Zeitschrift Fur Gerontologie Und Geriatrie最新文献_第3页

[Dehydration in older persons-Current state of knowledge, trends and challenges]. [老年人脱水-目前的知识状况、趋势和挑战]。

IF 1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2026-04-13 DOI: 10.1007/s00391-026-02581-2

Rainer Wirth, Linda Deissler, Lukas Funk

引用次数: 0

[Predicting the need for long-term care: development and comparative evaluation of advanced machine learning models]. [预测长期护理的需求：先进机器学习模型的开发和比较评估]。

IF 1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2026-04-13 DOI: 10.1007/s00391-026-02575-0

Alexander Karl, Katja Bochtler, Matthias Becker

{"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":"Background and aim of the article: 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.Data foundation and methodology: 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.Results: 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.","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}

引用次数: 0

Abstracts der Jahrestagung der Österreichischen Gesellschaft für Geriatrie und Gerontologie : „Altsein war gestern, Altwerden ist morgen“. 澳大利亚老年病学和老年学协会年会摘要：“老年是昨天，老年是明天”。

IF 1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2026-04-01 DOI: 10.1007/s00391-026-02568-z

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[Oropharyngeal dysphagia as a neurogeriatric syndrome]. 口咽吞咽困难是一种神经性老年综合征。

IF 1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2026-03-20 DOI: 10.1007/s00391-026-02570-5

A Jung, B Labeit

{"title":"[Oropharyngeal dysphagia as a neurogeriatric syndrome].","authors":"A Jung, B Labeit","doi":"10.1007/s00391-026-02570-5","DOIUrl":"https://doi.org/10.1007/s00391-026-02570-5","url":null,"abstract":"Background: Oropharyngeal dysphagia is a common geriatric syndrome associated with an increased risk of aspiration pneumonia, malnutrition, functional decline and mortality.Objective: Presentation of the neurogeriatric syndromology of dysphagia by integrating disease-specific neurological and transdiagnostic geriatric aspects, including diagnostic and therapeutic approaches.Material and methods: A literature review and analysis of current clinical guidelines were conducted.Results: Dysphagia presents as a multietiological syndrome with heterogeneous clinical phenotypes identifiable by instrumental assessment, particularly flexible endoscopic evaluation of swallowing (FEES). Besides disease-specific neurological mechanisms, transdiagnostic factors, such as presbyphagia with reduced pharyngeal sensation, sarcopenia and decreased neuroplasticity play a crucial role. Multimodal therapeutic approaches have proven to be effective. In various neurological disorders, disease-specific treatment also leads to an improvement in swallowing function. Across different conditions, protective measures (e.g., nutritional therapy and oral hygiene) as well as rehabilitative interventions have been shown to be effective.Discussion: Geriatric-specific adapted assessment tools and care pathways are required to improve clinical outcomes and quality of life.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147492138","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}

引用次数: 0

[Prevention of addiction and violence in residential care facilities : Evaluation of a complementary group program with socio-artistic and mentally oriented approaches for older people]. [在住宿护理设施中预防成瘾和暴力：对老年人社会艺术和精神导向方法的补充小组计划的评估]。

IF 1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2026-03-06 DOI: 10.1007/s00391-026-02569-y

Pia-Saskia Berg, Elke Olbermann

{"title":"[Prevention of addiction and violence in residential care facilities : Evaluation of a complementary group program with socio-artistic and mentally oriented approaches for older people].","authors":"Pia-Saskia Berg, Elke Olbermann","doi":"10.1007/s00391-026-02569-y","DOIUrl":"https://doi.org/10.1007/s00391-026-02569-y","url":null,"abstract":"Background: Addiction and violence issues in residential care facilities pose significant health risks for residents. Addiction and violence are often closely linked. Preventive and health-promoting approaches offer potential for effectively addressing both problems.Objective: The aim of the \"Prävention Kreativ!\" (Creative prevention!) project was to promote the health of older people in residential care facilities using an innovative approach to addiction and violence prevention. To this end, complementary socio-artistic and mentally oriented group activities were developed, tested and their effectiveness examined.Methods: The article presents the results of the accompanying evaluation in four nursing homes. The study is based on a mixed methods design with participant observation, (partially) standardized surveys, interviews and focus groups.Results: The results show positive effects in several prevention-related dimensions, most pronounced in the dimensions of well-being and group feeling/togetherness, followed by the dimensions of mental activity and physical activity. The programs developed promote resilience as an overarching goal of addiction and violence prevention.Conclusion: It is evident that mentally oriented and socio-artistic programs have complementary effects and together strengthen protective factors against addiction and violence. The results underscore the relevance of resource-oriented prevention approaches that holistically promote emotional stability, social belonging and cognitive and physical activation.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147370615","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}

