European Geriatric Medicine最新文献

筛选
英文 中文
The motion of resistance: radical autonomy and the medicalization of the mundane in Shoojit Sircar's Piku. 《皮库》中反抗的运动:激进的自治和世俗的医学化。
IF 3.9 3区 医学
European Geriatric Medicine Pub Date : 2026-08-14 DOI: 10.1007/s41999-026-01588-7
Samikhya Dash, Soumya Jose
{"title":"The motion of resistance: radical autonomy and the medicalization of the mundane in Shoojit Sircar's Piku.","authors":"Samikhya Dash, Soumya Jose","doi":"10.1007/s41999-026-01588-7","DOIUrl":"https://doi.org/10.1007/s41999-026-01588-7","url":null,"abstract":"<p><p>This article evaluates Shoojit Sircar's Piku [1] within the geriatric medical canon, examining its subversion of traditional aging tropes that equate old age with inevitable decline, loss of autonomy, and passive dependency. Centered on the protagonist Bhashkor Banerjee's chronic constipation, the narrative explores the medicalization of the mundane, where both bowel motion and bodily movement become intertwined sites through which elderly agency is negotiated. Through a gerontological lens, the film portrays the domestic space as a site of conflict between the autonomy of the aging subject and the ethical demands of caregiving. By analyzing Bhashkor's refusal to be governed-manifested in a cross-country road trip and his reclamation of physical agency via a bicycle ride in Kolkata-this study identifies a shift from the conventional senescence-as-loss narrative. It argues that Piku reimagines ageing through the interdependence of bodily autonomy, mobility, and caregiving, offering a reimagined framework for filial maturity that privileges the elderly subject's right to pleasure, agency, and negotiated care over clinical safety.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148759853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Circulating biomarkers of the brain-muscle-metabolic axis in primary sarcopenia: neudesin, nesfatin-1, and irisin. 原发性肌肉减少症中脑-肌代谢轴的循环生物标志物:neudesin、nesfat -1和鸢尾素。
IF 3.9 3区 医学
European Geriatric Medicine Pub Date : 2026-08-14 DOI: 10.1007/s41999-026-01582-z
Gulru Ulugerger Avci, Seyda Bilgin, Yunus Avci, Gunay Can, Ibrahim Murat Bolayirli, Deniz Suna Erdincler, Alper Doventas
{"title":"Circulating biomarkers of the brain-muscle-metabolic axis in primary sarcopenia: neudesin, nesfatin-1, and irisin.","authors":"Gulru Ulugerger Avci, Seyda Bilgin, Yunus Avci, Gunay Can, Ibrahim Murat Bolayirli, Deniz Suna Erdincler, Alper Doventas","doi":"10.1007/s41999-026-01582-z","DOIUrl":"https://doi.org/10.1007/s41999-026-01582-z","url":null,"abstract":"<p><strong>Purpose: </strong>Sarcopenia is an age-related geriatric syndrome characterized by the progressive loss of skeletal muscle mass, strength, and physical performance. Although muscle-based assessments remain central to diagnosis, no specific circulating biomarker is currently available for early detection. Emerging evidence suggests that neudesin, nesfatin-1, and irisin are involved in muscle metabolism, energy homeostasis, and the regulation of inflammation. This study aimed to investigate the association of these biomarkers with primary sarcopenia in older adults and to evaluate their potential diagnostic utility.</p><p><strong>Methods: </strong>This study included 88 participants aged ≥ 65 years (58 women, 30 men), excluding secondary sarcopenia. Diagnosis was based on EWGSOP2 criteria. Serum neudesin, nesfatin-1, and irisin levels were measured by enzyme-linked immunosorbent assay (ELISA). Sociodemographic characteristics, comorbidities, medication use, anthropometric parameters, and comprehensive geriatric assessment data were collected.</p><p><strong>Results: </strong>Serum concentrations of neudesin, nesfatin-1, and irisin were significantly lower in individuals with sarcopenia compared to non-sarcopenic controls (p = 0.001, p < 0.001, and p < 0.001, respectively). After adjustment for body mass index (BMI), neudesin and nesfatin-1 remained independently associated with sarcopenia, whereas the association between irisin and sarcopenia was attenuated. All three biomarkers demonstrated good discriminatory ability for sarcopenia.