K H Pitkala

Summary

Affiliation: Helsinki University Central Hospital
Country: Finland

Publications

  1. ncbi Is it possible to reduce polypharmacy in the elderly? A randomised, controlled trial
    K H Pitkala
    Department of Medicine, Geriatric Clinic, Helsinki University Hospital, Finland
    Drugs Aging 18:143-9. 2001
  2. ncbi Behavioral symptoms and the administration of psychotropic drugs to aged patients with dementia in nursing homes and in acute geriatric wards
    K H Pitkala
    Department of Medicine, Geriatric Clinic, Helsinki University Hospital, Finland
    Int Psychogeriatr 16:61-74. 2004
  3. ncbi Feelings related to first patient experiences in medical school. A qualitative study on students' personal portfolios
    Kaisu H Pitkala
    The Central Union for the Welfare of the Aged, Helsinki University Hospital, Clinic of General Internal Medicine and Geriatrics, P O Box 340, Helsinki, FIN 00029 HUS, Finland
    Patient Educ Couns 54:171-7. 2004
  4. ncbi Prognostic significance of delirium in frail older people
    Kaisu H Pitkala
    Department of Medicine, Geriatric Clinic, Helsinki University Hospital, Helsinki, Finland
    Dement Geriatr Cogn Disord 19:158-63. 2005
  5. ncbi Professional socialization revised: medical students' own conceptions related to adoption of the future physician's role--a qualitative study
    K H Pitkala
    Helsinki University Hospital, Department of Medicine, Geriatric Clinic, Gothenburg, Finland
    Med Teach 25:155-60. 2003
  6. ncbi Management of nonmalignant pain in home-dwelling older people: a population-based survey
    Kaisu H Pitkala
    Helsinki University Hospital, Department of Medicine, Geriatric Clinic, Helsinki, Finland
    J Am Geriatr Soc 50:1861-5. 2002
  7. ncbi Inappropriate drug prescribing in home-dwelling, elderly patients: a population-based survey
    Kaisu H Pitkala
    Department of Medicine, Geriatric Clinic, Helsinki University Hospital, Finland
    Arch Intern Med 162:1707-12. 2002
  8. ncbi Positive life orientation as a predictor of 10-year outcome in an aged population
    K H Pitkala
    University of Helsinki, Geriatric Clinic, Haartmanninkatu 4, FIN 0029 Helsinki, Finland
    J Clin Epidemiol 57:409-14. 2004
  9. ncbi Vitamin D and calcium supplementation among aged residents in nursing homes
    M H Suominen
    Central Union for the Welfare of the Aged, Helsinki, Finland
    J Nutr Health Aging 11:433-7. 2007
  10. ncbi Malnutrition and associated factors among aged residents in all nursing homes in Helsinki
    M Suominen
    The Central Union for the Welfare of the Aged, Malmin Kauppatie 26, FIN-00700 Helsinki, Finland
    Eur J Clin Nutr 59:578-83. 2005

Detail Information

Publications41

  1. ncbi Is it possible to reduce polypharmacy in the elderly? A randomised, controlled trial
    K H Pitkala
    Department of Medicine, Geriatric Clinic, Helsinki University Hospital, Finland
    Drugs Aging 18:143-9. 2001
    ..Another aim, reported here, was to investigate to what extent it is possible to reduce polypharmacy and simplify drug regimens during the short term tight control conditions of day hospital care...
  2. ncbi Behavioral symptoms and the administration of psychotropic drugs to aged patients with dementia in nursing homes and in acute geriatric wards
    K H Pitkala
    Department of Medicine, Geriatric Clinic, Helsinki University Hospital, Finland
    Int Psychogeriatr 16:61-74. 2004
    ..To describe the prevalence of various psychiatric and behavioral symptoms among patients with dementia in nursing homes and acute geriatric wards and to investigate the administration of psychotropic medications to these patients...
