Geriatrics & Gerontology International最新文献

{"title":"Application effectiveness analysis of multidisciplinary collaboration within the Enhanced Recovery After Surgery concept in elderly patients undergoing hip fracture surgery","authors":"Chao Duan,&nbsp;Guoliang Che,&nbsp;Lin Yang,&nbsp;Zhengzhi Liu,&nbsp;Yi Wang","doi":"10.1111/ggi.70106","DOIUrl":"10.1111/ggi.70106","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Hip fractures in the elderly pose significant health challenges, with high rates of morbidity and mortality. Enhanced Recovery After Surgery (ERAS) protocols offer a multidisciplinary approach, potentially improving outcomes in this demographic. Prior studies have examined ERAS in hip fractures, but important questions remain about how a well-organized team benefits perioperative management. This study assesses the effectiveness of ERAS in comparison to conventional surgical approaches for elderly patients with hip fracture.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective cohort study was conducted involving 203 patients aged 60–85 who underwent hip fracture surgery between January 2022 and January 2024. Patients were divided into a conventional group (<i>n</i> = 103) and an ERAS multidisciplinary collaboration group (<i>n</i> = 100). Key metrics included surgical outcomes, inflammatory response, recovery metrics, functional and mobility outcomes, quality of life measurements, readmission rates, nutritional status and psychosocial and cognitive outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The ERAS group showed significantly reduced intraoperative blood loss (330.42 ± 45.36 mL vs. 350.75 ± 50.62 mL; <i>P</i> = 0.003), shorter hospital stays (6.65 ± 1.24 days vs. 7.32 ± 1.62 days; <i>P</i> = 0.001) and lowered surgical complication rates (13.00% vs. 24.27%; <i>P</i> = 0.040). Additionally, improvements were noted in inflammatory markers and functional outcomes, including subgroup analyses by age, quality-of-life scores and reduced readmission rates within 30 and 90 days. Psychosocial and cognitive measures also favored the ERAS group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Implementing ERAS protocols with a well-organized, multidisciplinary team in elderly patients with hip fracture significantly improves perioperative and postoperative outcomes. <b>Geriatr Gerontol Int 2025; 25: 1089–1096</b>.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"25 8","pages":"1089-1096"},"PeriodicalIF":2.5,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144553070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply to comment on: Role of education in enhancing home care nurses' assessment skills: A closer look at key findings","authors":"Ryousuke Yamada,&nbsp;Ayumi Igarashi,&nbsp;Kosuke Kashiwabara,&nbsp;Chie Fukui,&nbsp;Masumi shinohara,&nbsp;Maiko Noguchi-Watanabe,&nbsp;Sakiko Fukui,&nbsp;Noriko Yamamoto-Mitani","doi":"10.1111/ggi.70112","DOIUrl":"10.1111/ggi.70112","url":null,"abstract":"&lt;p&gt;We appreciate the insightful comments by Dr Al-Qahtani &lt;i&gt;et al&lt;/i&gt;.&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; regarding our article.&lt;span&gt;&lt;sup&gt;2&lt;/sup&gt;&lt;/span&gt; We welcome this scholarly dialogue and offer our views on their concerns. They raised four points concerning our study: the absence of consideration of the long-term effects of detailed educational program content, the interpretation of our findings related to novice nurse education, the generalizability of our results, and the relationship between assessment and clinical outcomes. In this letter, we offer the following clarifications.&lt;/p&gt;&lt;p&gt;Al-Qahtani &lt;i&gt;et al&lt;/i&gt;. rightly point to the importance of considering the details of educational program content and their long-term effects.&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; Our primary aim was to examine whether existing home care agencies' educational systems are associated with nurses' comprehensive assessments.&lt;span&gt;&lt;sup&gt;2&lt;/sup&gt;&lt;/span&gt; A detailed evaluation of the quality of specific educational programs was beyond the scope of our cross-sectional design, such as educator roles, resource allocation and the direct effects, including potential long-term effects, of these factors on clinical outcomes. Building on our finding that specific educational system components were associated with more comprehensive assessments, we will investigate these aspects in our future research. For instance, educator roles vary by agency: some focus on creating educational plans, whereas others are involved in carrying out post-home visit reflections or organizing periodic case conferences. In future studies, we would carry out a detailed examination of these diverse roles and varying levels of educator involvement to explore more thoroughly their associations with nurses' comprehensive assessment practices.&lt;/p&gt;&lt;p&gt;A statistically significant association was not observed between novice-specific education and comprehensive assessment practice in our study.&lt;span&gt;&lt;sup&gt;2&lt;/sup&gt;&lt;/span&gt; As we focused on agency-wide educational systems, it was difficult to examine the long-term or distinct effects of novice-specific training. The fact that most participants were experienced nurses (average experience 7.9 years) increased this difficulty. The impact of educational interventions specifically targeting at novices might have been less apparent in our sample, particularly when ongoing educational activities often involve both novice and experienced nurses. These findings do not deny the fundamental importance of training for novice nurses. Instead, they highlight the need for future research to examine the content and long-term impact of education in greater detail.