Revista Espanola de Geriatria y Gerontologia最新文献

{"title":"Traducción y validación de la Escala clínica de fragilidad (ECF) al español en Chile","authors":"Jorge Browne ,&nbsp;Paola Balcázar ,&nbsp;Josefa Palacios ,&nbsp;Ignacia Sepúlveda ,&nbsp;Ingrid Danke ,&nbsp;Marcela Carrasco","doi":"10.1016/j.regg.2024.101619","DOIUrl":"10.1016/j.regg.2024.101619","url":null,"abstract":"<div><h3>Introduction</h3><div>The assessment of frailty is crucial for the management and care of older adults. The Clinical Frailty Scale (CFS) has been proposed as a useful and practical tool for this assessment, but its implementation requires translation and validation to the specific cultural context.</div></div><div><h3>Methods</h3><div>A standardized process of translation and cultural adaptation of the CFS in its second version was carried out. Then, 44 participants were recruited, including geriatricians and geriatrics residents, who evaluated 11 clinical cases using the scale. The intraclass correlation coefficient (ICC) was used to assess the variability between the evaluators.</div></div><div><h3>Results</h3><div>A total of 484 evaluations were obtained (11 cases, 44 evaluators) with an intraclass correlation coefficient of 0.98. The sensitivity analysis showed no differences between subgroups of evaluators separated by years of experience or specialty status (certified geriatricians or those in training).</div></div><div><h3>Conclusions</h3><div>The Spanish version of the CFS is reliable and practical for the assessment of frailty in older adults in Chile, constituting a valuable tool for this purpose in this context.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101619"},"PeriodicalIF":0.0,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899087","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":"Eficacia y seguridad del tratamiento de la osteoporosis en el anciano. Propuesta de SEFRAOS para abordaje de la prevención secundaria de fracturas en el adulto mayor","authors":"Jose Manuel Cancio Trujillo ,&nbsp;Bernardo Abel Cedeño Veloz","doi":"10.1016/j.regg.2024.101611","DOIUrl":"10.1016/j.regg.2024.101611","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101611"},"PeriodicalIF":0.0,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142898978","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":"Implantación de un circuito asistencial para la adaptación de la medicación oral en pacientes con disfagia entre atención especializada y atención primaria","authors":"Susana de Andrés Morera ,&nbsp;Susana Chajma Izquierdo ,&nbsp;Ana Arancón Pardo ,&nbsp;Elena Villamañán Bueno","doi":"10.1016/j.regg.2024.101616","DOIUrl":"10.1016/j.regg.2024.101616","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101616"},"PeriodicalIF":0.0,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899002","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":"Validation of the Nottingham Hip Fracture Score (NHFS) to predict 30-day mortality following hip fracture in a Mexican population","authors":"Mayra Arely Serrano-Lugo ,&nbsp;Iván Luján-Hernández ,&nbsp;Ma. Elena Ledesma-González ,&nbsp;Quitzia Libertad Torres-Salazar","doi":"10.1016/j.regg.2024.101610","DOIUrl":"10.1016/j.regg.2024.101610","url":null,"abstract":"<div><h3>Introduction</h3><div>Hip fractures in the elderly pose a significant clinical challenge, with high short-term mortality rates. The <em>Nottingham Hip Fracture Score</em> (NHFS) has proven useful in predicting 30-day mortality in European and Asian populations, but its validity in the Mexican population has not been widely assessed.</div></div><div><h3>General objective</h3><div>To validate the NHFS in predicting 30-day mortality following hip fracture in a Mexican population.</div></div><div><h3>Methodology</h3><div>An observational, longitudinal, and prospective study was conducted with 143 patients over 60 years of age with hip fractures treated surgically at Hospital General de Zona No. 16 of IMSS. NHFS was applied upon admission, and health status was verified 30 days post-surgery. The area under the ROC curve (AUC), sensitivity, specificity, and model calibration were calculated.</div></div><div><h3>Results</h3><div>The 30-day mortality rate was 14.7%. The NHFS had an AUC of 0.72, indicating moderate predictive capacity. A cutoff score of 3.5 yielded 85.7% sensitivity and 24% specificity. A higher cutoff of 4.5 improved specificity (45%) but reduced sensitivity (81%).</div></div><div><h3>Conclusions</h3><div>The NHFS is a useful tool for predicting 30-day mortality in the Mexican population with hip fractures, though its discriminative ability is moderate. A 3.5 cutoff is recommended when prioritizing sensitivity in clinical settings.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101610"},"PeriodicalIF":0.0,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899088","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":"Impact of malnutrition on the clinical evolution in a cohort of older patients undergoing emergency surgery for abdominal pathology","authors":"María Villajos-Guijarro ,&nbsp;Raquel Ramírez-Martín ,&nbsp;Coro Mauleón-Ladrero ,&nbsp;Victoria Déniz González ,&nbsp;Alexander Forero Torres ,&nbsp;Francisca Garcia-Moreno Nisa ,&nbsp;Juan Ignacio González-Montalvo","doi":"10.1016/j.regg.2024.101609","DOIUrl":"10.1016/j.regg.2024.101609","url":null,"abstract":"<div><h3>Purpose</h3><div>Analyse the influence of the nutritional status of older patients undergoing emergency abdominal surgery on postoperative complications, mortality and mean length of hospital stay.