Pub Date : 2025-03-01DOI: 10.1016/j.regg.2025.101635
Gemma Cuesta Castellón , Francisco Javier Gómez Pavón , Joan Espaulella Panicot , Arturo Vilches-Moraga
Purpose
Compare service delivery and clinical outcomes in Acute Geriatric Units (AGUs) between the United Kingdom and Spain.
Methods
Prospective observational study of consecutive patients admitted to AGU in two English and four Spanish hospitals 15th September to 15th November 2022.
Results
650 patients (476 from SP and 174 from the UK) with an average age of 85.4 years in Spanish hospitals and 83.5 years in British hospitals. Similar frailty prevalence (73.1% Spain, 77.7% UK) but differences in medication, pressure ulcers, antipsychotic use, and therapy evaluations. Spain had shorter average stay (8.3 days) and higher mortality (14% vs 7.6% UK). No significant differences in advance care planning.
Conclusions
UK patients were younger, more independent, with fewer health issues. UK hospitals provided more therapy, fewer antipsychotics, and lower mortality despite longer stays. Calls for further research, including cost-effectiveness analysis and long-term studies.
{"title":"Contrasting clinical and care features in British and Spanish Acute Geriatric Units (AGUs)","authors":"Gemma Cuesta Castellón , Francisco Javier Gómez Pavón , Joan Espaulella Panicot , Arturo Vilches-Moraga","doi":"10.1016/j.regg.2025.101635","DOIUrl":"10.1016/j.regg.2025.101635","url":null,"abstract":"<div><h3>Purpose</h3><div>Compare service delivery and clinical outcomes in Acute Geriatric Units (AGUs) between the United Kingdom and Spain.</div></div><div><h3>Methods</h3><div>Prospective observational study of consecutive patients admitted to AGU in two English and four Spanish hospitals 15th September to 15th November 2022.</div></div><div><h3>Results</h3><div>650 patients (476 from SP and 174 from the UK) with an average age of 85.4 years in Spanish hospitals and 83.5 years in British hospitals. Similar frailty prevalence (73.1% Spain, 77.7% UK) but differences in medication, pressure ulcers, antipsychotic use, and therapy evaluations. Spain had shorter average stay (8.3 days) and higher mortality (14% vs 7.6% UK). No significant differences in advance care planning.</div></div><div><h3>Conclusions</h3><div>UK patients were younger, more independent, with fewer health issues. UK hospitals provided more therapy, fewer antipsychotics, and lower mortality despite longer stays. Calls for further research, including cost-effectiveness analysis and long-term studies.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 4","pages":"Article 101635"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143518927","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 : 2025-03-01Epub Date: 2024-10-18DOI: 10.1016/j.regg.2024.101555
Oriol Turró Garriga , Glòria Pla Comas , Sandra Devesa Fàbrega , Mariona Gifre Monreal , Roger López Guirao , Pere Plaja Roman , Pilar Monreal Bosch
Objective
To explore the perceptions of elderly people from diverse cultures regarding the factors relevant to aging, identifying similarities and differences, and describing elements that facilitate or hinder this process, with a focus on the impact of care services.
Method
Qualitative study with 48 participants over 50 years old, residing in the Alt Empordà region, Catalonia. Seven focus groups were conducted, including one exploratory multicultural group and six stratified by origin: native, Western Europe, Eastern Europe, Latin America, North Africa, and West Africa.
Results
All groups valued health and the desire to remain in their homes or communities for as long as possible. African groups emphasized the importance of free health services, while the Latin American group valued personalized end-of-life care. The native group pointed out deficiencies in home care and residential care services. Western European participants mentioned language barriers and challenges with digitalization as the only means of accessing information, and Eastern European participants highlighted the need for empowerment and social participation. Additionally, the importance of new family models, restrictions on non-Catholic funeral practices, and the need for community integration were mentioned.
Conclusion
While there are differences in perceptions of aging among the different groups, common factors were identified that either facilitate or hinder this process, regardless of whether there is a migration background.
