Pub Date : 2025-11-01DOI: 10.1016/j.regg.2025.101727
Maricelis Cruz-Grullón , Leidy Yohanna Ceballos-Molina , Felix Jorge Morel-Corona , Matilde Barneto-Soto , Joan Espaulella-Panicot
{"title":"Evolución fatal de tuberculosis pleural en un paciente geriátrico. Reporte de un caso","authors":"Maricelis Cruz-Grullón , Leidy Yohanna Ceballos-Molina , Felix Jorge Morel-Corona , Matilde Barneto-Soto , Joan Espaulella-Panicot","doi":"10.1016/j.regg.2025.101727","DOIUrl":"10.1016/j.regg.2025.101727","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 6","pages":"Article 101727"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145410457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-07DOI: 10.1016/j.regg.2025.101728
Maria-Eugenia Prieto-Flores , Maria João Forjaz , Carmen Rodriguez-Blazquez
Background and aim
The proportion of older caregivers has increased with longevity, reduction in household size, and the survival of both partners in later life. The daily care provided by older adults can be a lonely and overwhelming task when they do not count on adequate social support. The objective of this work was to analyze the relationship between the intensity of care provided and the social support perceived by older caregivers.
Material and methods
We used cross-sectional data from the Spanish National Health Survey, and selected all the respondents aged 60 years or more who were caregivers of older or chronically ill persons (n: 802). The main variables of analysis were intensity of care provided based on weekly hours of care, and Duke-UNC-11 Functional Social Support Questionnaire (DUFSS). We applied a multivariate logistic regression model to analyze the association between both variables, controlling for sociodemographic and health characteristics.
Results
Six out of ten older caregivers spent 20 or more hours per week to caregiving. The multivariate model showed that the likelihood of providing intensive care increases with age and diminishes with higher perceived social support.
Conclusions
The increased caregiving intensity among older caregivers as they age, particularly in those who perceive lower levels of social support, deserve special attention to prevent isolation in old age and ensure adequate protection for both older care providers and their care receivers.
{"title":"Intensity of care provided by older caregivers and perceived social support","authors":"Maria-Eugenia Prieto-Flores , Maria João Forjaz , Carmen Rodriguez-Blazquez","doi":"10.1016/j.regg.2025.101728","DOIUrl":"10.1016/j.regg.2025.101728","url":null,"abstract":"<div><h3>Background and aim</h3><div>The proportion of older caregivers has increased with longevity, reduction in household size, and the survival of both partners in later life. The daily care provided by older adults can be a lonely and overwhelming task when they do not count on adequate social support. The objective of this work was to analyze the relationship between the intensity of care provided and the social support perceived by older caregivers.</div></div><div><h3>Material and methods</h3><div>We used cross-sectional data from the Spanish National Health Survey, and selected all the respondents aged 60 years or more who were caregivers of older or chronically ill persons (<em>n</em>: 802). The main variables of analysis were intensity of care provided based on weekly hours of care, and Duke-UNC-11 Functional Social Support Questionnaire (DUFSS). We applied a multivariate logistic regression model to analyze the association between both variables, controlling for sociodemographic and health characteristics.</div></div><div><h3>Results</h3><div>Six out of ten older caregivers spent 20 or more hours per week to caregiving. The multivariate model showed that the likelihood of providing intensive care increases with age and diminishes with higher perceived social support.</div></div><div><h3>Conclusions</h3><div>The increased caregiving intensity among older caregivers as they age, particularly in those who perceive lower levels of social support, deserve special attention to prevent isolation in old age and ensure adequate protection for both older care providers and their care receivers.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 6","pages":"Article 101728"},"PeriodicalIF":0.0,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01DOI: 10.1016/j.regg.2025.101724
Oscar Valencia , Klaus Samson , Cristóbal López , Guillermo Mendez-Rebolledo , Rodrigo Guzmán-Venegas
Background and objective
The Canadian cane (CC) is clinically relevant for older adults (OA) with degenerative pathologies; however, few studies have evaluated its effect on the vertical joint reaction force (VJRF) in the lower limbs during gait. This study aimed to describe VJRF with and without contralateral CC use during gait in OA.