  3. ncbi Feelings related to first patient experiences in medical school. A qualitative study on students' personal portfolios
    Kaisu H Pitkala
    The Central Union for the Welfare of the Aged, Helsinki University Hospital, Clinic of General Internal Medicine and Geriatrics, P O Box 340, Helsinki, FIN 00029 HUS, Finland
    Patient Educ Couns 54:171-7. 2004
    ..Students felt guilty for using patients for their own learning purposes. Portfolios as learning tools may help in recognizing key experiences and support professional development of medical students...
  4. ncbi Prognostic significance of delirium in frail older people
    Kaisu H Pitkala
    Department of Medicine, Geriatric Clinic, Helsinki University Hospital, Helsinki, Finland
    Dement Geriatr Cogn Disord 19:158-63. 2005
    ..86, 95% CI 1.1-3.1), at 2 years (OR 1.76, 95% CI 1.1-2.8), and for permanent institutionalization (OR 2.45, 95% CI 1.2-4.9). Delirious patients with prior dementia tended to have a better prognosis than those without...
  5. ncbi Professional socialization revised: medical students' own conceptions related to adoption of the future physician's role--a qualitative study
    K H Pitkala
    Helsinki University Hospital, Department of Medicine, Geriatric Clinic, Gothenburg, Finland
    Med Teach 25:155-60. 2003
    ..The first clinical year is a period of intense emotional experiences and rapid development. Portfolios as learning tools may help in recognizing key experiences and in supporting professional development...
  6. ncbi Management of nonmalignant pain in home-dwelling older people: a population-based survey
    Kaisu H Pitkala
    Helsinki University Hospital, Department of Medicine, Geriatric Clinic, Helsinki, Finland
    J Am Geriatr Soc 50:1861-5. 2002
    ....
  7. ncbi Inappropriate drug prescribing in home-dwelling, elderly patients: a population-based survey
    Kaisu H Pitkala
    Department of Medicine, Geriatric Clinic, Helsinki University Hospital, Finland
    Arch Intern Med 162:1707-12. 2002
    ..In 1997, a US expert panel developed explicit criteria on potentially inappropriate drugs for the general elderly population...
  8. ncbi Positive life orientation as a predictor of 10-year outcome in an aged population
    K H Pitkala
    University of Helsinki, Geriatric Clinic, Haartmanninkatu 4, FIN 0029 Helsinki, Finland
    J Clin Epidemiol 57:409-14. 2004
    ..However, little is known about the impact of positive emotions. We investigated the impact of positive life orientation on mortality and permanent institutional care in aged birth cohorts...
  9. ncbi Vitamin D and calcium supplementation among aged residents in nursing homes
    M H Suominen
    Central Union for the Welfare of the Aged, Helsinki, Finland
    J Nutr Health Aging 11:433-7. 2007
    ..Aged residents in nursing homes are at particularly high risk of fractures. Vitamin D and calcium have a preventative role...
  10. ncbi Malnutrition and associated factors among aged residents in all nursing homes in Helsinki
    M Suominen
    The Central Union for the Welfare of the Aged, Malmin Kauppatie 26, FIN-00700 Helsinki, Finland
    Eur J Clin Nutr 59:578-83. 2005
    ....
  11. ncbi The effects of nutrition education on professionals' practice and on the nutrition of aged residents in dementia wards
    M H Suominen
    The Central Union for the Welfare of the Aged, Helsinki, Finland
    Eur J Clin Nutr 61:1226-32. 2007
    ..1) To develop nutrition education for professionals in dementia wards. (2) To evaluate the effects of education and determine the outcome of the education on the nutrition of aged residents...
  12. ncbi How well do nurses recognize malnutrition in elderly patients?
    M H Suominen
    The Central Union for the Welfare of the Aged, Helsinki, Finland
    Eur J Clin Nutr 63:292-6. 2009
    ..The aim of this study was to investigate how well nurses recognize malnutrition in elderly patients in long-term care hospitals in Helsinki...
