Pub Date : 2025-02-04DOI: 10.1016/j.regg.2024.101617
Miguel Mansilla-Polo , Carlos Abril-Pérez , Mar Merino-Romero , Rafael Botella-Estrada
{"title":"Manejo multidisciplinar de un caso severo de pioderma gangrenoso en una paciente de edad avanzada","authors":"Miguel Mansilla-Polo , Carlos Abril-Pérez , Mar Merino-Romero , Rafael Botella-Estrada","doi":"10.1016/j.regg.2024.101617","DOIUrl":"10.1016/j.regg.2024.101617","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 4","pages":"Article 101617"},"PeriodicalIF":0.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143131865","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 : 2025-01-31DOI: 10.1016/j.regg.2025.101626
José Manuel Ribera Casado , Alfonso J. Cruz Jentoft
Geriatrics is the medical specialty that cares for health problems of older persons, including acute care, chronic care and rehabilitation, in various settings such as the community, hospitals and long-term care. This article analyzes the situation of geriatric medicine in Spain before and after the COVID-19 pandemic, highlighting the challenges and changes needed to improve geriatric care in the future.
The first part of this paper describes the main landmarks of the Spanish health system. In 1986, a key law (Ley General de Sanidad) was approved by the Spanish Parliament, launching the development of the national health care system. In parallel, we describe and comment the development of geriatrics in Spain along this period is described. Later, the interactions between the health system and geriatrics along the next decades is reported, using 2020 (when started the COVID-19 pandemic started) as deadline of our past history. In the second part, the most important characteristics of the current situation of Spanish and European geriatric medicine are described, in order to propose ideas on how geriatric care can be designed and reimagined in the future.
{"title":"La geriatría dentro del sistema sanitario español: pasado y futuro","authors":"José Manuel Ribera Casado , Alfonso J. Cruz Jentoft","doi":"10.1016/j.regg.2025.101626","DOIUrl":"10.1016/j.regg.2025.101626","url":null,"abstract":"<div><div>Geriatrics is the medical specialty that cares for health problems of older persons, including acute care, chronic care and rehabilitation, in various settings such as the community, hospitals and long-term care. This article analyzes the situation of geriatric medicine in Spain before and after the COVID-19 pandemic, highlighting the challenges and changes needed to improve geriatric care in the future.</div><div>The first part of this paper describes the main landmarks of the Spanish health system. In 1986, a key law <em>(Ley General de Sanidad)</em> was approved by the Spanish Parliament, launching the development of the national health care system. In parallel, we describe and comment the development of geriatrics in Spain along this period is described. Later, the interactions between the health system and geriatrics along the next decades is reported, using 2020 (when started the COVID-19 pandemic started) as deadline of our past history. In the second part, the most important characteristics of the current situation of Spanish and European geriatric medicine are described, in order to propose ideas on how geriatric care can be designed and reimagined in the future.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101626"},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075970","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 : 2025-01-31DOI: 10.1016/j.regg.2025.101622
Myriam Teresa Aponte , Juan Ignacio Maglio , Clara Cabré-Verdiell Surribas , Alberto Alonso Babarro
{"title":"Invaginación duodenal en paciente octogenario: a propósito de un caso","authors":"Myriam Teresa Aponte , Juan Ignacio Maglio , Clara Cabré-Verdiell Surribas , Alberto Alonso Babarro","doi":"10.1016/j.regg.2025.101622","DOIUrl":"10.1016/j.regg.2025.101622","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101622"},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143071223","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 : 2025-01-31DOI: 10.1016/j.regg.2025.101621
Rodrigo Molero-de-Ávila , María Gonzalo-Lázaro , Inhar Esnaola-Barriola , Marta Lorente-Escudero
{"title":"Diagnóstico diferencial del síncope en el paciente mayor, a raíz de un caso clínico","authors":"Rodrigo Molero-de-Ávila , María Gonzalo-Lázaro , Inhar Esnaola-Barriola , Marta Lorente-Escudero","doi":"10.1016/j.regg.2025.101621","DOIUrl":"10.1016/j.regg.2025.101621","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101621"},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143071218","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 : 2025-01-31DOI: 10.1016/j.regg.2024.101620
Juan Camilo Benítez Agudelo , Edgar Navarro Lechuga , Karen Cecilia Flórez Lozano , Ernesto Barceló Martínez , Carlos Mario de Oro Aguado
Background
Mild amnestic cognitive impairment (aMCI) is a syndrome in which there are cognitive deficits characterized by memory complaints, with the endophenotype with the highest rate of conversion to dementia, especially the Alzheimer type. The objective of the study was to establish neuropsychological markers and factors associated with aMCI.