Materials and methods
A descriptive study was conducted with five healthy OA (age: 69 ± 9.92 years, weight: 75.36 ± 19.79 kg, height: 1.61 ± 0.11 m). A 3D motion analysis system and two force platforms were used to collect VJRF data from the hip, knee, and ankle joints during the stance phase of gait, both with and without CC. VJRF was calculated using an inverse dynamics method in the lower limb contralateral to the CC use. The percentage of force reduction in the impact (IR) and propulsion (PR) regions during the stance phase was calculated based on three evaluations, with mean and standard deviation values reported for each joint.
Results
The PR showed the highest percentage of joint discharge across all joints compared to the IR, with values of 14.43 ± 8.28% for the hip, 14.46 ± 8.20% for the knee, and 14.22 ± 7.87% for the ankle.
Conclusions
OA who use a CC could generate greater joint discharge at the end of the stance phase, with a particular reduction in the PR. This could suggest that using the CC potentially decreases VJRF on the contralateral lower limb joints, particularly the hip and knee.
{"title":"Lower limb joint discharge in older adults’ gait using a contralateral Canadian cane: A pilot study","authors":"Oscar Valencia , Klaus Samson , Cristóbal López , Guillermo Mendez-Rebolledo , Rodrigo Guzmán-Venegas","doi":"10.1016/j.regg.2025.101724","DOIUrl":"10.1016/j.regg.2025.101724","url":null,"abstract":"<div><h3>Background and objective</h3><div>The Canadian cane (CC) is clinically relevant for older adults (OA) with degenerative pathologies; however, few studies have evaluated its effect on the vertical joint reaction force (VJRF) in the lower limbs during gait. This study aimed to describe VJRF with and without contralateral CC use during gait in OA.</div></div><div><h3>Materials and methods</h3><div>A descriptive study was conducted with five healthy OA (age: 69<!--> <!-->±<!--> <!-->9.92 years, weight: 75.36<!--> <!-->±<!--> <!-->19.79<!--> <!-->kg, height: 1.61<!--> <!-->±<!--> <!-->0.11<!--> <!-->m). A 3D motion analysis system and two force platforms were used to collect VJRF data from the hip, knee, and ankle joints during the stance phase of gait, both with and without CC. VJRF was calculated using an inverse dynamics method in the lower limb contralateral to the CC use. The percentage of force reduction in the impact (IR) and propulsion (PR) regions during the stance phase was calculated based on three evaluations, with mean and standard deviation values reported for each joint.</div></div><div><h3>Results</h3><div>The PR showed the highest percentage of joint discharge across all joints compared to the IR, with values of 14.43<!--> <!-->±<!--> <!-->8.28% for the hip, 14.46<!--> <!-->±<!--> <!-->8.20% for the knee, and 14.22<!--> <!-->±<!--> <!-->7.87% for the ankle.</div></div><div><h3>Conclusions</h3><div>OA who use a CC could generate greater joint discharge at the end of the stance phase, with a particular reduction in the PR. This could suggest that using the CC potentially decreases VJRF on the contralateral lower limb joints, particularly the hip and knee.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 6","pages":"Article 101724"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-30DOI: 10.1016/j.regg.2025.101725
Jesús Mateos-Nozal , Irene Bretón Lesmes , Sara Fernández Villaseca , Ana Belén Melgar Borrego , Elena Capilla Santamaría , Nuria Pérez-Panizo , Elisabeth Gutiérrez Bermúdez , Sara González Blázquez , Primitivo Ramos Cordero , Carmen González Paz , Grupo de Trabajo Alimentación y Nutrición en residencias de mayores de la Comunidad de Madrid
Introduction
Malnutrition is common in nursing homes residents and is associated with various significant complications. For this reason, several nutritional recommendations for nursing homes have been developed and also nutrition training for their staff has been recommended. The objective of this project is to develop a multidisciplinary consensus on key nutritional recommendations for nursing homes for older people.
