This report reviews the impact of depression on the lives of older adults in Canada and the Chronic Care Model (CCM) as a framework for improving the management of conditions like depression. The authors set out to identify barriers and facilitators to the implementation of chronic care intervention models for late-life depression in different Canadian primary care settings and then to test and evaluate strategies to overcome those barriers.
This publication describes a survey of older adults with chronic health conditions seen in primary care regarding the daily spiritual experiences (DSE), perceptions of health, pain, energy and depression. The authors concluded that an increase in DSE may be associated with more energy and less depression.
The authors undertook a population-based retrospective study set in Ontario in an attempt estimate the attributable costs of multimorbidity and assess whether the association between the level of multimorbidity and health system costs varies by socio-demographic factors in young (<65 years) and older (≥65 years) adults. They found that there was a positive association between health care costs and levels of multimorbidity that was significantly stronger for older than younger adults.
The authors worked with a defined set of 32 chronic conditions drawn from a large household survey to find that the prevalence rates for almost half of the conditions increase with age and that those age patterns are strong. If the rates for each age group remained constant they projected that the rates for almost all conditions that are associated mostly with old age would rise by more than 25 percent.
This SEDAP (Social and Economic Dimensions of an Aging Population) research paper discusses the importance of health status transitions and future disability levels for the management of an elderly society. The report presents estimates for Canada’s elderly in poor health for those aged 75 and over.
The investigators used data from the 2005 Canadian Community Health Survey to focus on individuals who reported having one or more high-prevalence or high-impact chronic health condition to report on prevalence rates for specific chronic conditions, the prevalence of co-morbidity as well as health care use. They found that more than half of seniors who have chronic conditions reported more than one long-term health problem. The investigators state there is a need for better prevention and management of chronic conditions.
This investigation sought to quantify the temporal association between population increases in seasonal influenza infections and mortality due to cardiovascular causes as well as to determine if influenza incidence indicators are predictive or cardiovascular mortality during influenza season. The researchers found that emergency department visits for adults over age 65 for influenza-like illness were associated with and predictive of cardiovascular disease mortality.
This Advisory Committee Statement includes findings from a large randomized controlled trail of people 65 and over who received a high dose vaccine compared to the standard dose vaccine. Those on the higher dose had a relatively higher serologic response and reduced influenza illness compared to those who had the standard dose but also had a higher rate of post-injection local adverse events.