Myriam Teresa Aponte , Juan Ignacio Maglio , Clara Cabré-Verdiell Surribas , Alberto Alonso Babarro
{"title":"Invaginación duodenal en paciente octogenario: a propósito de un caso","authors":"Myriam Teresa Aponte , Juan Ignacio Maglio , Clara Cabré-Verdiell Surribas , Alberto Alonso Babarro","doi":"10.1016/j.regg.2025.101622","DOIUrl":"10.1016/j.regg.2025.101622","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101622"},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143071223","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}
Rodrigo Molero-de-Ávila , María Gonzalo-Lázaro , Inhar Esnaola-Barriola , Marta Lorente-Escudero
{"title":"Diagnóstico diferencial del síncope en el paciente mayor, a raíz de un caso clínico","authors":"Rodrigo Molero-de-Ávila , María Gonzalo-Lázaro , Inhar Esnaola-Barriola , Marta Lorente-Escudero","doi":"10.1016/j.regg.2025.101621","DOIUrl":"10.1016/j.regg.2025.101621","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101621"},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143071218","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}
Juan Camilo Benítez Agudelo , Edgar Navarro Lechuga , Karen Cecilia Flórez Lozano , Ernesto Barceló Martínez , Carlos Mario de Oro Aguado
{"title":"Marcadores neuropsicológicos y factores asociados al deterioro cognitivo leve amnésico","authors":"Juan Camilo Benítez Agudelo , Edgar Navarro Lechuga , Karen Cecilia Flórez Lozano , Ernesto Barceló Martínez , Carlos Mario de Oro Aguado","doi":"10.1016/j.regg.2024.101620","DOIUrl":"10.1016/j.regg.2024.101620","url":null,"abstract":"<div><h3>Background</h3><div>Mild amnestic cognitive impairment (aMCI) is a syndrome in which there are cognitive deficits characterized by memory complaints, with the endophenotype with the highest rate of conversion to dementia, especially the Alzheimer type. The objective of the study was to establish neuropsychological markers and factors associated with aMCI.</div></div><div><h3>Methods</h3><div>Transversal descriptive study with case and control analysis, with a sample of 426 subjects selected by non-probabilistic convenience sampling. The average age was 58.8<!--> <!-->±<!--> <!-->5.5 years, 57.3% (244) of the sample were women, and 184 subjects (43.2%) had university studies. The clinical history shows that 47.9% (204) had a clinical history of hypertension, followed by symptoms of depression with 37.6% (160) and a tendency to isolation with 28.6% (122). Information on neuropsychological markers and associated factors was obtained through a neuropsychological assessment protocol.</div></div><div><h3>Results</h3><div>In the aMCI group, the domains of: focused care (OR: 10.74 95% CI 3.386-34.11) were found as significantly associated factors with respect to subjects without apparent pathology; episodic memory (storage) (OR: 36.52 95% CI 15.14-88.05) and denomination (OR: 5.043 95% CI 1.816-14.00).</div></div><div><h3>Conclusions</h3><div>Focused attention, episodic memory (storage) and naming become neuropsychological markers associated with aMCI; likewise, social isolation is shown to be a factor associated with aMCI when compared to subjects with non-amnestic predominant mild cognitive impairment (anMCI).</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101620"},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075973","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":"Translating lessons from immortal models: Hydra and the immortal jellyfish","authors":"Cristina Mas-Bargues","doi":"10.1016/j.regg.2025.101624","DOIUrl":"10.1016/j.regg.2025.101624","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 4","pages":"Article 101624"},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143071230","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}
María Camila Parra Ortiz , Ana Belén Navarro Prados , María Cruz Sánchez Gómez , Juan Luis Cabanillas García
{"title":"Papel y función del apoyo social en los post-cuidadores familiares de personas mayores dependientes","authors":"María Camila Parra Ortiz , Ana Belén Navarro Prados , María Cruz Sánchez Gómez , Juan Luis Cabanillas García","doi":"10.1016/j.regg.2024.101612","DOIUrl":"10.1016/j.regg.2024.101612","url":null,"abstract":"<div><h3>Introduction and objective</h3><div>Social support appears to have a positive impact on the mental health and well-being of post-caregivers. Therefore, the aim of this paper is to examine the perceived social support network and its role in post-caregiving.</div></div><div><h3>Materials and methods</h3><div>56 family post-caregivers of older people participated in a semi-structured interview. In addition, the Social Support Questionnaire -MOS- and qualitative measures were applied. Descriptive analyses of the relationship between variables were carried out. At the qualitative level, we worked with a phenomenological design using the NVIVO program. Finally, data were triangulated using the mixed concurrent triangulation design methodology (DITRIAC).</div></div><div><h3>Results</h3><div>Post-care adjustment was positively associated with the dimensions of the perceived social support scale. The network of friends was found to be supportive during the loss, generating spaces for leisure and recreation that allowed post-caregivers to resume their social life. The family unit can move closer or further away. Children played a role of support and companionship for the post-caregivers and are also a source of motivation to cope and adapt to the loss of the cared-for relative. Participants emph</div><div>asised the need to feel listened to and welcomed. 64.3% of participants referred to not having received psychological care.</div></div><div><h3>Conclusions</h3><div>It is essential to carry out interventions that favor the development and maintenance of the family caregiver.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101612"},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gloria Gabriela Peña Ordóñez , Lilia Patricia Bustamante Montes , José de Jesús Garduño García , Gabriel Gerardo Huitrón Bravo , Paola Conde Higuera , Alfonso J. Cruz-Jentoft
