Geriatrics最新文献

{"title":"Age-Related Differences in Clinical Outcomes of Patients with Pleural Empyema: A Retrospective Single-Center Study.","authors":"Josef Yayan, Christian Biancosino","doi":"10.3390/geriatrics10040095","DOIUrl":"10.3390/geriatrics10040095","url":null,"abstract":"<p><p><b>Background</b>: Pleural empyema remains a serious clinical condition with high morbidity and mortality, especially in elderly patients. As life expectancy increases, a growing number of older individuals require surgical treatment. This retrospective single-center study investigated age-related differences in clinical presentation, perioperative features, and postoperative outcomes in patients undergoing surgery for pleural empyema. <b>Methods</b>: We conducted this retrospective study at Helios University Hospital Wuppertal, Witten Herdecke University in Germany, from December 2019 to May 2024. We stratified the patients into two age groups: <65 and ≥65 years. We compared baseline characteristics, American Society of Anesthesiologists (ASA) physical status classification, empyema stage, hospital stay, drainage duration, complication rates, and in-hospital mortality. <b>Results</b>: A total of 103 patients were included, of whom 43 (41.7%) were aged ≥ 65 years. Older patients had significantly higher ASA scores and presented with more advanced empyema stages. Hospital stay was significantly longer in this group. However, complication rates (60.0% vs. 44.9%; <i>p</i> = 0.25), drainage duration, ICU admissions (91.4% vs. 83.7%; <i>p</i> = 0.48), and in-hospital mortality (0% in both groups) did not differ significantly. <b>Conclusions</b>: Although older patients had higher perioperative risks, their surgical outcomes were similar to those of younger patients. Chronological age alone should not be a limiting factor for surgical treatment of pleural empyema. Surgical decisions should be based on clinical condition rather than chronological age.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"10 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12285948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144698307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a Specialized Telemedicine Protocol for Cognitive Disorders: The TeleCogNition Project in Greece.","authors":"Efthalia Angelopoulou, Ioannis Stamelos, Evangelia Smaragdaki, Kalliopi Vourou, Evangelia Stanitsa, Dionysia Kontaxopoulou, Christos Koros, John Papatriantafyllou, Vasiliki Zilidou, Evangelia Romanopoulou, Efstratia-Maria Georgopoulou, Paraskevi Sakka, Haralampos Karanikas, Leonidas Stefanis, Panagiotis Bamidis, Sokratis Papageorgiou","doi":"10.3390/geriatrics10040094","DOIUrl":"10.3390/geriatrics10040094","url":null,"abstract":"<p><strong>Background/objectives: </strong>Access to specialized care for patients with cognitive impairment in remote areas is often limited. Despite the increasing adoption of telemedicine, standardized guidelines have not yet been specified. This study aimed to develop a comprehensive protocol for the specialized neurological, neuropsychological, and neuropsychiatric assessment of patients with cognitive disorders in remote areas through telemedicine.</p><p><strong>Methods: </strong>We analyzed data from (i) a comprehensive literature review of the existing recommendations, reliability studies, and telemedicine models for cognitive disorders, (ii) insights from a three-year experience of a specialized telemedicine outpatient clinic for cognitive movement disorders in Greece, and (iii) suggestions coming from dementia specialists experienced in telemedicine (neurologists, neuropsychologists, psychiatrists) who took part in three focus groups. A critical synthesis of the findings was performed in the end.</p><p><strong>Results: </strong>The final protocol included: technical and organizational requirements (e.g., a high-resolution screen and a camera with zoom, room dimensions adequate for gait assessment, a noise-canceling microphone); medical history; neurological, neuropsychiatric, and neuropsychological assessment adapted to videoconferencing; ethical-legal aspects (e.g., data security, privacy, informed consent); clinician-patient interaction (e.g., empathy, eye contact); diagnostic work-up; linkage to other services (e.g., tele-psychoeducation, caregiver support); and instructions for treatment and follow-up.</p><p><strong>Conclusions: </strong>This protocol is expected to serve as an example of good clinical practice and a source for official telemedicine guidelines for cognitive disorders. Ultimate outcomes include the potential enhanced access to specialized care, minimized financial and logistical costs, and the provision of a standardized, effective model for the remote diagnosis, treatment, and follow-up. This model could be applied not only in Greece, but also in other countries with similar healthcare systems and populations living in remote, difficult-to-access areas.