Method
A modified Delphi technique was used. First, the working group developed a list of initial recommendations based on a literature review. Second, three Delphi rounds were conducted with the participation of 37 experts from different fields and professions. Last, a final phase was held to compile the list of key recommendations.
Results
Seven of the recommendations achieved 100% consensus in the first round, ten in the second phase, and three in the third one. In the final round, a level of agreement exceeding 90% was achieved for seven of the recommendations, while three others (to disseminate the IDDSI classification, optimize of oral intake and dietary counseling, and avoid enteral nutrition in advanced dementia) were adapted, subsequently achieving full agreement on the recommendations.
Conclusions
Thirty key recommendations are presented, agreed upon using modified Delphi method, to enhance diet and nutrition in nursing homes.
{"title":"Consenso de recomendaciones prácticas sobre alimentación y nutrición en residencias de personas mayores mediante un método Delphi modificado","authors":"Jesús Mateos-Nozal , Irene Bretón Lesmes , Sara Fernández Villaseca , Ana Belén Melgar Borrego , Elena Capilla Santamaría , Nuria Pérez-Panizo , Elisabeth Gutiérrez Bermúdez , Sara González Blázquez , Primitivo Ramos Cordero , Carmen González Paz , Grupo de Trabajo Alimentación y Nutrición en residencias de mayores de la Comunidad de Madrid","doi":"10.1016/j.regg.2025.101725","DOIUrl":"10.1016/j.regg.2025.101725","url":null,"abstract":"<div><h3>Introduction</h3><div>Malnutrition is common in nursing homes residents and is associated with various significant complications. For this reason, several nutritional recommendations for nursing homes have been developed and also nutrition training for their staff has been recommended. The objective of this project is to develop a multidisciplinary consensus on key nutritional recommendations for nursing homes for older people.</div></div><div><h3>Method</h3><div>A modified Delphi technique was used. First, the working group developed a list of initial recommendations based on a literature review. Second, three Delphi rounds were conducted with the participation of 37 experts from different fields and professions. Last, a final phase was held to compile the list of key recommendations.</div></div><div><h3>Results</h3><div>Seven of the recommendations achieved 100% consensus in the first round, ten in the second phase, and three in the third one. In the final round, a level of agreement exceeding 90% was achieved for seven of the recommendations, while three others (to disseminate the IDDSI classification, optimize of oral intake and dietary counseling, and avoid enteral nutrition in advanced dementia) were adapted, subsequently achieving full agreement on the recommendations.</div></div><div><h3>Conclusions</h3><div>Thirty key recommendations are presented, agreed upon using modified Delphi method, to enhance diet and nutrition in nursing homes.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 6","pages":"Article 101725"},"PeriodicalIF":0.0,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-29DOI: 10.1016/j.regg.2025.101729
Miguel Mansilla-Polo , Daniel Martín-Torregrosa , Vicent Martínez-Cozar , Rafael Botella-Estrada
{"title":"Púrpura eccematoide de Doucas y Kapetanakis: una entidad a tener en cuenta en el diagnóstico de las lesiones en las piernas de los ancianos","authors":"Miguel Mansilla-Polo , Daniel Martín-Torregrosa , Vicent Martínez-Cozar , Rafael Botella-Estrada","doi":"10.1016/j.regg.2025.101729","DOIUrl":"10.1016/j.regg.2025.101729","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 6","pages":"Article 101729"},"PeriodicalIF":0.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-29DOI: 10.1016/j.regg.2025.101726
José María Faílde Garrido , María D. Dapía Conde , Miguel Ángel Álvarez-Vázquez
Introduction
The health and social improvements that have occurred in the last century have led to a prolongation of human existence in all age groups and with it the population of centenarians. The aim of this study was to map the Galician territory, identifying the areas with the highest and lowest rates of centenarians.
