Zeitschrift Fur Gerontologie Und Geriatrie最新文献

{"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":1.1,"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}

{"title":"Mitteilungen der Jungen Geriatrie der DGG.","authors":"","doi":"10.1007/s00391-026-02579-w","DOIUrl":"https://doi.org/10.1007/s00391-026-02579-w","url":null,"abstract":"","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":"59 3","pages":"265-266"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787188","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":"[Software-supported analysis of geriatric discharge letters : Potential of technology-driven data analysis in quality and discharge management at the transition to outpatient care].","authors":"T Herzig, C Marschner, C Ostrau, S Held, J Rickermann, W Schenck, A Uphaus, R Amelung","doi":"10.1007/s00391-025-02478-6","DOIUrl":"10.1007/s00391-025-02478-6","url":null,"abstract":"<p><strong>Background: </strong>A discharge letter analyzer was developed in the Bielefeld Geriatrics Living Laboratory at Bielefeld University of Applied Sciences in cooperation with the Catholic Hospital Association East Westphalia (Katholische Hospitalvereinigung Ostwestfalen). This can support quality assurance in the area of discharge management.</p><p><strong>Methods: </strong>The discharge letter analyzer uses text mining methods to find information in the respective discharge letters. Data are extracted from the free text as well as numerical values from the documented assessments. In the project the cases were assigned to diagnostic categories through both deductive and inductive category development and the collection of keywords by the medical staff involved.</p><p><strong>Results: </strong>With the help of the analyzer patients could be assigned to different diagnostic categories. It was found that the majority of cases were treated due to multifactorial or fall-related indications. In addition, the patients improved in various tests over the course of treatment. Most patients could be discharged back home after treatment.</p><p><strong>Conclusion: </strong>The results show that discharge management requires a special focus on fall-related and neurodegenerative diseases in the subsequent treatment. Due to the predominant discharge of patients to their homes, there is a significant focus on outpatient care. In principle, a measurable improvement can be achieved through inpatient treatment.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"231-237"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13109220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Journal Club].","authors":"Anna Maria Affeldt","doi":"10.1007/s00391-026-02578-x","DOIUrl":"10.1007/s00391-026-02578-x","url":null,"abstract":"","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"250-252"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678065","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":"[From research to practice: self-learning course \"Psychotropic drugs in residential geriatric care\" PhasaPII project].","authors":"Astrid Eich-Krohm, M Reichenbach, K Kammerer, M Maier","doi":"10.1007/s00391-025-02542-1","DOIUrl":"10.1007/s00391-025-02542-1","url":null,"abstract":"<p><strong>Background: </strong>Care facilities in Germany report a high use of psychotropic drugs among residents with dementia. Nurses are primarily responsible for the care of residents, which is why expertise in dealing with people with dementia, non-drug strategies for challenging behavior and psychotropic drugs as long-term or on-demand medication should be strengthened.</p><p><strong>Aim of the study: </strong>Based on a practical analysis in nursing homes, the application-oriented PhasaPII project developed a self-study course for care teams on the knowledge-based use of psychotropic drugs as long-term or on-demand medication and alternative courses of action in residential long-term care. The self-study course \"Psychotropic drugs in residential geriatric care\" is available online and free of charge for caregivers.</p><p><strong>Methods: </strong>Expert interviews with facility managers and nursing service managers and focus groups with nursing teams in seven cooperating facilities on the use of psychotropic drugs in inpatient long-term care formed the basis for the development of the course. The interviews and focus groups were evaluated using content analysis according to Mayring [22].</p><p><strong>Results: </strong>The qualitative survey shows a high need for specialist knowledge among carers of residents with dementia. The learning content is divided into 10 lessons so that participants can explore the complex topic of psychotropic drugs from different perspectives.</p><p><strong>Discussion and outlook: </strong>Collaboration with care facilities in the project was difficult due to staff shortages and time constraints. The self-study course is a building block for the responsible management of medication for residents with dementia.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"224-230"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13109192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Depressive and suicidal symptoms in the context of quality of life in older people in Central Asia, using Kazakhstan as an example.","authors":"M A Nizamudin, A I Garber, S V Sklyar, V K Zhumadilova, A M Moldabekova","doi":"10.1007/s00391-026-02587-w","DOIUrl":"https://doi.org/10.1007/s00391-026-02587-w","url":null,"abstract":"<p><strong>Background: </strong>Depression and suicidality in older adults are major public health concerns worldwide. These phenomena are strongly influenced by social and quality of life factors.</p><p><strong>Objective: </strong>The aim of the study was to characterize depressive and suicidal symptoms in older people in the context of quality of life.</p><p><strong>Material and methods: </strong>In this study 76 people aged 60-74 years were examined using interviews and questionnaires, namely: the Mannheim inventory of living conditions in old age (Mannheimer Inventar der Lebensverhältnisse im Alter, MILVA), the geriatric depression scale (GDS-15), Beck hopelessness scale (BHS) and the suicide crisis inventory revised (SCI-2). Data analysis was performed using statistical methods: regression analysis, Student's T‑test, Pearson correlation.</p><p><strong>Results: </strong>Older people with suicidal thoughts have a lower quality of life, namely by scales of communication and finances, with higher scores of depression and hopelessness. A negative relationship was found between social factors and indicators of a suicidal crisis. Regression analysis showed that activity and communication significantly influence the level of depression in older adults, while communication and financial stability influence the severity of suicidal crisis.</p><p><strong>Conclusion: </strong>Improving the quality of life of older people, social support, increasing activity and communication can help to maintain well-being as well as to prevent depression and suicidal behavior in old age.