF guests of a German metropolitan area, study investigators were trained and in the performance of a cardiologic examination and of the comprehensive geriatric assessment- based multidimensional prognostic index (MPI). After five attempts to obtain permission to conduct the study in 30 institutions, patients’ recruitment was stopped with 22 participants included from one institution. AVS was suspected in two patients, in agreement with the reported prevalence data. The MPI value correlated with social support (P=0.002) and geriatric syndromes (P=0.004). This structured attempt at investigating presence and prognostic signature of AVS in older LTCF guests was challenged by logistic obstacles strongly hindering diagnosis of potentially treatable conditions which, if undisclosed, negatively impact on survival and quality of life.