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"10 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12286049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144698317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Communication Satisfaction of Geriatric Patients Treated by Dental Students and Dentists in a University Dental Clinic: A Cross-Sectional Study.","authors":"Carla Semedo, Joana Costa, Elisa Kern de Castro","doi":"10.3390/geriatrics10040093","DOIUrl":"10.3390/geriatrics10040093","url":null,"abstract":"<p><p><b>Background/Objectives</b>: With aging linked to increased oral health conditions, the communication skills of dental professionals are vital to ensure patient satisfaction and improve the quality of geriatric dental care. This cross-sectional study evaluated geriatric patients' satisfaction with communication at a university dental clinic, comparing interactions with dentists and fifth-year dental students. <b>Methods</b>: A self-report questionnaire was administered to 111 patients, assessing sociodemographic data, general health, and satisfaction across six communication dimensions: verbal and nonverbal communication, empathy, respect, problem-solving, and support materials. The data were analyzed using Mann-Whitney U tests (α = 0.05). <b>Results</b>: The geriatric patients exhibited higher levels of satisfaction when interacting with dentists compared to students, particularly in the domains of nonverbal communication (<i>p</i> = 0.007), empathy (<i>p</i> = 0.035), and respect (<i>p</i> = 0.017). However, no statistically significant differences (<i>p</i> > 0.05) were observed in terms of verbal communication, problem-solving, and support materials. <b>Conclusions</b>: The geriatric patients demonstrated greater satisfaction with interactions with practicing dentists. These findings indicate that an attending dentist's clinical experience enhances interpersonal interactions with geriatric patients. Therefore, developing the interpersonal skills of future dentistry professionals, as well as adapting communication to the needs of the elderly, is essential to provide more satisfactory experiences in geriatric dental care.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"10 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12286155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144698323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lifesaving Treatment for DISH Syndrome in the Tenth Decade of Patient's Life.","authors":"Bartosz Krolicki, Victor Mandat, Tomasz S Mandat","doi":"10.3390/geriatrics10040092","DOIUrl":"10.3390/geriatrics10040092","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Diffuse idiopathic skeleton hyperostosis (DISH) is also known as Forestier-Rotes-Querol syndrome. The etiology of DISH is unknown. DISH is characterized by ossification of the anterior longitudinal ligaments of the spine. The area most frequently involved in the disease is the thoracic region of the spine. DISH in most cases is asymptomatic. If the cervical spine is involved, the most common symptoms are dysphagia and dyspnea. The ossifications in the cervical region of the spine are localized most frequently in its lower segments. <b>Case presentation</b>: The authors present the case of a 92-year-old cachectic female patient (body mass index (BMI) of 17; lost 13% of her body weight within the last 6 months). The patient underwent resection of the anterior osteophytes C2-T1. Results: At one-year follow up, the patient had gained weight (BMI-20) and regained her ability to consume solid products. To our knowledge, this is the oldest patient treated surgically for DISH. <b>Conclusions</b>: If dysphagia or dyspnea appears among elderly patients, cervical spine inspection should be conducted. If DISH is diagnosed safe, effective surgical treatment should be considered.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"10 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12286281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144698320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Deepening Physical Exercise Intervention Protocols for Older People with Sarcopenia Following Establishment of the EWGSOP2 Consensus: A Systematic Review.","authors":"Eduard Minobes-Molina, Sandra Rierola-Fochs, Carles Parés-Martínez, Pau Farrés-Godayol, Mirari Ochandorena-Acha, Eva Heras, Jan Missé, Fabricio Zambom-Ferraresi, Fabiola Zambom-Ferraresi, Joan Ars, Marc Terradas-Monllor, Anna Escribà-Salvans","doi":"10.3390/geriatrics10040091","DOIUrl":"10.3390/geriatrics10040091","url":null,"abstract":"<p><strong>Background/objectives: </strong>Sarcopenia is an age-related muscle disease that reduces strength and function in older adults. Exercise is a key intervention, but existing protocols vary widely and often lack adaptation to sarcopenia severity. The present study aims to review the effectiveness of exercise protocols developed after the EWGSOP2 consensus and evaluate their adaptation to sarcopenia severity stages.</p><p><strong>Methods: </strong>This systematic review followed PRISMA guidelines. PubMed and Scopus were searched for studies published after the EWGSOP2 consensus involving participants of 65 years and over with primary sarcopenia and managed through exercise-only interventions. Risk of bias was assessed with the Cochrane Risk of Bias tool, and quality and transparency of exercise intervention were assessed with the Consensus on Exercise Reporting Template.