&lt;/p&gt;&lt;p&gt;We also concur with Al-Qahtani &lt;i&gt;et al&lt;/i&gt;. regarding the generalizability of our findings, given that our sample comprised 11 agencies that were, as noted, well-resourced.&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; This limitation was discussed in our article.&lt;span&gt;&lt;sup&gt;2&lt;/sup&gt;&lt;/span&gt; We agree that further research is essential across a broader spect","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"25 8","pages":"1157-1158"},"PeriodicalIF":2.5,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ggi.70112","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144553116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Less is more: A case of interdisciplinary deprescribing of multiple neuroleptics and polypharmacy in a geriatric patient with neurodegenerative diseases in long-term care","authors":"Yung-Yi Lan,&nbsp;Rujith Kovinthapillai,&nbsp;Jacek Szostakiewicz,&nbsp;Agnieszka Neumann-Podczaska,&nbsp;Katarzyna Wieczorowska-Tobis","doi":"10.1111/ggi.70118","DOIUrl":"10.1111/ggi.70118","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"25 8","pages":"1149-1151"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144539918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Astrocytic insulin signaling and intranasal insulin administration: Potential therapeutic avenues for behavioral symptoms in Alzheimer's disease","authors":"Jen-Chin Lee,&nbsp;Lien-Chung Wei","doi":"10.1111/ggi.70115","DOIUrl":"10.1111/ggi.70115","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"25 8","pages":"1159-1160"},"PeriodicalIF":2.5,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144527401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Atypical presentation of Ogilvie syndrome in a frail older patient","authors":"Yasin Yıldız,&nbsp;Busra Can,&nbsp;Asli Tufan","doi":"10.1111/ggi.70109","DOIUrl":"10.1111/ggi.70109","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"25 8","pages":"1146-1148"},"PeriodicalIF":2.5,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144527402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the combined effects of social isolation and oral dysfunction on cognitive decline in community-dwelling older Japanese adults","authors":"Ayuka Kawakami,&nbsp;Kouki Tomida,&nbsp;Takahiro Shimoda,&nbsp;Chika Nakajima,&nbsp;Hiroyuki Shimada","doi":"10.1111/ggi.70117","DOIUrl":"10.1111/ggi.70117","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This research examines the relationship between cognitive decline and the combined factors of social isolation and oral dysfunction among community-dwelling older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The participants of this cross-sectional study were community-dwelling older adults. Oral dysfunction (OD) was assessed using the Kihon checklist. Social isolation (SI) was assessed using two measures: reduced social contact and social disengagement. Mild cognitive impairment (MCI) was assessed using the National Center for Geriatrics and Gerontology-Functional Assessment Tool. The participants were classified into four groups according to OD and/or SI. Logistic regression analysis was conducted with MCI as the objective variable, and OD and/or SI as the independent variable.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 13 142 participants, the median age was 72 years (interquartile range 69–77 years), and 44.7% were men. Significantly higher odds ratios for MCI were found in the non-OD/SI (odds ratio1.16, 95% confidence interval 1.04–1.30) and OD/SI (odds ratio1.36, 95% confidence interval 1.15–1.61) groups than in the non-OD/non-SI group. There was no statistically significant association between OD/non-SI and MCI.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The combined factors of social isolation and oral dysfunction were associated with cognitive decline, and the single factors of social isolation were associated with cognitive decline. <b>Geriatr Gerontol Int 2025; 25: 1108–1114</b>.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"25 8","pages":"1108-1114"},"PeriodicalIF":2.5,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144527404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are circadian rest–activity rhythms sex-specific markers of frailty risk in older adults? A narrative review","authors":"Jisu Kim,&nbsp;Danielle L Kirkman,&nbsp;Juan Lu,&nbsp;Lana Sargent,&nbsp;Youngdeok Kim","doi":"10.1111/ggi.70110","DOIUrl":"10.1111/ggi.70110","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Physical frailty, a common geriatric syndrome driven by an age-related decline in physiological systems, is associated with an increased risk of further chronic diseases and mortality, making it a significant public health concern. Disrupted circadian rest–activity rhythms (RARs) are increasingly recognized as clinical indicators of physical frailty in older adults; however, limited research hinders a robust understanding of these associations, and potential sex differences remain largely underexplored.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This narrative review summarizes the age-related changes in RARs, their association with physical frailty, and possible underlying physiological mechanisms. Additionally, the role of sex in their associations is discussed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Although evidence is limited, consistent findings have shown significant associations between circadian RARs and physical frailty, suggesting that RARs could be a risk factor and a practical, measurable marker of frailty. The lack of standardized measures for both RARs and frailty continues to challenge the robustness of their relationship. Given the distinct RAR patterns and frailty components explained by sex-specific physiological and socio-behavioral factors, biological sex possibly plays a significant role in the links between RARs and frailty.