Geriatrie et Psychologie Neuropsychiatrie De Vieillissement最新文献

{"title":"[Is it still appropriate to transfer residents of nursing homes in the 16th arrondissement of Paris to emergency?]","authors":"Pauline Mary de Farcy, Clio Pardineille, Samia Kebouchi, Florence Muller de Schongor, Laurent Lechowski","doi":"10.1684/pnv.2025.1211","DOIUrl":"10.1684/pnv.2025.1211","url":null,"abstract":"<p><p>In January 2023, 14.5 millions people were over 65 (21.3%) and 600,000 people live in nursing homes. A 2018 study showed that 30 % of visits to the emergency room were \"avoidable\". Measure 5 of the 2019-2022 emergency overhaul pact is to generalize routes dedicated to the elderly to avoid recourse to emergencies. The EMGE (Mobile Extra-Hospital Geriatrics Team) is a key mechanism in coordination between nursing homes and emergency reception services. Objective: Study the reasons why elderly people residing in nursing home go to emergency. We prospectively identified and described emergency transfers of residents of 4 nursing homes, from January 1 to March 31, 2022. Then, retrospectively, we requested a panel of 9 expert in order to judge if the transfer to the emergency was appropriate, based on a questionnaire. 50 (75,6%) transfer were assessed as suitable by at least 5 of the 9 experts. The average age of transferred residents was 91.7±6.4 years. In 35 % of cases, the symptoms motivating the transfer had been present for more than 48 hours. The main reason for 2 transfers was a fall (35%). A nurse was at the origin of 40 transfers (61%). This study shows that 76% of visits to the emergency room were considered suitable. The management of emergency situations in nursing homes is a real public health issue, and the pivotal role of a GMT is to secure, optimize and streamline the care of elderly people in nursing homes, and to limit as much as possible the transfer to emergencies.</p>","PeriodicalId":51244,"journal":{"name":"Geriatrie et Psychologie Neuropsychiatrie De Vieillissement","volume":"23 1","pages":"75-84"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804601","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":"[Malnutrition prevalence in geriatric acute Care unit according to diagnosis criteria of the French National Health Authority 2007, 2021 and those of the Global Leadership Initiative on Malnutrition].","authors":"Antoinette Robilliard, Sandrine Pactole-Birach, Alexis Pichereau, Agathe Raynaud-Simon, Manuel Sanchez","doi":"10.1684/pnv.2025.1213","DOIUrl":"10.1684/pnv.2025.1213","url":null,"abstract":"<p><p>As the French health authority (Haute Autorité de santé, HAS) diagnostic criteria for malnutrition have changed in 2021, moving closer to international criteria (GLIM), prevalence data for malnutrition in geriatric acute geriatric units (GACU) need to be updated. In a cohort of 235 consecutively admitted patients (average age 86 y.o.), malnutrition was diagnosed according to HAS 2007, 2021 and GLIM criteria, including screening for confirmed sarcopenia (CS). The phenotypic criteria were weight loss (23%), BMI < 22 (33%) and CS (51%). The prevalence of malnutrition was 65% (33% severe) according to HAS 2021, 46% (16% severe) according to HAS 2007 and 73% (24% severe) according to GLIM. In comparison with the HAS 2021 criteria, agreement between the HAS 2021 and 2007 criteria was poor (k = 0.278), and good with GLIM (k = 0.707). The HAS 2021 criteria identify more malnourished patients than the 2007 criteria in GACU with a high prevalence of CS.</p>","PeriodicalId":51244,"journal":{"name":"Geriatrie et Psychologie Neuropsychiatrie De Vieillissement","volume":"23 1","pages":"116-123"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804703","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":"[Postoperative cognitive disorders in traumatic hip surgery in elderly subjects].","authors":"Imed Miadi","doi":"10.1684/pnv.2025.1217","DOIUrl":"10.1684/pnv.2025.1217","url":null,"abstract":"<p><p>The aging population inevitably leads to an increase in the number of surgical procedures performed on older people. The effects of anesthesia coupled with surgery are recognized as precipitating a post-operative cognitive impairment whose etiology seems to be multifactorial with a predominance of the inflammatory cause related