Revista Espanola de Geriatria y Gerontologia最新文献

{"title":"Cuidadores que necesitan cuidados: el desafío de la «doble vulnerabilidad» a partir de los 65 años","authors":"Alba Peraza Delgado , Yurena María Rodríguez Novo , Patricia González Edel , Mercedes Novo Muñoz","doi":"10.1016/j.regg.2026.101808","DOIUrl":"10.1016/j.regg.2026.101808","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"61 3","pages":"Article 101808"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148158526","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":"Síndrome platipnea-ortodeoxia en una mujer de 90 años: ¿es una entidad infradiagnosticada?","authors":"Adriana Martínez Vinhas , Montserrat Rodríguez Framil , Pablo de la Fuente López , Alfredo Redondo Dieguez","doi":"10.1016/j.regg.2026.101791","DOIUrl":"10.1016/j.regg.2026.101791","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"61 3","pages":"Article 101791"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976256","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":"Infección por Vibrio vulnificus en una paciente frágil nonagenaria","authors":"Guido Raúl Bertea, Paula Molina González, Antonio Cárdenas Cárdenas, Osvaldo Gastón Martínez","doi":"10.1016/j.regg.2026.101806","DOIUrl":"10.1016/j.regg.2026.101806","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"61 3","pages":"Article 101806"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057608","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 hospital como «Caballo de Troya»: 75 años de inercia frente a los principios fundamentales de la geriatría","authors":"Nicolás Martínez-Velilla , Jose Antonio Serra-Rexach","doi":"10.1016/j.regg.2026.101795","DOIUrl":"10.1016/j.regg.2026.101795","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"61 3","pages":"Article 101795"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057576","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":"Hospitalización prolongada como factor de riesgo de deterioro cognitivo en pacientes mayores con fibrilación auricular","authors":"Natalie Burgos Bencosme ,&nbsp;Jorge Eduardo Herrera Parra ,&nbsp;Jose Gutiérrez Rodríguez ,&nbsp;Monserrat González Delgado","doi":"10.1016/j.regg.2026.101790","DOIUrl":"10.1016/j.regg.2026.101790","url":null,"abstract":"<div><h3>Introduction</h3><div>Atrial fibrillation (AF) is associated with an increased risk of cognitive impairment (<span>C</span>I) and dementia in the elderly population, as is hospitalization, particularly when prolonged. However, the potential synergistic effect of both conditions in elderly patients remains unknown. Therefore, the objective of this study is to analyze the impact of prolonged hospital stay on cognitive function in patients over 80 years of age with AF.</div></div><div><h3>Methods</h3><div>An ambispective observational study was conducted on 400 patients aged<!--> <!-->&gt; 80 years with AF admitted to a geriatric acute care unit between 2019 and 2022. Length of stay (LOS) was classified as normal (&lt; 12 days), prolonged (13–15 days), and very prolonged (&gt; 16 days). The primary outcome was the onset of CI at 12 months. Multivariable logistic regression models were applied to identify independent predictors.</div></div><div><h3>Results</h3><div>The overall incidence of CI at 12 months was 18.9%, increasing progressively according to the duration of admission (15.4% in normal stays, 20.4% in prolonged, and 31.6% in very prolonged). In prolonged stays, functional dependence and frailty were significantly associated with the risk of CI, whereas in very prolonged stays, the main predictors were diabetes, valvular heart disease, and ischemic heart disease. Our results demonstrate that hospital stay not only increases the risk of CI but also modulates the profile of predictors based on its duration.</div></div><div><h3>Conclusions</h3><div>Prolonged hospitalization acts as a modulator of CI risk in elderly patients with AF. In intermediate stays, the risk is concentrated in frailty and functional dependence, while in very prolonged hospitalizations, chronic comorbidity especially diabetes and heart disease predominates. This pattern suggests a potentiating effect of hospitalization on cognitive decline.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"61 3","pages":"Article 101790"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976208","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":"Puntuación de la Clinical Frailty Scale en adultos mayores hospitalizados en un servicio de Cirugía General","authors":"Arís Somoano Sierra ,&nbsp;Marc Pressler ,&nbsp;Alicia Pardo ,&nbsp;Arturo Vilches Moraga","doi":"10.1016/j.regg.2026.101793","DOIUrl":"10.1016/j.regg.2026.101793","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"61 3","pages":"Article 101793"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057428","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":"Velocidad de la marcha como predictor crítico de independencia funcional en hombres con cáncer de próstata","authors":"Yolanda Marisa Ruiz-Liñán ,&nbsp;Sonia Daniela Morales-Escareño ,&nbsp;David Rojano-Mejía ,&nbsp;Daniel Martínez-Barro","doi":"10.1016/j.regg.2026.101788","DOIUrl":"10.1016/j.regg.2026.101788","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"61 3","pages":"Article 101788"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934349","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":"Vitamin D supplementation for fall prevention in nursing homes: Fall study in elderly people in Andalucía, Spain","authors":"Javier Benítez Rivero ,&nbsp;Beatriz Contreras Escámez ,&nbsp;Jesús Vargas Cruz ,&nbsp;Loida Galvín Domínguez ,&nbsp;Carolina Lagares Franco ,&nbsp;Irene Pilar Morales Rodríguez ,&nbsp;Rosa López Mongil ,&nbsp;Nieves Perejón Díaz ,&nbsp;Carmen Castillo Gallego","doi":"10.1016/j.regg.2026.101807","DOIUrl":"10.1016/j.regg.2026.101807","url":null,"abstract":"<div><h3>Introduction</h3><div>Falls in nursing home are a major problem, since risk factors for falls (such as muscular weakness, cognitive impairment, osteoporosis, balance and gait problems etc.) are more prevalent in this population than in community-dwelling individuals.</div><div>Guidelines suggest that elderly people should be treated with vitamin D the whole year. In Nursing Homes vitamin D supplementation reduces falls, osteoporosis and respiratory infections, but it is undertreated in this environment.