</p><p><strong>Results: </strong>Ten studies met the inclusion criteria, with a total of 558 participants. Most interventions included resistance training, often within multicomponent programs. Statistically significant improvements were reported in muscle strength, mass, and physical performance. Additional benefits included enhancements in sleep quality, respiratory function, and specific biomarkers. However, only two studies classified sarcopenia severity, and reporting quality varied considerably.</p><p><strong>Conclusions: </strong>Exercise interventions, especially multicomponent and individualized protocols, are effective at improving outcomes related to sarcopenia in older adults. However, better alignment with diagnostic classifications and standardized reporting are needed to improve clinical translation and program replication.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"10 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12285934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144698308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship Between Willingness to Forgive and Health-Related Quality of Life in Older Adults in Portugal and Spain.","authors":"Cristiane Pavanello Rodrigues Silva, Fausto J Barbero-Iglesias, Luis Polo-Ferrero, José I Recio-Rodríguez","doi":"10.3390/geriatrics10040090","DOIUrl":"10.3390/geriatrics10040090","url":null,"abstract":"<p><strong>Objectives: </strong>To describe, understand, and correlate willingness to forgive with self-perceived health-related quality of life, including the components of quality of physical health and mental health.</p><p><strong>Methods: </strong>Conducted with 30 older individuals, ≥65 years old, with preserved cognitive abilities, literacy ≥ four years of education, living in Portugal and Spain. The 12-Item Short-Form Health Survey (SF-12) was used to assess self-perceived health-related quality of life, and the Heartland Forgiveness Scale (HFS) was used to measure willingness to forgive.</p><p><strong>Results: </strong>There was a direct positive correlation between willingness to forgive and perception of health-related quality of life, especially for the mental health component, educational level, cohabitation, and work activity.</p><p><strong>Conclusions: </strong>Forgiveness could play a significant role in the emotional health and quality of life of the elderly. Strategies to develop forgiveness can benefit the active aging process, contributing to improved health-related quality of life in older individuals.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"10 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12285951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144698348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends and Mortality Predictors of Delirium Among Hospitalized Older Adults: A National 5-Year Retrospective Study in Thailand.","authors":"Manchumad Manjavong, Panita Limpawattana, Jarin Chindaprasirt, Poonchana Wareechai","doi":"10.3390/geriatrics10040088","DOIUrl":"10.3390/geriatrics10040088","url":null,"abstract":"<p><strong>Background: </strong>Delirium frequently manifests in hospitalized geriatric patients and is associated with negative health outcomes. Available large-scale data regarding its prevalence rate and impact on older Thai patients are limited. This study aimed to analyze trends in the prevalence rate, its consequences, and the factors contributing to death at discharge among this population.</p><p><strong>Methods: </strong>A retrospective study of inpatients over the age of 60 who received a diagnosis of delirium was conducted, utilizing inpatient medical expense documentation for the fiscal years 2019-2023. The identification of delirium was conducted by the National Health Security Office using the International Statistical Classification of Diseases and Related Health Problems, 10th Revision, Thai Modification (ICD-10-TM) code F05.</p><p><strong>Results: </strong>The 5-year prevalence rate and mortality rate of delirium were 215.1 and 18.7/100,000 population, respectively, and tended to rise over the studied periods. The average hospitalization was 10 days, and the average healthcare expenditure was about 1470 USD/visit. Respiratory disease emerged as the most common primary diagnosis in delirious patients (23.5%). Factors associated with mortality were individuals aged >80 years when juxtaposed with the cohort aged 61-70 years (adjusted odds ratio [AOD] 1.07), being female (AOR 1.13), and a primary diagnosis of respiratory disease (AOR 2.72), cardiovascular disease (AOR 1.68), musculoskeletal disease (AOR 0.61), systemic infection/septicemia (AOR 2.08); or malignancy (AOR 2.97).</p><p><strong>Conclusions: </strong>There was an upward trend in rates of both prevalence and mortality associated with delirium among hospitalized geriatric patients. Advancing age, gender, and particular primary diagnoses were associated with mortality at hospital discharge.