Method
Using the databases of the National Institute of Statistics and the Galician Institute of Statistics, the rates of centenarians per 100,000 inhabitants were calculated and represented as choropleth maps.
Results
Galicia is the second autonomous community with the second highest rate of centenarians and Ourense, together with Soria, are the provinces with the highest prevalence of centenarians. In the Galician community we observe a clear East-West contrast; the 2 Atlantic provinces, A Coruña (57.72) and Pontevedra (73.49), have significantly lower rates of centenarians than Lugo (96.61) and Ourense (127.19). The analysis at county level indicates that the highest concentration of centenarians is found in rural areas in the eastern part of Pontevedra, the south of Lugo and in the province of Ourense. There is a feminisation of the centenarian population, where the number of female centenarians is 3 times higher than the number of male centenarians.
Conclusions
Galicia is a region with a high prevalence of centenarians, with a clear contrast between coastal and inland areas and between the northern and southern areas of its territory, with rates associated with those considered «blue zone».
{"title":"¿Es Galicia una posible zona azul?","authors":"José María Faílde Garrido , María D. Dapía Conde , Miguel Ángel Álvarez-Vázquez","doi":"10.1016/j.regg.2025.101726","DOIUrl":"10.1016/j.regg.2025.101726","url":null,"abstract":"<div><h3>Introduction</h3><div>The health and social improvements that have occurred in the last century have led to a prolongation of human existence in all age groups and with it the population of centenarians. The aim of this study was to map the Galician territory, identifying the areas with the highest and lowest rates of centenarians.</div></div><div><h3>Method</h3><div>Using the databases of the National Institute of Statistics and the Galician Institute of Statistics, the rates of centenarians per 100,000 inhabitants were calculated and represented as choropleth maps.</div></div><div><h3>Results</h3><div>Galicia is the second autonomous community with the second highest rate of centenarians and Ourense, together with Soria, are the provinces with the highest prevalence of centenarians. In the Galician community we observe a clear East-West contrast; the 2<!--> <!-->Atlantic provinces, A Coruña (57.72) and Pontevedra (73.49), have significantly lower rates of centenarians than Lugo (96.61) and Ourense (127.19). The analysis at county level indicates that the highest concentration of centenarians is found in rural areas in the eastern part of Pontevedra, the south of Lugo and in the province of Ourense. There is a feminisation of the centenarian population, where the number of female centenarians is 3<!--> <!-->times higher than the number of male centenarians.</div></div><div><h3>Conclusions</h3><div>Galicia is a region with a high prevalence of centenarians, with a clear contrast between coastal and inland areas and between the northern and southern areas of its territory, with rates associated with those considered «blue zone».</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 6","pages":"Article 101726"},"PeriodicalIF":0.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-22DOI: 10.1016/j.regg.2025.101723
Arís Somoano Sierra, Blanca Garmendia Prieto, Francisco Sánchez del Corral Usaola, Javier Gómez Pavón
{"title":"Prevalencia de síndromes geriátricos en pacientes con demencia avanzada atendidos por una Unidad de Atención Geriátrica Domiciliaria","authors":"Arís Somoano Sierra, Blanca Garmendia Prieto, Francisco Sánchez del Corral Usaola, Javier Gómez Pavón","doi":"10.1016/j.regg.2025.101723","DOIUrl":"10.1016/j.regg.2025.101723","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 6","pages":"Article 101723"},"PeriodicalIF":0.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145118010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-02DOI: 10.1016/j.regg.2025.101718
Maria Eugenia Campollo-Duquela , Maria Elena Castro-Vilela , Martin Skoumal , Joyce Hogebur-Hester , Femke Ariën , Ingrid Wiig , Karol Biegus , Lorene Zerah
Introduction
Falls among hospitalized older adults increase morbidity, prolong hospital stays, and raise healthcare costs. Sensor-based technologies and medical devices are emerging tools for fall prevention, but their clinical effectiveness remains uncertain. This systematic review aimed to assess their effectiveness in reducing inpatient falls, staff workload, and physical restraint use in hospitalized older adults.