to surgery. Objectives. The main objective of our work is to determine the incidence and risk factors of cognitive decline after hip injury surgery. This is the continuation of a publication focusing on the epidemiological and evolutionary profile of the same cohort [1]. Our study, descriptive observational prospective and mono-centric, collected a sample of 89 patients. It is carried out at the orthopedic trauma department of the Annaba University Hospital Center, over a period of 24 months. The study protocol consists in evaluating the cognitive state, for each patient, preoperatively with a post-operative follow-up for a year, using four tests [the Mini-Mental State Examination (MMSE), the Dubois Test, the Clock Test (TDH) and the scale of everyday instrumental activities (Instrumental Activities of Daily Living, IADL4)]. This postoperative, longitudinal cognitive follow-up is carried out on the 1st, 3rd, 6th, 12th postoperative months. Assessment of the cognitive state in pre and postoperative by a battery of four tests, reveal a high incidence of postoperative cognitive disorders (PCD) in this surgical population, it is about 27% at one month, followed by a gradual improvement in neurocognitive abilities to complete cognitive recovery. The incidence of PCD is estimated at 17% at 3 months, 9% at 6 months and only 1% at 12 months. Out of 30 risk factors analyzed, only three are retained (after logistic regression). This is advanced age (OR = 7.135, 95% CI = 2.4-21.2), the delay in management (OR = 4.65 with a 95%CI = 1,73-12,64) and the multimodal analgesia with OR = 0.30 and 95%CI = 0,11-0,78). There is currently no curative treatment available for PCD. Only a preventive preoperative cognitive preparation approach could be considered for the management of PCD; it is based on the evaluation of the impact of PCD on patients' work and personal lives, as well as the implementation of cognitive stimulation programs.</p>","PeriodicalId":51244,"journal":{"name":"Geriatrie et Psychologie Neuropsychiatrie De Vieillissement","volume":"23 1","pages":"85-97"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804706","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":"[Psychosocial interventions and dementia: a choice and prescription grid for implementing psychosocial interventions based on clinical practice in long-term care facilities].","authors":"Kevin Charras, Hervé Platel","doi":"10.1684/pnv.2025.1215","DOIUrl":"10.1684/pnv.2025.1215","url":null,"abstract":"<p><p>Attempts to implement evidence-based non-pharmacological interventions (NPI) have increased in recent years. However, published nomenclatures, classifications and recommendations encouter implementation barriers in institutions. In order to apply non pharmacological strategies according to a pragmatic clinical practice, we suggest the use of an implementation and prescription grid (GRIP-INM). Based on three main categories of action, this grid helps to rationalize the place of non pharmacological strategies and enables care teams and institutions to identify available ressources in their location and anticipate any shortcomings. Following on from this categorization, we specify how facilities can mobilize their own resources, and make use of external resources.</p>","PeriodicalId":51244,"journal":{"name":"Geriatrie et Psychologie Neuropsychiatrie De Vieillissement","volume":"23 1","pages":"39-48"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804712","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":"[Impaired physical capacity is not sufficient to order a legal protective measure].","authors":"Nicolas Vermeulen","doi":"10.1684/pnv.2025.1214","DOIUrl":"10.1684/pnv.2025.1214","url":null,"abstract":"<p><p>A court of appeal refused to release an 85-year-old person suffering from total blindness from a reinforced curatorship, on the grounds that daily assistance was required to manage her affairs and maintain her home, even though she was not suffering from any mental impairment. In a ruling handed down on March 27, 2024, the French Supreme Court (Cour de cassation) censured the court of appeal, pointing out that the opening of a guardianship measure requires a finding by the judges that there has been a medically established alteration either in the mental faculties of the interested party, or in his bodily faculties such as to prevent him from expressing his wishes, and that he needs to be assisted or controlled on an ongoing basis in the important acts of civil life.