BMC Geriatrics最新文献

{"title":"The relationship between illness perception and quality of life among Chinese rural elderly patients with hypertension: the mediating role of medication experience.","authors":"Ziyuan Li, Xiaona Li, Wenqiang Yin, Min Gao, Ping Dong, Yongli Shi, Zhaofeng Yu, Zhiqiang Feng, Zhongming Chen","doi":"10.1186/s12877-025-06184-1","DOIUrl":"10.1186/s12877-025-06184-1","url":null,"abstract":"<p><strong>Objective: </strong>A significant correlation has been discovered between illness perception and quality of life, but the relationships among illness perception, medication experience, and quality of life remain to be confirmed. Therefore, this study aims to identify the relationship between illness perception and quality of life among Chinese rural elderly patients with hypertension and to analyse the possible mediating role of medication experience between these two aspects.</p><p><strong>Methods: </strong>From September to December 2023, a cross-sectional study was conducted to select rural elderly patients with hypertension by multi-stage stratified random sampling. Data was collected using the brief illness perception questionnaire, the grassroots medication experience scale for patients with chronic diseases and the quality of life scale. Multiple linear regression and Bootstrap method were used to explore the mediating role of medication experience between illness perception and quality of life.</p><p><strong>Results: </strong>A total of 846 patients met the inclusion criteria. The mean scores of illness perception, medication experience and quality of life at baseline were 4.85 ± 1.04, 4.13 ± 0.52, 4.37 ± 0.37, respectively. The result of Spearman correlation analysis showed that the illness perception was negatively correlated with medication experience (r = -0. 359, P < 0.01) and quality of life (r = -0. 317, P < 0.01), and medication experience was positively correlated with quality of life (r = 0. 511, P < 0.01). The results of mediating effect test indicate that medication experience had a partial mediating effect on the relationship between illness perception and quality of life among rural elderly hypertensive patients, and the mediating effect accounted for 54.21%.</p><p><strong>Conclusions: </strong>Our findings revealed that illness perception not only directly influenced quality of life among rural elderly hypertensive patients but also indirectly via medication experience. Illness perception is a negative factor affecting the quality of life of rural elderly patients with hypertension, while medication experience is a protective factor. Therefore, medical institutions should strengthen health education to improve their illness perception of hypertension. The pharmaceutical service ability of rural medical institutions should be improved to improve the medication experience of hypertensive patients.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"523"},"PeriodicalIF":3.4,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12257674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144636144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between dual sensory impairment and social participation among older adults in China: a moderated mediation model of activities of daily living and depressive symptoms.","authors":"Lunxin Liu, Zhenglin Cao, Qingshan Ma, Zhiliu Liao","doi":"10.1186/s12877-025-06173-4","DOIUrl":"10.1186/s12877-025-06173-4","url":null,"abstract":"<p><strong>Background: </strong>While dual sensory impairment (DSI) is known to reduce social participation (SP) in older adults, the underlying mechanisms remain unclear. Therefore, the aim of this study was to ascertain: (1) whether ADL mediates the relationship between DSI and SP, and (2) how depressive symptoms modify the mediation pathway - questions essential for developing targeted interventions.</p><p><strong>Methods: </strong>In the 2018 wave of the China Health and Retirement Longitudinal Study (CHARLS), 8,270 older individuals (60 years of age or older) were enrolled. We examined a mediation model first, where ADL was a mediator between DSI and SP. Furthermore, depressive symptoms were integrated into the model as moderator in the correlation between DSI and ADL. The PROCESS macro was used to analyze the mediation and moderated mediation models.</p><p><strong>Results: </strong>In older people, DSI correlated negatively with SP, and ADL partially mediated this association (B = -0.019, 95% CI = -0.025, -0.015) with an intermediary effect of 14.6%. Besides, the relationship between DSI and ADL was moderated by depressive symptoms (B = 0.092, 95% CI = 0.060, 0.123), and ADL was more affected by DSI in older adults who experienced higher levels of depressive symptoms.