Zeitschrift Fur Gerontologie Und Geriatrie最新文献

{"title":"Observational study on the comparability of the clinical profiles of older adults with hip fractures and pelvic fractures in Germany.","authors":"Christoph Beyersdorf, Helmut Frohnhofen, Jana Albers, Henriette Louise Möllmann, David Latz, Uwe Maus, Carla Stenmanns","doi":"10.1007/s00391-026-02590-1","DOIUrl":"https://doi.org/10.1007/s00391-026-02590-1","url":null,"abstract":"<p><strong>Background/objective: </strong>Orthogeriatric co-management (OGCM) significantly improves outcomes in older adults with hip fractures; however, it remains unclear whether older adults with pelvic fractures can similarly benefit. This study aimed to compare clinical and geriatric profiles of older adults with hip fractures and pelvic fractures across relevant medical and geriatric domains. Demonstrating comparable profiles would support future prospective studies evaluating OGCM in patients with pelvic fractures.</p><p><strong>Methods: </strong>We retrospectively analyzed data from an ongoing observational study at our institution including 611 hospitalized adults aged 70 years or older with hip fractures (n = 535) or pelvic fractures (n = 76). Variables included age, functional status, comorbidity burden and incidence of delirium. Group comparisons were performed using the χ²-test for categorical variables and the Kruskal-Wallis test for continuous variables. After Bonferroni adjustment, a p-value < 0.005 was considered statistically significant. The study was approved by the Ethics Committee of the Medical Faculty of Heinrich Heine University.</p><p><strong>Results: </strong>The median age was 85 years (interquartile range 80-89 years) and 69% of patients were female. Hip fractures accounted for 87.6% of cases and pelvic fractures for 12.4%. Both groups showed a high burden of comorbidity and geriatric impairment, including cognitive impairment, functional limitations, frailty and medical comorbidity. Most clinical parameters were comparable between groups. Although surgery was performed much more frequently in the hip fracture group, no significant differences in the overall medical and geriatric profiles were observed except for transfusion rate and postoperative delirium.</p><p><strong>Conclusion: </strong>Older adults with hip fractures and pelvic fractures have largely comparable clinical and geriatric profiles. Given the established benefits of OGCM in hip fracture care, a similar approach could also benefit patients with pelvic fractures. This hypothesis should be evaluated in future prospective interventional studies.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Social space and narrative identity in old age : Approaching digitality in space and narration among persons in assisted living facilities].","authors":"Tjard de Vries, Christina Klank, Michael Doh, Ines Himmelsbach","doi":"10.1007/s00391-026-02571-4","DOIUrl":"10.1007/s00391-026-02571-4","url":null,"abstract":"<p><strong>Background: </strong>The article focuses on the perspectives of residents in assisted living facilities (BBW) on digitality, social space and biography and triangulates them.</p><p><strong>Objective: </strong>To what extent is digitality addressed in the representation of social spaces and in biographical narratives and placed in relation to each other?</p><p><strong>Material and methods: </strong>A comparison of 2 cases from a sample of 10 people in old and very old age (female = 8, male = 2; 77-95 years old) forms the basis for the analysis of sociospatial maps and the accompanying problem-centered interviews and biographical narrative interviews. Crucial to the triangulation of the data is the guiding perspective of the pervasion of social spaces by digitality and the reconstruction of narrative identities.</p><p><strong>Results: </strong>In the first case, there is a close interconnection between sociospatial and biographical aspects throughout the entire life course of the person interviewed. In the other case, the biographical narratives are much more focused on the past and the sociospatial orientation of the person interviewed is more strongly rooted in the present. With respect to digitality, in both cases the result is that a sociospatial and biographical anchoring strengthens the sustainable use of digital devices.</p><p><strong>Conclusion: </strong>The combination of both perspectives provides an in-depth approach to the living environment and subjective experiences of the target group. Combining both survey approaches provides greater insight into the resources and needs of the interviewees. This creates valuable points of reference for experts in assisted living facilities.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"201-207"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aged people with chronic diseases dying : An investigation of metaphorical perceptions and cognitive structure.","authors":"Sevgi Demir Çam, Sevda Uzun, Esra Aydin, Sueda Altindaş","doi":"10.1007/s00391-025-02538-x","DOIUrl":"10.1007/s00391-025-02538-x","url":null,"abstract":"<p><strong>Purpose: </strong>This study was designed to examine the metaphorical perceptions and cognitive structures of aged individuals with chronic diseases towards death.</p><p><strong>Methods: </strong>The research was conducted as a qualitative study based on metaphor analysis. Data were collected using a semi-structured interview form that investigated the metaphorical perceptions of 15 individuals with chronic diseases towards death and a form that was asked to be explained with drawing technique. In the semi-structured interview form \"Death is like … because …\", metaphor expression was included, and in the other part \"Describe your thoughts about death with drawings\", the form containing the expression was used. The data were analyzed using the content analysis technique. The study was conducted and reported according to the COREQ checklist.</p><p><strong>Results: </strong>It was determined that the old individuals with chronic diseases who participated in the study produced 4 metaphors with the writing technique and 4 metaphors with the drawing technique. As metaphors, the themes of end of life and a new beginning, extinction and feeling of emptiness, journey of life, salvation and reunion were determined.