Revista Espanola de Geriatria y Gerontologia最新文献

{"title":"El continuo funcional y deterioro funcional hospitalario en una Unidad Geriátrica de Agudos","authors":"Carolina Muñoz Muñetón ,&nbsp;Luis Carlos Venegas-Sanabria ,&nbsp;María Teresa Martínez Sierra ,&nbsp;María Mónica Valencia Murillo ,&nbsp;Diego Andrés Chavarro-Carvajal ,&nbsp;Carlos Alberto Cano-Gutiérrez","doi":"10.1016/j.regg.2024.101564","DOIUrl":"10.1016/j.regg.2024.101564","url":null,"abstract":"<div><h3>Background</h3><div>Older adults are particularly vulnerable to experiencing hospital-associated functional decline; a multifaceted phenomenon linked to poorer outcomes and increased healthcare costs. Given that functionality serves as a crucial indicator of health in the elderly, various scales have been developed to gauge the continuum of functional ability, potentially serving as prognostic tools to inform tailored interventions.</div></div><div><h3>Objectives</h3><div>The aim of this study is to determine the prevalence of hospital-associated functional decline in an acute geriatric unit and examine its correlation with the functional continuum through a descriptive analysis of the patient population and exploration of associated factors.</div></div><div><h3>Results</h3><div>142 patients aged 75 and above were included in the analysis, revealing that 57% exhibited hospital-associated functional decline. Among patients with functional impairment, 26% fell into category 4 (dependence for instrumental activities of daily living and pre-frailty). Among the factors examined, age (OR 1.280, 95% CI 1.099 - 1.547) and prior independence (OR 15.939, 95% CI 1.857 - 186.655) were found to be associated with hospital functional decline.</div></div><div><h3>Conclusion</h3><div>Hospital-associated functional decline was observed in over half of the patients, with age and prior independence identified as significant contributing factors. This underscores the importance of implementing intervention measures for all elderly patients during their hospitalization, particularly for frail or pre-frail individuals with some level of instrumental dependency.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101564"},"PeriodicalIF":0.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477079","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":"Aceptación e intención de uso de una camiseta con sensores fisiológicos en el ámbito de la salud en pacientes mayores","authors":"Almudena Ramírez-Martín ,&nbsp;Francisco Poveda Gómez ,&nbsp;Marta Aranda-Gallardo ,&nbsp;Elena Martin-Bautista ,&nbsp;Francisco Rivas Ruiz ,&nbsp;José Javier García-Alegría","doi":"10.1016/j.regg.2024.101559","DOIUrl":"10.1016/j.regg.2024.101559","url":null,"abstract":"<div><h3>Objectives</h3><div>To assess the acceptance and intention to use physiological sensor shirt among older patients in healthcare, as well as to identify the factors that encourage a positive attitude towards its adoption.</div></div><div><h3>Methods</h3><div>Cross-sectional study using questionnaires addressed to patients between 60 and 85<!--> <!-->years of age, administered via face-to-face interviews to determine intention to use a shirt with physiological sensors. The extended version of the Technology Acceptance Model (TAM) questionnaire was used in conjunction with administration of the quality of life and perceived stress scales.</div></div><div><h3>Results</h3><div>Forty-eight patients participated in the study, 54.2% were male with a mean age of 70.5<!--> <!-->years. The mean scores for attitude towards use and intention to use were 3.9 (SD: 0.8) and 3.3 (SD: 0.8), respectively, out of a maximum of 5. The willingness to use the device was positive in 72.9% of patients The patients intending to use wearable technology (n<!--> <!-->=<!--> <!-->35) scored significantly higher than those unwilling to wear the shirt (n<!--> <!-->=<!--> <!-->13) on perceived ubiquity (<em>P</em> <!-->=<!--> <!-->.031), perceived ease of use (<em>P</em> <!-->=<!--> <!-->.002), and perceived utility (<em>P</em> <!-->=<!--> <!-->.007).</div></div><div><h3>Conclusions</h3><div>In a sample of independent older adults from the healthcare sector, a high willingness to use a shirt with physiological sensors was found. Through the TAM questionnaire, ubiquity, perceived ease of use, and perceived usefulness were identified as key factors predisposing its adoption.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 1","pages":"Article 101559"},"PeriodicalIF":0.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394093","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":"Efectos a largo plazo de un programa de actividad física enriquecido en la calidad de vida relacionada con la salud en adultos mayores","authors":"Víctor Ramón Lisón Loriente ,&nbsp;Berta Murillo Pardo ,&nbsp;Eduardo Generelo Lanaspa ,&nbsp;Enrique García Bengoechea","doi":"10.1016/j.regg.2024.101537","DOIUrl":"10.1016/j.regg.2024.101537","url":null,"abstract":"<div><h3>Purpose</h3><div>The purpose of this study is to examine the long-term effects of a programme called <em>Ser Mayor, un RETO</em> («Being Older, a Challenge») aimed at improving quality of life in older adults over 60 living in the community.