  13. ncbi Secular trends in self-reported functioning, need for assistance and attitudes towards life: 10-year differences of three older cohorts
    K H Pitkala
    Helsinki University Hospital, Geriatric Clinic, Department of Medicine, Helsinki, Finland
    J Am Geriatr Soc 49:596-600. 2001
    ....
  14. ncbi Definition of Frailty in Older Men According to Questionnaire Data (RAND-36/SF-36): The Helsinki Businessmen Study
    J Sirola
    T E Strandberg, Institute of Health Sciences Geriatrics, University of Oulu, Aapistie 1, PO Box 5000, FIN 90014, Oulu, Finland, e mail phone 358 405969285
    J Nutr Health Aging 15:783-7. 2011
    ..Conclusions: Frailty, and also prefrailty, as defined using questionnaire data (RAND-36) independently predicted important endpoints in older men...
  15. ncbi Fermented cereal with specific bifidobacteria normalizes bowel movements in elderly nursing home residents. A randomized, controlled trial
    K H Pitkala
    K H Pitkala, Helsinki University Hospital, Department of Medicine, Clinics of General Internal Medicine and Geriatrics, PO Box 340, FIN 00029 HUS, Finland
    J Nutr Health Aging 11:305-11. 2007
    ..To assess how fermented oat drink with two selected Bifidobacterium longum strains influences bowel movements among elderly nursing home residents...
  16. ncbi Confusion assessment method in the diagnostics of delirium among aged hospital patients: would it serve better in screening than as a diagnostic instrument?
    J V Laurila
    Helsinki University Hospital, Department of Medicine, Geriatric Clinic, Helsinki, Finland
    Int J Geriatr Psychiatry 17:1112-9. 2002
    ..The Confusion Assessment Method (CAM) is an easy, four-step algorithmic diagnostic test developed to detect delirium...
  17. ncbi Nutrient content of served food, nutrient intake and nutritional status of residents with dementia in a finnish nursing home
    M Suominem
    The Central Union for the Welfare of the Aged, Malmin Kauppatie 26, FIN 00700 Helsinki, Finland
    J Nutr Health Aging 8:234-8. 2004
    ..The aim of this study was to determine the energy and nutrient content of the served food, the actual energy and nutrient intake and the nutritional status of elderly residents in a nursing home...
  18. ncbi Facing uncertainty as a medical student--a qualitative study of their reflective learning diaries and writings on specific themes during the first clinical year
    M K Nevalainen
    University of Helsinki, FIN 00014 University of Helsinki, Finland
    Patient Educ Couns 78:218-23. 2010
    ..The aim of this study was to investigate how the medical students experience uncertainty during their first clinical years and how their feelings develop with time as they progress from the 3rd year to the 4th year...
  19. ncbi Impact of viral and bacterial burden on cognitive impairment in elderly persons with cardiovascular diseases
    Timo E Strandberg
    Department of Medicine, Geriatric Clinic, University of Helsinki, PO Box 340, FIN 00029 HUS Helsinki, Finland
    Stroke 34:2126-31. 2003
    ..Inflammation and infectious etiology have been implicated in the pathogenesis of dementia. We sought to investigate whether the seropositivity of common infections was associated with cognitive function...
  20. ncbi Association between anticholinergic drugs and apolipoprotein E epsilon4 allele and poorer cognitive function in older cardiovascular patients: a cross-sectional study
    Juho Uusvaara
    Unit of General Practice, Helsinki University Hospital, Helsinki, Finland
    J Am Geriatr Soc 57:427-31. 2009
    ..To clarify the association between anticholinergic drugs and apolipoprotein E epsilon4 allele carrier status (APOE4) and cognitive dysfunction...
  21. ncbi Predisposing and precipitating factors for delirium in a frail geriatric population
    Jouko V Laurila
    Departments of Internal Medicine and Geriatrics corrected Helsinki University Central Hospital, Finland
    J Psychosom Res 65:249-54. 2008
    ..The aim of this study was to assess the possible predisposing aetiologic and short-term precipitating factors for delirium in acutely ill hospital patients with a heavy burden of comorbidities and medications...
