Elderly population patterns

Garcia D, Regan S, Crowther M, et al. Warfarin maintenance dosing patterns in clinical practice implications for safer anticoagulation in the elderly population. Chest 2005 127(6) 2049-56. 

Maitre, 1., Van Wymelbeke, V., Suhnont-Rosse, C., Cariou, V., BaiUy, N., Ferrandi, J. M., SaUe, A. and Vigneau, E. (2013). Food behaviour and health patterns in the French elderly population. Pangbom. Rio. 

Mamdani etaLlU3] 2004 Population- Primary diagnosis based ofCHF retrospective cohort 38882 individuals 66 years and older who were prescribed study and 100000 randomly selected non-NSAID users matched by sex and age % study cohort w/ admission procedures for CHF in past 5 years Non-NSAID 4% (4475/100000). Celexocib 6% (1170/18908) Rofecoxib 6% (857/14583). Non-selective NSAIDS 5% (542/11606) Adjusted Rate Ratio Rofecoxib relative to celecoxib for admission for CHF 1.8 (1.4-2.4) Non-selective NSAIDs relative to celecoxib for admission for CHF 1.4 (1.0-1.9) and (rofecoxib users relative to non-NSAID users. Additional analysis with age-matched and sex-matched controls showed similar patterns. Increased risk of CHF in elderly patients when using rofecoxib and non-selective NSAIDs (but not celecoxib)... 

Increasingly, our society is composed of greater numbers of elderly individuals, defined as 65 and older. Currently, the elderly constitute nearly 20 percent of the population. Consequently, psychotherapists are faced with diagnostic and treatment dilemmas specific to this population. Presented here are patterns and risks of medication use in the elderly (figure B-2) and age-specific factors contributing to adverse effects (figure B-3). Also discussed are recommended adjustments for use of psychotropics in the geriatric patient. 

The support system provided within large scale, planned retirement communities lessens the need for governmentally-based and faith-based social service programs. In those cases where such programs are needed, this pattern of elderly settlement simplifies the delivery of social, cultural, educational, religious, health-related, and ethnic services to this population. 

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