</p><p><strong>Conclusions: </strong>Depressive symptoms moderated the mediation of ADL on an indirect, negative correlation between DSI and SP. The findings contribute to existing knowledge by illustrating the fundamental mechanisms connecting DSI and SP. These Findings highlight the need for integrated interventions targeting both sensory impairment and mental health to mitigate SP decline in aging populations.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"526"},"PeriodicalIF":3.4,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12257664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144636143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Independent and joint associations of physical activity and a body shape index with sleep disorders in older adults with cardiometabolic multimorbidity: a cross-sectional study.","authors":"Yang Li, Huiqian Zhou, Dandan Xu, Hua Wang, Yutong Zhao, Hua Jiang","doi":"10.1186/s12877-025-06170-7","DOIUrl":"10.1186/s12877-025-06170-7","url":null,"abstract":"<p><strong>Background: </strong>Cardiometabolic multimorbidity (CMM) has become a significant public health challenge in the context of global ageing. Sleep disorders are prevalent in older adults with CMM, but their correlations with physical activity and a body shape index (ABSI) remain unclear. This study aimed to investigate the independent and joint associations of physical activity and ABSI with sleep disorders in older adults with CMM.</p><p><strong>Methods: </strong>This cross-sectional study was conducted between February and March 2024 and recruited 650 older CMM patients (aged ≥ 65 years) by random sampling. Data were collected using a structured questionnaire as well as the Pittsburgh Sleep Quality Index (PSQI) and the International Physical Activity Questionnaire-short form (IPAQ-SF). Logistic regression models were used to assess the independent and joint associations of physical activity and ABSI with sleep disorders.</p><p><strong>Results: </strong>The prevalence of sleep disorders among older CMM patients was 48.46%, and low IPAQ (OR = 3.61, 95%CI: 2.41 to 5.43) and high ABSI (OR = 1.46, 95%CI: 1.04 to 2.04) were identified as independent risk factors for sleep disorders. The risk of sleep disorders in patients with low IPAQ and high ABSI group was approximately 5.1 times higher than that in patients with middle/high IPAQ and low ABSI group (OR = 5.10, 95% CI: 2.88 to 9.02). The stratified analyses indicated that these relationships were particularly pronounced in the > 70 years and female subgroups.</p><p><strong>Conclusion: </strong>This study highlights the important impact of physical activity and body shape management on sleep disorders in older CMM patients.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"519"},"PeriodicalIF":3.4,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12254990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144616163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between frailty and quality of life, and the moderating effect of mobile, broadcast and digital media in sub-Saharan Africa: evidence from Kenya.","authors":"Gideon Dzando, Paul R Ward, Lillian Mwanri, Richard K Moussa, Rachel C Ambagtsheer","doi":"10.1186/s12877-025-06016-2","DOIUrl":"10.1186/s12877-025-06016-2","url":null,"abstract":"<p><strong>Background: </strong>Globally, frailty is known to negatively impact quality of life, yet this relationship remains underexplored in Kenya. Additionally, there is growing interest in leveraging technology in health and social care to support vulnerable populations, but its potential benefits for older people remain unclear. This study aimed to examine the association between frailty and quality of life, and to explore the moderating role of mobile, broadcast, and digital media in the relationship between frailty and quality of life among older people.</p><p><strong>Methods: </strong>This study involved 783 older people (aged 60 years and above) who participated in the Health and Well-being of Older Persons in Kenya (HWOPs-1) study. Frailty was assessed using a 32-item Frailty Index, and quality of life was measured using a 7-item index from the World Health Organization's Quality of Life-Brief instrument. Bivariate analysis was conducted to examine associations between frailty, quality of life, and access to mobile, broadcast, and digital media. Multiple moderation regression analysis was used to estimate whether media access (radio, television, mobile phone ownership, and internet usage) influenced the relationship between frailty and quality of life by including interaction terms between frailty and each media variable.