Methods
Transversal descriptive study with case and control analysis, with a sample of 426 subjects selected by non-probabilistic convenience sampling. The average age was 58.8 ± 5.5 years, 57.3% (244) of the sample were women, and 184 subjects (43.2%) had university studies. The clinical history shows that 47.9% (204) had a clinical history of hypertension, followed by symptoms of depression with 37.6% (160) and a tendency to isolation with 28.6% (122). Information on neuropsychological markers and associated factors was obtained through a neuropsychological assessment protocol.
Results
In the aMCI group, the domains of: focused care (OR: 10.74 95% CI 3.386-34.11) were found as significantly associated factors with respect to subjects without apparent pathology; episodic memory (storage) (OR: 36.52 95% CI 15.14-88.05) and denomination (OR: 5.043 95% CI 1.816-14.00).
Conclusions
Focused attention, episodic memory (storage) and naming become neuropsychological markers associated with aMCI; likewise, social isolation is shown to be a factor associated with aMCI when compared to subjects with non-amnestic predominant mild cognitive impairment (anMCI).
{"title":"Marcadores neuropsicológicos y factores asociados al deterioro cognitivo leve amnésico","authors":"Juan Camilo Benítez Agudelo , Edgar Navarro Lechuga , Karen Cecilia Flórez Lozano , Ernesto Barceló Martínez , Carlos Mario de Oro Aguado","doi":"10.1016/j.regg.2024.101620","DOIUrl":"10.1016/j.regg.2024.101620","url":null,"abstract":"<div><h3>Background</h3><div>Mild amnestic cognitive impairment (aMCI) is a syndrome in which there are cognitive deficits characterized by memory complaints, with the endophenotype with the highest rate of conversion to dementia, especially the Alzheimer type. The objective of the study was to establish neuropsychological markers and factors associated with aMCI.</div></div><div><h3>Methods</h3><div>Transversal descriptive study with case and control analysis, with a sample of 426 subjects selected by non-probabilistic convenience sampling. The average age was 58.8<!--> <!-->±<!--> <!-->5.5 years, 57.3% (244) of the sample were women, and 184 subjects (43.2%) had university studies. The clinical history shows that 47.9% (204) had a clinical history of hypertension, followed by symptoms of depression with 37.6% (160) and a tendency to isolation with 28.6% (122). Information on neuropsychological markers and associated factors was obtained through a neuropsychological assessment protocol.</div></div><div><h3>Results</h3><div>In the aMCI group, the domains of: focused care (OR: 10.74 95% CI 3.386-34.11) were found as significantly associated factors with respect to subjects without apparent pathology; episodic memory (storage) (OR: 36.52 95% CI 15.14-88.05) and denomination (OR: 5.043 95% CI 1.816-14.00).</div></div><div><h3>Conclusions</h3><div>Focused attention, episodic memory (storage) and naming become neuropsychological markers associated with aMCI; likewise, social isolation is shown to be a factor associated with aMCI when compared to subjects with non-amnestic predominant mild cognitive impairment (anMCI).</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101620"},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075973","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 : 2025-01-31DOI: 10.1016/j.regg.2025.101624
Cristina Mas-Bargues
{"title":"Translating lessons from immortal models: Hydra and the immortal jellyfish","authors":"Cristina Mas-Bargues","doi":"10.1016/j.regg.2025.101624","DOIUrl":"10.1016/j.regg.2025.101624","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 4","pages":"Article 101624"},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143071230","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 : 2025-01-16DOI: 10.1016/j.regg.2024.101612
María Camila Parra Ortiz , Ana Belén Navarro Prados , María Cruz Sánchez Gómez , Juan Luis Cabanillas García
Introduction and objective
Social support appears to have a positive impact on the mental health and well-being of post-caregivers. Therefore, the aim of this paper is to examine the perceived social support network and its role in post-caregiving.
Materials and methods
56 family post-caregivers of older people participated in a semi-structured interview. In addition, the Social Support Questionnaire -MOS- and qualitative measures were applied. Descriptive analyses of the relationship between variables were carried out. At the qualitative level, we worked with a phenomenological design using the NVIVO program. Finally, data were triangulated using the mixed concurrent triangulation design methodology (DITRIAC).