目的：探讨不同文化背景的老年人对老龄化相关因素的看法：探讨来自不同文化背景的老年人对老龄化相关因素的看法，找出异同点，并描述促进或阻碍老龄化进程的因素，重点关注护理服务的影响：定性研究：48 位居住在加泰罗尼亚 Alt Empordà 地区的 50 岁以上的参与者。进行了七个焦点小组讨论，包括一个探索性多元文化小组和六个按原籍分层的小组：本地、西欧、东欧、拉丁美洲、北非和西非：所有小组都重视健康，并希望尽可能长时间地留在自己的家中或社区。非洲群体强调免费医疗服务的重要性，而拉丁美洲群体则重视个性化的临终关怀。土著群体指出了家庭护理和寄宿护理服务的不足。西欧与会者提到了语言障碍和数字化作为获取信息的唯一手段所带来的挑战，而东欧与会者则强调了赋权和社会参与的必要性。此外，与会者还提到了新家庭模式的重要性、对非天主教葬礼习俗的限制以及社区融合的必要性：虽然不同群体对老龄化的看法存在差异，但无论是否有移民背景，都发现了一些促进或阻碍老龄化进程的共同因素。
{"title":"Envejecer en el país de acogida","authors":"Oriol Turró Garriga , Glòria Pla Comas , Sandra Devesa Fàbrega , Mariona Gifre Monreal , Roger López Guirao , Pere Plaja Roman , Pilar Monreal Bosch","doi":"10.1016/j.regg.2024.101555","DOIUrl":"10.1016/j.regg.2024.101555","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the perceptions of elderly people from diverse cultures regarding the factors relevant to aging, identifying similarities and differences, and describing elements that facilitate or hinder this process, with a focus on the impact of care services.</div></div><div><h3>Method</h3><div>Qualitative study with 48 participants over 50 years old, residing in the Alt Empordà region, Catalonia. Seven focus groups were conducted, including one exploratory multicultural group and six stratified by origin: native, Western Europe, Eastern Europe, Latin America, North Africa, and West Africa.</div></div><div><h3>Results</h3><div>All groups valued health and the desire to remain in their homes or communities for as long as possible. African groups emphasized the importance of free health services, while the Latin American group valued personalized end-of-life care. The native group pointed out deficiencies in home care and residential care services. Western European participants mentioned language barriers and challenges with digitalization as the only means of accessing information, and Eastern European participants highlighted the need for empowerment and social participation. Additionally, the importance of new family models, restrictions on non-Catholic funeral practices, and the need for community integration were mentioned.</div></div><div><h3>Conclusion</h3><div>While there are differences in perceptions of aging among the different groups, common factors were identified that either facilitate or hinder this process, regardless of whether there is a migration background.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101555"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477073","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 : 2025-03-01Epub Date: 2024-10-18DOI: 10.1016/j.regg.2024.101568
Benito J. Fontecha Gómez
{"title":"Organización y planificación de cuidados. La Atención Intermedia","authors":"Benito J. Fontecha Gómez","doi":"10.1016/j.regg.2024.101568","DOIUrl":"10.1016/j.regg.2024.101568","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101568"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477076","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 : 2025-03-01Epub Date: 2024-10-18DOI: 10.1016/j.regg.2024.101566
Alberto Esteban-Fernández , Juan Luis Bonilla-Palomas , Ana Ayesta-López , José Ángel Pérez-Rivera , on behalf of the BOCADOS-IC study researchers
Introduction and objectives
Malnutrition is common in patients with heart failure (HF) and is associated with increased mortality and hospital admissions. There is evidence that nutritional intervention in the inpatient setting improves the prognosis, but evidence in the outpatient setting is limited. This study aims to assess whether a nutritional intervention in outpatients with HF and malnutrition produces a benefit in their morbidity and mortality.
Methods
BOCADOS-IC (Nutritional Assessment in Adults followed in Spanish hospitals for Heart Failure) is a randomised, controlled, masked, prospective, multicentre, clinical trial that includes patients with HF followed on an outpatient basis and who present malnutrition by the screening Mini Nutritional Assessment-Short Form (MNA-SF) scale. Patients are randomised to a control group (standard follow-up) or the intervention group (multifactorial nutritional intervention). A sample size of 266 patients has been estimated, with a follow-up of 6 months. The primary endpoint is time to death from any cause or admission for HF. The analysis is performed on an intention-to-treat basis.
Conclusions
The BOCADOS-IC trial aims to evaluate the impact of nutritional intervention in malnourished patients with HF in the outpatient setting.
