Revista Espanola de Geriatria y Gerontologia最新文献

{"title":"Fístula cutánea odontogénica: una entidad a tener en cuenta en el diagnóstico de lesiones peribucales en la edad avanzada","authors":"Miguel Mansilla-Polo , 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}

{"title":"Determinantes de la soledad no deseada en los adultos mayores: un análisis de factores psicológicos y sociodemográficos","authors":"Juan C. Meléndez,&nbsp;Judit Llopis,&nbsp;Isabel Marti-Hoyos,&nbsp;Carmen Bueno,&nbsp;Encarnacion Satorres,&nbsp;Iraida Delhom","doi":"10.1016/j.regg.2025.101670","DOIUrl":"10.1016/j.regg.2025.101670","url":null,"abstract":"<div><h3>Background and objective</h3><div>Loneliness in old age is associated with a decline in quality of life, so it is important to identify the risk factors for loneliness. This study examines the predictors of loneliness in individuals over 65 years of age, focusing on sociodemographic variables (age, marital status, and educational level) and psychological factors (depressive symptoms and hopelessness).</div></div><div><h3>Methods</h3><div>An analysis was conducted with 246 older adults over 65 years who lived independently. Variables were assessed using the following instruments: the Center for Epidemiological Studies Depression Scale (CES-D) for depression, the Beck Hopelessness Scale (BHS) for hopelessness, and the UCLA Loneliness Scale for loneliness. Binary logistic regression was applied to evaluate the relationship between these variables, as well as age, marital status, and educational level, and the likelihood of experiencing loneliness.</div></div><div><h3>Results</h3><div>The results indicate that age and high scores on depression (CES-D) and negative expectations (BHS) significantly increase the likelihood of experiencing loneliness. A higher educational level was found to be a protective factor, reducing the likelihood of loneliness. However, neither marital status nor loss of motivation on the BHS were significant predictors.</div></div><div><h3>Conclusions</h3><div>The study confirms that both sociodemographic and psychological factors influence the perception of loneliness in old age. Promoting social and educational activities could reduce the risk of loneliness, and addressing depressive symptoms and negative thoughts may improve well-being in older adults.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101670"},"PeriodicalIF":0.0,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143851388","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":"Addictive behaviors in older adults: The role of psychopathological symptoms, health, purpose in life, and loneliness","authors":"Gema Aonso-Diego,&nbsp;Pilar Castro-Blanco,&nbsp;Amaia García-Barandiaran,&nbsp;Ana Estévez","doi":"10.1016/j.regg.2025.101658","DOIUrl":"10.1016/j.regg.2025.101658","url":null,"abstract":"<div><h3>Background and objetives</h3><div>This study explored addictive behaviors, including both substance use and behavioral addictions. Specifically, we examined the predictive role of psychopathological symptoms, health, loneliness, and purpose in life in addictive behaviors, as well as analyzing gender differences in the variables studied.</div></div><div><h3>Method</h3><div>The sample comprises 100 individuals over 60 (<em>M</em>_age <!-->=<!--> <!-->69.1; <em>SD</em> <!-->=<!--> <!-->6.7; 52% men). Multiple linear regression analyses were conducted to examine predictors of addictive behaviors, and <em>t</em>-tests to analyze gender differences.</div></div><div><h3>Results</h3><div>Psychopathological symptoms were identified as a risk factor for problematic alcohol and substance use (<em>β</em> between −.392 and .877). Additionally, psychopathological symptoms (<em>β</em> between .314 and .432) and mental health were both significant predictors of compulsive buying (<em>β</em> <!-->=<!--> <!-->−.579). Women exhibited higher scores in psychopathological symptoms (<em>p</em> <!-->≤<!--> <!-->.015), while men showed higher levels of physical and mental health (<em>p</em> <!-->≤<!--> <!-->.022).</div></div><div><h3>Conclusion</h3><div>Understanding the risk factors associated with addictive behaviors in older adults is crucial to increasing public awareness of these problems and to improving early detection and effective management of addictions in this demographic group.