Health Problem In Elderly People Research Articles

Chameleon Swarm Algorithm with Improved Fuzzy Deep Learning for Fall Detection Approach to Aid Elderly People

Over the last few decades, the processes of mobile communications and the Internet of Things (IoT) have been established to collect human and environmental data for a variety of smart applications and services. Remote monitoring of disabled and elderly persons living in smart homes was most difficult because of possible accidents which can take place due to day-to-day work like falls. Fall signifies a major health problem for elderly people. When the condition is not alerted in time, then this causes death or impairment in the elderly which decreases the quality of life. For elderly persons, falls can be assumed to be the main cause for the demise of posttraumatic complications. Therefore, early detection of elderly persons’ falls in smart homes is required for increasing their survival chances or offering vital support. Therefore, the study presents a Chameleon Swarm Algorithm with Improved Fuzzy Deep Learning for Fall Detection (CSA-IDFLFD) technique. The CSA-IDFLFD technique helps elderly persons with the identification of fall actions and improves their quality of life. The CSA-IDFLFD technique involves two phases of operations. In the initial phase, the CSA-IDFLFD technique involves the design of the IDFL model for the identification and classification of fall events. Next, in the second phase, the parameters related to the IDFL method can be optimally selected by the design of CSA. To validate the performance of the CSA-IDFLFD technique in the fall detection (FD) process, a widespread experimental evaluation process takes place. The extensive outcome stated the improved detection results of the CSA-IDFLFD technique.

AFall: Wi-Fi-Based Device-Free Fall Detection System Using Spatial Angle of Arrival

Falling is a common health problem for elderly people. Early detection of falls allows earlier rescue measures to be implemented. Most existing Wi-Fi-based fall detection systems employ learning-based methods, which require large amounts of labeled data for prior training. To address this issue, we in this paper present AFall, a robust model-based fall detection system that does not require prior training for a single person based on Wi-Fi Channel State Information (CSI). Different from previous Wi-Fi-based fall detection systems, we model the relationship between human falls and changes of Angle of Arrival (AoA) of Wi-Fi signals reflected from human body by multiple signal classification (MUSIC) algorithm. In particular, we deploy two receivers in orthogonal spatial layouts to capture diversified AoA information. Since AoA reflected from human body is independent of environments and subjects, the performance of AFall can remain stable when the environment changes slightly, which can meet the daily needs of the elderly people. We implement AFall using commodity Wi-Fi devices and evaluate it in five different indoor environments. The experimental results demonstrate that AFall achieves an average accuracy of 84.31% and an average F1 score of 84.56%.

Physical and Mental Health Problems of Elderly People at Nagarjun Municipality in Kathmandu

Aging is a gradual, continuous process of natural change that begins in early adulthood. The objective of the study is to analyse the physical and mental health problems of elderly people in Nagarjun Municipality, Kathmandu. Ward number 6 is selected randomly among the 10 wards which has 680 elderly people aged 60+. Yamene formula (n=N/1+Ne2) was used to determine the sample size (n=250) and applied systematic random sampling method to select the samples. Data entry and analysis was done using SPSS version 21.0. The most prevalent chronic illness in this study was joint pain (67.20%), followed by Gastrointestinal (51.10%) and Hypertension or BP (39.60%). By using logistic regression analysis it shows that the variable of ownership of land certificate has the strongest net association with [OR=2.06(1.18-3.59)] and other variable involvement in the social and religious organization has the second strongest association with [OR=1.77(0.99-3.17)]. Study shows that elderly who do not have ownership of the land certificate have more than two times mental health problems than who have land certificate. Various health schemes, policies and programs can be designed in the research area and similar setting based on the study findings.

Untargeted metabolomics for uncovering plasma biological markers of wet age-related macular degeneration.

