Annals of Geriatric Medicine and Research最新文献

Association of cachexia with activities of daily living and discharge destinations among inpatients with dysphagia in a convalescent rehabilitation phase; A multi-center cohort study. 病毒质与康复期住院吞咽困难患者日常生活活动及出院目的地的关系一项多中心队列研究。

IF 3.2

Annals of Geriatric Medicine and Research Pub Date : 2025-09-30 DOI: 10.4235/agmr.25.0048

Shintaro Togashi, Tomoyuki Murakami, Hidetaka Wakabayashi, Akio Shimizu, Shinta Nishioka, Ryo Momosaki

{"title":"Association of cachexia with activities of daily living and discharge destinations among inpatients with dysphagia in a convalescent rehabilitation phase; A multi-center cohort study.","authors":"Shintaro Togashi, Tomoyuki Murakami, Hidetaka Wakabayashi, Akio Shimizu, Shinta Nishioka, Ryo Momosaki","doi":"10.4235/agmr.25.0048","DOIUrl":"https://doi.org/10.4235/agmr.25.0048","url":null,"abstract":"Background: Although a recent study reported an association between cachexia, as defined by the Asian Working Group for Cachexia (AWGC), and lower functional recovery at discharge among post-stroke patients capable of oral intake during the convalescent rehabilitation phase, its impact on functional recovery in patients with dysphagia remains unclear. This study aimed to evaluate the association between cachexia, according to AWGC criteria, and both functional status and discharge destinations among inpatients with dysphagia.Methods: This prospective cohort study enrolled 198 inpatients with dysphagia from eight convalescent rehabilitation hospitals. Cachexia was defined using the AWGC criteria at baseline. The primary outcome was the total Functional Independence Measure (FIM) at discharge, while the secondary outcomes were the Food Intake LEVEL Scale (FILS) score and discharge destinations. We applied generalized linear models to evaluate the association between cachexia and total FIM score at discharge, adjusting for age, sex, baseline FILS score, comorbidities, and use of enteral nutrition.Results: Of 198 patients, the median age was 83.0 (interquartile range, 77.0 to 88.0) years; 111 (56.1%) were women, and 33 (16.7%) had cachexia. After adjusting for covariates, cachexia was not significantly associated with total FIM score at discharge (β = 0.03 [95% CI, -0.10 to 0.15], p = 0.66), FILS (β = 0.23 [95% CI, -0.53 to 1.00], p = 0.55), or discharge destinations including discharge to home (β = 0.25 [95% CI, -0.75 to 1.35], p = 0.63).Conclusions: Cachexia, as defined by the AWGC, was not significantly associated with either functional status at discharge or discharge destinations among inpatients with dysphagia undergoing convalescent rehabilitation.","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193393","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

Social frailty in older adults: proposal and application of an original measurement index. 老年人社会脆弱性：一种原始测量指标的提出与应用。

IF 3.2

Annals of Geriatric Medicine and Research Pub Date : 2025-09-30 DOI: 10.4235/agmr.25.0095

Hernán-David García-Botina, Gloria-María Sierra-Hincapié

{"title":"Social frailty in older adults: proposal and application of an original measurement index.","authors":"Hernán-David García-Botina, Gloria-María Sierra-Hincapié","doi":"10.4235/agmr.25.0095","DOIUrl":"https://doi.org/10.4235/agmr.25.0095","url":null,"abstract":"Objective: To develop and apply a multidimensional Social Frailty Index (SFI) to estimate the prevalence of social frailty among older adults in four departments of Colombia.Methods: A cross-sectional, analytical study was conducted using secondary data from the SABE Colombia 2016 survey. The study included 3,506 individuals aged 60 years and older residing in Antioquia, Caldas, Risaralda, and Quindío. Variables from demographic, health, and social domains were analyzed using Principal Component Analysis (PCA) to construct the SFI. Individuals scoring above the 75th percentile were classified as socially frail.Results: The prevalence of social frailty was 25.3% (95% CI: 23.8-26.7), with higher rates observed among men (29.2%) and individuals aged 75 years and older (32.4%), as well as among residents of Antioquia. Four latent components were identified: (1) functional dependence; (2) social engagement and participation; (3) social and emotional isolation; and (4) perceived health and healthcare quality. The index showed consistency with theoretical frameworks and international tools.Conclusions: This multidimensional index allows for early identification of vulnerable older adults, supporting targeted interventions and public health planning. Further research is needed to standardize measurement criteria and to evaluate the predictive value of social frailty in relation to outcomes such as disability, multimorbidity, mortality, and quality of life.","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193409","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

