Revista Espanola de Geriatria y Gerontologia最新文献

{"title":"When the score becomes the patient: Rethinking how we teach geriatric medicine","authors":"Miguel Germán Borda","doi":"10.1016/j.regg.2026.101829","DOIUrl":"10.1016/j.regg.2026.101829","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"61 5","pages":"Article 101829"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148945938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Salud, satisfacción con la vida y bienestar personal de pescadores adultos mayores en Chile","authors":"Pamela Arias,&nbsp;Rodrigo Saguez,&nbsp;Cecilia Albala,&nbsp;Fernando Vio","doi":"10.1016/j.regg.2026.101812","DOIUrl":"10.1016/j.regg.2026.101812","url":null,"abstract":"<div><h3>Introduction</h3><div>It is necessary to understand the reality of the aging population in different communities, such as the older adult artisan fishermen in Chile. The objective is to determine the health-related quality of life, life satisfaction, and personal well-being of older adult fishermen in the communities of La Serena, La Higuera, and Coquimbo.</div></div><div><h3>Materials and methods</h3><div>Cross-sectional descriptive study involving 101 artisan fishermen, both men and women, engaged in fishing activities as underwater gatherers, shore collectors, and artisan fishermen. For health-related quality of life, the EuroQol-5D (EQ5D3L) survey was administered, including the visual analogue scale EQ-VAS. For life satisfaction, the Diener scale was applied, and a questionnaire that includes FRAIL-related questions was used to gather sociodemographic data.</div></div><div><h3>Results</h3><div>Older artisanal fishers rated their life satisfaction as “very satisfied”, and regarding health, it depends on physical mobility and pain. Active fishers have less frailty, fewer mobility problems, better self-reported health status, and greater life satisfaction.</div></div><div><h3>Conclusion</h3><div>Older artisanal fishers have a positive outlook on their lives, valued according to their ability to perform their activities, despite adverse working conditions. They are recognized by their communities, which allows for their inclusion.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"61 4","pages":"Article 101812"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is dexmedetomidine effective for delirium prevention in older adults? A scoping review","authors":"Lucía Lozano-Vicario,&nbsp;Maria Cristina Ferrara,&nbsp;Elisabet Sánchez-García,&nbsp;María Elena Castro Vilela,&nbsp;Miriam Karine de Souza de Jesús,&nbsp;Javier García-Meana,&nbsp;José Manuel Cancio-Trujillo,&nbsp;Gabriela Iveth Barrios Ari,&nbsp;Ariana Chavez Valencia,&nbsp;Lucía Fernández de Arana,&nbsp;Jackeline Del Pilar Marttini Abarca,&nbsp;Neus Gual Tarrada","doi":"10.1016/j.regg.2026.101817","DOIUrl":"10.1016/j.regg.2026.101817","url":null,"abstract":"<div><div>Delirium is a common neuropsychiatric syndrome in older adults, associated with significant functional and cognitive decline as well as increased mortality. Although multicomponent non-pharmacological interventions are the first-line strategy for prevention, their implementation may be challenging in certain clinical settings. The role of pharmacological strategies remains controversial. This review aimed to analyze the efficacy of dexmedetomidine in preventing delirium in older adults, assessing its impact on incidence, duration, severity, and motor subtypes, as well as its safety profile. A systematic search was conducted in PubMed, Web of Science, and The Cochrane Library for randomized controlled trials published in English or Spanish up to January 2024, including studies involving participants aged ≥65 years. Twenty-two eligible studies were identified. Fifteen of them demonstrated a significant reduction in delirium incidence among patients treated with dexmedetomidine, particularly in the context of orthopedic surgery. Three studies reported a shorter duration of delirium; however, no consistent differences were observed in severity or motor subtypes. Dexmedetomidine was also associated with improved sleep quality and better pain control, without significant effects on length of hospital stay or mortality. The most common adverse events were bradycardia and hypotension, with no serious adverse events reported. Overall, the available evidence suggests that dexmedetomidine may be effective in preventing delirium in older adults, particularly in surgical settings; however, further research is needed to confirm its efficacy and safety in the broader geriatric population.