Societá

Attivitá SIGG

Giornale di Gerontologia

Numero 3, Giugno 2005 - Volume LIII

Copertina

Editoriale

Problemi editoriali della Societá Italiana di Gerontologia e Geriatria

G. SALVIOLI

Cattedra di Geriatria e Gerontologia, Universitá di Modena e Reggio Emilia

G GERONTOL 2005;53:101-103

Paziente demente, caregiver, servizi: una triade da costruire e da difendere

S. BRANCA, G.A. SPALLINA, C. CAPRINO, L. FERLITO*, M. MOTTA**, E. BENNATI*

U.O.C. di Geriatria e Lungodegenza post-acuzie, A.U.S.L. 3 Catania, P.O. Acireale; * Centro di Ricerca
″La Grande Senescenza″, Universitá di Catania ″A.O. Cannizzaro″; ** Dipartimento Scienze della
Senescenza, Urologiche e Neurologiche, Universitá di Catania ″A.O. Cannizzaro″

G GERONTOL 2005;53:104-111

Parole chiave: Paziente anziano - Demenza - Caregiver - Rete dei servizi

Articoli daggiornamento

Violenza contro le persone anziane

A. PINEO, L.J. DOMINGUEZ, A. FERLISI, A. GALIOTO, L. VERNUCCIO, G. ZAGONE, G. COSTANZA, E. PUTIGNANO, M. BELVEDERE, A. DI SCIACCA, M. BARBAGALLO

Cattedra di Geriatria, Universitá di Palermo

G GERONTOL 2005;53:112-119

Abuse against elderly persons is extremely frequent, although very often is not declared, and entails high human and financial costs. There are on the whole three types of abuse including domestic, institutional, and auto inflicted. It is difficult to get enough information to define the real dimension of the problem, but data from the National Elder Abuse Incidence Study (NEAIS) describe an increasing and expanding phenomenon. The large proportions of this type of violence has lead the World Health Organization to propose strategies primarily focused on three points: Awareness, Education en Defence. An important role in the prevention and diagnosis of elderly abuse is in the hands of the physicians, particularly the geriatricians, who by means of an accurate clinical evaluation and socio-environmental analysis of the elderly conditions may identify the different forms of abuse, prevent them by the identification of risk factors, and once recognized, contact the competent Authorities.

Key words: Abuse - Violence - Elderly - Mistreatment - Human rights

Il diabete mellito come fattore di rischio di disabilitá nel soggetto anziano

S. VOLPATO, M. CAVALIERI, C. MARALDI, A. BLÉ, G. ZULIANI, R. FELLIN

Dipartimento di Medicina Clinica e Sperimentale, Sezione di Medicina Interna, Gerontologia e Geriatria,
Universitá di Ferrara

G GERONTOL 2005;53:120-126

As older adults make up an increasingly lager proportion of the diabetic population, the spectrum of diabetes complications will likely expand. In addition to the traditional cardiovascular complications, diabetes has been associated with excess risk of a number of clinical conditions typical of the geriatric population including, physical disability, falls, fractures, cognitive impairment, and depression. These conditions are common and will profoundly affect the quality of life of older patients with diabetes. The identification of effective ways for preventing and treating these emerging complications, thus improving quality of life among older diabetic patients, is increasingly becoming a mayor issue in geriatric medicine.

Key words: Diabetes - Disability - Frailty - Aging

Articoli originali

La valutazione delle funzione renale nel paziente anziano: confronto delle formule di Cockroft-Gault e Modification of Diet in Renal Disease

C. PEDONE, A. CORSONELLO*, R. ANTONELLI INCALZI** PER I RICERCATORI DEL GIFA

Centro di Medicina dell´Invecchiamento, Universitá Cattolica ″Sacro Cuore″, Roma; * Unitá Operativa
di Medicina Geriatrica, Istituto Nazionale di Ricovero e Cura per Anziani, Cosenza; ** Dipartimento
di Geriatria, Universitá Campus Biomedico, Roma

G GERONTOL 2005;53:127-133

Objective. This study aimed at quantify the discrepancy between two formulas commonly used to estimate the glomerular filtration rate (Cockroft-Gault [CGGFR] and Modification of Diet in Renal Disease [MDRD-GFR] equations) in a population of elderly inpatients.
Methods. Data come from the Gruppo Italiano di Farmacovigilanza nell´Anziano (GIFA). We used the 95% limits of agreement, the statistic, and a graphic approach to evaluate the influence of potential confounders on the magnitude of the difference in the GFR estimates.
Results. We studied 7,496 persons (51% women, mean age 77.8 [SD: 7.2]). The mean GFR estimated using the CG and MDRD formulas was 50.7 (17.9) and 55.5 (20.5), respectively. At the individual level, the MDRD-GFR can differ by more than 50% compared with the CG-GFR. The agreement between the formulas was moderate in diagnosing moderate renal insufficiency, and a fair in diagnosing severe renal insufficiency. The magnitude of the difference in GFR estimates was influenced by age and weight.
Conclusions. The CG and MDRD formulas have a good average agreement, but at the individual level they can give estimates that differ substantially, and cannot be used interchangeably to measure renal function in elderly people.

Key words: Renal failure - Glomerular filtration rate - Observational studies

Casi clinici

Una paziente anziana e malata: interazioni ed effetti avversi ai farmaci hanno provocato il ricovero ospedaliero

F. SALSI, G. SALVIOLI

U.O. di Geriatria, Universitá degli Studi di Modena e Reggio Emilia, Nuovo Ospedale di Modena ″S. Agostino-Estense″

G GERONTOL 2005;53:134-140

Adverse drug reactions (ADR) and drug interactions often occur in old people above all in those with many diseases and receiving more drugs at the same time. A case report is described as typical example of pharmacologic dangerous effect of drug treatment in a geriatric patient

Key words: Elderly - Drugs - Adverse drug reactions