Revista Espanola de Geriatria y Gerontologia最新文献_第2页

Tuberculosis miliar en el adulto mayor: a propósito de un caso 老年人的乳突结核：以一个病例为例

Revista Espanola de Geriatria y Gerontologia Pub Date : 2025-08-28 DOI: 10.1016/j.regg.2025.101715

María Alejandra Zambrano Gustin, Marta Fernández Esteban, Wendy Fuentes Ramos, Evora Betancor

{"title":"Tuberculosis miliar en el adulto mayor: a propósito de un caso","authors":"María Alejandra Zambrano Gustin, Marta Fernández Esteban, Wendy Fuentes Ramos, Evora Betancor","doi":"10.1016/j.regg.2025.101715","DOIUrl":"10.1016/j.regg.2025.101715","url":null,"abstract":"<div><div>The symptoms of tuberculosis in the elderly are nonspecific, causing a delay in seeking medical attention; leading to underdiagnosis and delay in treatment.</div><div>We present de case of an 90-year-old male, autonomous.</div><div>Consultation due to asthenia, anorexia and unquantified weight loss. Decreased mobility in the last two months and pain and edema in his right lower extremity.</div><div>The complementary examination shows chest x-ray with diffuse bilateral reticulonodular pattern and doppler echocardiography with deep vein thrombosis in the right femoropopliteal axis and Pulmonary CT angiography, showed an extensive bilateral micronodular pattern with infiltrates, one of them cavitated and mediastinal lymphadenopathy. Findings highly compatible with miliary tuberculosis. Tuberculosis PCR cultures were positive after 72hours.</div><div>Despite antibiotic treatment was started, 3 weeks after discharge, he consulted again due to clinical worsening, multiple emetic episodes and jaundice, with increased bilirubin and hypertransaminasemia, indicating hepatotoxicity due to antiphymic drugs.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 6","pages":"Article 101715"},"PeriodicalIF":0.0,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144906851","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}

引用次数: 0

Psicosis de inicio tardío en una centenaria: 13 años de evolución. A propósito de un caso 百年晚期精神病：13年的进化。关于一个案例

Revista Espanola de Geriatria y Gerontologia Pub Date : 2025-08-27 DOI: 10.1016/j.regg.2025.101721

Raquel Páramo Fernández , Juan Millán Moreno Martínez , Leire Martínez Alderete , Kevin O’Hara-Veintimilla

引用次数: 0

Patrón de crazy paving en paciente geriátrico: a propósito de un caso 老年病人的疯狂铺路模式：以一个案例为目的

Revista Espanola de Geriatria y Gerontologia Pub Date : 2025-08-27 DOI: 10.1016/j.regg.2025.101713

M. Auxiliadora Castillo Delgado , Lucía Corral Sastre , Ana Merello de Miguel , Alicia Rico Nieto

引用次数: 0

Longevity—The dream of eternal life or the need for a culture of aging well 长寿-永生的梦想或需要一个良好的老龄化文化

Revista Espanola de Geriatria y Gerontologia Pub Date : 2025-08-27 DOI: 10.1016/j.regg.2025.101702

Christina Röcke

引用次数: 0

C-reactive protein predicts functional decline in older adults newly diagnosed with dementia: A 5-year follow-up study c反应蛋白预测新诊断为痴呆的老年人功能下降：一项5年随访研究

Revista Espanola de Geriatria y Gerontologia Pub Date : 2025-08-27 DOI: 10.1016/j.regg.2025.101722

Miguel Germán Borda , Tommy Cederholm , Salomón Salazar-Londoño , Luis Carlos Venegas-Sanabria , Hidetaka Wakabayashi , Mario Ulises Pérez-Zepeda , Miguel Fernando Borda , Jonathan Patricio Baldera , Dag Aarsland