</p><p><strong>Conclusion: </strong>Reduced serum concentrations of neudesin, nesfatin-1, and irisin are significantly associated with primary sarcopenia in older adults. Nesfatin-1 and neudesin appear to be the most robust biomarker candidates, independent of adiposity. These results suggest that sarcopenia involves alterations in interconnected metabolic, endocrine, and neurotrophic pathways within the brain-muscle-metabolic axis. This study is the first to evaluate a combined neurotrophic, myokine, and metabolic biomarker panel in primary sarcopenia. Additional prospective studies are necessary to validate these findings and determine their clinical relevance.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148761225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Outcomes after initial nonoperative management of undisplaced intracapsular femoral neck fractures: a five-year single-center cohort study with structured literature review. 未移位的股骨颈囊内骨折初始非手术治疗后的结果:一项为期五年的单中心队列研究,并进行结构化文献回顾。
IF 3.9 3区 医学
European Geriatric Medicine Pub Date : 2026-08-13 DOI: 10.1007/s41999-026-01580-1
Joshua Cara, Basit Mir, Mohamed Abdo Khalafallah, Duncan Muir, Ali Narvani, Arshad Khaleel, Mohamed A Imam
{"title":"Outcomes after initial nonoperative management of undisplaced intracapsular femoral neck fractures: a five-year single-center cohort study with structured literature review.","authors":"Joshua Cara, Basit Mir, Mohamed Abdo Khalafallah, Duncan Muir, Ali Narvani, Arshad Khaleel, Mohamed A Imam","doi":"10.1007/s41999-026-01580-1","DOIUrl":"10.1007/s41999-026-01580-1","url":null,"abstract":"<p><strong>Background: </strong>Early surgical fixation is the standard approach for intracapsular femoral neck (neck of femur; NOF) fractures. However, a small subgroup of patients is managed conservatively because operative risks outweigh benefits, or due to patient preference. We evaluated outcomes of initial nonoperative management in older adults and contextualised our findings through a structured literature review.</p><p><strong>Methods: </strong>We conducted a retrospective observational cohort study at a UK tertiary orthopaedic trauma unit (January 2018-August 2023). Patients with undisplaced or valgus-impacted NOF fractures initially managed nonoperatively, were included. The primary outcome was treatment failure, defined as conversion to operative fixation or arthroplasty. Secondary outcomes included 30- and 90-day mortality, and treatment-related complications.</p><p><strong>Results: </strong>38 patients were analysed. Most fractures were AO/OTA type 31-B1 (n = 29/38). The majority of patients were ASA class II-III (n = 14 and n = 15, respectively). 13 patients required delayed surgery (34%; 95% CI 21-50%), most commonly hemiarthroplasty (n = 9), followed by total hip arthroplasty (n = 3) and dynamic hip screw fixation (n = 1). The mean time from injury to surgery in those converted was 49 days (range 1-208). Of the 25 patients remaining nonoperative, 14 had no fracture-related readmissions, while two had persistent pain or poor mobility. 30-day mortality was 18% (7/38), and the 90-day mortality was 24% (9/38).</p><p><strong>Conclusion: </strong>Initial nonoperative management can avoid surgery in selected patients but carries a substantial risk of delayed conversion and prolonged time to definitive fixation. If chosen, a standardised pathway with close clinical and radiographic follow-up and clear escalation triggers is essential.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148727339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fall-Risk-Increasing drugs and falls in community-dwelling older adults: a prospective cohort study in a single Danish municipality. 在社区居住的老年人中增加跌倒风险的药物和跌倒:一项丹麦单一城市的前瞻性队列研究。
IF 3.9 3区 医学
European Geriatric Medicine Pub Date : 2026-08-12 DOI: 10.1007/s41999-026-01568-x
Thorbjørn Irskov Mortensen, Gustav Valentin Gade, Martin Grønbech Jørgensen, Lotta Seppala, Nathalie van der Velde, Tahir Masud, Jesper Ryg