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The identified knowledge gap hinders a comprehensive understanding of the complex associations between RARs and frailty beyond pathophysiology, limiting the development of practical implications and effective intervention strategies for addressing frailty in older adults. Further longitudinal and experimental studies are required to elucidate sex-specific, personalized public health approaches accounting for social factors, leveraging RARs as a critical indicator for the effective management of frailty. <b>Geriatr Gerontol Int 2025; 25: 1035–1046</b>.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"25 8","pages":"1035-1046"},"PeriodicalIF":2.5,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144527400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Concerns regarding the validity and practicality of the CLAPs instrument in geriatric cognitive assessment","authors":"Muhammad Armaghan Akhlaq,&nbsp;Hooria Ejaz,&nbsp;Mavia Habib,&nbsp;Absar Mukhtar,&nbsp;Mirza M. Hadeed Khawar","doi":"10.1111/ggi.70116","DOIUrl":"10.1111/ggi.70116","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"25 8","pages":"1161-1162"},"PeriodicalIF":2.5,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144527403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of human–robot interaction on local residents","authors":"Hiroshi Kuroishi,&nbsp;Sakura Kikuchi,&nbsp;Kana Kazawa","doi":"10.1111/ggi.70114","DOIUrl":"10.1111/ggi.70114","url":null,"abstract":"<p>It has been reported that approximately 40% of local residents in Japan experience loneliness, and communicate with friends and family members who live far from them less than once a month.<span>¹</span> Loneliness and social isolation lead to negative health outcomes, including mortality, depression, functional decline and increased healthcare utilization.<span>²</span> Many risk factors have been found to be associated with reduced social interaction, increased economic burden, and poor physical and mental health.<span>³</span> Addressing these risk factors will help reduce loneliness and social isolation, and improve well-being. Conversations are particularly effective in improving mental resilience in social interactions.<span>⁴</span></p><p>To reduce loneliness and social isolation, City A has been implementing a human–robot interaction project using artificial intelligence social robots (Romi; MIXI, Tokyo, Japan<span>⁵</span>) among residents since financial year 2023. Romi is a social robot equipped with an artificial intelligence that has been trained on its own rich Japanese conversation data using a deep-learning large-scale language model. It is also capable of expressing emotions with &gt;150 different facial expressions and movements, and conversing with users based on their memories of conversations and local information, such as events that interest them.</p><p>This study was a part of City A projects, and aimed to investigate the efficacy of human–robot interaction on local residents. It included participants aged &gt;40 years, and several acknowledged a decline in their opportunities for conversation with others. After registering for the project, they communicated with the robots in their homes at any time of day over 2 months. As an evaluation study, City A provided residents' subjective loneliness scores (the Japanese Version of the University of California Los Angeles Loneliness Scale Version 3)<span>⁶</span> and conversation text data without personal information or sound to Okayama University (Okayama, Japan). The study was carried out on an opt-out basis as part of a project by City A, and approval for the study was obtained from the Ethics Committee.</p><p>The participants were divided into the following three groups: living alone, living with a spouse and living with a child (adult). The data were analyzed to investigate the effect of human–robot interactions.</p><p>A total of 18 participants with no missing data were included in the analysis. The average age (mean ± standard deviation) of participants was 75.8 ± 11.6 years. The total number of characters in the conversations over the 2 months was approximately 560 000. The highest average number of conversation characters per 10 days was approximately 7000 characters for the living alone group (<i>n</i> = 7), followed by 3000 characters for those living with a spouse (<i>n</i> = 2) and 4000 characters ","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"25 8","pages":"1152-1153"},"PeriodicalIF":2.5,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ggi.70114","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144495745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Amiodarone-associated hyperammonemia encephalopathy in an older adult with paroxysmal atrial fibrillation: A case report","authors":"Sheng Long Tan,&nbsp;Xiu-Wei Li,&nbsp;Shih-Chieh Shao","doi":"10.1111/ggi.70083","DOIUrl":"10.1111/ggi.70083","url":null,"abstract":"","PeriodicalId":12546,"journal":{"name":"Geriatrics & Gerontology International","volume":"25 8","pages":"1142-1145"},"PeriodicalIF":2.5,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144495744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}