Revista Espanola de Geriatria y Gerontologia最新文献

{"title":"Intervención educativa sobre polifarmacia y deprescripción en población adulta mayor de Colombia","authors":"Jorge A. Sánchez-Duque ,&nbsp;Hoover Molano-Dorado ,&nbsp;Diana M. Martínez-Cerón ,&nbsp;Claudia Giraldo-Giraldo ,&nbsp;Andrés Gaviria-Mendoza ,&nbsp;Manuel E. Machado-Duque ,&nbsp;Luis F. Valladales-Restrepo ,&nbsp;Jorge E. Machado-Alba","doi":"10.1016/j.regg.2025.101681","DOIUrl":"10.1016/j.regg.2025.101681","url":null,"abstract":"<div><h3>Background and objective</h3><div>Polypharmacy in older adults is a common condition associated with negative clinical outcomes. The objective was to evaluate the impact of an educational intervention on polypharmacy and deprescribing.</div></div><div><h3>Materials and methods</h3><div>A prospective study, with measurement before and after an educational intervention, without control. Outpatient physicians (prescribers) were included, who participated in a workshop (virtual intervention, July 2021) and completed informed consent. The intervention had four modules based on audiovisual content, theoretical material and a graded test. A questionnaire on knowledge, attitudes and practices (KAP) on polypharmacy was applied before and after finishing the workshop. Once the prescribers were identified, their prescriptions to patients between 60-100<!--> <!-->years old were analyzed, during the second half of 2021.</div></div><div><h3>Results</h3><div>Of 121 physicians, 75 (61.98%) passed the workshop and were included (average age: 38 .91<!--> <!-->±<!--> <!-->11<!--> <!-->years; 72.00% women). The KAP presented a Cronbach's alpha of 0.91 and 84% explanation in three dimensions by factor analysis. A significant improvement was obtained in 7/7 knowledge items (<em>P</em> <!-->&lt;<!--> <!-->.01) and 4/7 practice items (<em>P</em> <!-->&lt;<!--> <!-->.03). Prescriptions from 19,442 patients were included (mean age: 71.32<!--> <!-->±<!--> <!-->8.3<!--> <!-->years; 61.95% women). The prevalence of polypharmacy was 33.77% at the beginning and 32.11% at the end of the study. Monitoring of the prescription month by month presented a significant variation (<em>P</em> <!-->&lt;<!--> <!-->.01).</div></div><div><h3>Conclusions</h3><div>Knowledge and practices of the prescribers were improved, likewise, the level of polypharmacy in geriatric patients was slightly reduced.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101681"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144204650","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":"Preliminary results of orthogeriatric management in patients with hip fracture: Impact on functional recovery and survival","authors":"Hanadi Al Hamad ,&nbsp;Navas Nadukkandiyil ,&nbsp;Jorge Luis Passarelli ,&nbsp;Shirmila Syamala ,&nbsp;Renan Elsadeg ,&nbsp;Malaz Sifeeldin Musa ,&nbsp;Brijesh Sathian ,&nbsp;Al Anoud Ali H.Z. Al Fehaidi ,&nbsp;Ahmad Musa Musallam ,&nbsp;Francisco José Tarazona-Santabalbina","doi":"10.1016/j.regg.2025.101676","DOIUrl":"10.1016/j.regg.2025.101676","url":null,"abstract":"<div><h3>Introduction</h3><div>Orthogeriatric units have demonstrated improvements in functional recovery and survival in older adults hospitalised for hip fracture. The aim of this study is to present preliminary results of the interdisciplinary orthogeriatric activity at the Surgical Specialty Centre, Hamad Medical Corporation (Doha, Qatar).</div></div><div><h3>Methods</h3><div>A prospective observational study was designed to evaluate the activity of the orthogeriatric unit in hip fracture patients between 2022 and 2024.</div></div><div><h3>Results</h3><div>100 patients were recruited with a mean age of 74.2 (SD 7.8) years, 57% were men, and a mean age-adjusted Charlson comorbidity index (CCI) of 4.4 (SD 1.7). Surgical delay was 1.8 (SD 3.4) days, with only 16% of the total undergoing surgery in more than 48<!--> <!-->h. The length of stay (LOS) of the enrolled sample was 15.8 (SD 23.1) days. In terms of functional recovery, the Barthel Index (BI) score increased significantly from 34.8 (SD 14.8) points on the first day of hospital admission to 55.7 (20.5) points at discharge, <em>p</em> <!-->&lt;<!--> <!-->0.001; with a relative functional gain of 38.5 (SD 34.3) % and a rehabilitation efficiency (Heinemann Index above 50%) of 34.5%. The Heinemann Index calculated six months after discharge showed a rehabilitation efficiency of 60% of the total sample. Only one patient (1%) died in hospital and 3 (6%) had died at 6 months. Cox regression showed that CCI and LOS increased the risk of mortality, whereas BI score decreased it.</div></div><div><h3>Conclusions</h3><div>The introduction of an interdisciplinary orthogeriatric team in Qatar led to improvements in nutritional status, functional recovery and survival.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101676"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169449","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":"Estereotipos negativos hacia la vejez en los estudiantes de trabajo social","authors":"M. Pilar Cañas Belmar,&nbsp;Aurelio Lascorz Fumanal","doi":"10.1016/j.regg.2025.101680","DOIUrl":"10.1016/j.regg.2025.101680","url":null,"abstract":"<div><h3>Introduction/objectives</h3><div>A view free of stereotypes contributes to improve the quality of life and care for the elderly. This study evaluated the degree of negative stereotypes towards old age in social work students and their relation with different variables.