Results
Post-care adjustment was positively associated with the dimensions of the perceived social support scale. The network of friends was found to be supportive during the loss, generating spaces for leisure and recreation that allowed post-caregivers to resume their social life. The family unit can move closer or further away. Children played a role of support and companionship for the post-caregivers and are also a source of motivation to cope and adapt to the loss of the cared-for relative. Participants emph
asised the need to feel listened to and welcomed. 64.3% of participants referred to not having received psychological care.
Conclusions
It is essential to carry out interventions that favor the development and maintenance of the family caregiver.
{"title":"Papel y función del apoyo social en los post-cuidadores familiares de personas mayores dependientes","authors":"María Camila Parra Ortiz , Ana Belén Navarro Prados , María Cruz Sánchez Gómez , Juan Luis Cabanillas García","doi":"10.1016/j.regg.2024.101612","DOIUrl":"10.1016/j.regg.2024.101612","url":null,"abstract":"<div><h3>Introduction and objective</h3><div>Social support appears to have a positive impact on the mental health and well-being of post-caregivers. Therefore, the aim of this paper is to examine the perceived social support network and its role in post-caregiving.</div></div><div><h3>Materials and methods</h3><div>56 family post-caregivers of older people participated in a semi-structured interview. In addition, the Social Support Questionnaire -MOS- and qualitative measures were applied. Descriptive analyses of the relationship between variables were carried out. At the qualitative level, we worked with a phenomenological design using the NVIVO program. Finally, data were triangulated using the mixed concurrent triangulation design methodology (DITRIAC).</div></div><div><h3>Results</h3><div>Post-care adjustment was positively associated with the dimensions of the perceived social support scale. The network of friends was found to be supportive during the loss, generating spaces for leisure and recreation that allowed post-caregivers to resume their social life. The family unit can move closer or further away. Children played a role of support and companionship for the post-caregivers and are also a source of motivation to cope and adapt to the loss of the cared-for relative. Participants emph</div><div>asised the need to feel listened to and welcomed. 64.3% of participants referred to not having received psychological care.</div></div><div><h3>Conclusions</h3><div>It is essential to carry out interventions that favor the development and maintenance of the family caregiver.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101612"},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-16DOI: 10.1016/j.regg.2024.101608
Gloria Gabriela Peña Ordóñez , Lilia Patricia Bustamante Montes , José de Jesús Garduño García , Gabriel Gerardo Huitrón Bravo , Paola Conde Higuera , Alfonso J. Cruz-Jentoft
Background and aim
To evaluate the association between sarcopenia and metabolic syndrome.
Patients and methods
A case–control study. Setting. Geriatric Care Clinic of Metepec (México). Inclusion criteria. Outpatients with physical and mental independence to perform daily living activities (DLA). Exclusion criteria. Physical or mental disability requiring assistance from a carer, active cancer, cardiopathies and renal disease.
Patients
124 participants (59.6% women) aged over 60 years (mean age 69.7 years, standard deviation ± 6.5 years).
Measurements
62 with sarcopenia according to the EGWSOP 2019 definition. Hypertension, diabetes, adiposity and dyslipidaemia were assessed, and the prevalence and odds ratio (OR) of metabolic syndrome in cases and controls were calculated.
Results
Participants with sarcopenia were more likely to be female (80% vs. 41.8%), with no major differences from controls in other characteristics. 46.7% of participants were obese and 25.8% in both groups met diagnostic criteria for the metabolic syndrome; of the items defining the metabolic syndrome, only hypertension, obesity grade II and central obesity were associated with the presence of sarcopenia (OR 2.12; 3.39 and 1.93, respectively, with 95% CI).
Conclusions
We could not confirm an association between sarcopenia and the metabolic syndrome, but with the obesity and hypertension components.