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101658"},"PeriodicalIF":0.0,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143847848","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":"Linfoma secundario de tiroides: una patología engañosa","authors":"María José Vallejo Herrera ,&nbsp;Verónica Vallejo Herrera","doi":"10.1016/j.regg.2025.101628","DOIUrl":"10.1016/j.regg.2025.101628","url":null,"abstract":"<div><h3>Introduction</h3><div>The thyroid gland frequently presents malignant lesions, usually of follicular origin. Thyroid lymphoma, primary or secondary, is an extremely rare disease.</div></div><div><h3>Abstract and conclusions</h3><div>Secondary thyroid lymphoma poses a diagnostic challenge, which includes in its differential diagnosis thyroid carcinoma and other rare entities, such as primary lymphoma (history of Hashimoto's thyroiditis) or intrathyroidal metastases (history of oncology), the diagnostic key being the anatomopathological study.</div></div><div><h3>Results</h3><div>A patient with involvement of the gland by a secondary lymphoma with erroneous orientation in the initial diagnosis is presented, with resolution of the same after anatomopathological confirmation.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 4","pages":"Article 101628"},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143842736","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":"Abordaje del paciente anciano en urgencias: recomendaciones de la European Task Force in Geriatric Emergency Medicine","authors":"Santiago Castejón Hernández ,&nbsp;Karla López López ,&nbsp;Ana Vena Martínez ,&nbsp;Mireia Llonch Masriera","doi":"10.1016/j.regg.2025.101669","DOIUrl":"10.1016/j.regg.2025.101669","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101669"},"PeriodicalIF":0.0,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143835076","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":"Código delirium","authors":"Marta Martínez-García ,&nbsp;Brian Dax Vásquez-Brolen ,&nbsp;Fátima Brañas","doi":"10.1016/j.regg.2025.101659","DOIUrl":"10.1016/j.regg.2025.101659","url":null,"abstract":"<div><h3>Introduction</h3><div>Delirium, or acute confusional syndrome, poses a challenge for healthcare systems due to its significant economic impact and its effects on the health of hospitalized older adults. Therefore, implementing strategies for early detection and management should be a priority.</div><div>The Delirium Code (DC) at the Hospital Universitario Infanta Leonor (HUIL) in Madrid aims to reduce the prevalence and incidence of delirium, as well as minimize its harmful consequences.</div></div><div><h3>Methodology</h3><div>The DC is a screening, diagnosis, and early treatment program for delirium integrated into the hospital's routine clinical practice. It is led by the geriatrics department and applies to patients over 65 years old admitted to hospitalization units and/or emergency departments. Activation of the program in the hospital's information system is carried out by the nurse responsible for the patient after applying the Confusional Assessment method (CAM) screening tool and activating a specific marker that registers patients for intervention by the DC team.</div></div><div><h3>Discussion</h3><div>Specialized geriatric care, with a key role played by the geriatric specialist nurse, is essential for optimizing the prevention, diagnosis, and treatment of delirium. Additionally, educational interventions aimed at healthcare professionals improve its recognition and documentation.</div></div><div><h3>Conclusions</h3><div>The commitment of both hospital management and healthcare professionals, along with proper training, is essential for implementing a program of this kind. The DC is feasible, necessary, and should be considered a quality-of-care indicator.