{"title":"Factors associated with sarcopenia in a population of non-disabled older patients","authors":"Gloria Gabriela Peña Ordóñez , Lilia Patricia Bustamante Montes , José de Jesús Garduño García , Gabriel Gerardo Huitrón Bravo , Paola Conde Higuera , Alfonso J. Cruz-Jentoft","doi":"10.1016/j.regg.2024.101608","DOIUrl":"10.1016/j.regg.2024.101608","url":null,"abstract":"<div><h3>Background and aim</h3><div>To evaluate the association between sarcopenia and metabolic syndrome.</div></div><div><h3>Patients and methods</h3><div>A case–control study. Setting. Geriatric Care Clinic of Metepec (México). <em>Inclusion criteria.</em> Outpatients with physical and mental independence to perform daily living activities (DLA). <em>Exclusion criteria.</em> Physical or mental disability requiring assistance from a carer, active cancer, cardiopathies and renal disease.</div></div><div><h3>Patients</h3><div>124 participants (59.6% women) aged over 60 years (mean age 69.7 years, standard deviation<!--> <!-->±<!--> <!-->6.5 years).</div></div><div><h3>Measurements</h3><div>62 with sarcopenia according to the EGWSOP 2019 definition. Hypertension, diabetes, adiposity and dyslipidaemia were assessed, and the prevalence and odds ratio (OR) of metabolic syndrome in cases and controls were calculated.</div></div><div><h3>Results</h3><div>Participants with sarcopenia were more likely to be female (80% vs. 41.8%), with no major differences from controls in other characteristics. 46.7% of participants were obese and 25.8% in both groups met diagnostic criteria for the metabolic syndrome; of the items defining the metabolic syndrome, only hypertension, obesity grade II and central obesity were associated with the presence of sarcopenia (OR 2.12; 3.39 and 1.93, respectively, with 95% CI).</div></div><div><h3>Conclusions</h3><div>We could not confirm an association between sarcopenia and the metabolic syndrome, but with the obesity and hypertension components.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101608"},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013798","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":"Very old patients in the ICU in Latin America: A narrative review","authors":"Andrés Giglio , Javiera Barrientos , Andrés Ferre , Felipe Salech","doi":"10.1016/j.regg.2024.101560","DOIUrl":"10.1016/j.regg.2024.101560","url":null,"abstract":"<div><div>The population of very elderly patients (aged 80 years and older) in intensive care units (ICUs) is steadily growing. These patients have unique physiological, cognitive, functional, and social characteristics that affect their entire ICU course. Immobility, delirium, dysphagia, malnutrition, and polypharmacy are among the most common geriatric syndromes in these patients, and they contribute to a higher risk of acute and long-term functional decline and mortality. Risk assessment in very elderly patients is complex, as traditional ICU scoring systems do not account for frailty and baseline disability, making difficult the determination of likely benefits, futility, or harm with ICU interventions. The importance of shared decision-making for treatment plans is critical, as very elderly patients and their families may have uncertain or unrealistic prognostic awareness and expectations of ICU care. Considering the gap between the rapid aging of the population and the socio-health development in Latin America, this population is an important determinant of stress on healthcare systems, however, data on these population is scarce. This review, based on a comprehensive literature search, summarizes recent evidence on triage for ICU admission, specific clinical characteristics, predictive elements of prognosis, and ICU and post-ICU outcomes for very elderly patients while also analyzing the challenges to improve management in the Latin American region.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 1","pages":"Article 101560"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789708","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}
Daniela Villalón-Rubio , Elisa García-Tercero , Jesús López-Gómez , Hugo González , Ángel Belenguer-Varea , Cristina Cunha-Pérez , Miguel Germán Borda , Francisco José Tarazona-Santabalbina