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"61 4","pages":"Article 101817"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148333228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Seguridad y resultados clínicos de la hospitalización a domicilio en pacientes de edad muy avanzada con insuficiencia cardíaca agudizada","authors":"Eva María Fernández Bermejo,&nbsp;Ángela Sánchez Juez,&nbsp;Victoria Gutiérrez Gómez-Lus,&nbsp;Saida Alonso Marrero,&nbsp;José Curbelo,&nbsp;Pablo Rodríguez Cortés","doi":"10.1016/j.regg.2026.101811","DOIUrl":"10.1016/j.regg.2026.101811","url":null,"abstract":"<div><h3>Introduction</h3><div>Acute decompensated heart failure (ADHF) is a frequent cause of hospitalization in older adults and is associated with high levels of comorbidity and frailty. Hospital-at-home (HaH) care has been proposed as an alternative care model; however, evidence in very old populations remains limited.</div></div><div><h3>Methods</h3><div>A prospective observational study including patients with ADHF managed by a HaH unit between March 2023 and February 2025. Complications during the HaH episode, transfers to conventional hospitalization, readmissions, and 90-day post-discharge mortality were analyzed.</div></div><div><h3>Results</h3><div>A total of 41 patients were included, with a median age of 91.5<!--> <!-->years and a high burden of comorbidity and frailty. During the HaH admission, 26.8% of patients experienced at least one clinical complication, and no deaths were recorded. The rate of transfer to conventional hospitalization was 9.8%. At 90<!--> <!-->days, the cumulative readmission rate was 36.6%, and overall mortality was 36.6%, with 9.8% attributable to ADHF.</div></div><div><h3>Conclusions</h3><div>In this descriptive single-centre cohort of very old patients with ADHF, HaH care appeared to be a feasible and apparently safe care strategy, although confirmation in controlled studies with larger samples is needed. The high medium-term mortality observed seems to be more closely related to underlying frailty and multimorbidity than to the ADHF episode itself.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"61 4","pages":"Article 101811"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Proteína C-reactiva como marcador pronóstico del deterioro funcional en demencia: implicaciones clínicas y perspectivas futuras","authors":"Dámaso Díaz Solís","doi":"10.1016/j.regg.2026.101819","DOIUrl":"10.1016/j.regg.2026.101819","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"61 4","pages":"Article 101819"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148319657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Caso clínico: hiperpigmentación en mujer geriátrica","authors":"Diana G. Garay Abanto,&nbsp;Fiorela C. Duenas Lopez,&nbsp;Concepción Murillo Gayo","doi":"10.1016/j.regg.2026.101813","DOIUrl":"10.1016/j.regg.2026.101813","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"61 4","pages":"Article 101813"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"IMPROAGING: A multicomponent intervention to achieve healthy aging through improvisation theatre","authors":"Irene Criado Martín,&nbsp;Chenhui Chenhuichen,&nbsp;Marina Sánchez-Latorre,&nbsp;Karmele J. Garaioa Aranburu,&nbsp;Beatriz Echarte Archanco","doi":"10.1016/j.regg.2026.101814","DOIUrl":"10.1016/j.regg.2026.101814","url":null,"abstract":"<div><h3>Introduction</h3><div>Improvisational theatre is an activity that combines many of the recommendations that promote healthy aging: physical exercise, cognitive stimulation, socialization, meditation and music therapy. The purpose of the study is to assess whether improvisational theatre can enhance physical and cognitive function, as well as quality of life and emotional status of older adults.</div></div><div><h3>Design</h3><div>A quasi-experimental study was conducted in five groups (two from residential facilities and three comprising community dwelling older adults), utilizing a convenience-based sample size.</div></div><div><h3>Sample and setting</h3><div>Fifty-six participants were recruited, with a mean age of 76.6 (9.3), of whom 73% were women, 34% lived in residential facilities, and 66% lived in the community.