{"title":"Fall-Risk-Increasing drugs and falls in community-dwelling older adults: a prospective cohort study in a single Danish municipality.","authors":"Thorbjørn Irskov Mortensen, Gustav Valentin Gade, Martin Grønbech Jørgensen, Lotta Seppala, Nathalie van der Velde, Tahir Masud, Jesper Ryg","doi":"10.1007/s41999-026-01568-x","DOIUrl":"10.1007/s41999-026-01568-x","url":null,"abstract":"<p><strong>Purpose: </strong>Fall-risk-increasing drugs (FRIDs) are a significant and modifiable risk factor for falls in older adults. However, prospective data using robust fall ascertainment on specific FRID classes are scarce in community-dwelling populations. We aimed to investigate the association between individual FRID classes and both single and recurrent falls in older community-dwelling adults.</p><p><strong>Methods: </strong>We analysed data from a Danish prospective cohort of 241 community-dwelling adults aged ≥ 75 years. Medication records were collected at baseline, and drugs were classified using the STOPPFall consensus FRIDs list. Falls were recorded prospectively for 1 year using monthly fall-calendars, verified using telephone follow-ups. Associations between FRIDs and one-time (1 fall) and recurrent falls (≥ 2 falls) were explored using Cox proportional hazards model, adjusting for clinical and sociodemographic factors.</p><p><strong>Results: </strong>The median (IQR) age was 82 (80, 86) years, 66.4% were women, and 43.6% had a positive fall history. Prevalences of polypharmacy and use of any FRID were 70.5% and 73.9%, respectively. During follow-up, 88 participants (36.5%) fell at least once while 41 participants (17.0%) fell twice or more. The total number of FRIDs was not associated with falls. Baseline use of benzodiazepine-related drugs, strong anticholinergics, and antiepileptics were significantly associated with recurrent falls in the fully adjusted analyses with hazard ratios (95% confidence intervals) of 3.34 (1.28-8.75), 2.48 (1.04-5.89), and 4.78 (1.24-18.35), respectively.</p><p><strong>Conclusion: </strong>Several specific FRID classes were significantly associated with recurrent falls in this cohort of well-functioning community-dwelling adults, highlighting the importance of targeted medication review and careful prescribing strategies.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148726935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of bodyweight interval training on frailty status in older adults: a randomized controlled trial. 体重间歇训练对老年人虚弱状态的影响:一项随机对照试验。
IF 3.9 3区 医学
European Geriatric Medicine Pub Date : 2026-08-12 DOI: 10.1007/s41999-026-01579-8
Lucas Marques Vieira, Danilo Sales Bocalini, Clarcson Plácido Conceição Dos Santos, Leandro Brasil Rego, Rodrigo Villar, Aylton José Figueira Júnior, Rodrigo Chaves da Silva, Ana Paula de Souza Lima, Ruy Barbosa Martins Calheiros Netto, Felício Savioli Neto, Taina Costa Nonato, João Paulo Pinto, Francisco Luciano Pontes Júnior
{"title":"Effect of bodyweight interval training on frailty status in older adults: a randomized controlled trial.","authors":"Lucas Marques Vieira, Danilo Sales Bocalini, Clarcson Plácido Conceição Dos Santos, Leandro Brasil Rego, Rodrigo Villar, Aylton José Figueira Júnior, Rodrigo Chaves da Silva, Ana Paula de Souza Lima, Ruy Barbosa Martins Calheiros Netto, Felício Savioli Neto, Taina Costa Nonato, João Paulo Pinto, Francisco Luciano Pontes Júnior","doi":"10.1007/s41999-026-01579-8","DOIUrl":"10.1007/s41999-026-01579-8","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effect of bodyweight interval training on frailty status in older adults.</p><p><strong>Methods: </strong>A randomized controlled trial was conducted with 60 frail older adults (74.0 ± 6.0 years; 72.4% women). Participants were allocated to bodyweight interval training (BWIT = 30) for 24 weeks or to a control group (CG = 30) instructed to maintain their usual physical activities. Frailty status (Fried phenotype), physical-functional performance, cardiohemodynamic responses, and body composition were assessed at baseline and after 12 and 24 weeks. Longitudinal effects were analyzed using linear mixed-effects models and categorical between-group comparisons.</p><p><strong>Results: </strong>BWIT was associated with a higher probability of transition to less frail states over 24 weeks (p < 0.001), whereas the control group remained stable. Significant effects were observed in the intervention group (OR = 15.44; p = 0.006) and over time at 12 weeks (OR = 4.96; p = 0.005) and 24 weeks (OR = 15.24; p < 0.001). BWIT improved knee extension strength, five-times sit-to-stand performance, gait speed, and reduced blood pressure parameters (p < 0.001), with no relevant changes in body composition.</p><p><strong>Conclusion: </strong>BWIT was effective in modifying frailty status in older adults over 24 weeks and may represent a feasible and accessible strategy for frailty management in primary health care.</p><p><strong>Trial registration: </strong>RBR-23t5jbh (Brazilian Registry of Clinical Trials), registered September 4, 2024, retrospectively registered.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148724613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of implementation of secondary fracture prevention incentives after hip fracture and risk of subsequent fracture in real-world practice. 髋部骨折后二级骨折预防激励措施的实施与现实世界中后续骨折风险的关联。