{"title":"C-reactive protein predicts functional decline in older adults newly diagnosed with dementia: A 5-year follow-up study","authors":"Miguel Germán Borda , Tommy Cederholm , Salomón Salazar-Londoño , Luis Carlos Venegas-Sanabria , Hidetaka Wakabayashi , Mario Ulises Pérez-Zepeda , Miguel Fernando Borda , Jonathan Patricio Baldera , Dag Aarsland","doi":"10.1016/j.regg.2025.101722","DOIUrl":"10.1016/j.regg.2025.101722","url":null,"abstract":"<div><h3>Background and objectives</h3><div>With the increasing prevalence of dementia, identifying markers that predict prognosis in people newly diagnosed with the disease is crucial for developing targeted interventions and initiating early actions to improve their outcomes. On the other hand, C-reactive protein (CRP) is an easily accessible marker of inflammation. This study aims to evaluate whether CRP is a marker of weight loss, cognitive decline, functional decline, and mortality in older adults newly diagnosed with dementia.</div></div><div><h3>Methods</h3><div>We utilized data from DemVest, a longitudinal cohort study, including participants diagnosed with mild dementia due to Alzheimer's Disease (AD) or Lewy Body Dementia (LBD). CRP levels were measured at diagnosis. Main outcome measures were functional decline, weight, body mass index (BMI), cognitive decline and mortality assessed during a 5-year follow-up period after diagnosis. Demographic and clinical factors were considered as potential confounders, and we performed linear regression models for baseline and linear mixed models for longitudinal analysis.</div></div><div><h3>Results</h3><div>A total of 158 participants were included, with an average age of 75.2 years (SD 7.65). 60.8% (<em>n</em>  =62) had LBD. Elevated CRP was associated with functional decline during follow-up (Est 0.0118, <em>p</em>-value<0.001). For BMI or weight, we did not find any statistically significant associations, as well as for MMSE, and mortality.</div></div><div><h3>Conclusion</h3><div>Higher CRP levels were associated with greater functional decline in individuals newly diagnosed with dementia.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 6","pages":"Article 101722"},"PeriodicalIF":0.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144906850","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}

引用次数: 0

Uso racional de antipsicóticos en pacientes mayores: un abordaje cualitativo 老年患者合理使用抗精神病药物：定性方法

Revista Espanola de Geriatria y Gerontologia Pub Date : 2025-08-27 DOI: 10.1016/j.regg.2025.101720

María Noelia Vivacqua , María Florencia Grande Ratti , José Luis Faccioli

{"title":"Uso racional de antipsicóticos en pacientes mayores: un abordaje cualitativo","authors":"María Noelia Vivacqua , María Florencia Grande Ratti , José Luis Faccioli","doi":"10.1016/j.regg.2025.101720","DOIUrl":"10.1016/j.regg.2025.101720","url":null,"abstract":"<div><h3>Background and objective</h3><div>Antipsychotics are frequently prescribed in elderly patients. The aim of this study was to explore the barriers that hinder their rational use in this population in a hospital in Argentina</div></div><div><h3>Method</h3><div>A qualitative study based on ten semi-structured individual interviews with doctors from various specialties working in outpatient clinics, conducted between May and November 2022. The focus was on identifying perceptions and practices related to the prescription of antipsychotics in elderly patient populations.</div></div><div><h3>Results</h3><div>Various difficulties in making rational use of antipsychotics were identified: a) Prescription issues, such as drug selection primarily based on the professional's experience and the tendency to use low doses and short-term treatments without considering the patient's clinical progression; b) underestimation of metabolic side effects in the elderly patient population; c) limitations of the healthcare system, such as difficulty in accessing consultations between psychiatry and other medical specialties, and deficiencies in training; d) patient or family preferences that often conflict with medical recommendations.</div></div><div><h3>Conclusions</h3><div>Barriers to the rational prescription of antipsychotics in elderly patients were identified, both among psychiatrists and doctors from other specialties. These difficulties could compromise the efficacy and safety of treatment in this vulnerable population. Highlighting this information could help healthcare organizations develop strategies to improve the quality of care.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101720"},"PeriodicalIF":0.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144904114","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}