</div></div><div><h3>Method</h3><div>Descriptive cross-sectional study, incidental sample. A total of 124 students participated; they filled in the Questionnaire of Negative Stereotypes towards Old Age (CENVE) and provided data on previous studies, degree of contact with elderly people, fear of old age and death, among others. Application of the Kolmogorov-Smirnov test revealed that the CENVE total score did not follow a normal distribution. Correlational analyses were applied based on Spearman's Rho correlation coefficient. Kruskal-Wallis H-tests and Mann-Whitney U-tests were used for between-group comparisons.</div></div><div><h3>Results</h3><div>Relation is found among CENVE scores according to course, age, taking Social Work and Aging and age aging starts.</div></div><div><h3>Conclusions</h3><div>Negative stereotypes towards old age are present in a large part of the sample of students, although with a low intensity. Aging is part of the life cycle and should be done with dignity. During university education, it is crucial that teachers and students become aware of negative stereotypes and attitudes towards old age and question them.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 6","pages":"Article 101680"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144168173","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":"Impacto de la práctica de actividad física en la autonomía funcional de ancianos afectados por el virus Chikungunya","authors":"Ana Luísa Batista Santos ,&nbsp;Claudio Lucas da Silva Farias ,&nbsp;Joel de Almeida Siqueira Júnior ,&nbsp;Francisco das Chagas Vasconcelos de Souza Silva","doi":"10.1016/j.regg.2025.101675","DOIUrl":"10.1016/j.regg.2025.101675","url":null,"abstract":"<div><h3>Introduction</h3><div>The study explores the impact of physical activity on the functional autonomy of older adults affected by Chikungunya, a viral disease that causes chronic pain and limits joint mobility. Given the increasing ageing population and the risks posed by climate change in the spread of this infection, the study examines whether regular physical activity can help to preserve functional autonomy in elderly individuals affected by Chikungunya.</div></div><div><h3>Methods</h3><div>A descriptive, cross-sectional, and comparative study was conducted with 54 physically active older adults. Participants were divided into two groups: one affected by Chikungunya and the other with no history of the disease. Variables such as the presence and intensity of joint pain were assessed using the Visual Analogue Scale (VAS), and the GDLAM protocol was employed to evaluate the functional autonomy of the participants. Statistical analyses were performed using the Statistical Package for the Social Sciences (SPSS).</div></div><div><h3>Results</h3><div>Although Chikungunya affected several joints of the elderly, particularly the knees and shoulders, the perception of pain varied according to the phase of the disease, being moderate in the acute phase and mild in the chronic and subacute phases. Both groups (affected and unaffected) showed similar performance in the functional autonomy tests, with no statistically significant differences.</div></div><div><h3>Conclusions</h3><div>Regular physical activity, regardless of the phase of Chikungunya, could help preserve functionality despite the disease's sequelae.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 4","pages":"Article 101675"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144177997","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":"La integración de la inteligencia artificial en la atención geriátrica: oportunidades y desafíos en la era digital","authors":"Javier Martínez-Peromingo ,&nbsp;Esther Lueje Alonso ,&nbsp;Daniel Rosselló-Jiménez","doi":"10.1016/j.regg.2025.101677","DOIUrl":"10.1016/j.regg.2025.101677","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101677"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144169450","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":"Elaboración y validación de la Escala de Fragilidad Multidimensional (EFM): fases iniciales","authors":"Joanes Lameirinhas,&nbsp;Arantxa Gorostiaga,&nbsp;Igone Etxeberria","doi":"10.1016/j.regg.2025.101674","DOIUrl":"10.1016/j.regg.2025.101674","url":null,"abstract":"<div><h3>Introduction</h3><div>Although various instruments have been developed to assess frailty, they generally do not cover all its dimensions and have not demonstrated satisfactory psychometric properties. The aim of this study was to develop the Multidimensional Frailty Scale, originally called the <em>Escala de Fragilidad Multidimensional</em> (EFM), to assess the physical, cognitive, affective, social, and environmental dimensions of frailty in individuals aged 65 and over and to conduct the initial phases of the validation process. This was carried out over the course of three sequential studies.