</p><p><strong>Results: </strong>More than half (66.0%) of the study participants were frail, and 82.9% had moderate to good quality of life. Frailty was inversely correlated with quality of life (r = -0.61, p < 0.001), indicating that higher levels of frailty are associated with poorer quality of life. The mobile, broadcast and digital media variables were all positively correlated with frailty (r = 0.121 to 0.330, p < 0.001) and negatively correlated with quality of life (r = -0.24 to -0.12, p < 0.001). The moderation analysis revealed that only mobile phone ownership showed a significant moderation effect (β = 1.10, p = 0.03, 95% CI [0.12, 2.08]), suggesting that access to mobile phones may help mitigate the impact of frailty on quality of life.</p><p><strong>Conclusion: </strong>Frailty significantly impacts quality of life. Access to mobile phones may help mitigate this effect by fostering social connectedness, while introducing complex technologies may be counterproductive in improving frailty-associated quality of life.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"521"},"PeriodicalIF":3.4,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12255119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144616156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Central obesity is more strongly associated with vertebral fractures than general obesity: a cross-sectional study.","authors":"Yen-Huai Lin, Michael Mu Huo Teng","doi":"10.1186/s12877-025-06178-z","DOIUrl":"10.1186/s12877-025-06178-z","url":null,"abstract":"<p><strong>Background: </strong>Both general and central obesity have been linked to vertebral fractures; however, their specific effects on vertebral fractures have not been directly compared. This study aimed to investigate the associations between measures of general and central obesity and vertebral fractures.</p><p><strong>Methods: </strong>This cross-sectional study of 1,011 postmenopausal women used dual-energy X-ray absorptiometry to measure bone density and body composition. Bone quality was assessed using the trabecular bone score. General obesity was evaluated using body mass index and body fat percentage, whereas central obesity was measured using waist circumference, waist-hip ratio, and android-gynoid ratio. Vertebral fractures were determined by retrospectively reviewing medical records, and only fractures confirmed by radiological reports were included.</p><p><strong>Results: </strong>Obesity indices, including body mass index, body fat percentage, waist circumference, and android-gynoid ratio, were positively associated with bone density but negatively associated with trabecular bone score. General obesity, based on body fat percentage, was associated with vertebral fractures, whereas general obesity measured using body mass index was not. Central obesity assessed using waist circumference, waist-hip ratio, and android-gynoid ratio, was associated with vertebral fractures. Furthermore, among the different combinations of general and central obesity, central obesity measured by waist circumference and waist-hip ratio was still associated with vertebral fractures, irrespective of general obesity.</p><p><strong>Conclusions: </strong>Central obesity was more strongly associated with vertebral fractures than general obesity in postmenopausal women. Therefore, developing and implementing measures to prevent central obesity are recommended.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"522"},"PeriodicalIF":3.4,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12255142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144616158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between sarcopenia and postoperative delirium in elderly surgical patients: a systematic review and meta-analysis.","authors":"Yunying Feng, Ruixiao Sun, Yuelun Zhang, Lulu Ma, Yuguang Huang, Kang Yu","doi":"10.1186/s12877-025-06183-2","DOIUrl":"10.1186/s12877-025-06183-2","url":null,"abstract":"<p><strong>Background: </strong>Sarcopenia, characterized by the progressive loss of muscle mass and strength, is common in the elderly and significantly increases the risk of poor postoperative outcomes. This study aims to examine the impact of sarcopenia on postoperative delirium and a range of perioperative outcomes in elderly patients.