Wet age-related macular degeneration (wAMD) causes central vision loss and represents a major health problem in elderly people. Here we have used untargeted metabolomics using UHPLC-MS to profile plasma from 127 patients with wAMD (67 choroidal neovascularization (CNV) and 60 polypoidal choroidal vasculopathy (PCV)) and 50 controls. A total of 545 biochemicals were detected. Among them, 17 metabolites presented difference between patients with wAMD and controls. Most of them were oxidized lipids (N=6, 35.29%). Comparing to controls, 28 and 18 differential metabolites were identified in patients with CNV and PCV, respectively. Two metabolites, hyodeoxycholic acid and L-tryptophanamide, were differently distributed between PCV and CNV. We first investigated the genetic association with metabolites in wet AMD (CFH rs800292 and HTRA1 rs10490924). We identified six differential metabolites between the GG and AA genotypes of CFH rs800292, five differential metabolites between the GG and AA genotypes of HTRA1 rs10490924, and four differential metabolites between the GG and GA genotypes of rs10490924. We selected four metabolites (cyclamic acid, hyodeoxycholic acid, L-tryptophanamide and O-phosphorylethanolamine) for in vitro experiments. Among them, cyclamic acid reduced the activity, inhibited the proliferation, increased the apoptosis and necrosis in human retinal pigment epithelial cells (HRPECs). L-tryptophanamide affected the proliferation, apoptosis and necrosis in HRPECs, and promoted the tube formation and migration in primary human retinal endothelial cells (HRECs). Hyodeoxycholic acid and O-phosphorylethanolamine inhibited the tube formation and migration in HRECs. The results suggested that differential metabolites have certain effects on wAMD pathogenesis-related HRPECs and HRECs.

Body Mass Index and Common Geriatric Health Problems Among Elderly Retired Armed Forces Personnel

Background: Aging is universal and it is inescapable. Health problems of elderly people are a global emerging issue. Body mass index (BMI) is a test often used to help medical professiona ls to assess nutritional status along with overall fitness and risk for disease in elderly. This study was conducted to assess the BMI and common geriatric health problems among elderly retired armed forces personnel.
 Methods: This cross-sectional study was conducted among purposively selected 226 elderly retired armed forces personnel in both outpatient and inpatient departments of the Combined Military Hospital (CMH), Dhaka Cantonment from July 2018 to Jun e 2019. The study aimed to assess the association between BMI and common geriatric health problems. A questionnaire comprising of all the variables of interest were developed and used for data collection by face to face interview. Data were also collected by physical measurement and reviewing medical documents of the participants.
 Results: Among the participants, majority (32.3%) had BMI c:25, 31 .9 % had 23-24.9, 30. 1 % had 18.5-22.9 and 5.8% had <18 .5 BMl group. Average number of morbidities perparticipant was 2.59. Out of all , 20.5% had hypertension, 13. 7% had heart disease , 13.1 % had diabetes, 1 2.5% had respiratory disease, 8.4% had dental disease, 7.5% had cataract, 7.5% had prostate enlargement, 5.8% had cancer, 5.6% hadarthritis and 5.5% hadear disease. Association of BMI of participants with hypertensi on, heart disease was found statistically significant (p<0.05). No significant association was found with diabetes and respiratory disease ( p<0.05).
 Conclusion: Nutritional status of the elderly should be emphasized for prevention and control of health problems in retired armed forces elderly; for that BMl could be crucial indicator.
 JOPSOM 2020; 39(1): 14-20

The Effectiveness of the Intervention Depression in the Elderly: A Systematic Review

The increasing life expectancy in Indonesia has an impact on the amount of attention on the elderly population. Depression is becoming one of the health problems of elderly people in the world. This research approach using systematic review aims to gain a greater understanding about the effectiveness of interventions against depression in the elderly. Methods a systematic review was conducted by searching the literature related to the theme taken, namely “intervention”, “depression”, “elderly”. Literature search using Scient Direct, PubMed, and Google Scholar, from the years 2017-2020, so that the obtained 18 articles eligible. Article quality was evaluated using the CASP checklist The results of the articles obtained came from several countries including Indonesia. These interventions can be grouped into three categories, the first physical therapy/exercise, psychological therapies, and spiritual therapies to lower the level of depression in the elderly in a variety of settings such as in nursing homes, in correctional institutions, and the general community, including home visits, using an individual approach or group. This review helped inform some of the interventions that can be performed on the elderly, it can save the cost, feasible and easy to do, and effective to reduce the level of depression in the elderly, and can improve the quality of life, overcome other psychological problems.

The Analysis for Anemia Increasing Fracture Risk.