Methodology
This review followed PRISMA guidelines and was registered in PROSPERO (CRD42025645616). A comprehensive search of five databases (MEDLINE, EMBASE, CINAHL, Academic Search Complete, Web of Science) and two clinical trial registries (ClinicalTrials.gov, ICTRP) was conducted for RCTs published between January 2000 and January 2025. Eligible studies were RCTs evaluating sensor-based interventions in hospitalized patients aged ≥65 years in acute or rehabilitation settings. The primary outcome was inpatient falls. Secondary outcomes included physical restraint use, staff involvement in fall prevention tasks and healthcare resource utilization. Two reviewers independently screened records in Covidence, resolving conflicts with a third reviewer.
Results
Of 2939 records screened, 10 full-text articles were reviewed, but none met all inclusion criteria. Most were excluded due to unsuitable populations, settings, interventions, or lack of isolated analysis of sensor-based technologies. No RCTs specifically evaluating the standalone impact of such technologies on inpatient fall prevention in older adults were identified.
Discussion
Despite the growing adoption of sensor-based technologies in hospitals, no RCTs have evaluated their isolated clinical effectiveness for fall prevention in older inpatients. High-quality clinical trials are urgently needed to inform evidence-based implementation.
住院老年人跌倒增加了发病率，延长了住院时间，并增加了医疗费用。基于传感器的技术和医疗设备是预防跌倒的新兴工具，但其临床效果仍不确定。本系统综述旨在评估其在减少住院老年人跌倒、工作人员工作量和身体约束使用方面的有效性。方法：本综述遵循PRISMA指南，在PROSPERO注册（CRD42025645616）。对2000年1月至2025年1月间发表的随机对照试验进行了5个数据库（MEDLINE， EMBASE， CINAHL, Academic search Complete, Web of Science）和两个临床试验注册（ClinicalTrials.gov， ICTRP）的综合检索。符合条件的研究是评估≥65岁急性或康复住院患者基于传感器干预措施的随机对照试验。主要结局是住院患者跌倒。次要结果包括身体约束的使用、工作人员对预防跌倒任务的参与和保健资源的利用。两名审稿人独立筛选了冠状病毒的记录，解决了与第三名审稿人的冲突。结果在筛选的2939篇文献中，有10篇全文被纳入，但没有一篇符合全部纳入标准。由于不适合的人群、环境、干预措施或缺乏对基于传感器的技术的孤立分析，大多数被排除在外。没有专门评估此类技术对老年人住院患者跌倒预防的单独影响的随机对照试验被确定。尽管医院越来越多地采用基于传感器的技术，但没有随机对照试验评估其在老年住院患者中预防跌倒的单独临床效果。迫切需要高质量的临床试验，为循证实施提供信息。
{"title":"Evaluating the evidence for sensor-based technologies and medical devices in fall prevention among hospitalized older adults: A systematic review","authors":"Maria Eugenia Campollo-Duquela , Maria Elena Castro-Vilela , Martin Skoumal , Joyce Hogebur-Hester , Femke Ariën , Ingrid Wiig , Karol Biegus , Lorene Zerah","doi":"10.1016/j.regg.2025.101718","DOIUrl":"10.1016/j.regg.2025.101718","url":null,"abstract":"<div><h3>Introduction</h3><div>Falls among hospitalized older adults increase morbidity, prolong hospital stays, and raise healthcare costs. Sensor-based technologies and medical devices are emerging tools for fall prevention, but their clinical effectiveness remains uncertain. This systematic review aimed to assess their effectiveness in reducing inpatient falls, staff workload, and physical restraint use in hospitalized older adults.</div></div><div><h3>Methodology</h3><div>This review followed PRISMA guidelines and was registered in PROSPERO (CRD42025645616). A comprehensive search of five databases (MEDLINE, EMBASE, CINAHL, Academic Search Complete, Web of Science) and two clinical trial registries (ClinicalTrials.gov, ICTRP) was conducted for RCTs published between January 2000 and January 2025. Eligible studies were RCTs evaluating sensor-based interventions in hospitalized patients aged ≥65 years in acute or rehabilitation settings. The primary outcome was inpatient falls. Secondary outcomes included physical restraint use, staff involvement in fall prevention tasks and healthcare resource utilization. Two reviewers independently screened records in Covidence, resolving conflicts with a third reviewer.