Zeitschrift Fur Gerontologie Und Geriatrie最新文献

{"title":"[Journal Club].","authors":"Lejla Sacic","doi":"10.1007/s00391-026-02639-1","DOIUrl":"10.1007/s00391-026-02639-1","url":null,"abstract":"","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"531-532"},"PeriodicalIF":1.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800642","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":"Delir – eine Frage der Aufmerksamkeit?","authors":"Christine A F von Arnim, Daniel Kopf","doi":"10.1007/s00391-026-02659-x","DOIUrl":"10.1007/s00391-026-02659-x","url":null,"abstract":"","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":"59 6","pages":"465-466"},"PeriodicalIF":1.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026429","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":"[Journal club].","authors":"Anna Maria Affeldt","doi":"10.1007/s00391-026-02660-4","DOIUrl":"https://doi.org/10.1007/s00391-026-02660-4","url":null,"abstract":"","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117227","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":"The distinctiveness of human aging II: social processes and the regulation of aging.","authors":"Dale Dannefer, Jessica Kelley, Olugbenga Okunade","doi":"10.1007/s00391-026-02609-7","DOIUrl":"10.1007/s00391-026-02609-7","url":null,"abstract":"<p><p>This paper builds upon the principles and dimensions presented in the paper, \"The distinctiveness of human aging I\", which is intended  to provide a foundation for apprehending and understanding variation in individual and population patterns of human aging. Given the clearly established role of contextual factors and context-related dynamics as key explanatory factors to account for such variation, this paper sets forth  key dimensions of the socioenvironmental regulation of processes of human aging and their interactions across micro, meso and macro levels of social organization. We focus on one specific domain of age-related challenges and one (albeit broad) institutional domain: rapid population aging and on the institutional level, the attendant expansion of geriatric diagnoses and elder care institutions, focusing especially  on nursing homes. Through this discussion, we demonstrate that human aging entails a distinctly flexible and in key ways modifiable set of processes. It is thus continually reconstituted for individuals and for social groups and populations as existing social arrangements are continuously reproduced, regardless of the value (positive or negative) of such arrangements for human aging.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"496-504"},"PeriodicalIF":1.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13597533/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148725870","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":"Heat-associated hyponatremia and its outcomes in very old inpatients in northern Germany.","authors":"Naomi Mader, Stefan Muthers, Klaus Albrecht, Martin Scharpenberg, Andreas Kribben, Stefan Herget-Rosenthal","doi":"10.1007/s00391-026-02635-5","DOIUrl":"10.1007/s00391-026-02635-5","url":null,"abstract":"<p><strong>Background: </strong>Hyponatremia is frequent in very old patients ≥ 80 years (VOP). Data for hyponatremia associated with moderate heat in VOP are scarce. We aimed to provide epidemiological data, to identify risk factors of hyponatremia and to present outcomes in VOP after hot and cold days in northern Germany.</p><p><strong>Methods: </strong>Of 22,085 VOP admitted unplanned to the departments of internal medicine and trauma surgery in 2011-2023, we studied those admitted 1-2 days after hot (N = 308) and cold days (N = 253) in June-August of these years (57.9% female, median age 86 years). Heat was defined as daily mean temperatures ≥ 95th (24.4 °C), cold as ≤ 5th percentile (12.3 °C) in June-August from 2011-2023. Primary outcome was hyponatremia on admission. Secondary outcomes were risk factors of hyponatremia and the frequency of major adverse hyponatremia events until day 30 (MAHE30, intensive care unit and/or long hospital stay, mortality and/or discharge to a care facility).</p><p><strong>Results: </strong>In 561 patients, hyponatremia occurred more often after hot than cold days (36.7% vs. 15.0%; P < 0.001). Hyponatremia was predominately mild, acute or acute on chronic and isotonic in patients admitted after both hot and cold days. Hyponatremia rates increased by 50% after 3 consecutive hot days. Heat was a strong risk factor of hyponatremia. In 151 hyponatremic patients, MAHE30 occurred more often after hot compared to cold days (55.6% vs. 31.6%; P = 0.008). Heat was identified as a strong risk factor also of MAHE30 in hyponatremic patients.</p><p><strong>Conclusion: </strong>Moderate heat in northern Germany is associated with an increased rate of hyponatremia and is a strong risk factor of hyponatremia in VOP. After hot days, hyponatremic VOP are at an increased risk for severe associated morbidity and mortality.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"508-514"},"PeriodicalIF":1.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13597654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882445","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":"[Implementation of delirium management in inpatient care: results from IQM peer reviews].","authors":"Natalia Kelsch, Claudia Winklmair, Henning Stolze, Hans-Peter Thomas","doi":"10.1007/s00391-026-02631-9","DOIUrl":"10.1007/s00391-026-02631-9","url":null,"abstract":"<p><strong>Background: </strong>Delirium is a frequent neuropsychiatric disorder, particularly in older hospitalized and critically ill patients, which is associated with negative consequences such as increased mortality and morbidity. Due to the ageing population, an increase in delirium cases is to be expected, further increasing the need for standardized inpatient delirium care; however, the implementation of structured delirium management in an inpatient setting has not been sufficiently examined.