</p>","PeriodicalId":51244,"journal":{"name":"Geriatrie et Psychologie Neuropsychiatrie De Vieillissement","volume":"23 1","pages":"35-38"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804557","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":"[Malnutrition among older adults admitted to Fann university hospital: a retrospective analysis of prevalence and associated factors from 2021 to 2022].","authors":"Louis Sylvain Peng-Wendé Ouedraogo, Assane Sall, Rokhaya Diajete, Massamba Ba, Elsa Maimouna Toure, Mamadou Coume","doi":"10.1684/pnv.2025.1210","DOIUrl":"10.1684/pnv.2025.1210","url":null,"abstract":"<p><p>Malnutrition is a prevalent concern among older hospitalized patients, often associated with adverse outcomes. This study aimed to determine the prevalence and identify risk factors for malnutrition in older adults admitted to the acute geriatric ward at Fann University Hospital (CHNU) in Dakar, Senegal. A retrospective analytical study was conducted on 375 patients aged 60 years and older, admitted to the acute geriatric ward between January 2021 and December 2022. Data on sociodemographic characteristics, medical history, geriatric syndromes, and nutritional status were collected from medical records. Malnutrition was assessed using the Mini Nutritional Assessment (MNA). Bivariate analysis was performed to explore the association between malnutrition and potential risk factors. The prevalence of malnutrition was 72% (n = 270). Malnutrition was significantly associated with female gender (p = 0.019), presence of multiple comorbidities (p < 0.001), functional dependence (p = 0.007), immobilization syndrome (p = 0.016), and pressure ulcers (p = 0.016). Malnutrition is highly prevalent among older adults hospitalized in the acute geriatric ward at CHNU, Dakar, Senegal. This study identified several factors significantly associated with malnutrition, highlighting the need for increased awareness and targeted interventions to address this important geriatric syndrome.</p>","PeriodicalId":51244,"journal":{"name":"Geriatrie et Psychologie Neuropsychiatrie De Vieillissement","volume":"23 1","pages":"98-103"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804700","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 first French fall prevention day for elderly people].","authors":"Hubert Blain, Patrice Tran-Ba Huy, Jean-Pierre Michel, Pierre Louis Bernard, Gilles Berrut, Nathalie Salles, Marie-Christine d'Avrincourt, Eric Michon, M Pardell, P Weber, Sébastien Bayol, Catherine Bouget, Olivier Coste, Stéphane Gérard, Cyrille Lesenne, Grégory Ninot, Delphine Paccard, François Puisieux, Alain Ségu, Guillaume Tallon, Cyril Vigouroux, A Abdellaoui, Cédric Annweiler, Thierry Autard, Anna Bedbrook, L Bracco, F Bretton, B Cosme, Wencyslawa Czarlewski, Govert de Vries, Fabrice Nouvel, F Puyjarinet, J B Robiaud, Michel van Eeerd, C Voisin, Audrey Vallat, H Villars, Yves Rolland, Sylvie Bonin-Guillaume, Manuel Montero-Odasso, Nathalie Van der Velde, Jean Bousquet","doi":"10.1684/pnv.2025.1209","DOIUrl":"10.1684/pnv.2025.1209","url":null,"abstract":"<p><p>The First French Fall Prevention Day for Elderly People took place in Montpellier on October 1, 2024. This event highlighted the elderly people's interest in: i) public conference providing information on fall risk factors and general preventive measures; ii) workshops across the metropolitan area offering individual fall risk assessments, personalized advice based on identified risk levels and factors. It also highlighted healthcare professionals and training institutes interest in: i) information on the roles of various field actors in the care pathway for older individuals at moderate or high fall risk; ii) new organizational models and technologies developed to implement national and global fall prevention recommendations. This inaugural event will lead to the creation of a fall and fracture prevention group within the French Society of Geriatrics and Gerontology, establishing a specific connection with the European Geriatric Medicine Society Falls and Fracture Prevention Group, whose missions will be: i) the development of training and informational materials to support the implementation of the world recommendations and the French fall prevention plan; and ii) the support an organization of an annual National Fall Prevention Day throughout France by the National Academy of Medicine and Regional Health Agencies.