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Retrospective epidemiology study of ...

Lyons, Shayesteh P.

Retrospective epidemiology study of diabetes and infection in older population.

紀錄類型:	書目-電子資源 : 單行本
正題名/作者:	Retrospective epidemiology study of diabetes and infection in older population./
作者:	Lyons, Shayesteh P.
面頁冊數:	95 p.
附註:	Source: Dissertation Abstracts International, Volume: 70-06, Section: B, page: 3404.
Contained By:	Dissertation Abstracts International70-06B.
標題:	Gerontology. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3362661
ISBN:	9781109217872

Retrospective epidemiology study of diabetes and infection in older population.
Lyons, Shayesteh P.

Retrospective epidemiology study of diabetes and infection in older population. - 95 p.

Source: Dissertation Abstracts International, Volume: 70-06, Section: B, page: 3404.

Thesis (Ph.D.)--Union Institute and University, 2009.

Introduction. Diabetes is one of many chronic diseases, which increase with age. The majority of elderly people have type 2 diabetes. Early detection of infection in the elderly is a challenge because the classic signs of infection, such as fever and leukocytosis, are frequently absent. Few studies have investigated the effects of diabetes and age on prevalence of infection.

ISBN: 9781109217872Subjects--Topical Terms:

168436
Gerontology.

Retrospective epidemiology study of diabetes and infection in older population.
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100 1 $a Lyons, Shayesteh P. $3 1000007011
245 1 0 $a Retrospective epidemiology study of diabetes and infection in older population.
300 $a 95 p.
500 $a Source: Dissertation Abstracts International, Volume: 70-06, Section: B, page: 3404.
500 $a Adviser: H. Ira Fritz.
502 $a Thesis (Ph.D.)--Union Institute and University, 2009.
520 $a Introduction. Diabetes is one of many chronic diseases, which increase with age. The majority of elderly people have type 2 diabetes. Early detection of infection in the elderly is a challenge because the classic signs of infection, such as fever and leukocytosis, are frequently absent. Few studies have investigated the effects of diabetes and age on prevalence of infection.
520 $a Aims of study. The purpose of this study was to determine the prevalence rates of infection and the diabetic status of an aging population.
520 $a Methods. Data was collected at a Veterans Affairs Medical Center through an electronic database that contained demographic information of patients with severe infection during six months of observation: August 2006--February 2007. The glucose value, HbA1c; type of infection, age, and gender were retrieved for this study. Statistical analysis was done with SPSS Version 14.
520 $a Results. There were 160 males (41.9%) and 222 females (58.1%), for a total of 382 subjects ages 18--99 years. The diabetic group consisted of 320 (83.8%) of 382 subjects; 48 (12.6%) were pre-diabetics, and only 14 (3.6%) had glucose values in the normal range. The glucose values ranged from 70 mg/dl to 700 mg/dl, with a mean of 105.4 and a median of 190.
520 $a Of 382 subjects, sepsis was the cause of hospitalization for 58 (15.2%); urinary tract infection (UTI) for 52 (13.6%), and pneumonia for 51 (13.4%). The diagnosis of UTI and sepsis combined upon admission was found in 51 (13.4%) of those subjects. Regarding the sugar level and diabetic condition of subjects, the diabetics showed the highest rate of infection: pneumonia (40%), UTI (38%), and sepsis (49%).
520 $a Conclusion. (1) In this population of 382 subjects, 275 (72%) were undiagnosed diabetics and only 48 (12%) were known diabetic. (2) Elderly patients with the greater number of pathogens in their infections had a higher level of glucose in their serum. Thus, the level of glucose appears to be a more significant risk factor than age for the development of infection in older adults.
590 $a School code: 1414.
650 4 $a Gerontology. $3 168436
650 4 $a Health Sciences, Epidemiology. $3 1000006403
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710 2 $a Union Institute and University. $3 1000006988
773 0 $t Dissertation Abstracts International $g 70-06B.
790 1 0 $a Fritz, H. Ira, $e advisor
790 $a 1414
791 $a Ph.D.
792 $a 2009
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3362661