</p><p><strong>Methods: </strong>A systematic search was conducted in MEDLINE, EMBASE, CINAHL, and Cochrane CENTRAL. Studies investigating the association between sarcopenia and postoperative complications in elderly surgical patients were included. The Quality in Prognosis Studies (QUIPS) tool was utilized for risk-of-bias assessment. The primary outcome was the incidence of postoperative delirium. Secondary outcomes included other postoperative complications and further recovery. Subgroup analyses were conducted based on surgery types.</p><p><strong>Results: </strong>A total of 10,981 records were identified, with 265 studies included in the systematic review and 242 in the final meta-analysis. A significant association was found between sarcopenia and postoperative delirium in both univariable and multivariable analyses (univariable: OR 1.81, 95% confidence interval [CI] 1.31 to 2.50, P < 0.001, I² 24.0%; multivariable: OR 2.42, 95% CI 1.27 to 4.59, P = 0.007, I² 0.0%). Sarcopenia was also associated with adverse postoperative outcomes, including increased complications, mortality, delayed recovery, and reduced overall survival. However, no significant associations were observed for postoperative pancreatic fistula or recurrence. Syntheses of multivariable analyses showed significant differences in postoperative complications, mortality, overall survival, and recurrence. Subgroup analyses indicated a higher risk of reduced overall survival among sarcopenic patients undergoing head and neck or heart and chest surgeries.</p><p><strong>Conclusions: </strong>Sarcopenia is a strong independent predictor of postoperative delirium and poor postoperative outcomes in elderly surgical patients.</p><p><strong>Systematic review registration: </strong>PROSPERO registration number CRD42023424696 (18 May 2023).</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"520"},"PeriodicalIF":3.4,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12255066/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144616157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does high frequency exercise or electrical muscle stimulation improve strength and function in non-weight bearing, older patients? The PAIVE pilot randomised trial.","authors":"Kelly L Fleury, Lucy Troup, Andrew Mangan, Rita Kinsella, Gustavo Duque, Bethany Knowles, Catherine Davey, Kimberley J Haines, Catherine M Said","doi":"10.1186/s12877-025-06161-8","DOIUrl":"10.1186/s12877-025-06161-8","url":null,"abstract":"<p><strong>Background: </strong>Older patients who are non-weightbearing/touch-weightbearing (NWB/TWB) following a lower limb fracture often receive limited physiotherapy until this restriction is removed. It is unknown whether interventions such as higher frequency exercise or Neuromuscular Electrical Stimulation (NMES) effectively maintain quadriceps strength and patient function. The primary aim of this pilot trial was to evaluate the feasibility of delivering two alternative interventions and obtaining selected outcome measures.</p><p><strong>Methods: </strong>Twenty-four people with a lower limb fracture and NWB/TWB restriction were recruited on admission to a subacute ward at Western Health (a major metropolitan public health service in Melbourne). Participants were randomly allocated to receive either low frequency physiotherapy (n = 8), high frequency physiotherapy (n = 8) or NMES (n = 8). Interventions were delivered during the NWB/TWB phase. The primary outcomes were trial feasibility and safety; determined by adverse events. Quadriceps strength (assessed using a dynamometer), and function were measured at baseline, completion of NWB/TWB restriction, and on hospital discharge.</p><p><strong>Results: </strong>Recruitment was paused twice due to the COVID-19 pandemic: 145 people were screened; 43 eligible and 24 recruited. Retention rate was high, with only two participants withdrawing due to acute medical reasons. Twenty-one out of 24 participants successfully completed their intervention sessions, with 91% of scheduled sessions delivered. Outcome measurement completion was 100% at baseline, 83% at completion of NWB/TWB restriction, and 83% on hospital discharge. While the study was not powered to determine effectiveness, the high frequency and NMES groups demonstrated higher ratios of quadriceps strength (affected / unaffected limb); compared to the low frequency group at discharge.</p><p><strong>Conclusion: </strong>The trial protocol was feasible and safe. Results indicate there is a potential for high frequency exercise or NMES to be more effective at maintaining muscle strength compared to low frequency exercise. A fully powered randomised controlled trial to explore the effectiveness and cost of these interventions is warranted.