  22. ncbi Predictors of cognitive decline and mortality of aged people over a 10-year period
    Reijo S Tilvis
    Geriatric Clinic, Department of Medicine, Helsinki University Central Hospital, Finland
    J Gerontol A Biol Sci Med Sci 59:268-74. 2004
    ..According to the hypothesis of our 10-year prospective study, the predictive values of different risk indicators change over time in a general 75+ population...
  23. ncbi The perceptions of a GP's work among fifth-year medical students in Helsinki, Finland
    L Kuikka
    University of Helsinki, Department of General Practice, Helsinki, Finland
    Scand J Prim Health Care 30:121-6. 2012
    ..To explore medical students' potential interest in family medicine in the future and their perceptions of a GP's work...
  24. ncbi Anticholinergic drugs and their effects on delirium and mortality in the elderly
    M J Luukkanen
    Unit of General Practice, Helsinki University Central Hospital, Helsinki, Finland
    Dement Geriatr Cogn Disord Extra 1:43-50. 2011
    ..To investigate the use of drugs with anticholinergic properties (DAPs) and their associations with delirium and mortality among elderly patients with comorbidities...
  25. ncbi Delirium among patients with and without dementia: does the diagnosis according to the DSM-IV differ from the previous classifications?
    Jouko V Laurila
    Department of Medicine, Helsinki University Hospital, Geriatric Clinic, Helsinki, Finland
    Int J Geriatr Psychiatry 19:271-7. 2004
    ..It is not known how DSM-IV classification, compared with the DSM-III, DSM-III-R, and ICD-10, identifies delirium among individuals with and without dementia and whether the symptom profiles differ between these two subgroups...
  26. ncbi Exercise rehabilitation on home-dwelling patients with Alzheimer's disease--a randomized, controlled trial. Study protocol
    Kaisu H Pitkala
    Unit of General Practice, Helsinki University Central Hospital, University of Helsinki, PO Box 20, 00014 University of Helsinki, Finland
    Trials 11:92. 2010
    ..The aim of this study is to investigate the effectiveness of intensive exercise rehabilitation lasting for one year on mobility and physical functioning of home-dwelling patients with AD...
  27. ncbi Living will, resuscitation preferences, and attitudes towards life in an aged population
    Marja Liisa Laakkonen
    Helsinki City Hospital Koskela, Helsinki, Finland
    Gerontology 50:247-54. 2004
    ..The growth of life-sustaining medical technology and greater attention to medical care at the end of life have provoked interest in issues related to advance care planning...
  28. ncbi Detection and documentation of dementia and delirium in acute geriatric wards
    Jouko V Laurila
    Department of Medicine, Helsinki University Hospital, Geriatric Clinic, Helsinki, Finland
    Gen Hosp Psychiatry 26:31-5. 2004
    ..3%) in medical records. In 64/77 (83.1%) cases signs of confusion were recorded in nurses' notes. Poor detection and documentation may lead to undertreatment of both disorders...
  29. ncbi The impact of different diagnostic criteria on prevalence rates for delirium
    Jouko V Laurila
    Geriatric Clinic, Department of Medicine, Helsinki University Hospital, HUS, Finland
    Dement Geriatr Cogn Disord 16:156-62. 2003
    ..The DSM-IV and ICD-10 had the largest number of patients not overlapping with any other diagnostic group. The newest DSM-IV classification found more cases of delirium especially among acutely ill, hospitalized patients...
  30. ncbi Effects of psychosocial group rehabilitation on health, use of health care services, and mortality of older persons suffering from loneliness: a randomized, controlled trial
    Kaisu H Pitkala
    Department of Primary Health Care and General Practice, University of Helsinki, Finland
    J Gerontol A Biol Sci Med Sci 64:792-800. 2009
    ..The study aim was to determine the effects of new psychosocial group rehabilitation on the subjective health, use and costs of health services, and mortality of lonely older individuals...
