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The elderly over 90yr affected by deperession post-stroke respond well to antidepressant therapy with SSRI? study on a population admitted in nursing home (RSA)

Published online by Cambridge University Press:  16 April 2020

A. Santangelo
Affiliation:
Dpt Surgery, School of Geriatrics- University of Catania, Catania, Italy
M. Testai
Affiliation:
Dpt Surgery, School of Geriatrics- University of Catania, Catania, Italy
S. Albani
Affiliation:
Dpt Surgery, School of Geriatrics- University of Catania, Catania, Italy
A. Cappello
Affiliation:
Dpt Surgery, School of Geriatrics- University of Catania, Catania, Italy
R. Castelli
Affiliation:
Dpt Surgery, School of Geriatrics- University of Catania, Catania, Italy
S. Pavano
Affiliation:
Dpt Surgery, School of Geriatrics- University of Catania, Catania, Italy
M. Tomarchio
Affiliation:
Dpt Surgery, School of Geriatrics- University of Catania, Catania, Italy
D. Maugeri
Affiliation:
Dpt Surgery, School of Geriatrics- University of Catania, Catania, Italy

Abstract

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Introduction

The frailty of elderly in Tenth Decade with stroke was considered a certainty for many years ruling, and the stroke in 90 year old was a paradigm of fragility in gerontology. However soon enough the existing data on the population in nursing homes.

Method

The aim of this study was to evaluate the response to therapy SSRI antidepressants (fluoxetine 20–40 mg; sertraline 25–100 mg,; citalopram 10–40 mg) in a population of olds with depression after-stroke hospitalized in Nursing Home (RSA) at Catania (Sicily). We evaluated a total sample of 66 patients comparing the 13 patients 90yr-old with the 53 patients younger pertaining to the same RSA for stroke.

Results

Stackable with somatic comorbidity and the post-stroke depression between the two populations, we founded:

  1. 1. Both populations are responsive to antidepressant treatment with SSRIs

  2. 2. The ninety recover more and more 'rapid cognitive impairment

  3. 3. Both Populations improves the performances with rehabilitation recovering functional self-autonomy, albeit from different levels.

  4. 4. The nutrient levels overlap in both populations and increased fragility biological of over 90-year old is evident for among of Prevalence and incidence of Delirium and Presence of Pressure Sores.

Conclusion

According to this data the response to antidepressants seems to be good and totally overlapped with the population most 'young studied as a reference.

This data also confirms that it is not age itself but the comorbidity of diseases present that make it’ a frail old man and that probably the frailty of the nineties is a biological myth.

Type
P02-255
Copyright
Copyright © European Psychiatric Association 2011
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