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"518"},"PeriodicalIF":3.4,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12254973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144616159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of collaborative pharmaceutical care on older inpatients' medication safety: multicentre stepped-wedge cluster randomised trial (MEDREV Study).","authors":"Géraldine Leguelinel-Blache, Sophie Bouvet, Pierrick Bedouch, Bérengère Bachelet, Catherine Chenailler, Thomas Dantin, Laure Geneletti, Alexia Janes, Florence Scher, Bogdan Cireașă, Jean-Marie Kinowski, Christel Castelli, Clarisse Roux-Marson","doi":"10.1186/s12877-025-06122-1","DOIUrl":"10.1186/s12877-025-06122-1","url":null,"abstract":"<p><strong>Background: </strong>Improving medication safety implies patient-centred multidisciplinary cooperation. During the hospital stay for an acute care episode, the patient needs a comprehensive management to guarantee the best possible outcome.</p><p><strong>Methods: </strong>The study was designed as a non-blinded, multicentre stepped-wedge cluster randomised clinical trial, taking place in six French University Hospitals. Each cluster began with the control period in which standard care did not include pharmaceutical intervention. Every 14-day period, one hospital unit was electronically randomised to switch to the intervention period until all cluster groups received the intervention, which consisted of collaborative pharmaceutical care (CPC) associating medication reconciliation at hospital admission, pharmaceutical analysis of the medication order, medication review and collaborative meeting. The primary outcome was assessing the intervention through the rate of patients with at least one medication error (ME) on the admission medication order (such as omission, wrong dose or wrong route of administration), comparing the two periods.</p><p><strong>Results: </strong>CPC decreased the rate of patients with at least one ME from 88.9% (n = 243) to 29.2% (n = 267) (p < 0.0001). A total of 1817 MEs were discovered, of which 1121 (61.7%) were in the control period and 696 (38.3%) in the intervention period before resolution by the CPC. After resolving 567 of them, 129 medication errors still remained after CPC. So, a median of 3 MEs [IQR = 1;6] per patient were detected in the control period vs 0 [IQR = 0;1] after CPC in the intervention period (p < 0.0001). Patients were 21-times more likely to avoid a ME with CPC (OR: 20.8 [8.3;52.2], p < 0.0001). The rate of patients with a 2-3 critical ME level decreased from 70.8% to 12.0% in the control vs intervention periods respectively (OR: 18.4 [7.7;43.9], p < 0.0001).</p><p><strong>Conclusions: </strong>CPC can prevent the occurrence of MEs and thus can improve inpatients' medication management and safety. Pharmacists play a key role in combating medication-related harm in healthcare settings.</p><p><strong>Trial registration: </strong>This study is registered on ClinicalTrials.gov with the reference number NCT02598115 (2015-11-04).</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"516"},"PeriodicalIF":3.4,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12247195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144616161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family visits among nursing home residents during the COVID-19 pandemic: a cross-sectional study.","authors":"Shoko Kasugai, Shota Hamada, Kotomi Sakai, Nobuo Sakata","doi":"10.1186/s12877-025-06188-x","DOIUrl":"10.1186/s12877-025-06188-x","url":null,"abstract":"<p><strong>Background: </strong>Loneliness is common among nursing home residents, with decreased social connectedness being linked to an increased risk of mortality. During the COVID-19 pandemic, new modalities for family visits, such as videoconferencing, became available in addition to in-person visits, potentially helping to reduce loneliness. This study aimed to characterize family visits among nursing home residents during the COVID-19 pandemic and investigate their associated factors.</p><p><strong>Methods: </strong>Data on the visits, including their modalities, were retrospectively collected from facility records for residents of 4 nursing homes over a 3-month period from 2020 to 2022. The types of visits included in-person visits through acrylic boards or windows and video calls. We evaluated the association between resident characteristics and whether they received any visits, regardless of the modality of visit, using a multivariable logistic regression model.