</p><p><strong>Method: </strong>As part of the Delirium Awareness Campaign launched by the Initiative on Quality in Medicine (Initiative Qualitätsmedizin, IQM) a retrospective, descriptive, multicenter analysis was carried out based on peer reviews. Case files from German and Swiss IQM member hospitals were retrospectively evaluated by medical and nursing professionals using a standardized questionnaire.</p><p><strong>Results: </strong>In this study 115 questionnaires from 8 peer reviews could be descriptively evaluated. In 90% of cases risk factors for delirium were present, in particular advanced age, surgical procedures and pre-existing cognitive disorders. In 26% of cases structured delirium screening was used, mostly once. Guideline-compliant diagnostics and treatment were determined by IQM peers in 13.9% of cases. Delirium was documented in the discharge letter in 19.1% of cases. In almost half of the cases (46.1%) a clear potential for improvement was identified during the course of inpatient treatment.</p><p><strong>Discussion: </strong>The IQM peer review revealed a relevant gap in the routine clinical inpatient treatment and underscored the need to structurally embed delirium management as an interprofessional and standardized care process.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"488-495"},"PeriodicalIF":1.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13597555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671162","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":"Pathophysiology and biomarkers of delirium in older adults-Narrative review.","authors":"Fatima Irfan, Janine Jorke, Niels Hansen, Christine A F von Arnim","doi":"10.1007/s00391-026-02638-2","DOIUrl":"10.1007/s00391-026-02638-2","url":null,"abstract":"<p><strong>Background: </strong>Delirium is a frequent acute neurocognitive syndrome in older adults, associated with morbidity, mortality, and long-term cognitive decline. Its pathophysiology is multifactorial and not yet fully understood.</p><p><strong>Objective: </strong>To summarize clinically relevant concepts of delirium pathophysiology and emerging biomarkers.</p><p><strong>Methods: </strong>Narrative review of literature from 2010-2026, prioritizing human studies, reviews, meta-analyses, and clinically relevant pathophysiological literature relevant to older hospitalized or perioperative patients.</p><p><strong>Results: </strong>Delirium arises from the interaction of predisposing vulnerability and acute triggers. Relevant mechanisms include neuroinflammation, neurotransmitter imbalance, neurodegeneration, metabolic dysfunction and blood-brain barrier impairment. Biomarker research has identified promising candidates, including inflammatory, neurodegenerative, metabolic and stress-related markers but none is currently established for routine clinical use.</p><p><strong>Conclusion: </strong>Delirium prevention remains clinically driven. Multimodal biomarkers may support future risk stratification but require prospective validation.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"467-472"},"PeriodicalIF":1.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892697","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":"Interprofessional geriatric competencies in the DACH region (Germany, Austria and Switzerland) : Insights from a multinational multilingual open online survey.","authors":"M Honegger, S Lindner-Rabl, G Ogliari, L Soraci, Ch Pertinatsch, M C Polidori, R Roller-Wirnsberger","doi":"10.1007/s00391-026-02646-2","DOIUrl":"10.1007/s00391-026-02646-2","url":null,"abstract":"<p><strong>Background: </strong>Geriatric care requires coordinated, interprofessional and person-centered approaches; however, geriatric competencies among healthcare professionals (HCP) vary considerably across Europe, and only limited data are available for the DACH (D: Deutschland, Germany; A: Austria; CH: Confoederatio Helvetica, Switzerland) region.</p><p><strong>Objectives: </strong>To investigate self-perceived knowledge, relevance and interest regarding key geriatric topics and skills among HCPs in the DACH region and to compare findings with other European countries.</p><p><strong>Material and methods: </strong>Secondary data analyses of the PROGRAMMING COST Action 21122 online survey. The DACH responses (n = 291) were compared with those from other European countries (n = 5134) and 33 geriatric topics and skills were analyzed to identify educational priorities.</p><p><strong>Results: </strong>The HCPs working in the DACH region rated their perceived geriatric knowledge higher than HCPs working in other European countries. Nevertheless, substantial perceived knowledge gaps remained, particularly in the areas of dementia, depression, chronic pain, cognitive screening and sarcopenia. Perceived relevance and interest in further education exceeded self-assessed knowledge levels. In contrast, topics such as oncogeriatrics, gerodontology and geriatric emergency care were assigned lower priority.