BackgroundFractures are a major public health problem for elderly people throughout the world. Anemia is also a common, important health problem among elderly populations. The aim of this article was to estimate the association between anemia and fracture incidence via a systematic review and meta-analysis.Material/MethodsThe participant, intervention, observation, and study design (PICOS) reporting guidelines were followed, and databases were searched from their inception to May 2020 to identify relevant studies. When heterogeneity was significant, and a random-effects model was used. Subgroup analysis was conducted to explore the source of heterogeneity based on sex, study design, and region.ResultWe found that anemia significantly increased fracture risk [relative risk (RR)=1.26, 95% confidence interval (CI)=1.14–1.39, P<0.001], specifically, hip fracture (RR=1.44, 95% CI=1.29–1.61), spine fracture (RR=1.15, 95% CI=1.08–1.23), and nonspine fracture (RR=1.42, 95% CI=1.33–1.52). Males with anemia had a 1.51-fold higher fracture risk, females had a 1.09-fold higher fracture risk. And the association was stronger in Asian (RR=1.22, 95% CI=1.07–1.40), but not in American and European study populations.ConclusionsIn conclusion, a significantly increased fracture risk was observed, and anemia can be a predictor of fracture risk.

Altered expression of fibroblast activation protein-α (FAP) in colorectal adenoma-carcinoma sequence and in lymph node and liver metastases

Colorectal cancer (CRC) is a major health problem in elderly people because of its high incidence and high mortality rate. Despite early screening programs, more than half of CRC patients are diagnosed at advanced stages. Fibroblast activation protein-α (FAP) expression in cancer-associated fibroblasts (CAFs) has been associated with a higher risk of metastases and poor survival. Here, we have analyzed the immunohistochemical expression of FAP in 41 adenoma-carcinoma sequences. In addition, FAP expression was analyzed individually and in combination with β-catenin (BCAT), CD44 and Cyclin-D1 expression in primary tumors and in their corresponding lymph node and liver metastases (n=294). Finally, soluble FAP (sFAP) levels in plasma from CRC patients (n=127) were also analyzed by ELISA. FAP was expressed only in CRC tissue and its expression level was found to be higher in tumors exhibiting deeper local invasion and poorer cancer cell differentiation. FAP and concomitant nuclear BCAT expression in cancer cells at the infiltrating front of primary tumors and in lymph node metastases was independently associated with 5- and 10-year cancer specific and disease-free survival. Moreover, lower sFAP levels correlated with poorer survival. These findings support the potential importance of FAP as a biomarker of CRC development and progression.

The effect of religious belief on Chinese elderly health

BackgroundWith the accelerated ageing of the population in China, the health problems of elderly people have attracted much attention. Although religious belief has been shown to be a key way to improve the health of elderly people in various studies, little is known about the causal relationship between these variables in China. This paper explores the effect of religious belief on the health of elderly people in China, which will provide an important reference for China to achieve healthy ageing.MethodsBalanced panel data collected between 2012 and 2016 from the China Family Panel Studies (CFPS) were used. Health was assessed using self-rated health, and religious belief was measured by whether the respondents believed in a religion. The DID+PSM method was employed to solve the endogeneity problem caused by self-selection and omitted variables. In addition, the CESD score (replacing self-rated health) and different matching methods (the method of PSM after DID method) were used to perform the robustness test.ResultsThe results show that religious belief has no significant effect on the health of elderly people. With the application of different matching methods (one-to-one matching, K-nearest neighbour matching, radius matching and kernel matching) and replacing the health indicator (the CESD score) with the above matching methods, the results are still robust.ConclusionIn China, religious belief plays a limited role in promoting “healthy ageing”, and it is difficult to improve the health of elderly people only via religious belief. Therefore, except for focusing on the guidance of religion with regard to healthy lifestyles, multiple measures need to be taken to improve the health of elderly people.

Prevalence of medication-related falls in 200 consecutive elderly patients with hip fractures: a cross-sectional study