Developing a Latin American Delphi consensus on vaccination for respiratory diseases in older adults. 在老年人呼吸道疾病疫苗接种方面形成拉丁美洲德尔菲共识。

IF 3.2

Annals of Geriatric Medicine and Research Pub Date : 2025-09-11 DOI: 10.4235/agmr.25.0087

José F Parodi, Fernando M Runzer-Colmenares, Carlos Cano-Gutiérrez, José Luis Dinamarca-Montecinos, Patricio Buendía-Gomez de La Torre, Paulo Fortes Villas Boas, Javier A Flores-Cohaila, Diego Urrunaga-Pastor, Luis Miguel Gutiérrez-Robledo

{"title":"Developing a Latin American Delphi consensus on vaccination for respiratory diseases in older adults.","authors":"José F Parodi, Fernando M Runzer-Colmenares, Carlos Cano-Gutiérrez, José Luis Dinamarca-Montecinos, Patricio Buendía-Gomez de La Torre, Paulo Fortes Villas Boas, Javier A Flores-Cohaila, Diego Urrunaga-Pastor, Luis Miguel Gutiérrez-Robledo","doi":"10.4235/agmr.25.0087","DOIUrl":"https://doi.org/10.4235/agmr.25.0087","url":null,"abstract":"Background: Respiratory infections significantly impact older adults in Latin America, highlighting the need for regionally adapted consensus-based vaccination recommendations to guide preventive strategies. This study aimed to develop a consensus among Latin American experts on vaccination against respiratory diseases in older adults in the region, including influenza, Streptococcus pneumoniae pneumonia, COVID-19, respiratory syncytial virus (RSV), and pertussis.Methods: A two-round Delphi methodology was employed, involving 35 specialists from various medical fields. A rapid evidence review was conducted using scientific databases and clinical practice guideline repositories. Participants evaluated each recommendation on a 1-to-5 scale; recommendations with 80% acceptance (score of 4 or higher) were approved.Results: The consensus resulted in recommendations for administering Tdap boosters every 10 years for pertussis and annual influenza vaccination in adults aged 65 years or older, using high-dose or adjuvanted formulations. Additionally, primary and annual booster COVID-19 vaccinations were recommended, along with a single dose of RSV vaccine for individuals aged 75 years and older, providing protection for at least two winter seasons. Routine administration of Pneumococcal Conjugate Vaccine (PCV) 15 or PCV20 was also recommended for adults aged 65 years or older who had not previously received a pneumococcal conjugate vaccine.Conclusions: The consensus provides a vaccination guide tailored to the Latin American context, aiming to bridge gaps in vaccination coverage among older adults in the region. This effort seeks to reduce the burden of respiratory diseases on frail healthcare systems and promote healthy aging in Latin America.","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034220","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

Dose-response Association between Hand Dexterity and Functional Disability: A Longitudinal Study from the Kasama Study. 手灵巧与功能障碍的剂量-反应关系：来自Kasama研究的纵向研究。

IF 3.2

Annals of Geriatric Medicine and Research Pub Date : 2025-09-08 DOI: 10.4235/agmr.25.0075

Namhoon Lim, Kenji Tsunoda, Jaehoon Seol, Yujiro Asano, Koki Nagata, Taishi Tsuji, Keisuke Fujii, Yuya Fujii, Kaori Teraoka, Tomohiro Okura

{"title":"Dose-response Association between Hand Dexterity and Functional Disability: A Longitudinal Study from the Kasama Study.","authors":"Namhoon Lim, Kenji Tsunoda, Jaehoon Seol, Yujiro Asano, Koki Nagata, Taishi Tsuji, Keisuke Fujii, Yuya Fujii, Kaori Teraoka, Tomohiro Okura","doi":"10.4235/agmr.25.0075","DOIUrl":"https://doi.org/10.4235/agmr.25.0075","url":null,"abstract":"Background: Poor hand dexterity may increase the risk of functional disability; however, few studies have examined the relationship between hand dexterity and incident functional disability. The aim of this study was to prospectively investigate the dose-response association of hand dexterity with incident functional disability in community-dwelling older adults.Methods: This study included 1,069 older adults aged ≥65 years in Kasama City, Japan. Peg-moving and circle-drawing tasks were used to evaluate hand dexterity. Functional disability was identified using the Japanese Long-Term Care Insurance System database. Restricted cubic spline analysis was performed to investigate the dose-response association between hand dexterity and incident functional disability.Results: During a mean follow-up of 8.5 years (maximum 14.0 years), 248 participants (23.2%) developed functional disability. The lowest performance group in each hand dexterity test had a significantly higher risk of functional disability than the highest performance group (peg-moving: HR = 1.92, 95% CI = 1.29-2.87; circle drawing: HR = 1.66, 95% CI = 1.15-2.41). Spline analysis confirmed curvilinear dose-response associations between hand dexterity and incident functional disability. Increased risk was observed when participants performed worse than the cut points (peg-moving: 37.9/38.0 seconds; circle drawing: 21/20 points), and no decreased risk was observed for those who performed better than these cut points.Conclusion: Easily evaluated hand dexterity tests may be valuable for predicting functional disability in older adults. Curvilinear dose-response associations suggest that maintaining adequate hand dexterity could be a key strategy to support functional independence.","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145013438","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