</div></div><div><h3>Methods</h3><div>We performed a longitudinal observational study including patients older than 80 years who underwent emergency surgery by the general surgery service for abdominal pathology, who were followed by the geriatrics service between September 2018 and May 2021. Malnutrition was diagnosed using Global Leadership Initiative on Malnutrition (GLIM) criteria, classifying patients as malnourished and normonourished. A comprehensive geriatric assessment was performed on patients, and postoperative complications, mean length of hospital stay and mortality in-hospital were recorded.</div></div><div><h3>Results</h3><div>131 patients were included, 84 of them were malnourished and 47 normonourished. Mean age was 86<!--> <!-->±<!--> <!-->4.7 years. Malnourished patients had higher incidence of new-onset atrial fibrillation (odds ratio [OR]: 6.1, 95% confidence interval [CI]: 1.33–27.6, <em>p</em> <!-->&lt;<!--> <!-->0.05), urinary tract infection (OR 4.72, 95% CI: 1.02–21.95, <em>p</em> <!-->&lt;<!--> <!-->0.05) and bacteraemia (OR 3.51, 95% CI: 1.14–11.1, <em>p</em> <!-->&lt;<!--> <!-->0.05), compared with normonourished patients. Surgical complications were more frequent in malnourished patients (OR 3.34, 95% CI: 1.5–7.44, <em>p</em> <!-->&lt;<!--> <!-->0.05). Mean length of hospital stay in malnourished patients was longer (22.6 (±14.1)) compared with normonourished patients (15.3 (±11.9)) (<em>p</em> <!-->&lt;<!--> <!-->0.005).</div></div><div><h3>Conclusion</h3><div>Malnutrition in older patients (mean age 86 years old) undergoing emergency abdominal surgery is associated with a poorer clinical course; thus, it must be considered in the evaluation and follow-up of these patients.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101609"},"PeriodicalIF":0.0,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142898955","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":"Íleo biliar. ¿Cirugía o tratamiento conservador en paciente octogenario vulnerable?","authors":"Paula Fernández García ,&nbsp;María Teresa Madrid López ,&nbsp;Alexander Forero Torres ,&nbsp;Coro Mauleón-Ladrero ,&nbsp;Raquel Ramírez Martín","doi":"10.1016/j.regg.2024.101614","DOIUrl":"10.1016/j.regg.2024.101614","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101614"},"PeriodicalIF":0.0,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142898984","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":"Beneficio del manejo en la Unidad de Ortogeriatría en una paciente centenaria con fractura pertrocantérea bilateral simultánea de fémur proximal. A propósito de un caso","authors":"Nieves Fernández Letamendi ,&nbsp;Miguel Sanz Sainz ,&nbsp;Alberto Aso Vizán ,&nbsp;Javier Domingo Cebollada","doi":"10.1016/j.regg.2024.101613","DOIUrl":"10.1016/j.regg.2024.101613","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101613"},"PeriodicalIF":0.0,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142898963","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":"Regenerative characteristics of the immortal jellyfish, Turritopsis dohrnii, and their potential implications for human aging","authors":"Valentina Velasco-Muñoz ,&nbsp;Mateo Uribe-Gaviria ,&nbsp;Santiago Andrés Suárez-Gómez ,&nbsp;Antonio Villamizar-Romero ,&nbsp;Andrés Ricaurte-Fajardo ,&nbsp;Isabel Cristina Vásquez-Vélez ,&nbsp;Carlos A. Cano-Gutiérrez","doi":"10.1016/j.regg.2024.101607","DOIUrl":"10.1016/j.regg.2024.101607","url":null,"abstract":"<div><div>The jellyfish <em>Turritopsis dohrnii</em> (<em>T. Nutricala</em>) is a cnidarian of the Oceaniidae family that lives in the Mediterranean Sea. It is known as the immortal jellyfish since, through a process of cell development called transdifferentiation, it manages to return to a polyp state. The role of regeneration processes and their impact on aging have been studied in recent years for their potential applications in the development of more efficient pharmacology to address disorders related to aging. Reviewing the terms related to transdifferentiation in jellyfish and understanding the underlying mechanisms can help comprehend diverse processes such as aging, regeneration, and the molecular bases of diseases like cancer. This paper's purpose is to provide a description of the regenerative characteristics of the jellyfish <em>T. dohrnii</em>, investigate how its regenerative processes allow it to rejuvenate, and determine if these tissue restoration processes are also found in humans.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101607"},"PeriodicalIF":0.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886222","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":"Manicura gualda, lo que esconden las uñas","authors":"Sergio García-González,&nbsp;Sara Pilar Martínez-Cisneros,&nbsp;José González-Fernández,&nbsp;Victoria Lezcano-Biosca","doi":"10.1016/j.regg.2024.101615","DOIUrl":"10.1016/j.regg.2024.101615","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101615"},"PeriodicalIF":0.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886219","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 envejecimiento en poblaciones indígenas de la Amazonía peruana: una agenda pendiente de investigación","authors":"Dafne Lastra Landa ,&nbsp;Oscar Flores-Flores ,&nbsp;José F. Parodi","doi":"10.1016/j.regg.2024.101585","DOIUrl":"10.1016/j.regg.2024.101585","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101585"},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855936","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}