BackgroundHip fractures constitute a major health problem in elderly people and are often fall-related. Several factors can contribute to a fall episode leading to hip fracture, including fall-risk-increasing drugs (FRIDs), which are often used by elderly people.We aimed to investigate the prevalence of medication-related falls and to assess the role of FRIDs and potentially inappropriate medications (PIMs) in a population of elderly patients hospitalized for a hip fracture.MethodsWe reviewed the patient records of 200 consecutive patients, aged ≥65 years, who were admitted for a hip fracture and evaluated whether medications were likely to have contributed to the fall episode. PIMs were identified using the Screening Tool of Older Persons’ Prescriptions version 2 (STOPP) and by evaluating indications, contra-indications and interactions of the prescribed medications for each patient.ResultsFRIDs were used by 175 patients (87.5%). Medications were considered a likely contributor to the fall in 82 patients (41%). These were most often psychotropic medications alone or in combination with antihypertensives and/or diuretics. The 82 patients with suspected medication-related falls used more medications, FRIDs and PIMs than the rest of the patients, and in 74 (90%) of the 82 patients, at least one medication considered to be a contributor to the fall was also a PIM.ConclusionsThe prevalence of suspected medication-related falls was 41%. It seems likely that a medication review could have reduced, though not eliminated, the risk of falling in this group of patients.

The effect of modifiable cardiovascular risk factors on cognitive aging

Dementia represents a major health problem in elderly people. Several lifestyle-related and cardiovascular risk factors contribute to cognitive dysfunction, some of them can be counteracted, thus reducing the prevalence of dementia. Hypertension causes brain damage inducing micro and macrovascular modifications, which can develop silently. Diabetes mellitus represents a major risk factor for cognitive decline due to hyperglycaemia, insulin resistance and chronic inflammation. Smoking increases the risk of dementia inducing vascular modifications and neurotoxicity. Midlife obesity is another risk factor for dementia, being associated with brain atrophy and having influence on other cardiovascular risk factors. Hypercholesterolemia, especially increased LDL-cholesterol might contribute to the development of dementia, but the results are controversial. Physical exercise has a protective effect on neuro-degenerative processes, especially the combination of aerobic and resistance exercise seems to have the best impact on cognitive function. These risk factors represent targets for intervention in preventing cognitive dysfunction, and screening can be helpful in the early diagnosis of this disease.

Nutritional status, survival and mortality in Alzheimer patients - a cross-sectional study

Introduction: Dementia is a common health problem in elderly people, Alzheimer disease (AD) being the most prevalent. AD can be considered as a cause of death and must be registered on the death certificate of the patients. However, most of the time, the main cause of death registered is not related to AD, but as an underlying or contributing cause. For example, individuals who have AD and die from myocardium infarction. This study aimed to analyze if nutritional status was associated with survival and mortality for AD, and if AD was reported as actual cause of death on the death certificateMethods: The study was carried out as a cross-sectional study with elderly citizens of the community registered in the National Health System (SUS), with cognitive, nutritional, biochemical and hematological evaluations of 30 AD patients in Guarapuava, Paraná state, Brazil.Results: Significant differences were not observed between live and dead patients when evaluated considering the methods applied. Only 22% of the death certificates stated death due to AD. The patient’s cause of death showed a strong relation to respiratory issues; potential explanations based on immunological, biochemical and comorbidity were not confirmed on this study.Conclusions: AD was not declared as the cause of death in the majority of certificates, contributing to the underreporting and reducing the information of death due to AD in the country.

Health Problems of Elderly People in Bangladesh

Abstract not available&#x0D; Journal of Armed Forces Medical College Bangladesh Vol.13(1) 2017: 1-2

Quality of life, functional impairment and social factors as determinants of nutritional status in older adults: The VERISAÚDE study

Malnutrition is an important and growing health problem in elderly people. The main aim of this research was to examine the relationship between socio-demographic factors, social resources, functional status and quality of life and malnutrition or risk of malnutrition in elders. A cross-sectional study was conducted with a representative sample of 749 community-dwelling elders aged 65 years and over. A comprehensive assessment was carried out, including the collection of socio-demographic factors, social resources by the Older Americans Resources and Services Scale, nutritional status by the Mini-Nutritional Assessment-Short Form, functional status by the Lawton's instrumental activities of daily living scale and quality of life by the World Health Organizations's Quality of Life measure-brief version (WHOQOL-BREF). Being female, the presence of totally impaired social resources and low scores in the physical health domain of the WHOQOL-BREF were the strongest determinants of malnutrition/risk of malnutrition. This model predicted 85.7% of the cases correctly. In men, the best determinants were being unmarried and having poor satisfaction with their health, with a percentage of 89.8% of cases of poor nutritional status correctly predicted. The best determinant for women was also the physical health domain of the WHOQOL-BREF, reaching a correct prediction of 83.0% of malnutrition/risk of it. Nutritional status assessment and potential determinant factors should be incorporated as part of comprehensive assessments for early identification of malnutrition and to determine appropriate intervention strategies to address this public health problem in older adults.