Reliability and validity of a self-administrated online assessment of intrinsic capacity: a Singapore cohort study. 内在能力自我管理在线评估的信度和效度：一项新加坡队列研究。

IF 3.2

Annals of Geriatric Medicine and Research Pub Date : 2025-09-03 DOI: 10.4235/agmr.25.0036

Choo Wai Munn Robin, Lau Lay Khoon, Cheong Li Ling Grace, Tan Chong Sheng Micah, Tov William, Straughan Paulin, Ding Yew Yoong, Lim Wee Shiong

{"title":"Reliability and validity of a self-administrated online assessment of intrinsic capacity: a Singapore cohort study.","authors":"Choo Wai Munn Robin, Lau Lay Khoon, Cheong Li Ling Grace, Tan Chong Sheng Micah, Tov William, Straughan Paulin, Ding Yew Yoong, Lim Wee Shiong","doi":"10.4235/agmr.25.0036","DOIUrl":"10.4235/agmr.25.0036","url":null,"abstract":"Objective: To ascertain the construct validity and reliability of a self-administered web-based assessment of intrinsic capacity (IC).Design: Cross-sectional data analysis of a prospective cohort study.Settings and participants: We included data from 6,434 respondents (age, mean (SD): 65.33 (5.81) years; 52.4% women) of the Singapore Life Panel population study who participated in the online surveys in March 2022 and May 2022.Methods: Incremental nested factor structures of IC were modelled with confirmatory factor analysis (CFA) and their goodness-of-fit were assessed mainly with root mean square error of approximation (RMSEA), comparative fit index (CFI), Tucker-Lewis index (TLI), and standardized root mean square residual (SRMR). With the most parsimonious model as our eventual factor structure, we further evaluated IC and its domains with reliability indices.Results: CFA demonstrated construct validity for the second-order factor structure with acceptable overall model fit (χ2(147)=7,696.276, p<0.001; CLI=0.947; TLI=0.938; RMSEA=0.089; SRMR=0.051). Amongst the domains, vitality had highest factor loading (0.889) whereas locomotion and cognition (0.534 and 0.601 respectively) had lowest loadings with the second-order IC factor. All five IC domains and the general IC factor fulfilled reliability thresholds (construct validity, CR or hierarchical omega≥0.7; average variance extracted≥0.5); psychological and locomotion domains have high CR (>0.9) whereas vitality and sensory domains have lower values of CR.Conclusions and implications: Our study provides proof-of-concept evidence regarding the construct validity and reliability of a self-administered web-based assessment of IC index that can potentially be scalable in other population settings.","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973363","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

Association between Pain-Related Quality of Life and Uncontrolled Blood Pressure in Older Hypertensive Patients: Mediating Factors. 中国老年高血压患者疼痛相关生活质量与血压控制的关系：中介因素

IF 3.2

Annals of Geriatric Medicine and Research Pub Date : 2025-09-01 Epub Date: 2025-07-22 DOI: 10.4235/agmr.25.0012

Dandan Zhang, Jiani Guo, Yuanyuan Liu, Lijuan Ding, Wenya Wu, Lili Wang, Xiaohua Wang