IF 3.9 3区 医学
European Geriatric Medicine Pub Date : 2026-08-11 DOI: 10.1007/s41999-026-01584-x
Yoshinori Hiyama, Shosuke Ohtera
{"title":"Association of implementation of secondary fracture prevention incentives after hip fracture and risk of subsequent fracture in real-world practice.","authors":"Yoshinori Hiyama, Shosuke Ohtera","doi":"10.1007/s41999-026-01584-x","DOIUrl":"https://doi.org/10.1007/s41999-026-01584-x","url":null,"abstract":"<p><strong>Purpose: </strong>Secondary fracture prevention (SFP) after hip fracture is recommended in clinical guidelines but implementation remains suboptimal in routine practice. Financial incentives linked to SFP management have been introduced to address implementation gaps; however, whether such strategies reduce subsequent fractures in routine practice remains unclear. We evaluated the association between receipt of SFP incentives and subsequent fractures and explored factors associated with implementation.</p><p><strong>Methods: </strong>This nationwide retrospective cohort study using Japanese administrative claims data included 11,147 patients aged 60 years or older who underwent hip fracture surgery. The primary outcome was major osteoporotic fracture within 12 months, analyzed using Fine-Gray models accounting for the competing risk of death. Facility-level factors associated with acute-care incentive billing were examined using multilevel Poisson regression.</p><p><strong>Results: </strong>Overall, 4,019 patients (36.1%) received acute-care SFP incentives during the index hospitalization. Receipt of the acute-care incentive was associated with a 15% lower risk of subsequent fractures (subdistribution hazard ratio, 0.85; 95% confidence interval, 0.73 to 0.99). Incentive uptake was associated with hospital-level characteristics reflecting prior osteoporosis care performance, including Diagnosis Procedure Combination participation (risk ratio, 2.11; 95% confidence interval, 1.45 to 3.08) and higher prior-year osteoporosis assessment rates. Continuity of post-discharge management was limited: 66.0% of recipients had no subsequent incentive claims, and cumulative post-discharge claims were not associated with additional fracture risk reduction.</p><p><strong>Conclusion: </strong>Acute-care SFP incentives were associated with lower fracture risk in routine practice, but implementation and continuity were suboptimal, highlighting the need to improve SFP implementation across the post-fracture care pathway.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Longitudinal associations between oral and general health indicators among nursing home residents: an open cohort study based on interRAI assessments. 疗养院居民口腔和一般健康指标之间的纵向关联:基于interRAI评估的开放队列研究。
IF 3.9 3区 医学
European Geriatric Medicine Pub Date : 2026-08-11 DOI: 10.1007/s41999-026-01559-y
Emilie Schoebrechts, Dries De Witte, Patricia Ann Ivonne Vandenbulcke, Hein Petrus Johannes van Hout, Jan De Lepeleire, Anja Declercq, Dominique Declerck, Joke Duyck, Johanna de Almeida Mello
{"title":"Longitudinal associations between oral and general health indicators among nursing home residents: an open cohort study based on interRAI assessments.","authors":"Emilie Schoebrechts, Dries De Witte, Patricia Ann Ivonne Vandenbulcke, Hein Petrus Johannes van Hout, Jan De Lepeleire, Anja Declercq, Dominique Declerck, Joke Duyck, Johanna de Almeida Mello","doi":"10.1007/s41999-026-01559-y","DOIUrl":"https://doi.org/10.1007/s41999-026-01559-y","url":null,"abstract":"<p><strong>Purpose: </strong>Regular health assessments using interRAI instruments, including the Oral Health Screener (OHS), may help identify care needs and improve nursing home residents' oral health. This study explored longitudinal associations between oral health (OH) and general health (GH) indicators.