{"title":"Factors associated with sarcopenia in a population of non-disabled older patients","authors":"Gloria Gabriela Peña Ordóñez , Lilia Patricia Bustamante Montes , José de Jesús Garduño García , Gabriel Gerardo Huitrón Bravo , Paola Conde Higuera , Alfonso J. Cruz-Jentoft","doi":"10.1016/j.regg.2024.101608","DOIUrl":"10.1016/j.regg.2024.101608","url":null,"abstract":"<div><h3>Background and aim</h3><div>To evaluate the association between sarcopenia and metabolic syndrome.</div></div><div><h3>Patients and methods</h3><div>A case–control study. Setting. Geriatric Care Clinic of Metepec (México). <em>Inclusion criteria.</em> Outpatients with physical and mental independence to perform daily living activities (DLA). <em>Exclusion criteria.</em> Physical or mental disability requiring assistance from a carer, active cancer, cardiopathies and renal disease.</div></div><div><h3>Patients</h3><div>124 participants (59.6% women) aged over 60 years (mean age 69.7 years, standard deviation<!--> <!-->±<!--> <!-->6.5 years).</div></div><div><h3>Measurements</h3><div>62 with sarcopenia according to the EGWSOP 2019 definition. Hypertension, diabetes, adiposity and dyslipidaemia were assessed, and the prevalence and odds ratio (OR) of metabolic syndrome in cases and controls were calculated.</div></div><div><h3>Results</h3><div>Participants with sarcopenia were more likely to be female (80% vs. 41.8%), with no major differences from controls in other characteristics. 46.7% of participants were obese and 25.8% in both groups met diagnostic criteria for the metabolic syndrome; of the items defining the metabolic syndrome, only hypertension, obesity grade II and central obesity were associated with the presence of sarcopenia (OR 2.12; 3.39 and 1.93, respectively, with 95% CI).</div></div><div><h3>Conclusions</h3><div>We could not confirm an association between sarcopenia and the metabolic syndrome, but with the obesity and hypertension components.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101608"},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013798","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}
The population of very elderly patients (aged 80 years and older) in intensive care units (ICUs) is steadily growing. These patients have unique physiological, cognitive, functional, and social characteristics that affect their entire ICU course. Immobility, delirium, dysphagia, malnutrition, and polypharmacy are among the most common geriatric syndromes in these patients, and they contribute to a higher risk of acute and long-term functional decline and mortality. Risk assessment in very elderly patients is complex, as traditional ICU scoring systems do not account for frailty and baseline disability, making difficult the determination of likely benefits, futility, or harm with ICU interventions. The importance of shared decision-making for treatment plans is critical, as very elderly patients and their families may have uncertain or unrealistic prognostic awareness and expectations of ICU care. Considering the gap between the rapid aging of the population and the socio-health development in Latin America, this population is an important determinant of stress on healthcare systems, however, data on these population is scarce. This review, based on a comprehensive literature search, summarizes recent evidence on triage for ICU admission, specific clinical characteristics, predictive elements of prognosis, and ICU and post-ICU outcomes for very elderly patients while also analyzing the challenges to improve management in the Latin American region.
{"title":"Very old patients in the ICU in Latin America: A narrative review","authors":"Andrés Giglio , Javiera Barrientos , Andrés Ferre , Felipe Salech","doi":"10.1016/j.regg.2024.101560","DOIUrl":"10.1016/j.regg.2024.101560","url":null,"abstract":"<div><div>The population of very elderly patients (aged 80 years and older) in intensive care units (ICUs) is steadily growing. These patients have unique physiological, cognitive, functional, and social characteristics that affect their entire ICU course. Immobility, delirium, dysphagia, malnutrition, and polypharmacy are among the most common geriatric syndromes in these patients, and they contribute to a higher risk of acute and long-term functional decline and mortality. Risk assessment in very elderly patients is complex, as traditional ICU scoring systems do not account for frailty and baseline disability, making difficult the determination of likely benefits, futility, or harm with ICU interventions. The importance of shared decision-making for treatment plans is critical, as very elderly patients and their families may have uncertain or unrealistic prognostic awareness and expectations of ICU care. Considering the gap between the rapid aging of the population and the socio-health development in Latin America, this population is an important determinant of stress on healthcare systems, however, data on these population is scarce. This review, based on a comprehensive literature search, summarizes recent evidence on triage for ICU admission, specific clinical characteristics, predictive elements of prognosis, and ICU and post-ICU outcomes for very elderly patients while also analyzing the challenges to improve management in the Latin American region.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 1","pages":"Article 101560"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789708","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 : 2025-01-01DOI: 10.1016/j.regg.2024.101571
Daniela Villalón-Rubio , Elisa García-Tercero , Jesús López-Gómez , Hugo González , Ángel Belenguer-Varea , Cristina Cunha-Pérez , Miguel Germán Borda , Francisco José Tarazona-Santabalbina
Introduction
Hip fractures are a common pathology among older adults, often accompanied by significant complications such as delirium, a geriatric syndrome associated with prolonged hospitalization, reduced functional recovery, and decreased overall survival rates. This study aims to determine the incidence of delirium and its correlation with various factors during hospitalization, as well as its impact on short-, medium-, and long-term survival.