</div></div><div><h3>Results</h3><div>While Barthel Index and Lawton Index remained stable along the intervention period, we found statistically significant changes in all the other physical-related assessed variables (SPPB, hand-grip strength, FRAIL index). There was also significant improvement in the MoC@ scale, verbal and semantic fluency, EuroQol, loneliness and depression. Sensitivity analyses indicated that some effects may be context-dependent and influenced by subgroup composition (Visual Analogue Scale, MoC@, FRAIL, and verbal fluency).</div></div><div><h3>Conclusion</h3><div>Improvisational theatre enhanced physical, mental, social, and emotional well-being of participants. Incorporating improvisational theatre training is a valuable addition to interventions aimed at addressing the challenges posed by an aging population on a broader scale.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"61 4","pages":"Article 101814"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148333210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differential factors associated with muscle quantity and quality in older adults","authors":"Daniela Villalón-Rubio,&nbsp;Roman Romero-Ortuno,&nbsp;Magdalena Linge-Martín,&nbsp;Elena Cuenca,&nbsp;Francisco José Tarazona-Santabalbina","doi":"10.1016/j.regg.2026.101816","DOIUrl":"10.1016/j.regg.2026.101816","url":null,"abstract":"<div><h3>Introduction</h3><div>Sarcopenia involves a progressive decline in skeletal muscle mass and strength. Appendicular skeletal muscle mass (ASMM) is a traditional diagnostic marker, while phase angle (PhA) has emerged as an indicator of cellular integrity and physiological resilience. This study aims to identify factors associated with muscle quantity (ASMM) and muscle quality (PhA) in older adults.</div></div><div><h3>Materials and methods</h3><div>A multicenter cross-sectional analysis was conducted using two cohorts from Ireland and Spain. Assessments included ASMM and PhA via bioelectrical impedance analysis (BIA), rectus femoris (RF) thickness through ultrasound, and handgrip strength (HGS) via dynamometry. Two crosswise multivariable linear regression models explored independent predictors of ASMM and PhA.</div></div><div><h3>Results</h3><div>Seventy-four participants were included (83.8% women; mean age 78.7 years [SD 8.67]). Sarcopenia prevalence was 27% by HGS and 50% by ASMM. Polypharmacy was associated with lower PhA (4.57° [SD 0.79], <em>p</em> <!-->=<!--> <!-->0.021), reduced RF thickness (1.05<!--> <!-->cm [SD 0.38], <em>p</em> <!-->&lt;<!--> <!-->0.001), and weaker HGS (19<!--> <!-->kg [SD 10.2], <em>p</em> <!-->=<!--> <!-->0.020). The ASMM model (adjusted <em>R</em>² <!-->=<!--> <!-->0.725) identified sex, body mass index (BMI), HGS, comorbidity burden and PhA as significant predictors. The PhA model (adjusted <em>R</em>² <!-->=<!--> <!-->0.440) showed age, comorbidity burden, RF thickness, HGS, and ASMM as independent determinants.</div></div><div><h3>Conclusions</h3><div>RF thickness was independently associated with PhA, suggesting it reflects muscle quality and cellular integrity beyond ASMM. ASMM depends mainly on anthropometric characteristics. Although interrelated, PhA and ASMM capture distinct domains, supporting the complementary role of ultrasound in geriatric musculoskeletal and nutritional assessment.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"61 4","pages":"Article 101816"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cuerpo extraño intravesical como causa de infecciones recurrentes del tracto urinario en adultos mayores: A propósito de un caso","authors":"Lucía Gutiérrez-Aguilera,&nbsp;Erick Arturo Rodríguez-Espeso","doi":"10.1016/j.regg.2026.101818","DOIUrl":"10.1016/j.regg.2026.101818","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"61 4","pages":"Article 101818"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148340609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Úlcera colónica por virus de Epstein-Barr en una paciente con anemia perniciosa","authors":"Viridiana Cabrera Romero,&nbsp;Andrea González Sierra,&nbsp;María Concepción Murillo Gayo,&nbsp;Carla Gámez Asunción","doi":"10.1016/j.regg.2026.101792","DOIUrl":"10.1016/j.regg.2026.101792","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"61 3","pages":"Article 101792"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}