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787216","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":"High-normal QT interval as a predictor of 1-year mortality in hospitalized older adults.","authors":"Shai Albelda-Gilad, Meital Zohari, Nadav Schacham, Dan Justo","doi":"10.1007/s00391-026-02588-9","DOIUrl":"https://doi.org/10.1007/s00391-026-02588-9","url":null,"abstract":"<p><strong>Introduction: </strong>Prolongation of the QT interval might be associated with cardiac stress and poor prognosis. Therefore, we sought to study the association between QT interval prolongation and 1‑year mortality in the general population of hospitalized older adults.</p><p><strong>Methods: </strong>A retrospective cohort study. Charts of consecutive older adults (aged ≥ 65 years) admitted to an acute geriatrics department in a tertiary medical center over 15 months were reviewed. Age, gender, chronic comorbidities, functional status, admission corrected QT (QTc) interval ratio and all-cause 1‑year mortality were recorded. The QTc interval ratio was the actual QTc interval divided by 450 ms in males and by 470 ms in females (accepted cut-off of pathologic QT interval prolongation associated with sudden cardiac death). Patients in the upper three quartiles (study group) of the QTc interval ratio were compared to patients in the lowest quartile (control group).</p><p><strong>Results: </strong>A total of 526 patients were included: 334 (63.5%) females, mean age 84.0 ± 7.3 years. Median admission QTc interval was 443 ms (range: 289-689 ms). Overall, 388 (73.8%) patients were included in the study group (QTc interval ≥ 415 ms in males and ≥ 434 ms in females) and 138 (26.2%) patients were included in the control group (QTc interval ≤ 414 ms in males and ≤ 433 ms in females). Overall, 147 (27.9%) patients died within 1 year: 120 (30.9%) in the study group and 27 (19.6%) in the control group (Kaplan-Meier log-rank p = 0.009). Multivariable Cox regression analysis showed an association between 1‑year mortality and being in the study group (hazard ratio, HR 1.60, 95% confidence interval, CI 1.03-2.48, p = 0.034) independent of age, gender, chronic comorbidities and functional status.</p><p><strong>Conclusion: </strong>High-normal QT interval on admission, not necessarily prolonged, is associated with all-cause 1‑year mortality in the general population of hospitalized older adults. Accordingly, lower cut-offs may need to be considered in this population to define pathologic QT interval prolongation in its association with all-cause 1‑year mortality rather than with sudden cardiac death.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787205","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":"Effectiveness of individualized music listening on functional and cognitive status in advanced Alzheimer's disease.","authors":"Zeynep Gülnur Ünlütürk, Naci Madanoğlu, Emine Atıcı","doi":"10.1007/s00391-026-02582-1","DOIUrl":"https://doi.org/10.1007/s00391-026-02582-1","url":null,"abstract":"<p><strong>Background and objective: </strong>Individualized music listening, linked to personal memories has been suggested as a supportive nonpharmacological approach but its effects in advanced-stage patients are not well-established. This study aimed to investigate the effects of individualized music listening on cognitive and functional status in individuals with advanced-stage Alzheimer's disease.</p><p><strong>Intervention and methods: </strong>In this study 54 patients were randomly assigned to an individualized music listening intervention group (IMLIG) or a control group (CG). The IMLIG listened to personally meaningful music, while the CG listened to Shostakovich's Jazz Suite No. 2, 3 times per week for 12 weeks. Cognitive and functional outcomes were assessed using the mini-mental state examination (MMSE), functional independence measure (FIM), clock drawing test (CDT) and frontal assessment battery (FAB) at baseline, week 6 and week 12.</p><p><strong>Results: </strong>The results showed significant improvements in mental status and cognitive functions in the IMLIG (p < 0.05), while functional independence declined despite the intervention (p < 0.05). The CG demonstrated only limited cognitive changes and no improvement in functional independence.</p><p><strong>Discussion: </strong>These findings suggest that individualized music listening provides short-term benefits for cognitive awareness and visuomotor skills but could be insufficient to counter the progressive functional decline of Alzheimer's disease.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678146","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 the need for long-term care: development and comparative evaluation of advanced machine learning models].","authors":"Alexander Karl, Katja Bochtler, Matthias Becker","doi":"10.1007/s00391-026-02575-0","DOIUrl":"https://doi.org/10.1007/s00391-026-02575-0","url":null,"abstract":"<p><strong>Background and aim of the article: </strong>In recent years, the Bavarian Medical Service (Medizinischer Dienst Bayern, MD Bavaria) has recorded an increasing number of initial assessments without determination of a care level (Pflegegrad) within the assessment process for determining long-term care needs. These initial assessments without a care level determination create considerable administrative burdens as well as avoidable effort for the MD Bavaria and caregiving households. Against this backdrop, this study investigates whether machine learning methods can be used to predict the success of initial applications for long-term care needs based on selected features that are not part of the standardized assessment instrument according to the German Social Code XI.</p><p><strong>Data foundation and methodology: </strong>The dataset consists of a complete collection of data from the MD Bavaria that includes all initial assessments to determine long-term care needs from 2019. Using mutual information, we first identified relevant input variables and then checked for possible multicollinearity. Based on the selected characteristics, we trained various machine learning procedures and evaluated them in terms of their predictive performance.</p><p><strong>Results: </strong>Particularly relevant input variables for predicting long-term care needs include the age of the person being assessed and the ability to prepare simple meals. The analysis shows that the random forest classifier achieves the highest prediction performance with an accuracy of 0.88 and an AUC value of 0.95.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678084","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":"Abstracts der Jahrestagung der Österreichischen Gesellschaft für Geriatrie und Gerontologie : „Altsein war gestern, Altwerden ist morgen“.","authors":"","doi":"10.1007/s00391-026-02568-z","DOIUrl":"10.1007/s00391-026-02568-z","url":null,"abstract":"","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":"59 Suppl 1","pages":"1-42"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147482335","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}