引用次数: 0

[The long lie fall : An overview of consequences, diagnostics and interventions]. [长卧：后果、诊断和干预措施概述]。

IF 1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2026-03-06 DOI: 10.1007/s00391-026-02566-1

Jenny Kubitza, Bernd Reuschenbach, Michael Drey, Inge Eberl

引用次数: 0

Mitteilungen der ÖGGG. OGG通讯。

IF 1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2026-03-01 DOI: 10.1007/s00391-026-02559-0

引用次数: 0

Perioperative fluid management in older trauma patients : Practical algorithms and statement of the Working Group on Geriatric Traumatology of the German Society for Geriatrics. 老年创伤患者的围手术期液体管理：实用算法和德国老年医学会老年创伤学工作组的声明。

IF 1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2026-03-01 Epub Date: 2026-01-27 DOI: 10.1007/s00391-025-02545-y

Carla Stenmanns, Cynthia Olotu, Mirja Katrin Modreker, Stefan Grund, Beatrice Heck

引用次数: 0

Perioperatives Flüssigkeits- und Schmerzmanagement in der Alterstraumatologie. 创伤学中的疼痛管理。

IF 1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2026-03-01 Epub Date: 2026-03-02 DOI: 10.1007/s00391-026-02563-4

Carla Stenmanns, Helmut Frohnhofen

引用次数: 0

Pain management in the perioperative orthogeriatric setting: Recommendations of the special interest group Orthogeriatrics of the German Geriatrics Society. 骨科围手术期疼痛管理：德国老年医学会骨科特别兴趣小组的建议。

IF 1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2026-03-01 Epub Date: 2026-02-18 DOI: 10.1007/s00391-026-02556-3

Vera Smolka, Cynthia Olotu, Mirja Modreker, Corinna Drebenstedt, Patricia Ardeleanu, Ilse Gehrke

{"title":"Pain management in the perioperative orthogeriatric setting: Recommendations of the special interest group Orthogeriatrics of the German Geriatrics Society.","authors":"Vera Smolka, Cynthia Olotu, Mirja Modreker, Corinna Drebenstedt, Patricia Ardeleanu, Ilse Gehrke","doi":"10.1007/s00391-026-02556-3","DOIUrl":"10.1007/s00391-026-02556-3","url":null,"abstract":"Management of perioperative pain in older adults can be challenging. Multimorbidity, functional decline or diminished physiological reserves, the corresponding polypharmacy, age-related pharmacodynamic and pharmacokinetic changes need to be considered. Pain assessment can be complicated by cognitive impairment and communication barriers. Older adults are at high risk of adverse consequences from surgery and undertreated pain as well as pharmacological overtreatment. Effective pain control in the perioperative period needs to be balanced against potential pharmacological harm. The aim of the orthogeriatric working group is to provide a practical guide for pain management in the perioperative orthogeriatric setting. It is supposed to be safe, effective and patient-centered. The set of expert recommendations is based on a current literature review, on the fit for the aged (FORTA )list expert consensus validation 2021 (4th edition), the PRISCUS list 2.0 of potentially inappropriate medications for older patients as well as on expert opinion and best clinical practice. Adequate analgesia is best achieved by applying multimodal analgesia. Various groups of analgesics are combined with interprofessional nonpharmacological treatment approaches. This article focuses on the pharmacological management of perioperative pain. Adequate analgesia can improve the overall outcome of orthogeriatric patients.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"99-104"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221753","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}

引用次数: 0