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Biomedical subjects

M C Van Nes

Publications and source records attributed to M C Van Nes.

8 recordsLinked to original sources
PubMed2001

Does the mini nutritional assessment predict hospitalization outcomes in older people?

BACKGROUND: the Mini Nutritional Assessment is a validated clinical tool for the assessment of nutritional status in older people. Moderate to severe malnutrition is common in elderly patients in hospital and is associated with a poor outcome. OBJECTIVES: to determine whether the Mini Nutritional Assessment can predict the outcome of hospital stay in older individuals. SETTING: a tertiary-care geriatric hospital. METHODS: we evaluated nutritional status using the Mini Nutritional Assessment in 1319 patients (mean age 84.2, 70% women) admitted between February 1996 and January 1998; 1145 complete assessments were available for analysis. The assessment was carried out on admission and studied in relation to length of stay and in-hospital mortality for all patients, and discharge to a nursing home for those living at home before admission. RESULTS: Mini Nutritional Assessment scores averaged 19.9+/-3.8 (mean+/-SD) with a range of 8.0-27.5, and a median of 20.5. A score below 17, corresponding to malnutrition, was associated with an almost threefold increase in mortality and in the rate of discharge to a nursing home; this contrasted with a score above 24, which indicates satisfactory nutritional status (11.3% vs 3.7%; P<0.01 and 20.3% vs 7.7%; P<0.001, respectively). Length of stay was longer in the low scoring group (42.0 days vs 30.5 days; P<0.0002). CONCLUSION: Poor nutritional status as measured by the Mini Nutritional Assessment was associated with increased in-hospital mortality, a higher rate of discharge to nursing homes and a longer length of stay.

Activities of Daily Living↗
PubMed2000

[Collaboration between the geriatrician and the surgeon: a major contribution for the aged patient in rehabilitation].

BACKGROUND: Subtrochanteric fractures are complex fractures requiring prudent reeducation. In elderly patients who also have other illnesses, reeducation of walking may be quite difficult. CASE REPORT: An 89-year-old woman was referred for physical therapy after osteosynthesis of a comminutive subtrochanteric fracture. Weight bearing was contraindicated for 3 months due to her "incapacity to perform reeducation exercises". The patient also had several serious co-morbidities which had to be integrated into the reeducation program. DISCUSSION: In cases of complex fractures, reeducation must take into account other comorbid conditions. Outcome can be favorable, but requires a well organized interdisciplinary approach associating the geriatrics and the orthopedics teams.

Aged↗
PubMed1999

[Innovative teaching, a successful invention: the European Academy for Medicine of Ageing (EAMA). The viewpoint of teachers and students].

INTRODUCTION: The origins of the EAMA (European Academy for Medicine of Aging) course are described in this paper by the Scientific Committee of this new post-graduate teaching activity. CURRENT KNOWLEDGE AND KEY POINTS: Innovations are constantly introduced to improve training methodology so as to enable the students to update their knowledge, help them improve their skills in data gathering and in the critical interpretation of information, and exchange geriatric experience and know-how. To reach such goals, an interactive teaching method is implemented by the professors, with world experts being called in to ensure scientific soundness and quality. Evaluations by students and teachers are regularly carried out with the aim of perfectly adjusting their training methodologies and increasing the scientific level of exchanges. FUTURE PROSPECTS AND PROJECTS: If the students progress, so do the teachers....

Academies and Institutes↗
PubMed1999

"Weight loss preoccupation in aging women": a review.

Preoccupation with body weight leading to frequent dieting has been found to be common in young women of developed countries. Little is known however about body image preoccupation or the prevalence of dieting for weight control purposes in elderly women. The few available reports suggest that preoccupation with weight remain high in elderly women and that pressure to be thin drives normal weight older women to recurrent dieting. After a reminder of the nutritional vulnerability of the elderly recommendations to the health care professionals and health authorities are provided. An increased awareness of eating habits and weight preoccupation in elderly women is needed, since attitudes towards weight may influence the effectiveness of medical advice and health promotion campaigns.

Aged↗
PubMed1998

[The thyroid in the aged subject].

Thyroid disorders are common in an elderly hospitalized population. They are mainly due to multiple concurrent illnesses present in these patients or the drugs prescribed. The pathophysiology of these non-thyroidal illnesses is explained. These disorders must be distinguished from overt thyroid diseases such as hypo- or hyperthyroidism. The symptoms of which are often atypical compared to the young. Specific geriatric assessment of these symptoms and the treatment of the thyroid diseases are reviewed. Lastly, the occurrence of thyroid nodules and thyroid cancers must be managed taking into account the clinical status of the patient.

Aged↗