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"10 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12286019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144698349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Role of Cognitive Reserve and Human-Animal Interaction in Late-Life Depression: A Moderation Analysis.","authors":"Nathália Saraiva de Albuquerque, Natália Silva Sessegolo, Carmen Moret-Tatay, Tatiana Quarti Irigaray","doi":"10.3390/geriatrics10040089","DOIUrl":"10.3390/geriatrics10040089","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Depression impairs the quality of life in older adults and represents a significant public health issue. Cognitive reserve may act as a protective factor against depressive symptoms in older adults. Additionally, interaction with pets may serve as another potential protective factor against these symptoms. Thus, this study aimed to evaluate whether higher cognitive reserve could predict a reduction in depressive symptoms in older adults and to investigate the moderating role of pet companionship in this relationship. <b>Methods:</b> The following instruments were used: a Sociodemographic Data Sheet, the Modified Telephone Interview for Cognitive Status (TICS-M), the Cognitive Reserve Index Questionnaire (CRIq), and the Geriatric Depression Scale (GDS-15). Data were collected via video calls through WhatsApp and analyzed using a moderation analysis with PROCESS for SPSS. <b>Results:</b> The final sample consisted of 215 older adults with a mean age of 69.13 years (SD = 6.89). Among the participants, 53% owned pets and 47% did not. The overall model revealed a significant association between the predictor variables and the outcome (F(3, 211) = 4.24, <i>p</i> < 0.01). For the group without pets, the effect was not significant (β = -0.1082, <i>p</i> = 0.2916), but for the group with pets, the effect was substantial and negative on the GDS (β = -0.1936, <i>p</i> < 0.05). <b>Conclusions:</b> We concluded that the relationship between cognitive reserve and depressive symptoms is moderated by the presence of pets in individuals' lives. These findings highlight the role of pets in protecting against depressive symptoms in older adults. Future studies should explore this relationship with more diverse samples.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"10 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12286211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144698318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Information-Seeking Behavior in Older Adults with Vision Impairment Among Different Stages of Eye Care: A Cross-Sectional Comparative Study.","authors":"Ya-Ping Wang, Ping Ouyang, Yan-Hua Zhao, Liu-Ming Lu, Hua-Ying Liu, Can Dai, Hong-Zhen Zhou","doi":"10.3390/geriatrics10040087","DOIUrl":"10.3390/geriatrics10040087","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Visual impairment (VI) represents a significant health challenge among older adults, particularly due to their limited understanding of health information. This study aimed to investigate and compare the health information-seeking behavior (HISB) of older adults with VI across different stages of eye care. <b>Methods</b>: A cross-sectional comparative study was conducted in 248 older adults with VI in various stages of eye care, including the pre-visit stage (<i>n</i> = 84), treatment stage (<i>n</i> = 83), and follow-up stage (<i>n</i> = 81) at the Shenzhen Eye Hospital from July to October 2024. Participants completed an HISB questionnaire encompassing four dimensions: attitude, needs, sources, and barriers. <b>Results</b>: The overall mean score of HISB varied significantly among the different eye care stages. The treatment stage had the highest scores (3.70 ± 0.32), particularly in attitudes toward health information and information needs. Poor self-reported overall health facilitated HISB in each stage. In the pre-visit stage, higher income was associated with increased HISB, while a lack of internet access reduced it. In the treatment stage, higher education was associated with higher HISB, whereas moderate-to-severe VI and certain income levels were associated with negative effects. In the follow-up stage, rural residence and spousal or child caregiving emerged as key facilitators of HISB. <b>Conclusions</b>: The treatment stage is a critical period for HISB engagement in older adults with VI. Healthcare providers should consider stage-specific factors of HISB to optimize health information delivery.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"10 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12285963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144698319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Báez-Suárez et al. Improving Sleep Quality and Well-Being in Institutionalized Older Adults: The Potential of NESA Non-Invasive Neuromodulation Treatment. <i>Geriatrics</i> 2025, <i>10</i>, 4.","authors":"Aníbal Báez-Suárez, Virginia Báez-Suárez, Laissa Saldanha, Martín Vílchez-Barrera, Andrea Hernández-Pérez, Raquel Medina-Ramírez","doi":"10.3390/geriatrics10040086","DOIUrl":"10.3390/geriatrics10040086","url":null,"abstract":"<p><p>In the original publication [...].</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"10 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12273878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}