https://doi.org/10.4081/gc.2022.10384
Challenges in the performance of real-life studies in older patients: focus on long-term care facilities
Submitted: 27 January 2022
Accepted: 8 March 2022
Published: 24 March 2022
Accepted: 8 March 2022
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
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.
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How to Cite
Christiansen, J. M., Meyer, A. M., Pickert, L., Pfister, R., & Polidori, M. C. . (2022). Challenges in the performance of real-life studies in older patients: focus on long-term care facilities. Geriatric Care, 8(1). https://doi.org/10.4081/gc.2022.10384
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