</p>","PeriodicalId":51244,"journal":{"name":"Geriatrie et Psychologie Neuropsychiatrie De Vieillissement","volume":"23 1","pages":"9-23"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804716","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":"[Advance care planning, an anticipation aid in Alzheimer's disease and related disorders].","authors":"Julien Vernaudon, Anita Nowogorska","doi":"10.1684/pnv.2025.1219","DOIUrl":"10.1684/pnv.2025.1219","url":null,"abstract":"<p><p>Alzheimer's and related diseases are marked by a progressive cognitive decline that affects a person's identity, values and decision-making abilities. Anticipating choices and projecting oneself into the future becomes difficult. Advance directives and the testimony of the trusted support person and loved ones can sometimes be at odds with the new choices expressed by the patient at a more advanced stage of the illness. This makes it difficult to make the right decision with or for the patient. Advance care planning is an interesting tool in this context. It makes it possible to anticipate the care and life project in a dynamic and ongoing way, ensuring communication over time and considering gradual changes in values. This narrative ethics approach helps to bridge the gap between the wishes expressed in the past and those expressed today, by involving the patient throughout the course of the illness and relying on the support of loved ones and healthcare professionals. Its implementation and deployment require training for healthcare professionals and a genuine institutional policy.</p>","PeriodicalId":51244,"journal":{"name":"Geriatrie et Psychologie Neuropsychiatrie De Vieillissement","volume":"23 1","pages":"124-129"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804642","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":"[Prevalence investigation of severe pulmonary embolism in older patients with hip fracture].","authors":"Laure Allan-Pattoglia, Gaëtan Gavazzi, Jérome Tonetti, Medhi Boudissa, Sabine Drevet","doi":"10.1684/pnv.2025.1212","DOIUrl":"10.1684/pnv.2025.1212","url":null,"abstract":"<p><p>In the perioperative period, pulmonary embolism (PE) is common. PE severity is well defined, but its prevalence remains poorly understood in the hip fracture (HF) context; a surgery at high hemorrhagic risk. The main objective was to measure severe PE prevalence in the HF perioperative period in subjects aged over 75. This observational, monocentric, retrospective study was carried out in the orthogeriatric unit at Grenoble University Hospital, from January 1, 2020 to December 31, 2021. PE was considered severe if it was at an intermediate high risk or high risk of early death. The secondary objectives were to compare the characteristics of subjects with severe PE with those without severity criteria. Severe PE prevalence was 38.4% (15/39) or 4.8% (15/313) of the fractured population. Patients in the severe PE group were more likely to develop deep hematoma (33 % versus 4.2 %, p = 0.024), and required twice more transfusion of packed red blood cells (60 % versus 29 %, p 0.05). À combination of factors may explain why PE severity is linked to PE, but also to an increased risk of bleeding.</p>","PeriodicalId":51244,"journal":{"name":"Geriatrie et Psychologie Neuropsychiatrie De Vieillissement","volume":"23 1","pages":"104-115"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804710","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":"[Psychosocial skills: A key to social understanding of age].","authors":"Marie-Christine Gély-Nargeot, Gilles Berrut","doi":"10.1684/pnv.2025.1224","DOIUrl":"https://doi.org/10.1684/pnv.2025.1224","url":null,"abstract":"","PeriodicalId":51244,"journal":{"name":"Geriatrie et Psychologie Neuropsychiatrie De Vieillissement","volume":"23 1","pages":"5-7"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804713","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}