</p><p><strong>Conclusion: </strong>As a result of the study, it was determined that old individuals with chronic diseases had anxiety about death. In addition, it was determined that old individuals had negative and positive cognitive schemas about death. In this context, old individuals with chronic diseases may need psychosocial support systems.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"215-223"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Rethinking digital aging-Theoretical and conceptual impulses for digitality education in advanced age].","authors":"Michael Doh, Ines Himmelsbach","doi":"10.1007/s00391-026-02573-2","DOIUrl":"10.1007/s00391-026-02573-2","url":null,"abstract":"<p><strong>Background: </strong>Digital transformation is increasingly shaping the lives of older adults. Progress in the use of digital services can also be observed in senior housing arrangements and long-term care facilities.</p><p><strong>Objective: </strong>This article discusses theoretical and conceptual approaches from gerontology, remedial education and educational science regarding the specificity of digitality in advanced age.</p><p><strong>Material: </strong>The reflections are based on case studies of two vulnerable women in advanced age from the DiBiWohn project which reveal developments in digitality.</p><p><strong>Results: </strong>Forms of digitality can also be found in geriatric care settings that go beyond compensatory functions for social and physical losses and demonstrate potential for forms of participation, relationship maintenance and transformative education.</p><p><strong>Discussion: </strong>Classical gerontological concepts tend to emphasize the deficit compensatory functions of technology. In contrast, perspectives from remedial education and educational science may offer impulses for aging research that also capture the potentials of digitality in advanced age.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"182-187"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147534141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Framework conditions and conditions for success of digital education and participation in geriatric care facilities].","authors":"Diana Moroz, David Leopold, Judith Schoch, Michael Doh","doi":"10.1007/s00391-026-02567-0","DOIUrl":"10.1007/s00391-026-02567-0","url":null,"abstract":"<p><strong>Background: </strong>The proportion of older people in Germany is steadily increasing; by 2030, around one third of the population will be over 60 years old. Education and digital literacy are essential for their participation but many institutions lack WLAN and a digitalization strategy.</p><p><strong>Objective: </strong>The DiBiWohn project investigated the framework conditions and success factors that enable digital education offers through volunteer technical and digital support in various geriatric care settings.</p><p><strong>Material and methods: </strong>As part of an evaluation, eight project staff members were interviewed in guided expert interviews about their experiences in the implementation. This was supplemented by six interviews with facility managers from inpatient and outpatient geriatric care facilities. The evaluation was carried out using qualitative content analysis according to Mayring.</p><p><strong>Results: </strong>Openness, motivation and support from facility management have a decisive influence on the success of technical and digital support. Obstacles include a lack of WLAN, inadequate end devices, staff shortages and low technical affinity. In assisted living, greater autonomy and peer-to-peer concepts enable more successful implementation, while in inpatient facilities, structural and health limitations pose greater challenges.</p><p><strong>Discussion: </strong>Digital education processes in geriatric care require a suitable technical infrastructure, qualified technical support and institutional backing. The results underscore the need for flexibly adapted context-sensitive concepts that take the different conditions and needs of residents in various geriatric care settings into account.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"194-200"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147437170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digitale Bildung und soziale Teilhabe von Bewohner*innen aus Einrichtungen des Betreuten Wohnens und der stationären Langzeitpflege.","authors":"Cornelia Kricheldorff, Hans-Werner Wahl","doi":"10.1007/s00391-026-02572-3","DOIUrl":"https://doi.org/10.1007/s00391-026-02572-3","url":null,"abstract":"","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":"59 3","pages":"179-181"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mitteilungen des BV Geriatrie.","authors":"","doi":"10.1007/s00391-026-02580-3","DOIUrl":"https://doi.org/10.1007/s00391-026-02580-3","url":null,"abstract":"","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":"59 3","pages":"253-256"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predicting risk of falling in older adults using supervised machine learning: a comparative analysis of model performance.","authors":"Fatma Kübra Çekok, Veysel Alcan","doi":"10.1007/s00391-025-02508-3","DOIUrl":"10.1007/s00391-025-02508-3","url":null,"abstract":"<p><strong>Background: </strong>Falls in older adults pose a significant health risk and reliable predictive models for assessing the risk of falling would be highly beneficial and clinically relevant. This study evaluates the performance of various supervised machine learning (ML) algorithms in predicting the risk of falling (≥ 1 self-reported fall in the past year) using balance and functional ability measures.</p><p><strong>Methods: </strong>Data from 94 older adults were analyzed incorporating comprehensive assessments of physical function and balance, including the five-repetition sit-to-stand test (5XSTS), 30-second chair stand test (30CST), Berg balance scale (BBS), hip abduction strength, 6‑minute walk test (6 MWT) and 10-meter walk test (10 MWT). We implemented and compared four ML models: partial least squares discriminant analysis (PLS-DA), linear discriminant analysis (LDA), support vector machines (SVM) and k‑nearest neighbors (k-NN). Model performance was evaluated using cross-validation, with sensitivity, specificity, precision and accuracy. To provide a clinically interpretable benchmark, stepwise logistic regression with cross-validation was also applied.