引用次数: 0

Síndrome de platipnea-ortodeoxia en neumonía bilateral por SARS-CoV-2: una entidad clínica emergente e infradiagnosticada. A propósito de un caso SARS-CoV-2双侧肺炎中的斑块-正氧综合征：一种新兴的、失放射化的临床实体。关于一个案例

Revista Espanola de Geriatria y Gerontologia Pub Date : 2025-08-27 DOI: 10.1016/j.regg.2025.101719

José Luis Esquinas Requena, Georgina Martinón Torres, María Teresa Madrid López, Cristina de la Rubia Molina, Rocío Onieva Albañil

引用次数: 0

Elaboración y validación del cuestionario Modelo de Atención Gerontológica (MAGE) para profesionales, residentes y familiares, para la evaluación de la implantación de la atención gerontológica centrada en la persona en centros residenciales 为专业人员、居民和家庭成员编制和验证老年护理标准问卷，以评估在住宅中心实施以人为本的老年护理的情况

Revista Espanola de Geriatria y Gerontologia Pub Date : 2025-08-27 DOI: 10.1016/j.regg.2025.101716

Nerea Suárez Pérez de Eulate

{"title":"Elaboración y validación del cuestionario Modelo de Atención Gerontológica (MAGE) para profesionales, residentes y familiares, para la evaluación de la implantación de la atención gerontológica centrada en la persona en centros residenciales","authors":"Nerea Suárez Pérez de Eulate","doi":"10.1016/j.regg.2025.101716","DOIUrl":"10.1016/j.regg.2025.101716","url":null,"abstract":"<div><h3>Objective</h3><div>To develop an instrument to evaluate the degree of application of the person-centered gerontology care model in gerontology centers that collects the perception of residents who use these resources, their families and direct care professionals.</div></div><div><h3>Method</h3><div>After the selection and elaboration of items through interviews with people related to care for the elderly and their subsequent evaluation by a group of experts, a pilot study was carried out in which 32 items were selected. The analysis of the psychometric properties of the instrument was carried out with a sample of 265 people (81 direct care professionals, 99 residents and 85 family members) belonging to six gerontological centers in Gipuzkoa (Basque Country).</div></div><div><h3>Results</h3><div>The factorial structure of the questionnaire confirmed the existence of six highly correlated factors with adequate reliability coefficients. The convergent validity study confirmed significant correlations between the instrument and the Spanish version of the Staff Assessment Person Directed Care. On the other hand, significant correlations were found between the instrument, the burnout, the quality of work life in professionals and deterioration of cognitive functions, perception of quality of life and satisfaction with current life in the case of residents.</div></div><div><h3>Conclusions</h3><div>The questionnaire obtained has adequate psychometric properties, is an agile tool due to its brevity and is applicable for the three groups participating in the care, which overcomes limitations of other instruments adapted to our environment.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101716"},"PeriodicalIF":0.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144904116","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}

引用次数: 0

Alternativa a la hospitalización convencional en los pacientes mayores con fragilidad 老年体弱多病患者替代传统住院治疗

Revista Espanola de Geriatria y Gerontologia Pub Date : 2025-07-31 DOI: 10.1016/j.regg.2025.101699

Matilde Barneto-Soto , María Eugenia Campollo Duquela , Emma Puigoriol-Juvanteny , Leidy Yohanna Ceballos Molina , Kathleen Gisselle Barahona Sandoval , Joan Espaulella-Panicot