</div><div>The main objective of this study was to see if there was any association between vitamin D supplementation and the frequency of falls in elderly people living in nursing homes in Andalucía, Spain. And, as a secondary objective, we wanted to see if there was association between the dosage of vitamin D and falls.</div></div><div><h3>Methodology</h3><div>This is a multicenter, observational, retrospective, cross-sectional, and analytic study with elderly individuals residing in nursing homes in 2023.</div></div><div><h3>Results</h3><div>961 participants were included. Only 38.4% of the residents where receiving vitamin D supplementation. Most of them (60%) where taking cholecalciferol, 35% calcifediol, and only 5% where on combination of vitamin D with calcium. The supplement with the lowest association to falls was cholecalciferol (34.7%) (<em>p</em> value 0.05), and those residents taking cholecalciferol weekly where the ones with less falls (28.67%) (<em>p</em> value 0.02).</div></div><div><h3>Conclusion</h3><div>Nursing home residents were undertreated with vitamin D, the dosage with the lowest association with falls was cholecalciferol weekly.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"61 3","pages":"Article 101807"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148158480","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":"Proyecto MapEA: evolución de la asistencia a la enfermedad de Alzheimer y otras demencias en España (2017-2024)","authors":"Enrique Arrieta Antón ,&nbsp;Paloma Casado Durández ,&nbsp;Joaquín Escudero ,&nbsp;Belén González Glaría ,&nbsp;Pablo Martínez-Lage ,&nbsp;Francisco Javier Olivera ,&nbsp;Jesús Rodrigo Ramos","doi":"10.1016/j.regg.2026.101787","DOIUrl":"10.1016/j.regg.2026.101787","url":null,"abstract":"<div><div>Alzheimer disease (AD) is the most common cause of dementia and represents a major health and social care challenge in Spain, with an estimated prevalence of 700,000-800,000 affected individuals. The Map of Alzheimer's disease and other dementias in Spain project, MapEA, launched in 2017, revealed territorial heterogeneity, diagnostic limitations, and deficits in care coordination in the management of AD. Consequently, an updated assessment was conducted in 2024 to identify progress, areas for improvement, and recommendations to optimize comprehensive care. A four-phase study was carried out, including a literature review, the development and validation of a digital questionnaire distributed to 138 professionals from different fields, analysis by autonomous communities, and integration of the information through descriptive and thematic analyses with the participation of a multidisciplinary Advisory Committee. The results showed a low to moderate level of implementation and awareness of national strategies, with only four autonomous communities having specific regional plans. Compared with 2017, a reduction in care resources was identified, although a significant increase was observed in the availability of diagnostic technologies and in the number of specialized training positions. Survey responses indicated substantial clinical research activity; however, delays in diagnostic testing persisted, along with unequal availability of non-pharmacological therapies, often dependent on private funding or co-payment. The care pathway continued to show interregional heterogeneity and coordination challenges between levels of care. Overall, the MapEA 2024 findings demonstrate progress in diagnostic capacity, training, and research, but also highlight territorial inequalities and persistent gaps in coordination, human resources, and equity of access, underscoring the need to strengthen professional training, integrate health and social care services, and ensure structured support for patients, families, and caregivers.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"61 3","pages":"Article 101787"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934284","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":"Effectiveness of pharmacological treatment in the secondary prevention of fragility fractures: A region-wide study","authors":"Iñigo Etxebarria-Foronda ,&nbsp;Oliver Ibarrondo ,&nbsp;Ibai Herreros-Ugarte ,&nbsp;Jokin Martínez-Gallardo ,&nbsp;Jaione Saez de Ugarte-Sobrón ,&nbsp;Javier Mar","doi":"10.1016/j.regg.2026.101789","DOIUrl":"10.1016/j.regg.2026.101789","url":null,"abstract":"<div><h3>Background and objective</h3><div>Pharmacological treatment of fragility fractures is a strategy used to prevent secondary fractures. Our aim was to evaluate its effectiveness through a real-world data study in the population of the Basque Country (Spain).</div></div><div><h3>Materials and methods</h3><div>An observational real-world data design was used, with the target population being documented cases of osteoporotic fracture (humerus, hip, vertebra or wrist) in Osakidetza-the Basque Health Service between 1 January 2016 and 31 December 2023, in patients aged over 60 years, and the outcome of interest was a secondary fracture. Patients receiving pharmacological treatment (bisphosphonates, selective oestrogen receptor modulators, denosumab and/or anabolic agents) were compared with untreated patients using propensity score and survival analysis (Kaplan–Meier curves and Cox regression).</div></div><div><h3>Results</h3><div>The total target population analysed was 56,218 cases of first fracture, of which 22,649 were hip, 8150 were humerus, 12,833 were wrist and 12,586 were vertebral fractures. Treatment coverage was low (20.00%). Treatment was effective overall for all fractures, with a hazard ratio (HR) of 0.902 (confidence intervals [CIs] 0.881–0.924), and for first fractures of the humerus (HR: 0.698; CI: 0.643–0.758), vertebra (HR: 0.819; CI: 0.785–0.855) and wrist (HR: 0.765; CI: 0.726–0.806), but not for hip fractures (HR:1.113; CI: 1.070–1.158).</div></div><div><h3>Conclusion</h3><div>Fracture prevention was effective in reducing the risk of a second fracture. Notable differences were observed by first fracture type, treatment being ineffective for hip fractures. Furthermore, treatment coverage must be increased in order to reap the full benefits of secondary prevention at a population level.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"61 3","pages":"Article 101789"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057599","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}