</div></div><div><h3>Results</h3><div>Of 2939 records screened, 10 full-text articles were reviewed, but none met all inclusion criteria. Most were excluded due to unsuitable populations, settings, interventions, or lack of isolated analysis of sensor-based technologies. No RCTs specifically evaluating the standalone impact of such technologies on inpatient fall prevention in older adults were identified.</div></div><div><h3>Discussion</h3><div>Despite the growing adoption of sensor-based technologies in hospitals, no RCTs have evaluated their isolated clinical effectiveness for fall prevention in older inpatients. High-quality clinical trials are urgently needed to inform evidence-based implementation.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 6","pages":"Article 101718"},"PeriodicalIF":0.0,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144925076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-29DOI: 10.1016/j.regg.2025.101714
Erick A. Rodriguez-Espeso , Carlos Verdejo-Bravo , Alfonso J. Cruz-Jentoft
Older adults often take multiple drugs and are high users of hospitals. Consequently, this is associated with an increased risk of adverse drug reactions (ADRs) compared to the general population. Epidemiological studies on ADRs in older adults conducted over recent decades have shown heterogeneous results regarding incidence, clinical characteristics of the events, and causative drugs.
Polypharmacy, multimorbidity, frailty, age-related pharmacokinetic and pharmacodynamic changes, and other geriatric syndromes are associated with a higher risk of adverse drug reactions (ADR).
Medication review and deprescription processes should be conducted within the framework of a comprehensive assessment of older adults, considering their clinical characteristics and the specific needs of each clinical setting.
{"title":"Las reacciones adversas a medicamentos en las personas mayores. Una revisión sobre epidemiología, factores de riesgo y estrategias de prevención","authors":"Erick A. Rodriguez-Espeso , Carlos Verdejo-Bravo , Alfonso J. Cruz-Jentoft","doi":"10.1016/j.regg.2025.101714","DOIUrl":"10.1016/j.regg.2025.101714","url":null,"abstract":"<div><div>Older adults often take multiple drugs and are high users of hospitals. Consequently, this is associated with an increased risk of adverse drug reactions (ADRs) compared to the general population. Epidemiological studies on ADRs in older adults conducted over recent decades have shown heterogeneous results regarding incidence, clinical characteristics of the events, and causative drugs.</div><div>Polypharmacy, multimorbidity, frailty, age-related pharmacokinetic and pharmacodynamic changes, and other geriatric syndromes are associated with a higher risk of adverse drug reactions (ADR).</div><div>Medication review and deprescription processes should be conducted within the framework of a comprehensive assessment of older adults, considering their clinical characteristics and the specific needs of each clinical setting.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101714"},"PeriodicalIF":0.0,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144914026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-28DOI: 10.1016/j.regg.2025.101717
María Noemí García-Calderón Díaz , Antonio Medina Nieto , Mateo Ballesteros Arana , Valentina Manzanilla Meneses , Evelyn Barriga Pineda , Pedro García Matta , Gabriela Castro Medina , Olga Tornero Torres , Javier Gómez Pavón
Background and objective
Iron deficiency anemia is prevalent in the elderly, with ferric carboxymaltose increasingly used for intravenous iron supplementation. Evaluating its safety, efficacy, and cost implications in various care settings is essential. This study assesses the clinical outcomes, adverse reactions, and cost-effectiveness of administering ferric carboxymaltose to elderly patients across different care settings over five years.