</div></div><div><h3>Methods</h3><div>This programme used co-design principles to create sustainable opportunities to improve quality of life, connecting with the community, and empowering older adults to take responsibility for their own health. <em>Ser Mayor, un RETO</em> was based on Bronfenbrenner's bio-social-ecological perspective and the health assets model. Its design was complemented with leisure education and physical activity promotion-based guidelines, identified in the scientific literature. The study design was quasi-experimental, with control group, and was conducted over a period of 20-months (September 2017 to June 2019) in several municipalities near the city of Zaragoza (Spain), with the participation of 213 older adults (n<!--> <!-->=<!--> <!-->120 experimental group and n<!--> <!-->=<!--> <!-->93 control group). Data were analysed using generalised linear mixed models controlling for age and gender of participants and accounting for initial differences between groups in the study outcomes.</div></div><div><h3>Results</h3><div>The results indicate that the experimental group experienced an improvement in levels of quality of life relative to the control group, which was sustained over the study period, especially in several physical dimensions of quality of life: physical function (<em>P</em> <!-->=<!--> <!-->.014), physical role (<em>P</em> <!-->=<!--> <!-->.027), physical component summary (<em>P</em> <!-->=<!--> <!-->.022) and in emotional role (<em>P</em> <!-->=<!--> <!-->.033).</div></div><div><h3>Conclusion</h3><div>The <em>Ser Mayor, un RETO</em> programme had a positive effect on the quality of life of older adults, showing potential for sustainability of its effects and for the service providers to develop a sense of ownership over the programme.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 1","pages":"Article 101537"},"PeriodicalIF":0.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394095","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":"Preparación para afrontar la muerte de pacientes en profesionales geriátricos","authors":"Isabel Bermejo-Gómez","doi":"10.1016/j.regg.2024.101539","DOIUrl":"10.1016/j.regg.2024.101539","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 1","pages":"Article 101539"},"PeriodicalIF":0.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394098","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":"Predisposición de los pacientes a participar en ensayos clínicos en el Hospital Dr. César Milstein: un estudio de corte transversal","authors":"Li Sz Wei,&nbsp;María Pia Izaguirre Germain,&nbsp;Diego Caruso","doi":"10.1016/j.regg.2024.101536","DOIUrl":"10.1016/j.regg.2024.101536","url":null,"abstract":"<div><h3>Introduction</h3><div>Clinical trials are a fundamental tool in evidence-based medicine, with participant recruitment being a critical factor for their execution. Low participation in a study leads to inadequate sample size. Older adults constitute a minority in clinical trials, and various factors influence their level of participation and retention during the study process. Our objective is to determine the willingness of older adults to participate in clinical trials and identify their main barriers and facilitator.</div></div><div><h3>Methods</h3><div>A cross-sectional study was carried out on outpatient adults over 60 years of age. The rate of desire for voluntary participation in clinical trials was determined and through a validated survey “National Health Information Trends Survey (HINTS 5, cycle 4)” the knowledge, rate of prior participation in CE and the influence of different factors that could be associated with a positive attitude to participate. These factors were analyzed using ordinal logistic regression.</div></div><div><h3>Results</h3><div>251 older adults were surveyed. Of them, 171 (68%) reported not having any knowledge about clinical trials and 80 (31.87%) reported having it to some degree. 12 patients (5%) previously participated in a CS and up to 88 patients (35%) expressed that they would probably or definitely participate in one. It was observed that, the older the age, the less willingness to participate in CE [OR]: 0.55 (CI 95% 0.34-0.88). Likewise, male sex was associated with a greater desire to participate [OR]: 1.74 (CI 95% 1.06-2.84), respectively. The scenarios that were associated with a greater desire to participate in CE were knowing that by participating you could help others [OR]: 1.95 (95% CI 1.36-2.178), the possibility of receiving help for participating [OR]: 1.69 (95% CI 1.26-2.26) and the possibility of trying a new type of medical care [OR]: 1.71 (95% CI 1.20-2.42).</div></div><div><h3>Conclusions</h3><div>The level of knowledge about CE among older adults is low and up to a third of them would participate as volunteers in a CE. The dissemination of information about ECs could encourage a higher participation rate.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 1","pages":"Article 101536"},"PeriodicalIF":0.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394097","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":"Colitis linfocítica asociada a duloxetina","authors":"Yanira Aranda Rubio ,&nbsp;Beatriz Pallardo Rodil ,&nbsp;Francisco Javier Gómez Pavón","doi":"10.1016/j.regg.2024.101561","DOIUrl":"10.1016/j.regg.2024.101561","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 1","pages":"Article 101561"},"PeriodicalIF":0.