Methodology
A retrospective cohort study was undertaken to examine hospital admissions of individuals aged 70 years or older diagnosed with hip fractures at the Hospital Universitario La Ribera in Alzira, Valencia, from January 2012 to December 2021.
Results
A total of 3226 patients were recruited, mean of 85 years, 73.7% females, 26.3% males. Delirium was observed in 10.9% of patients during hospitalization (68.8% females, p = 0.029). Patients diagnosed with delirium exhibited a greater prevalence of dementia (25.2%, p < 0.001) and chronic kidney disease (14.7%, p = 0.018). Delirium was also significantly associated with older age (mean 86.5 years [SD 5.6], p < 0.001), increased number of complications (mean 1.4 [SD 1.6], p < 0.001), cardiac complications (9.1%, p = 0.036), anemia (21.7%, p < 0.001), and urinary tract infections (7.4%, p < 0.001) during hospitalization. Furthermore, patients with delirium experienced a prolonged hospital stay (mean 9 vs. 7.9 days, p < 0.001) and significantly higher short-, medium-, and long-term mortality rates.
Discussion
The study findings underscore a significant association between delirium and comorbidities, complications, and mortality. Early identification of patients at risk for delirium will allow us to implement targeted interventions focused on prevention to enhance patient outcomes.
{"title":"Exploring factors influencing delirium incidence: Insights from the Alzira cohort study, 2012–2021","authors":"Daniela Villalón-Rubio , Elisa García-Tercero , Jesús López-Gómez , Hugo González , Ángel Belenguer-Varea , Cristina Cunha-Pérez , Miguel Germán Borda , Francisco José Tarazona-Santabalbina","doi":"10.1016/j.regg.2024.101571","DOIUrl":"10.1016/j.regg.2024.101571","url":null,"abstract":"<div><h3>Introduction</h3><div>Hip fractures are a common pathology among older adults, often accompanied by significant complications such as delirium, a geriatric syndrome associated with prolonged hospitalization, reduced functional recovery, and decreased overall survival rates. This study aims to determine the incidence of delirium and its correlation with various factors during hospitalization, as well as its impact on short-, medium-, and long-term survival.</div></div><div><h3>Methodology</h3><div>A retrospective cohort study was undertaken to examine hospital admissions of individuals aged 70 years or older diagnosed with hip fractures at the Hospital Universitario La Ribera in Alzira, Valencia, from January 2012 to December 2021.</div></div><div><h3>Results</h3><div>A total of 3226 patients were recruited, mean of 85 years, 73.7% females, 26.3% males. Delirium was observed in 10.9% of patients during hospitalization (68.8% females, <em>p</em> <!-->=<!--> <!-->0.029). Patients diagnosed with delirium exhibited a greater prevalence of dementia (25.2%, <em>p</em> <!--><<!--> <!-->0.001) and chronic kidney disease (14.7%, <em>p</em> <!-->=<!--> <!-->0.018). Delirium was also significantly associated with older age (mean 86.5 years [SD 5.6], <em>p</em> <!--><<!--> <!-->0.001), increased number of complications (mean 1.4 [SD 1.6], <em>p</em> <!--><<!--> <!-->0.001), cardiac complications (9.1%, <em>p</em> <!-->=<!--> <!-->0.036), anemia (21.7%, <em>p</em> <!--><<!--> <!-->0.001), and urinary tract infections (7.4%, <em>p</em> <!--><<!--> <!-->0.001) during hospitalization. Furthermore, patients with delirium experienced a prolonged hospital stay (mean 9 vs. 7.9 days, <em>p</em> <!--><<!--> <!-->0.001) and significantly higher short-, medium-, and long-term mortality rates.</div></div><div><h3>Discussion</h3><div>The study findings underscore a significant association between delirium and comorbidities, complications, and mortality. Early identification of patients at risk for delirium will allow us to implement targeted interventions focused on prevention to enhance patient outcomes.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 1","pages":"Article 101571"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789704","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}
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