</p><p><strong>Methods: </strong>InterRAI assessments from Flemish and Dutch nursing home residents aged ≥ 65 years (October 2020-February 2024) were included. OH was derived from the OHS and GH from Activities of Daily Living Hierarchy (ADLH), Depression Rating Scale (DRS), Cognitive Performance Scale (CPS) and Changes in Health, End-stage Disease, and Signs and Symptoms (CHESS). A joint model explored overall associations between indicators. Bivariate autoregressive models examined cross-lagged associations conditional on prior status.</p><p><strong>Results: </strong>In total, 12,586 assessments from 5450 residents were analyzed. Mean baseline age was 85.8 years (SD 7.7); 76.0% were women. All OH items were significantly interrelated, although correlations were mostly weak (< 0.4). Several cross-lagged associations between OH and GH indicators were observed, but effect sizes were small. Bidirectional associations were found between chewing function-ADLH, and discomfort/pain-both ADLH and CHESS. ADLH-problems were associated with poorer subsequent OH (teeth, tongue, palate-cheeks-lips). Depressive symptoms and higher CPS-scores were associated with later chewing difficulties and poorer denture hygiene, with depressive symptoms also linked to discomfort/pain. Chewing difficulties and poor gum and palate-cheeks-lips conditions were associated with subsequent health instability. Dry mouth was negatively associated with cognitive impairment.</p><p><strong>Conclusion: </strong>The findings suggest that OH and GH are interrelated and support considering OH as an integral part of general care rather than a separate domain.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development of an interprofessional education program for aspiration pneumonia care: an action research study. 吸入性肺炎护理跨专业教育计划的发展:一项行动研究。
IF 3.9 3区 医学
European Geriatric Medicine Pub Date : 2026-08-10 DOI: 10.1007/s41999-026-01490-2
Tadayuki Hashimoto, Yuki Yoshimatsu, Shinichi Matsumoto, Takayuki Ando, Kiichi Enomoto, Yasuhisa Fukuzoe, Keiko Hirose, Haruki Imura, Tomohiro Matsumoto, Taiju Miyagami, Yoichi Ohtake, Mamiko Ukai, Toru Morikawa
{"title":"Development of an interprofessional education program for aspiration pneumonia care: an action research study.","authors":"Tadayuki Hashimoto, Yuki Yoshimatsu, Shinichi Matsumoto, Takayuki Ando, Kiichi Enomoto, Yasuhisa Fukuzoe, Keiko Hirose, Haruki Imura, Tomohiro Matsumoto, Taiju Miyagami, Yoichi Ohtake, Mamiko Ukai, Toru Morikawa","doi":"10.1007/s41999-026-01490-2","DOIUrl":"https://doi.org/10.1007/s41999-026-01490-2","url":null,"abstract":"<p><strong>Introduction/aim: </strong>Aspiration pneumonia has evolved, with demographics shifting to predominantly frail older adults. However, despite the high healthcare impact, there is no established guideline or curriculum for the education and training of healthcare professionals in managing aspiration pneumonia in older adults. This study aimed to explore optimal educational interventions to improve holistic management of aspiration pneumonia in older adults, and to identify barriers and facilitators towards developing multidisciplinary teams specialized in this area.</p><p><strong>Methods: </strong>We conducted a multi-year action research study from 2019 to 2024 using Kern's six-step model across three annual cycles: exploratory (2020), prototyping (2021), and refinement (2022) phases. Participating hospitals across Japan recruited interprofessional teams consisting of physicians, dentists, nurses, pharmacists, physical, occupational, and speech-language therapists, dietitians, social workers, and care workers. The educational intervention combined streamlined pre-learning modules with interactive workshops featuring case-based simulation. Primary outcomes included participant satisfaction and establishment of a new multidisciplinary team at 6-month follow-up. We integrated quantitative metrics and qualitative thematic analysis to analyze data.</p><p><strong>Results: </strong>A total of 131 participants from 32 hospitals participated. Overall satisfaction scores remained consistently high: 4.4 ± 0.6 (2020), 4.5 ± 0.5 (2021), and 4.5 ± 0.6 (2022) out of 5.0. Pre-learning completion rates improved substantially from 84.4 to 96.1% following weekly reminders and mobile optimization. At 6-month follow-up, 37.5% (3/8) of teams without pre-existing multidisciplinary teams established new teams, while all other teams reported enhanced interprofessional activities and behavioral changes.</p><p><strong>Conclusion: </strong>Through iterative refinement in a collaborative practice paradigm, we demonstrated the critical importance of interprofessional collaboration in the management of older adults with aspiration pneumonia.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A simple quality-of-care intervention targeting nurses for improving care of older patients in the emergency department: a Western European multicenter study. 一个简单的护理质量干预针对护士提高护理老年患者在急诊科:西欧多中心研究。