Imaging and machine learning techniques for diagnosis of Alzheimer's disease.

Alzheimer's disease (AD) is a common health problem in elderly people. There has been considerable research toward the diagnosis and early detection of this disease in the past decade. The sensitivity of biomarkers and the accuracy of the detection techniques have been defined to be the key to an accurate diagnosis. This paper presents a state-of-the-art review of the research performed on the diagnosis of AD based on imaging and machine learning techniques. Different segmentation and machine learning techniques used for the diagnosis of AD are reviewed including thresholding, supervised and unsupervised learning, probabilistic techniques, Atlas-based approaches, and fusion of different image modalities. More recent and powerful classification techniques such as the enhanced probabilistic neural network of Ahmadlou and Adeli should be investigated with the goal of improving the diagnosis accuracy. A combination of different image modalities can help improve the diagnosis accuracy rate. Research is needed on the combination of modalities to discover multi-modal biomarkers.

Gene therapy with recombinant adeno-associated vectors for neovascular age-related macular degeneration: 1 year follow-up of a phase 1 randomised clinical trial

Neovascular, or wet, age-related macular degeneration causes central vision loss and represents a major health problem in elderly people, and is currently treated with frequent intraocular injections of anti-VEGF protein. Gene therapy might enable long-term anti-VEGF therapy from a single treatment. We tested the safety of rAAV.sFLT-1 in treatment of wet age-related macular degeneration with a single subretinal injection. In this single-centre, phase 1, randomised controlled trial, we enrolled patients with wet age-related macular degeneration at the Lions Eye Institute and the Sir Charles Gairdner Hospital (Nedlands, WA, Australia). Eligible patients had to be aged 65 years or older, have age-related macular degeneration secondary to active subfoveal choroidal neovascularisation, with best corrected visual acuity (BCVA) of 3/60-6/24 and 6/60 or better in the other eye. Patients were randomly assigned (3:1) to receive either 1 × 10(10) vector genomes (vg; low-dose rAAV.sFLT-1 group) or 1 × 10(11) vg (high-dose rAAV.sFLT-1 group), or no gene-therapy treatment (control group). Randomisation was done by sequential group assignment. All patients and investigators were unmasked. Staff doing the assessments were masked to the study group at study visits. All patients received ranibizumab at baseline and week 4, and rescue treatment during follow-up based on prespecified criteria including BCVA measured on the Early Treatment Diabetic Retinopathy Study (EDTRS) scale, optical coherence tomography, and fluorescein angiography. The primary endpoint was ocular and systemic safety. This trial is registered with ClinicalTrials.gov, number NCT01494805. From Dec 16, 2011, to April 5, 2012, we enrolled nine patients of whom eight were randomly assigned to receive either intervention (three patients in the low-dose rAAV.sFLT-1 group and three patients in the high-dose rAAV.sFLT-1 group) or no treatment (two patients in the control group). Subretinal injection of rAAV.sFLT-1 was highly reproducible. No drug-related adverse events were noted; procedure-related adverse events (subconjunctival or subretinal haemorrhage and mild cell debris in the anterior vitreous) were generally mild and self-resolving. There was no evidence of chorioretinal atrophy. Clinical laboratory assessments generally remained unchanged from baseline. Four (67%) of six patients in the treatment group required zero rescue injections, and the other two (33%) required only one rescue injection each. rAAV.sFLT-1 was safe and well tolerated. These results support ocular gene therapy as a potential long-term treatment option for wet age-related macular degeneration. National Health and Medical Research Council of Australia, Richard Pearce Bequest, Lions Save Sight Foundation, Brian King Fellowship, and Avalanche Biotechnologies, Inc.

Poor nutritional status is associated with a higher risk of falling and fracture in elderly people living at home in France: the Three-City cohort study.