Methods
This retrospective observational cohort study included 198 elderly patients who received ferric carboxymaltose at a Geriatric Day Hospital from January 1, 2019, to December 31, 2023. Data on sociodemographic, clinical, and laboratory factors, along with adverse reaction records, were collected. Costs of administration at the Geriatric Day Hospital were compared with hypothetical costs if administered at home or in a nursing home by a Geriatric Home Hospitalization unit.
Results
A total of 279 doses of ferric carboxymaltose were administered. Mean age of 87.3 years, 70% women. Primary indication for treatment was intestinal iron malabsorption (62.7%). Treatment was generally safe, no severe adverse reactions; mild adverse reactions occurred in 5.73% of doses, mainly involving arterial hypo- or hypertension. Patients in nursing homes exhibited higher functional dependence, frailty, and comorbidity compared to those living at home. Cost analysis showed potential savings of €39,353.80 with administration by the Geriatric Home Hospitalization unit, attributed to lower operational and personnel costs.
Conclusions
Ferric carboxymaltose is safe and effective for elderly patients, including those with high frailty and comorbidity. Administering this treatment in home or nursing home settings is cost-effective, potentially enhancing accessibility and reducing overall healthcare costs.
{"title":"Evaluating ferric carboxymaltose administration in elderly patients: Clinical outcomes, comparative characteristics in different care settings and cost analysis. A five year study","authors":"María Noemí García-Calderón Díaz , Antonio Medina Nieto , Mateo Ballesteros Arana , Valentina Manzanilla Meneses , Evelyn Barriga Pineda , Pedro García Matta , Gabriela Castro Medina , Olga Tornero Torres , Javier Gómez Pavón","doi":"10.1016/j.regg.2025.101717","DOIUrl":"10.1016/j.regg.2025.101717","url":null,"abstract":"<div><h3>Background and objective</h3><div>Iron deficiency anemia is prevalent in the elderly, with ferric carboxymaltose increasingly used for intravenous iron supplementation. Evaluating its safety, efficacy, and cost implications in various care settings is essential. This study assesses the clinical outcomes, adverse reactions, and cost-effectiveness of administering ferric carboxymaltose to elderly patients across different care settings over five years.</div></div><div><h3>Methods</h3><div>This retrospective observational cohort study included 198 elderly patients who received ferric carboxymaltose at a Geriatric Day Hospital from January 1, 2019, to December 31, 2023. Data on sociodemographic, clinical, and laboratory factors, along with adverse reaction records, were collected. Costs of administration at the Geriatric Day Hospital were compared with hypothetical costs if administered at home or in a nursing home by a Geriatric Home Hospitalization unit.</div></div><div><h3>Results</h3><div>A total of 279 doses of ferric carboxymaltose were administered. Mean age of 87.3 years, 70% women. Primary indication for treatment was intestinal iron malabsorption (62.7%). Treatment was generally safe, no severe adverse reactions; mild adverse reactions occurred in 5.73% of doses, mainly involving arterial hypo- or hypertension. Patients in nursing homes exhibited higher functional dependence, frailty, and comorbidity compared to those living at home. Cost analysis showed potential savings of €39,353.80 with administration by the Geriatric Home Hospitalization unit, attributed to lower operational and personnel costs.</div></div><div><h3>Conclusions</h3><div>Ferric carboxymaltose is safe and effective for elderly patients, including those with high frailty and comorbidity. Administering this treatment in home or nursing home settings is cost-effective, potentially enhancing accessibility and reducing overall healthcare costs.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 6","pages":"Article 101717"},"PeriodicalIF":0.0,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144906849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号