To date, we have only limited evidence of the determinants of earthquake inpatient mortality-related factors. This study is among the first to explore related factors of inpatient deaths using data from multiple hospitals and multiple earthquakes.

We included and retrospectively analyzed data on 32,976 earthquake inpatients in the West China Earthquake Patients Database. Of these, we analyzed the records of 284 patients who died during hospitalization. We collected 12 dichotomous variables with reference to previous reports: patients’ age (both ≤ 15 years and ≥ 65 years), gender, prehospital treatment, intensive care unit (ICU) admission, the presence of severe traumatic brain injury (TBI), trunk injury, severe poly-trauma, crush syndrome, multiple-system organ failure (MSOF), infection, and cardiac/respiratory disease. We performed multivariate logistic regression analysis to explore independent related factors of mortality.

Ultimately, we identified severe TBI, MSOF, old age (≥ 65 years), ICU admission, crush syndrome, and cardiac/respiratory disease as independent mortality-related factors. Severe TBI was the greatest risk factor of inpatient death (ods ratio [OR], 31.913, 95% confidence interval [CI], 20.484-49.720), followed by MSOF (OR 30.905, 95% CI, 21.733-43.947).

To reduce earthquake inpatient mortalities, the related factors analyzed in this study should be prioritized in future inpatient earthquake response strategies.

Depression, especially in nursing homes elderly, is one of the most important mental health disorders. There is many controversy about depression‘s related factors ; so this study was carried out in order to asses depression prevalence and related factors in nursing homes elderly in Kashan – Iran 2007.

In this cross-sectional study, all of people aged ≥60 years old who were resident in Golabchi center of Kashan city (n=52) were selected. The GDS-30 questionnaires were completed through interview using self-reporting method. Depression status was determined in 0-30 scale .The sample were divided two groups. 0-9 and 10-30 scores was spotted as no-depressed and depressed groups respectively. The data analyzed using T-test and exact fisher test.

Prevalence depression was 85/5%. Depression prevalence was more in men, unmarried people, uneducated people, people who were under the treatment insurance, people who had specific income source, people who had visitors at least monthly, ill people, optional inhabitancy, people who had religious beliefs in medium level and less, and they had participated in religious ceremonies in medium level and less; But these differences were not significant. Age, duration of inhabitancy and child number was not also different between two groups.

Prevalence of Depression in nursing homes elderly is numerous. In order to improve old people quality of life must attend to this topic.

The Geriatric Anxiety Inventory (GAI) was developed to assess anxiety in older adults. The objectives of this work were as follows: (a) to analyze the psychometric properties of the Chinese version of the GAI (GAI-CV), and (b) to explore the extent of anxiety and related factors in the elderly Chinese residents of Beijing.

Participants in this study included 1,047 people (59.4% female) more than 60 years old who were living in the community. They were randomly selected from 15 communities in Beijing. Basic information was collected. Anxiety was measured using the GAI-CV, the Self-Rating Anxiety Scale (SAS), and the Beck Anxiety Inventory (BAI).

The GAI-CV exhibited good internal consistency (Cronbach's α = 0.94) and demonstrated good concurrent validity against the SAS (r = 0.52, p = 0.018) and the BAI (r = 0.560, p = 0.000). Item response theory (IRT) analyses showed that the items of the GAI-CV exhibited high difficulty (0.97–2) and discrimination parameters (1.91–5.33). The items exhibited information parameters greater than 1.25 with the exceptions of items 2, 12, and 18. The GAI-CV scores were significantly associated with gender, age, and chronic disease. However, no significant differences due to marriage or education were found.

The GAI is a new scale that was specifically designed to measure anxiety in older people. The results of this study suggest that the GAI-CV had good psychometric properties, but some items need to be modified. IRT analyses indicated that the GAI-CV provided good measures of anxiety across the moderately high to very high levels. The GAI-CV may be a useful instrument for further research studies aimed at analyzing high-level anxiety among older adults in China.