{"title":"Association between Pain-Related Quality of Life and Uncontrolled Blood Pressure in Older Hypertensive Patients: Mediating Factors.","authors":"Dandan Zhang, Jiani Guo, Yuanyuan Liu, Lijuan Ding, Wenya Wu, Lili Wang, Xiaohua Wang","doi":"10.4235/agmr.25.0012","DOIUrl":"10.4235/agmr.25.0012","url":null,"abstract":"Background: Hypertension and chronic pain frequently co-occur in older adults. However, research on this association in older hypertensive patients is scarce. Self-perceptions of aging (SPA)-one's concept about aging-correlates with pain-related quality of life (pQOL) and predicts medication adherence, a pillar of blood pressure (BP) control. This study examined the association between pQOL and uncontrolled BP in older hypertensive patients, exploring whether SPA and medication adherence mediate it: a novel exploration of psychological-behavioral pathways in pain-hypertension association.Methods: The study involved 622 hypertensive patients aged 60 and above in Suzhou, China. Variables were compared using ANOVA and χ2 tests, respectively. Adjusted binary logistic regression models examined the pQOL-uncontrolled BP relationship, while Spearman correlation analyzed associations between pQOL, medication adherence, and negative control. We performed chain mediation analysis (PROCESS Macro) with bootstrapping.Results: Higher pQOL scores significantly predicted uncontrolled BP (Q2, Q3, Q4; odds ratio [OR]=2.77, 5.50, 3.45; p=0.002, <0.001, 0.001, respectively). Negative control mediated the relationship between pQOL (b=-0.007, p<0.001) and uncontrolled SBP (OR=0.670, p<0.01, respectively), while the chain mediation of negative control and medication adherence contributed to both uncontrolled SBP (mediation effect=0.017, p<0.01) and uncontrolled DBP (mediation effect=0.018, p<0.01).Conclusion: Higher pQOL scores was associated with higher prevalence of uncontrolled BP. The mediating role of negative control and medication adherence was identified in the relationship between pQOL and uncontrolled BP (SBP/DBP) in older hypertensive patients.","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"314-325"},"PeriodicalIF":3.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12489602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683340","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}

引用次数: 0

Relationship between Physical Function at Admission and Walking Ability at Discharge in Older Adults with Vertebral Compression Fractures: An Analysis Using Propensity Score Matching. 老年椎体压缩性骨折患者入院时身体功能与出院时行走能力的关系：倾向评分匹配分析

IF 3.2

Annals of Geriatric Medicine and Research Pub Date : 2025-09-01 Epub Date: 2025-04-16 DOI: 10.4235/agmr.24.0180

Kodai Hosaka, Hiroshi Otao, Eri Nishi, Junpei Imamura, Junko Tanaka, Hajime Shibata

{"title":"Relationship between Physical Function at Admission and Walking Ability at Discharge in Older Adults with Vertebral Compression Fractures: An Analysis Using Propensity Score Matching.","authors":"Kodai Hosaka, Hiroshi Otao, Eri Nishi, Junpei Imamura, Junko Tanaka, Hajime Shibata","doi":"10.4235/agmr.24.0180","DOIUrl":"10.4235/agmr.24.0180","url":null,"abstract":"Background: Vertebral compression fractures (VCFs) are common among older adults, with the highest prevalence observed in Japan. These fractures cause pain, reduce quality of life, and increase the need for physical therapy. This study identified key factors at admission that predict walking ability at discharge in patients with VCFs.Methods: This retrospective cohort study included 143 patients aged ≥65 years with VCFs. VCFs are fractures in which only the anterior column of the vertebral body collapses. The primary variables assessed upon admission included the revised Hasegawa Dementia Scale (HDS-R) score, grip strength, skeletal muscle mass index (SMI), and phase angle (PhA). Propensity score matching was applied to adjust for background factors, after which a logistic regression analysis using a generalized linear model was conducted to determine whether these variables influenced walking ability at discharge.Results: Significant associations were observed between walking ability at discharge and HDS-R score at admission (p<0.001, effect size [ES]=0.42), grip strength (p=0.027, ES=0.23), SMI (p=0.025, ES=0.23), and PhA (p<0.001, ES=0.40). Logistic regression analysis indicated that HDS-R score (odds ratio [OR]=1.19, p=0.005) and PhA (OR=3.21, p=0.015) during admission significantly predicted walking ability at discharge.Conclusion: Walking ability at discharge in patients with VCFs can be predicted based on early assessments. In particular, HDS-R score and PhA at admission may serve as key indicators for prognosis in patients with VCFs.","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"335-342"},"PeriodicalIF":3.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12489606/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055400","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}

引用次数: 0

Life Expectancy of the Tokugawa Shogun Family Estimated from Edo Period Historical Records. 从江户时代的历史记录估计德川幕府家族的预期寿命。

IF 3.2

Annals of Geriatric Medicine and Research Pub Date : 2025-09-01 Epub Date: 2025-04-21 DOI: 10.4235/agmr.25.0008