IF 3.9 3区 医学
European Geriatric Medicine Pub Date : 2026-08-09 DOI: 10.1007/s41999-026-01543-6
Christophe de Terwangne, Andreas M Fischer, Anna Björg Jónsdóttir, Bastian Mizera, Michael Gagesch, Clemence Cuvelier, Adam L Gordon, Katrin Singler, Astrid D H Brys
{"title":"A simple quality-of-care intervention targeting nurses for improving care of older patients in the emergency department: a Western European multicenter study.","authors":"Christophe de Terwangne, Andreas M Fischer, Anna Björg Jónsdóttir, Bastian Mizera, Michael Gagesch, Clemence Cuvelier, Adam L Gordon, Katrin Singler, Astrid D H Brys","doi":"10.1007/s41999-026-01543-6","DOIUrl":"https://doi.org/10.1007/s41999-026-01543-6","url":null,"abstract":"<p><strong>Purpose: </strong>Emergency departments (EDs) face significant challenges in delivering high-quality care for older patients. Identifying barriers and developing stakeholder-informed interventions are essential to improve ED care. This study aimed to identify nurses' perceived barriers to caring for older ED patients and to develop and evaluate a targeted intervention to improve care quality.</p><p><strong>Methods: </strong>This multicenter quality improvement project (QIP) was conducted across EDs in four western European countries (2024-2025) using three iterative Plan-Do-Study-Act (PDSA) cycles. Cycle 1 involved a needs assessment among nurses to identify barriers. Cycle 2 focused on developing and evaluating the perceived helpfulness and feasibility of three proposed interventions. Cycle 3 implemented and evaluated the selected intervention. Nurses provided feedback throughout all PDSA cycles.</p><p><strong>Results: </strong>In Cycle 1, 82 nurses from eight EDs in Belgium (n = 22), Germany (n = 20), Switzerland (n = 30), and Iceland (n = 10) identified time constraints (n = 92; 39%), behavioral disorders (n = 30; 13%), and communication difficulties (n = 25; 11%) as key barriers. In Cycle 2, three interventions were proposed: (1) a QR-code leaflet to facilitate geriatric anamnesis through relatives, (2) educational sessions for nurses, and (3) an informative poster promoting family involvement. The QR-code and poster were evaluated as most helpful and feasible. In Cycle 3, a combined poster-QR-code intervention was developed and implemented across all sites and was well received, though with no measurable effect at this stage.</p><p><strong>Conclusion: </strong>Iterative PDSA cycles provided a structured framework to identify barriers, co-develop, and refine a context-specific intervention for geriatric ED care. The absence of an immediate effect underscores that continuous iteration and stakeholder engagement are essential to further enhance geriatric care within the complex ED setting.</p>","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148698151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Publisher Correction: Intensive care under uncertainty: a qualitative study of how older patients and their relatives wish to contribute to decision-making. 出版者更正:不确定性下的重症监护:老年患者及其亲属希望如何为决策做出贡献的定性研究。
IF 3.9 3区 医学
European Geriatric Medicine Pub Date : 2026-08-07 DOI: 10.1007/s41999-026-01567-y
Gabriele Leonie Schwarz, Britt Ågot Sjøbø, Elisabeth Skaar, Ingrid Miljeteig, Reidar Kvåle, Hans Flaatten, Karen E A Burns, Paul K J Han, Margrethe Schaufel
{"title":"Publisher Correction: Intensive care under uncertainty: a qualitative study of how older patients and their relatives wish to contribute to decision-making.","authors":"Gabriele Leonie Schwarz, Britt Ågot Sjøbø, Elisabeth Skaar, Ingrid Miljeteig, Reidar Kvåle, Hans Flaatten, Karen E A Burns, Paul K J Han, Margrethe Schaufel","doi":"10.1007/s41999-026-01567-y","DOIUrl":"10.1007/s41999-026-01567-y","url":null,"abstract":"","PeriodicalId":49287,"journal":{"name":"European Geriatric Medicine","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信
小红书