{"title":"Exploring factors influencing delirium incidence: Insights from the Alzira cohort study, 2012–2021","authors":"Daniela Villalón-Rubio , Elisa García-Tercero , Jesús López-Gómez , Hugo González , Ángel Belenguer-Varea , Cristina Cunha-Pérez , Miguel Germán Borda , Francisco José Tarazona-Santabalbina","doi":"10.1016/j.regg.2024.101571","DOIUrl":"10.1016/j.regg.2024.101571","url":null,"abstract":"<div><h3>Introduction</h3><div>Hip fractures are a common pathology among older adults, often accompanied by significant complications such as delirium, a geriatric syndrome associated with prolonged hospitalization, reduced functional recovery, and decreased overall survival rates. This study aims to determine the incidence of delirium and its correlation with various factors during hospitalization, as well as its impact on short-, medium-, and long-term survival.</div></div><div><h3>Methodology</h3><div>A retrospective cohort study was undertaken to examine hospital admissions of individuals aged 70 years or older diagnosed with hip fractures at the Hospital Universitario La Ribera in Alzira, Valencia, from January 2012 to December 2021.</div></div><div><h3>Results</h3><div>A total of 3226 patients were recruited, mean of 85 years, 73.7% females, 26.3% males. Delirium was observed in 10.9% of patients during hospitalization (68.8% females, <em>p</em> <!-->=<!--> <!-->0.029). Patients diagnosed with delirium exhibited a greater prevalence of dementia (25.2%, <em>p</em> <!--><<!--> <!-->0.001) and chronic kidney disease (14.7%, <em>p</em> <!-->=<!--> <!-->0.018). Delirium was also significantly associated with older age (mean 86.5 years [SD 5.6], <em>p</em> <!--><<!--> <!-->0.001), increased number of complications (mean 1.4 [SD 1.6], <em>p</em> <!--><<!--> <!-->0.001), cardiac complications (9.1%, <em>p</em> <!-->=<!--> <!-->0.036), anemia (21.7%, <em>p</em> <!--><<!--> <!-->0.001), and urinary tract infections (7.4%, <em>p</em> <!--><<!--> <!-->0.001) during hospitalization. Furthermore, patients with delirium experienced a prolonged hospital stay (mean 9 vs. 7.9 days, <em>p</em> <!--><<!--> <!-->0.001) and significantly higher short-, medium-, and long-term mortality rates.</div></div><div><h3>Discussion</h3><div>The study findings underscore a significant association between delirium and comorbidities, complications, and mortality. Early identification of patients at risk for delirium will allow us to implement targeted interventions focused on prevention to enhance patient outcomes.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 1","pages":"Article 101571"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789704","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":"Optimización del cuidado crítico en adultos mayores en la UCI","authors":"Javier Martínez-Peromingo, Myriam Rodríguez-Couso","doi":"10.1016/j.regg.2024.101576","DOIUrl":"10.1016/j.regg.2024.101576","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 1","pages":"Article 101576"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789703","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}
Neil Duván Gutiérrez, Jorge Andrés Sosa galindo, Diego Camilo Yarpaz, Valentina Urbano, Juan Fernando Jiménez, Jhoan León, María Teresa Calzada, Raúl Guevara, Bruno Gutiérrez
{"title":"Condiciones de salud bucodental y estados nutricionales, funcionales y cognitivos: una aproximación al adulto mayor institucionalizado","authors":"Neil Duván Gutiérrez, Jorge Andrés Sosa galindo, Diego Camilo Yarpaz, Valentina Urbano, Juan Fernando Jiménez, Jhoan León, María Teresa Calzada, Raúl Guevara, Bruno Gutiérrez","doi":"10.1016/j.regg.2024.101618","DOIUrl":"10.1016/j.regg.2024.101618","url":null,"abstract":"<div><h3>Introduction/objective</h3><div>Multidimensional geriatric assessment is an important diagnostic method in geriatrics. The objective of this article was to establish the relationship between nutritional, functional, cognitive status and oral health of institutionalized older adults.</div></div><div><h3>Methodology</h3><div>A cross-sectional observational study was carried out, where 93 institutionalized older adults participated, including oral assessment and Barthel, Minimental, Mininutritional and Yesavage scales. An univariate, bivariate and multivariate analysis was performed at 2<!--> <!-->care sites in the city of Cali, Colombia.</div></div><div><h3>Results</h3><div>Mean age of the participants was 76.5 years; more than 50% with null or primary educational levels, 23% presented limitation in mobility, arterial hypertension was the most prevalent pathological history with 55%, followed by diabetes mellitus 24%; and 60% of the sample was independent to perform basic activities (Barthel index<!--> <!-->=<!--> <!-->100). Regarding the number of occlusal pairs prosthesis to prosthesis, it was found that the mean of men was lower than women (2.4 and 5.2, <em>P</em> <!-->=<!--> <!-->0.03). The results showed an altered plaque indicator in patients with cognitive impairment 61.5% versus 100% in patients with dementia screening. Additionally, a number of teeth less than 20 in people with depression indicators in 79.2%. The multivariate analysis showed a relationship with partial or total edentulism, being the total a risk for depressive traits (<em>P</em> <!-->=<!--> <!-->0.04).</div></div><div><h3>Conclusion</h3><div>The results show that nutritional, functional, cognitive aspects and depression traits are related to oral health. In addition, it should be noted that a significant proportion of patients require dental intervention.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101618"},"PeriodicalIF":0.0,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903727","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}