Hisashi Fujita, Shinya Matsukawa, Hiroomi Tsumura, Dong Hoon Shin

{"title":"Life Expectancy of the Tokugawa Shogun Family Estimated from Edo Period Historical Records.","authors":"Hisashi Fujita, Shinya Matsukawa, Hiroomi Tsumura, Dong Hoon Shin","doi":"10.4235/agmr.25.0008","DOIUrl":"10.4235/agmr.25.0008","url":null,"abstract":"Background: This study aims to estimate the average life expectancy of the Tokugawa Shogun family by analyzing historical documents. The data is also compared to modern Japanese life expectancy figures.Methods: The lifespan of members of the Tokugawa Shogun family is estimated based on data from Edo-period documents. We assess survival rates by age, sex, and other factors. Lunar calendar dates are converted into solar calendar dates, and birth years are counted as age 0 to ensure that the estimated life expectancy is comparable to modern Japanese estimates, free from bias.Results: The mean life expectancy at birth for males in the Tokugawa Shogun family is 20.93±25.03 years, and for females, it is 20.53±25.16 years. The pooled result for both sexes is 20.75±25.00 years.Conclusions: The life expectancy of the Tokugawa Shogun family is lower than that of modern Japanese, despite their status as the supreme elite class in Edo-period Japan. This reduced life expectancy is primarily attributed to high infant mortality rates, though survival rates for individuals aged 10 and above remained relatively consistent.","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"343-351"},"PeriodicalIF":3.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12489592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049917","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}

引用次数: 0

Integrated Care at Home: A Novel Home-Based Medical Care Program for Community-Dwelling Frail Older Adults in Hong Kong. 居家综合护理是一项为香港社区体弱长者而设的全新家居医疗护理计划。

IF 3.2

Annals of Geriatric Medicine and Research Pub Date : 2025-09-01 Epub Date: 2025-05-27 DOI: 10.4235/agmr.25.0006

Ellen Maria Yuen Yee Tam, Lok Ling Leung, Ka Shing Ho, Chi Cheung Michael Lau, Fung Wah Chao, Yuen Mei Lau, Man Fai Ng, Yiu Keung Kwan

{"title":"Integrated Care at Home: A Novel Home-Based Medical Care Program for Community-Dwelling Frail Older Adults in Hong Kong.","authors":"Ellen Maria Yuen Yee Tam, Lok Ling Leung, Ka Shing Ho, Chi Cheung Michael Lau, Fung Wah Chao, Yuen Mei Lau, Man Fai Ng, Yiu Keung Kwan","doi":"10.4235/agmr.25.0006","DOIUrl":"10.4235/agmr.25.0006","url":null,"abstract":"Background: Caring for very frail community-dwelling older adults is challenging because of their complicated medical backgrounds. The lack of timely medical support leads to frequent Accident and Emergency Department (AED) attendance, prolonged hospitalizations, and discharge problems. Integrated Care at Home (ICAH) program aims to support aging in place by establishing an on-site, need-based, integrated medical care model, so as to reduce hospital burden and caregiver stress.Methods: The ICAH program serves community-dwelling frail elderly who are bedridden, functionally dependent, in need of intensive medical and nursing care, and with frequent or prolonged hospitalizations, by providing regular on-site community nurse and geriatrician visits, ad-hoc consultations and caregiver support. This retrospective observational study included patients recruited to ICAH between February 1, 2018 to August 31, 2023. We reviewed our service provision, patients' demographics, 180-day AED visits and hospitalization days, and caregivers' 3-month Relative Stress Scale.Results: Seventy-six patients were recruited with a median age of 90 and a median Clinical Frailty Scale of 8. Among them, 92% had advanced dementia, 30% had deep pressure injuries, and 43% had recurrent sepsis within a year; 3.7 nursing and 0.4 medical visits were delivered per patient per month. The 180-day AED attendance rates decreased from 15.3 to 3.2 per 1,000 PD (patient days) (p<0.001). Rates of hospitalization days decreased from 266.4 to 29.7 per 1,000 PD (p<0.001). Median Relative Stress Scale decreased from 24.5 to 16 (p=0.001) at 3 months.Conclusion: The ICAH program is able to facilitate community care for the very frail elderly, significantly reducing their AED attendance, hospital stay, and caregiver stress.","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"352-359"},"PeriodicalIF":3.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12489601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250181","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}

引用次数: 0

Study on the Factors Associated with Preparation for Later Life among Aging Individuals with Disabilities. 老年残疾人晚年生活准备相关因素的研究。

IF 3.2

Annals of Geriatric Medicine and Research Pub Date : 2025-09-01 Epub Date: 2025-06-02 DOI: 10.4235/agmr.25.0044

Yu-Na Lee, Ji-Hee Woo

引用次数: 0