</div></div><div><h3>Methods</h3><div>A series of items were developed for each dimension and then evaluated by a panel of 13 experts. Subsequently, cognitive interviews were conducted with a sample of 23 older adults to examine the response processes. Finally, a pilot study was performed with a sample of 50 individuals aged between 65 and 98 years.</div></div><div><h3>Results</h3><div>The panel of experts awarded the items a mean appropriateness rating of between 3.18 and 4 out of 4. The cognitive interviews provided insight into response processes and comprehension difficulties. The corrected item-dimension correlations ranged between .02 and .83. Based on the results obtained in the three studies, some items were removed. Following these modifications, the internal consistency of the five dimensions ranged between .71 and .90.</div></div><div><h3>Conclusions</h3><div>The results of this study enabled the first version of the EFM to be refined, obtaining satisfactory internal consistency and item functioning indexes.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101674"},"PeriodicalIF":0.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143881610","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":"Utilidad de ecografía clínica a pie de cama o en el punto de atención en la toma de decisiones en geriatría. Taponamiento cardíaco en paciente nonagenario: a propósito de un caso","authors":"Lucía Corral Sastre ,&nbsp;Diana Graciela Garay Abanto ,&nbsp;Rocío Menéndez Colino ,&nbsp;Paola Reinoso-Párraga","doi":"10.1016/j.regg.2025.101671","DOIUrl":"10.1016/j.regg.2025.101671","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101671"},"PeriodicalIF":0.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143881611","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":"El duelo anticipado y postfallecimiento en cuidadores familiares de personas con demencia: aprendiendo a convivir con la pérdida","authors":"Isabel Bermejo-Gómez ,&nbsp;Cristina Huertas Domingo","doi":"10.1016/j.regg.2025.101672","DOIUrl":"10.1016/j.regg.2025.101672","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101672"},"PeriodicalIF":0.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143864080","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":"Fístula cutánea odontogénica: una entidad a tener en cuenta en el diagnóstico de lesiones peribucales en la edad avanzada","authors":"Miguel Mansilla-Polo ,&nbsp;Daniel Morgado-Carrasco","doi":"10.1016/j.regg.2025.101673","DOIUrl":"10.1016/j.regg.2025.101673","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101673"},"PeriodicalIF":0.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143864079","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":"Ikigai (purpose in life) and quality of life in older adults in socially disadvantaged conditions within a rural Colombian context","authors":"Stefano Vinaccia ,&nbsp;Sandra Milena Castelblanco-Toro ,&nbsp;Japcy Margarita Quiceno ,&nbsp;María del Rosario Vargas","doi":"10.1016/j.regg.2025.101657","DOIUrl":"10.1016/j.regg.2025.101657","url":null,"abstract":"<div><h3>Introduction</h3><div>Purpose of life and quality of life are essential to the development of the overall well-being of older adults.</div></div><div><h3>Objective</h3><div>The aim of this study was to evaluate the relationships between ikigai (purpose in life), resilience, loneliness and negative emotions (anxiety, depression and stress) on quality of life in older adults of Afro-descendant and Amerindian descent in a rural area of the Colombian department of Córdoba.</div></div><div><h3>Methods</h3><div>A non-experimental, descriptive, correlational and cross-sectional design was used for this study. The sample consisted of 100 older adults, men and women, with an average age (<em>M</em> <!-->=<!--> <!-->69, SD<!--> <!-->=<!--> <!-->6.6) of low socioeconomic stratum. The measurement instruments used were the IKIGAI-9 Life Purpose Scale, the BRCS Resilience Scale, the DASS-21 Scale (anxiety, depression and stress), the UCLA Brief Loneliness Scale and the CAPS-19 Quality of Life Scale.</div></div><div><h3>Results</h3><div>Statistical analyses indicated that there was no significant association between gender and the psychological variables of the study, except for the resilience variable. The study psychological variables also showed both positive (resilience rs<!--> <!-->=<!--> <!-->0.686, <em>p</em> <!-->&lt;<!--> <!-->0.001 and IKIGAI rs<!--> <!-->=<!--> <!-->0.507, <em>p</em> <!-->&lt;<!--> <!-->0.001) and negative (anxiety, depression, stress rs<!--> <!-->=<!--> <!-->−0.528, <em>p</em> <!-->&lt;<!--> <!-->0.001 and loneliness rs<!--> <!-->=<!--> <!-->−0.537, <em>p</em> <!-->&lt;<!--> <!-->0.001) correlations with the quality-of-life variables.</div></div><div><h3>Conclusions</h3><div>This population of older adults predominantly reports a favorable state of resilience, life purpose, and acceptable quality of life despite facing significant economic, social, and educational inequalities, reassuring us of the resilience of the human spirit.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143851307","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}