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 4","pages":"Article 101659"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828480","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":"Altas demoradas por motivos no clínicos: hospital de crónicos y larga estancia","authors":"Núria Goig ,&nbsp;Fátima Moll ,&nbsp;Gemma Costa-Requena ,&nbsp;Jaume Morera Guitart","doi":"10.1016/j.regg.2025.101654","DOIUrl":"10.1016/j.regg.2025.101654","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101654"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143829673","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":"Suicidio en las personas mayores: una comparación entre los países del Cono Sur y de la península ibérica","authors":"Eleonora Rojas Cabrera ,&nbsp;Mariana Paredes Della Croce ,&nbsp;Ignacio de Loyola González Salgado ,&nbsp;Ana J. Zepeda-Ortega","doi":"10.1016/j.regg.2025.101660","DOIUrl":"10.1016/j.regg.2025.101660","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Among aging populations, there is evidence of an increase in mental health diseases and suicides. This paper aims to analyze comparatively the trends in suicide among people aged 65 and over in countries of the Southern Cone (Argentina, Chile and Uruguay) and the iberian peninsula (Spain and Portugal).</div></div><div><h3>Materials and methods</h3><div>A quantitative, descriptive and comparative study from a socio-demographic perspective was carried out. Based on data from the United Nations, crude and adjusted specific mortality rates (MR) attributable to suicide were calculated between 2002 and 2019, and their trends were analyzed by applying joinpoint regression models.</div></div><div><h3>Results</h3><div>Differences in MR and an excess male mortality were observed in all countries, with the highest levels in Uruguay (Male MR 2019: 67.2 and 14.2 per 100,000 persons, respectively). The male MR increased with age and the female MR remained stable. Except for Uruguay, the MR decreased significantly in the whole population (average annual change, 2002-2019: Argentina: −3.9%; 95%CI: −4.6; −3.3%; Chile: −1.4%; 95%CI: −2.6; −0.3%; Spain: −2.0%; 95%CI:−3.0; −1.0%; Portugal: −2.2%; 95%CI: −2.8; −1.6%). However, when the MR were disaggregated by sex, they showed this decline did not take place among women from Chile and Uruguay, and some women from Spain and Portugal.</div></div><div><h3>Conclusions</h3><div>Suicide level among elder people shows disparities between regions and countries, mostly in men. However, a decreasing trend is observed, particularly among men in some countries.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101660"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143829672","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":"Validez de 3 métodos predictivos para estimar la talla en pacientes de edad avanzada","authors":"David Robles-Torres ,&nbsp;Natividad Lago-Rivero ,&nbsp;Brais Bea-Mascato ,&nbsp;Iván Agra Blanco ,&nbsp;Elena Cerdeira Regueira ,&nbsp;Noemí Martínez-López-de-Castro","doi":"10.1016/j.regg.2025.101655","DOIUrl":"10.1016/j.regg.2025.101655","url":null,"abstract":"<div><h3>Introduction</h3><div>In daily clinical practice, we relatively often encounter situations in which it is not possible to measure the height of elderly patients in a conventional way. For these cases, predictive methods have been developed to estimate the height of patients by measuring body segments. The aim of this paper is to determine the best method for estimating the actual height of elderly patients.</div></div><div><h3>Material and methods</h3><div>A cross-sectional study was carried out with 130 participants over 65 years of age institutionalised in a socio-health centre. Height was calculated using three estimation methods for each study participant and the results were then compared with the actual height of the patients. Correlation coefficient (R), mean absolute error (MAE) and mean square error (MSE) were calculated for each of the three methods.</div></div><div><h3>Results and discussion</h3><div>The method ‘height estimation from ulnar measurement’ had an R<!--> <!-->=<!--> <!-->0.97 with an MAE<!--> <!-->=<!--> <!-->0.0386 and an MSE<!--> <!-->=<!--> <!-->0.0019, the ‘knee-heel height formula of Chumlea’ had an R<!--> <!-->=<!--> <!-->0.94 with an MAE<!--> <!-->=<!--> <!-->0.0300 and an MSE<!--> <!-->=<!--> <!-->0.0013 and finally, the ‘knee-malleolus formula of Arango and Zamora’ had an R<!--> <!-->=<!--> <!-->0.9 with an MAE<!--> <!-->=<!--> <!-->0.0353 and an MSE<!--> <!-->=<!--> <!-->0.0018.</div></div><div><h3>Conclusions</h3><div>The Chumlea formula is considered the best method for estimating height in elderly patients in whom height cannot be measured conventionally, as it has a very good correlation coefficient (R<!--> <!-->=<!--> <!-->0.94) and the lowest deviation of the results.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101655"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825846","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}