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394096","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":"Anemia: interesante hallazgo en el adulto mayor","authors":"Gloria Elizabeth Toapanta Yanza ,&nbsp;Ana Merello de Miguel ,&nbsp;Viridiana Cabrera Romero ,&nbsp;Cecilia Daniella Palacios Revilla ,&nbsp;Juan Ignacio González Montalvo","doi":"10.1016/j.regg.2024.101529","DOIUrl":"10.1016/j.regg.2024.101529","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 1","pages":"Article 101529"},"PeriodicalIF":0.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394094","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":"Associations between nutritional status and abdominal adiposity with cognitive domains and depressive symptoms in older persons with multimorbidity: Understanding an understudied population","authors":"Mateo Londoño Pereira ,&nbsp;Alejandro Estrada Restrepo ,&nbsp;Ángela María Preciado Tamayo ,&nbsp;Melissa Botero Bernal ,&nbsp;Miguel Germán Borda","doi":"10.1016/j.regg.2024.101558","DOIUrl":"10.1016/j.regg.2024.101558","url":null,"abstract":"<div><h3>Background</h3><div>Malnutrition is a prevalent issue among older persons and has been linked to adverse outcomes. Limited information exists regarding its connection with cognition and depression in older persons burdened by chronic diseases, experiencing heightened nutritional and psychosocial vulnerability. In this study, we examined the association between nutritional status, cognitive performance, and depressive symptomatology, in a cohort of older persons with multimorbidity.</div></div><div><h3>Methods</h3><div>This was a cross-sectional study of 114 pluripathological older persons. Nutritional status was assessed through Mini Nutritional Assessment (MNA), body mass index (BMI) and waist and calf circumferences. Cognition was assessed using Montreal Cognitive Assessment (MoCA) and depressive symptoms were measured with the 15-item Geriatric Depression Scale (GDS-15).</div></div><div><h3>Results</h3><div>MNA score was positively correlated with the MoCA's visuospatial score (rho<!--> <!-->=<!--> <!-->0.262) and, participants with normal nutritional status according to MNA, performed better in orientation (<em>p</em> <!-->=<!--> <!-->0.037) and abstraction (<em>p</em> <!-->=<!--> <!-->0.013) domains. MNA was also associated with depressive symptoms, with odds 8.6 times higher in malnourished participants (AOR 8.6, 95% CI 2.6–28.8, <em>p</em> <!-->=<!--> <!-->0.000). Abdominal obesity, meanwhile, was associated with a decrease of 3.33 points in the overall MoCA score (<em>β</em> −3.33, 95% CI<!--> <!-->=<!--> <!-->−5.92; −0.73, <em>p</em> <!-->=<!--> <!-->0.013).</div></div><div><h3>Conclusion</h3><div>In older persons with multimorbidity, abdominal obesity and malnutrition were factors associated with lower global and domain-specific cognitive performance and increased depressive symptomatology.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 1","pages":"Article 101558"},"PeriodicalIF":0.0,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381950","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":"¿Igualdad o equidad? Percepción de normas de no discriminación de la vejez","authors":"Claudia Estrada Goic ,&nbsp;Yaninee Oyarzún Oyarzún ,&nbsp;Carla Huaquin Ulloa ,&nbsp;Ismael Gallardo Cuadra","doi":"10.1016/j.regg.2024.101569","DOIUrl":"10.1016/j.regg.2024.101569","url":null,"abstract":"<div><h3>Introduction/objectives</h3><div>This study aimed to determine adherence to 2<!--> <!-->basic non-discrimination norms when evaluated by a stigmatized group (older adults) and a sample of the adult population.</div></div><div><h3>Method</h3><div>A total of 200 participants, half of them from the adult population and the other half from older adults (stigmatized group), responded to a Non-Discrimination Norms (NND) questionnaire to define their adherence to one norm or the other regarding the category of “old age”. Additionally, they assessed their perception of social support, and only the older adults evaluated their perception of subtle and overt discrimination.</div></div><div><h3>Results and conclusions</h3><div>The results indicate that both groups agree that the use of the equity NND is more desirable for addressing discrimination. Regarding the equality NND, older adults show higher levels of adherence. Subtle prejudice is reported as more prevalent than overt prejudice. These results are discussed in terms of the challenges of combating discrimination from both the perpetrator and victim perspectives.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 1","pages":"Article 101569"},"PeriodicalIF":0.0,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381945","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":"Arteritis de células gigantes: causa atípica de accidente cerebrovascular isquémico, a propósito de un caso","authors":"Gemma Cuesta ,&nbsp;Leidy Yohanna Ceballos ,&nbsp;Josep M. Aragonès ,&nbsp;Matilde Barneto","doi":"10.1016/j.regg.2024.101567","DOIUrl":"10.1016/j.regg.2024.101567","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 1","pages":"Article 101567"},"PeriodicalIF":0.0,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381946","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}