Falling and fractures are a public health problem in elderly people. The aim of our study was to investigate whether nutritional status is associated with the risk of falling or fracture in community-dwelling elderly. Poor nutritional status was significantly associated with a higher risk of both falling and fractures. Nutrition could play a role to prevent falls and fractures. The purpose of this study is to investigate whether a poor nutritional status is associated with the risk of falling and of fracture in community dwelling elderly. Baseline nutritional status of participants was assessed using the Mini Nutritional Assessment (MNA). After a follow-up of 12 years, 6040 individuals with available data for falls and 6839 for fracture were included. People who presented the outcomes at baseline were excluded. Cox models were used to evaluate the associations between nutritional status and the risks of fall or fracture. The frequency of poor nutritional status (MNA ≤ 23.5), at baseline, was respectively 12.0% in the "fall study sample" and 12.8% in the "fracture study sample." Incident fall and fracture over 12 years were reported in 55.8 and 18.5% of the respective samples, respectively. In multivariate models controlled for sociodemographic data and several baseline health indicators, poor nutritional status was significantly associated with a higher risk of falling (hazard ratio (HR) = 1.66, 95% confidence interval (95% CI) 1.35-2.04 in men and HR = 1.20, 95% CI 1.07-1.34 in women) and with a higher risk of fracture (HR = 1.28, 95% CI 1.09-1.49). Poor nutritional status was associated with a higher risk of both falling and fractures in French elderly community-dwellers. Early screening and management of the nutritional status may be useful to reduce the frequency of these events in older people.

Epidemiología de los accidentes en una cohorte de adultos mayores de 64 años de la Comunidad Autónoma del País Vasco

IntroductionAccidents represent a significant health problem for elderly people. The objective of this study was to assess the incidence of accidents in over-64-year-olds in the Basque Country population, and to describe the clinical-epidemiological features leading to them. Material and methodsThis was a prospective cohort study of 15,192 non-institutionalised individuals over 64 years of age, conducted under the auspices of the Basque Sentinel Practice Network (Red Vigía) over one year. A questionnaire was completed for each accident. The rates and risks of accidents were calculated by sex and age group of the individuals who had the accidents. ResultsThe rates of accidents were 46.52 and 81.87 per 1000 men and women, respectively. The most common type of accident was a fall (92%), and the most severe injuries were fractures (17%), with the risk of an accident being significantly higher in women and in the over-75-year-olds. ConclusionsThese data reflect the scale of accidents in over-64-year-olds in the Basque Country. The most frequent accident was the fall, which represents a dramatic event among the elderly, being one of the main causes of injury, disability and institutionalisation among this population group.

Hepatitis B and C viral infections among blood donors at Bahir Dar, Ethiopia

BackgroundHepatitis B virus and hepatitis C virus are the major public health problem world wide that affects billions of people. In the study area, there is lack of available information on this issue.Aimsthe aim of the study was to assess seroprevalence of HBV and HCV among blood donors.MethodA cross sectional study was conducted among blood donors attending Bahir Dar Felege Hiwot Referral Hospital. Five milliliters of blood samples were collected and screened with ELISA tests for detecting hepatitis B surface antigen and anti hepatitis C virus antibody. Chi-squared and fisher exact tests were used for the analytical assessment.ResultsOut of 2384 blood donors examined, 108(4.5%) were seropositive for at least one of the two Hepatitis diseases markers of which five were co-infected. The prevalence of HBs Ag and anti-HVC was 4.11% and 0.63%, respectively. High seropositivity of HBV (8.3%) was noticed among &gt;45 years old and HBV positivity were significantly higher among males (4.4%) than females (1.45%) (P =0.04). HCV prevalence was significantly higher in &gt;45 years old (2.5%, p=0.01).The prevalence of HBV and HCV were high and the diseases were still major health problem in elderly people in the study area, which alerts public health intervention as soon as possible.

Prevention of Burn in the Elderly

Abstract: In the last century, advances in medical care and longevity have resulting in an increase in the elderly population, and the world and Turkey populations have become older. In parallel with the aging population, problems seen in old people have been increasing. Burn, one of these problems, causes more serious injuries and high level of mortality in people aged 65 years and over compared to the general population. Reduction in sensory/cognitive functions, slowing reflexes, limited movements and accompanying situations (chronic diseases, alcoholism, used medication, neurological and psychiatric disorders) which are due to physiology of elderly people increase the burn incidence and the severity of burn. In addition, these factors could also raise the ventilation requirement, complications and hospitalization period in burnt patients. Despite the recent developmetns in burn treatment and care, burn is still a serious health problem for elderly people. As the majority of the burn injuries are preventable, the essential point of burn administration in elderly people should be related to the prevention of burn incidence.