</p><p><strong>Conclusion: </strong>Despite overall high self-perceived competence, important gaps persist, especially in complex, interdisciplinary areas. Continuing education needs appear to be strongly influenced by clinical practice and system structures. Given the large number of medical doctors in our data, some implications are intraprofessional; nevertheless, targeted competency-based cross-professional educational initiatives and frameworks are needed to strengthen geriatric care and support workforce mobility across Europe.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"515-521"},"PeriodicalIF":1.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13597566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907615","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":"[\"To put it bluntly, you feel useless, worthless\" : The invisibility and marginalization of seniors living in poverty].","authors":"Ina Schildbach, Jan Igloffstein, Laura Graf","doi":"10.1007/s00391-026-02665-z","DOIUrl":"https://doi.org/10.1007/s00391-026-02665-z","url":null,"abstract":"<p><strong>Background: </strong>Germany's means-tested basic income support in old age (Grundsicherung im Alter) often goes unclaimed; shame is considered a potential barrier. Little is known about how old age poverty is translated into a socially mediated judgment of how people have lived their lives and of their worth as persons.</p><p><strong>Objective: </strong>The aim is to reconstruct this process and the social invisibility that emerges from it under social and institutional conditions.</p><p><strong>Methods: </strong>Drawing on prior content analysis, the qualitative secondary analysis triangulates perspectives from 16 interviews with people aged 60 years or older living in poverty, as well as 6 interviews and 1 group discussion with experts. The experts' work directly concerns old age poverty and people affected by it.</p><p><strong>Results: </strong>Material constraints are experienced as a rupture of biographical expectations and a devaluation of one's life achievements and personal worth. Shame is accompanied by withdrawal, self-concealment and avoidance of help-seeking. At the same time, gaining access to support requires individuals to take the initiative and disclose their need for assistance.</p><p><strong>Discussion: </strong>Social invisibility emerges from the interplay between self-concealment and institutional requirements that make access to support conditional on visibility. This process may contribute both to the non-use of support services and to the non-utilization of social welfare benefits.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117256","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":"[Ophthalmological care of senior citizens in residential nursing facilities : Care gaps, the TOVIS study and ways to an improved ophthalmological care].","authors":"Thomas Ach, Leon von der Emde","doi":"10.1007/s00391-026-02649-z","DOIUrl":"https://doi.org/10.1007/s00391-026-02649-z","url":null,"abstract":"<p><strong>Background: </strong>Around 800,000 older people live in approximately 16,500 nursing and old people's homes in Germany and this number will continue to rise due to demographic change. Visual impairment and eye diseases in need of treatment are among the most common yet most neglected health problems in this vulnerable population. This article summarizes the current state of ophthalmological care for nursing home residents in Germany, the barriers involved and the potential contribution of novel tele-ophthalmological care models to closing this care gap.</p><p><strong>Material and methods: </strong>Narrative review based on a selective literature search (PubMed, Google Scholar, professional society documents) on ophthalmological care of institutionalized older people with particular focus on the German OVIS and SÄVIP studies, the international literature on prevalence and care models in nursing homes and both published reports on the TOVIS study (TeleOphthalmologische Versorgung In Seniorenheimen).</p><p><strong>Results: </strong>The OVIS study (2017; n = 600; 32 homes) found an ophthalmological result requiring treatment in 61% of residents, most frequently cataract (53%), age-related macular degeneration (AMD, 39%) and glaucoma (11% suspected); the last ophthalmologist visit occurred on average 4 years earlier. Comparable deficits are described across numerous other countries. The TOVIS pilot study (2023; n = 109 of 139 enrolled residents) tested a telemedical shared-eye-care model in which trained nonmedical personnel performed on-site examinations while ophthalmologists provided remote assessment. A vision-relevant cataract was found in 48.5%, typical AMD lesions in 34.1% and inadequately fitted eyeglasses in 60.6%; only 31.2% of the examined residents were aware of their diagnosis. At 6‑month follow-up only 14 of 52 residents (26.9%) with a referral recommendation actually attended a specialist appointment, despite over 80% rating the tele-examination positively.</p><p><strong>Conclusion: </strong>Ophthalmological care in German nursing homes has been insufficient for years, a pattern that is consistently mirrored across numerous other healthcare systems in the international literature. Tele-ophthalmological shared-eye-care models such as TOVIS are feasible and well accepted but do not by themselves solve the aftercare problem. A substantial gap remains between diagnosis and actual specialist treatment, which requires structured appointment management, transport and accompaniment solutions and closer collaboration between nursing staff, primary care and ophthalmology.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031917","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}