</p><p><strong>Results: </strong>All ML models demonstrated strong discriminatory power. The PLS-DA achieved the highest sensitivity (0.96), specificity (0.96), precision (0.96), accuracy (0.96) and area under the receiver operating characteristic curve (AUC, 0.97). The LDA and k‑NN exhibited balanced overall AUCs (0.94 and 0.96, respectively). The regression benchmark consistently retained a small subset of predictors, most often the 6 MWT, 30CST and BBS. These models achieved mean accuracy of 0.84, sensitivity of 0.82, specificity of 0.85 of and AUC of 0.94.</p><p><strong>Conclusion: </strong>Supervised ML models effectively predict the risk of falling in older adults, with PLS-DA emerging as the most robust classifier. While SVM showed strong predictive power, other models provided better clinical interpretability. Regression benchmarks highlight that a few functional measures already perform strongly but ML further improves classification by integrating multidimensional patterns. Importantly, as our design is retrospective, these findings represent a classification of the fall history rather than definitive prediction of future falls.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"208-214"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Digital education in care facilities for older people : Support concepts for assisted living and residential long-term care].","authors":"Markus Marquard, Siglinde Bröder, Nicole Damer, Linda Göbel, Linda Grieser, Angela Helf, Belinda Hoffmann-Schmalekow, Michael Doh","doi":"10.1007/s00391-026-02576-z","DOIUrl":"10.1007/s00391-026-02576-z","url":null,"abstract":"<p><strong>Background: </strong>Digital education for older people living in institutionalized forms of residential care is an area where further research is needed. There is a lack of educational and support concepts that enable and promote digital literacy and participation. It should be noted that this group of people is highly diverse in terms of vulnerability and digital literacy.</p><p><strong>Objective: </strong>The key question for geragogical practice research in the DiBiWohn project was how to develop a support concept for digital education and participation in this specific setting (participatory). To this end, support concepts were planned for two different target groups. Firstly, a peer-to-peer concept was developed to provide one-to-one support for individuals interested in digital technology with few health restrictions, primarily for the assisted living setting. Secondly, a group offering was planned for people who are digitally distant and vulnerable in terms of health, primarily for the inpatient long-term care setting.</p><p><strong>Methods: </strong>The accompanying concept, with technical support in a peer-to-peer approach, was implemented using participatory and qualitative social research-based methods, which included guided individual and group interviews. Qualitative content analysis was used for the evaluation. A quantitative longitudinal study was conducted to examine the learning effects. The accompanying concept of group offerings with a toolkit is based on a stakeholder analysis using focus groups, semi-structured guided interviews and feedback discussions. Reflexive thematic analysis was used to evaluate the data.</p><p><strong>Results: </strong>In the course of the project, two educational concepts were developed and implemented at various locations throughout Germany. The accompanying concept in the peer-to-peer approach was based on four basic attitudes of internet novices and technology assistants in order to meet the heterogeneous needs and interests. To this end, handouts were created for the technology assistants and on the institutional framework conditions. The evaluation confirmed positive learning effects among the internet novices. Method cards for different subject areas were developed and evaluated for group offerings with vulnerable groups of people.</p><p><strong>Discussion: </strong>Digital literacy and participation can be promoted by providing support services tailored to the setting and resources available in care facilities for older people. Due to the small number of cases and the limited project period, evidence of differentiated effects and sustainability could only be demonstrated to a limited extent. Likewise, participatory approaches could only be implemented to a limited extent with this group.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"188-193"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Special considerations in geriatric anesthesiology : Aspects of perioperative management in older adults].","authors":"Thomas Saller, Wibke Brenneisen, Ulrich Goebel, Cynthia Olotu, Mareike Otto, Georg Rohe, Simon T Schäfer, Robert Schier, Sigrid Wittmann, Rainer Kiefmann","doi":"10.1007/s00391-026-02574-1","DOIUrl":"10.1007/s00391-026-02574-1","url":null,"abstract":"<p><p>Older people need a specialized preoperative risk assessment to reliably identify those highly vulnerable risk patients who are in danger of a poor postoperative outcome. In this way these vulnerable risk patients can be separated from those who have successfully and healthily aged and therefore still show a high resilience even in old age. Careful planning of the perioperative management with integration of all disciplines and professions involved can ensure a safe perioperative treatment even for high-risk patients. The corresponding possibilities are presented in this article. The perioperative geriatric anesthesiological treatment pathway must be individually adapted and conceived to specifically address the risks of those patients who are particularly in danger of functional decline and complications.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"238-249"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147470014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}