</p><p><strong>Results: </strong>The study included 564 participants (mean age, 84.9 years; female, 70.0%); among them, 33.2% were visited, 72.2% of which had video calls. Participants who used video calls (1.1 ± 0.9 times per month) had significantly higher frequencies of visits than those with in-person visits only (0.6 ± 0.5 times) (p < 0.001). Most visitors used video calls, although older visitors were less likely to use video calls than younger visitors (60.0% vs. 80.7%, p = 0.021). Compared to residents who stayed for less than 1 year, those staying 1-1.9 years were more likely to receive family visits (adjusted odds ratios [aOR] = 2.18, 95% confidence intervals [CI] = 1.38-3.44, p = 0.001), while those staying 2 years or longer were less likely to receive such visits (aOR = 0.53, 95% CI = 0.31-0.91, p = 0.021). None of the other variables, including dementia diagnosis, age, sex, and Barthel Index score, were shown to be associated with family visits.</p><p><strong>Conclusion: </strong>This study suggests that video calls were widely used for family visits among residents and visitors of nursing homes during the COVID-19 pandemic. For residents with no or infrequent family visits, such as those with shorter or longer lengths of stay, it may be necessary to encourage family engagement and actively incorporate alternative approaches to promote social engagement.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"517"},"PeriodicalIF":3.4,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12247430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144616160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of three sequential orthogeriatric care models on time to surgery after hip fracture: a retrospective study.","authors":"Sabine Drevet, Jérôme Tonetti, Pierre Bouzat, Mehdi Boudissa, Jules Greze, Olga Fajfrova, Laure Allan-Pattoglia, Frederic Olive, Magali Bouisse, Bastien Boussat, Catherine Bioteau, Gaetan Gavazzi","doi":"10.1186/s12877-025-06156-5","DOIUrl":"10.1186/s12877-025-06156-5","url":null,"abstract":"<p><strong>Background: </strong>In hip fracture, the interval between admission and surgery, referred to as time to surgery (TTS) influences prognosis. The main objectives of trauma management in older patients regardless of the orthogeriatric care model is to reduce the TTS between 24 and 48 h to improve outcomes. Our study aimed to assess the impact of orthogeriatric care models on TTS and patient outcomes in older patients with hip fracture.</p><p><strong>Methods: </strong>Observational, retrospective, monocentric study divided into three sequential periods corresponding to three models of care implemented in a French Orthogeriatric unit from August 2015 to October 2021: Period 1 with a Geriatric Consultant Service in Orthopaedic Unit (GCS); Period 2 with an Integrated Orthogeriatric Care Model (ICM); Period 3 with an Integrated Orthogeriatric Care model with Anaesthetist (ICMA). The primary endpoint was the TTS assessed by the time elapsed from the emergency department admission to surgery start time in older patients with hip fracture (75 ≤ years old). The second objective was to assess the association of each model on patient outcomes: medical complications and health status at discharge. Comparisons between groups at baseline were performed using the Kruskal-Wallis test for continuous variables or the Chi² test for nominal variables. The significative threshold was set at 0.05.</p><p><strong>Results: </strong>490 patients (mean age, 88.2 years (SD, 5.8); female: 74.5%) were included: n = 147, 148, and 195 for GCS, ICM, and ICMA respectively. Comorbidity scores were more severe in ICMA. Median TTS was 52 h (IQR, 36-81), 53 h (24-98), and 44 h (25-67) for GCS, ICM, and ICMA respectively (p = 0.01). Regional nerve blocks were enhanced from 10.9% to 70.3% (p = < 0.001). Several in-hospital medical complications increased but delirium decreased in ICMA compared to GCS (p = 0.02). The mortality rate remained stable (5.5%). The length of stay did not differ between models. At discharge, 81.4% of patients from ICMA could walk at least 3 m.</p><p><strong>Conclusions: </strong>TTS during the Integrated Orthogeriatric Care model with Anaesthetist decreased despite increased comorbidities and anticoagulation treatments. The model improved hip fracture management process and patient outcomes. Monitoring TTS is key to finding the optimal model, but strong professional values and structures are vital.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"515"},"PeriodicalIF":3.4,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12247406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144616162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}