{"title":"Alternativa a la hospitalización convencional en los pacientes mayores con fragilidad","authors":"Matilde Barneto-Soto , María Eugenia Campollo Duquela , Emma Puigoriol-Juvanteny , Leidy Yohanna Ceballos Molina , Kathleen Gisselle Barahona Sandoval , Joan Espaulella-Panicot","doi":"10.1016/j.regg.2025.101699","DOIUrl":"10.1016/j.regg.2025.101699","url":null,"abstract":"<div><h3>Introduction</h3><div>The growing population of elderly people with multimorbidity and frailty requires care models tailored to their specific needs. Subacute care units in intermediate care hospitals have emerged as an effective alternative to conventional hospitalisation in acute care settings. Appropriate patient selection is essential to enable the early identification of patients who may require prolonged care and to ensure efficient turnover. The objectives of this study were: i) to describe the characteristics of patients’ admitted and process indicators and; ii) to analyse potential factors associated with prolonged hospital stays (≥13 days).</div></div><div><h3>Methods</h3><div>Retrospective study was conducted including 208 patients admitted to a subacute care unit between January and December 2023. Demographic, clinical and functional variables were collected, as well as the reason for admission, prior healthcare resourcesuse, discharge destination, and readmission.</div></div><div><h3>Results</h3><div>The mean age was 82,5±14,3 years, with a mean VIG-Frail score of 0.39±0.13 and an average comorbidity of 6,8±2,5. The median length of stay was 10,0 (P25:7; P75:13) days. A total of 67.3% of patients were discharged home, 85,7% of whom did so within 13 days. Patients identified as complex chronic cases prior to admission were more likely a mean length of stay ≥13 days (44,7 vs. 69,2%; <em>P</em>=.055).</div></div><div><h3>Conclusions</h3><div>Our unit is consolidated as an effective alternative to acute hospitalisation, enabling crisis management in elderly people with multimorbidity and frailty, and facilitating a time return home.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101699"},"PeriodicalIF":0.0,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144749575","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}

引用次数: 0

«¡Hemos envejecido mucho en estos dos años!». Efectos de la pandemia de COVID-19 sobre la salud de las personas mayores viviendo solas “这两年我们老了很多！”COVID-19大流行对独居老年人健康的影响

Revista Espanola de Geriatria y Gerontologia Pub Date : 2025-07-29 DOI: 10.1016/j.regg.2025.101687

María del Pilar Díaz Conde , Juan López Doblas

{"title":"«¡Hemos envejecido mucho en estos dos años!». Efectos de la pandemia de COVID-19 sobre la salud de las personas mayores viviendo solas","authors":"María del Pilar Díaz Conde , Juan López Doblas","doi":"10.1016/j.regg.2025.101687","DOIUrl":"10.1016/j.regg.2025.101687","url":null,"abstract":"<div><h3>Background and objective</h3><div>Surveys carried out around the world agree that the COVID-19 pandemic has deteriorated the health of older people. Those who live alone have been especially affected. Our objective is to analyze this fact, comprehensively interpreting the descriptions that they themselves transmit.</div></div><div><h3>Method</h3><div>Qualitative research that follows the guidelines of Grounded Theory and uses interviews to collect information. The theoretical sampling consisted of 102 interviews, all in person, carried out in several phases.</div></div><div><h3>Results</h3><div>Three main themes are identified. <em>1)</em> The adoption of an inactive and sedentary lifestyle by older people living alone throughout the pandemic. <em>2)</em> This was accompanied by a deficit in health care, since they avoided going to hospitals and health centers as they were conceived as spaces with a high risk of COVID-19 infection, that is, for fear of contagion. Telephone support was not an effective alternative to face-to-face consultations. <em>3)</em> The loss of subjective health, which they attribute to the pandemic, in the form of physical worsening, especially related to mobility, mental problems such as anxiety or depression and/or perceived cognitive impairment.</div></div><div><h3>Conclusions</h3><div>The pandemic has negatively affected the health status of older people living alone, and its effects were not only immediate, but would last in the medium and long term. We are faced with a particularly vulnerable group and what has happened in recent years suggests the need for urgent and profound social interventions that improve their quality of life.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 6","pages":"Article 101687"},"PeriodicalIF":0.0,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144722933","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}

引用次数: 0