  31. ncbi Interest in healthy lifestyle and adherence to medications: Impact on mortality among elderly cardiovascular patients in the DEBATE Study
    Kaisu H Pitkala
    University of Helsinki, Department of Primary Care and General Practice, Helsinki, Finland
    Patient Educ Couns 67:44-9. 2007
    ..We examined how a patient-centered consultation can help the physician to evaluate older patients' adherence to medical care and a healthy lifestyle. We hypothesised that an accurate estimate of adherence should be shown in their prognosis...
  32. ncbi Multicomponent geriatric intervention for elderly inpatients with delirium: effects on costs and health-related quality of life
    Kaisu H Pitkala
    Unit of General Practice, University of Helsinki, Finland
    J Gerontol A Biol Sci Med Sci 63:56-61. 2008
    ..We studied the effects of multicomponent geriatric treatment on costs of care and HRQoL in delirious inpatients...
  33. ncbi Impact of different diagnostic criteria on prognosis of delirium: a prospective study
    Jouko V Laurila
    Geriatric Clinic, Department of Medicine, Helsinki University Hospital, Helsinki, Finland
    Dement Geriatr Cogn Disord 18:240-4. 2004
    ..The DSM-IV has simplified the criteria of delirium. It identifies new, acutely ill and relatively nondependent subjects as delirious who share the poor prognosis of patients diagnosed with the previous criteria...
  34. ncbi Statin treatment is associated with clearly reduced mortality risk of cardiovascular patients aged 75 years and older
    Timo E Strandberg
    J Gerontol A Biol Sci Med Sci 63:213-4; author reply 214. 2008
  35. ncbi Challenges of current geriatric education-inspired by the Nordic geriatric professors' meetings
    Palmi V Jonsson
    University of Iceland, School of Medicine, Reykjavik, Iceland
    Gerontol Geriatr Educ 24:1-14. 2003
    ..We especially review the literature of how geriatric training has been experimenting with the new learning methods...
  36. ncbi Advance orders to limit therapy in 67 long-term care facilities in Finland
    Marja Liisa Laakkonen
    Helsinki City Hospital Koskela, P O Box 6410, FIN 00099 Helsinki, Finland
    Resuscitation 61:333-9. 2004
    ..To assess the documentation of a do-not-attempt-resuscitation (DNAR) or do-not-hospitalize (DNH) orders in the medical record and to determine factors related to these orders...
  37. ncbi Cholesterol and glucose metabolism and recurrent cardiovascular events among the elderly: a prospective study
    Timo E Strandberg
    Department of Public Health Science and General Practice, University of Oulu, Oulu, Finland
    J Am Coll Cardiol 48:708-14. 2006
    ....
  38. ncbi Re: Education and dementia: what lies behind the association?
    Timo E Strandberg
    Neurology 71:1555-6; author reply 1556. 2008
  39. ncbi Multifactorial intervention to prevent recurrent cardiovascular events in patients 75 years or older: the Drugs and Evidence-Based Medicine in the Elderly (DEBATE) study: a randomized, controlled trial
    Timo E Strandberg
    Department of Public Health Science and General Practice, University of Oulu, University Hospital, Oulu, Finland
    Am Heart J 152:585-92. 2006
    ..We aimed to examine whether better use of preventive methods and treatments of cardiovascular disease would reduce recurrent events in home-dwelling patients 75 years or older...
  40. ncbi Older people's reasoning for resuscitation preferences and their role in the decision-making process
    Marja Liisa Laakkonen
    Helsinki City Hospital Koskela, P O Box 6410, FIN 00099 Helsinki, Finland
    Resuscitation 65:165-71. 2005
    ..To investigate older patients' reasoning for their cardiopulmonary resuscitation (CPR) preferences and the related decision-making process (DMP)...
  41. ncbi Physical and cognitive functioning and resuscitation preferences of aged patients
    Marja-Lilsa Laakkonen
    J Am Geriatr Soc 53:168-70. 2005