{"title":"Justification and design of the BOCADOS-IC study: Nutritional management in adults followed in Spanish hospitals for heart failure","authors":"Alberto Esteban-Fernández , Juan Luis Bonilla-Palomas , Ana Ayesta-López , José Ángel Pérez-Rivera , on behalf of the BOCADOS-IC study researchers","doi":"10.1016/j.regg.2024.101566","DOIUrl":"10.1016/j.regg.2024.101566","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Malnutrition is common in patients with heart failure (HF) and is associated with increased mortality and hospital admissions. There is evidence that nutritional intervention in the inpatient setting improves the prognosis, but evidence in the outpatient setting is limited. This study aims to assess whether a nutritional intervention in outpatients with HF and malnutrition produces a benefit in their morbidity and mortality.</div></div><div><h3>Methods</h3><div>BOCADOS-IC (<em>Nutritional Assessment in Adults followed in Spanish hospitals for Heart Failure</em>) is a randomised, controlled, masked, prospective, multicentre, clinical trial that includes patients with HF followed on an outpatient basis and who present malnutrition by the screening <em>Mini Nutritional Assessment-Short Form</em> (MNA-SF) scale. Patients are randomised to a control group (standard follow-up) or the intervention group (multifactorial nutritional intervention). A sample size of 266 patients has been estimated, with a follow-up of 6 months. The primary endpoint is time to death from any cause or admission for HF. The analysis is performed on an intention-to-treat basis.</div></div><div><h3>Conclusions</h3><div>The BOCADOS-IC trial aims to evaluate the impact of nutritional intervention in malnourished patients with HF in the outpatient setting.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101566"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477081","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 : 2025-03-01Epub Date: 2025-02-11DOI: 10.1016/j.regg.2025.101630
José Gutierrez-Rodriguez , Jaime Rodríguez-Salazar , Francisco José Tarazona-Santabalbina
Respiratory syncytial virus (RSV) infections pose a significant challenge to healthcare systems due to their impact on older adults, particularly those who are frail. Implementing an appropriate vaccination policy for these patients could help reduce healthcare resource utilization and costs while enhancing the quality of life for elderly individuals and their families. This narrative review aims to present the latest evidence on RSV and the available vaccines. Of the five vaccines evaluated, three have demonstrated significant efficacy in individuals over 60 years of age. Based on the current evidence, it is recommended that individuals over 75 be offered RSV vaccination, with priority given to those with chronic heart or lung conditions, frailty, or who reside in long-term care facilities.
{"title":"Update on vaccines against respiratory syncytial virus (RSV): A narrative review","authors":"José Gutierrez-Rodriguez , Jaime Rodríguez-Salazar , Francisco José Tarazona-Santabalbina","doi":"10.1016/j.regg.2025.101630","DOIUrl":"10.1016/j.regg.2025.101630","url":null,"abstract":"<div><div>Respiratory syncytial virus (RSV) infections pose a significant challenge to healthcare systems due to their impact on older adults, particularly those who are frail. Implementing an appropriate vaccination policy for these patients could help reduce healthcare resource utilization and costs while enhancing the quality of life for elderly individuals and their families. This narrative review aims to present the latest evidence on RSV and the available vaccines. Of the five vaccines evaluated, three have demonstrated significant efficacy in individuals over 60 years of age. Based on the current evidence, it is recommended that individuals over 75 be offered RSV vaccination, with priority given to those with chronic heart or lung conditions, frailty, or who reside in long-term care facilities.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101630"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387468","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}
{"title":"Síndrome poliglandular autoinmune tipo 2: reporte de un caso","authors":"Myrian González Álvarez , Beatriz Suárez Rodríguez , Patricia Dieguez Pena","doi":"10.1016/j.regg.2024.101541","DOIUrl":"10.1016/j.regg.2024.101541","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101541"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477074","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 : 2025-03-01Epub Date: 2024-10-18DOI: 10.1016/j.regg.2024.101542
Laura García Ortiz de Uriarte, Nancy Janette Gonzales Montejo, Nerea Lorente del Rio, Aitor Garcia Rodriguez
{"title":"Puesta en marcha de una unidad de fragilidad en Osakidetza-Servicio Vasco de Salud","authors":"Laura García Ortiz de Uriarte, Nancy Janette Gonzales Montejo, Nerea Lorente del Rio, Aitor Garcia Rodriguez","doi":"10.1016/j.regg.2024.101542","DOIUrl":"10.1016/j.regg.2024.101542","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101542"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477078","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 : 2025-03-01Epub Date: 2024-10-18DOI: 10.1016/j.regg.2024.101540
Esther Sánchez Sánchez, Inmaculada Montero García
Discrimination against people on the basis of age, ageism, is one of the most latent forms of discrimination in today's society. In this systematic review we analysed the impact of intergenerationality (relationships, contacts and programmes) on reducing ageism. Eighteen articles were selected following the PRISMA protocol, searching three major databases (Scopus, WoS and ERIC). The results of the studies highlight how intergenerational interventions reduce ageism by fostering understanding and contact between generations, with an emphasis on technology and youth programmes. Shared housing and the duration of interventions are also key factors. As a proposal, an approach to ageism from a socio-educational perspective is proposed that favours the creation of inclusive environments, creating synergies to break the stigma of chronological age.
{"title":"Efectos de la intergeneracionalidad (relaciones, contactos y programas) en la reducción del edadismo: una revisión sistemática (2013-2023)","authors":"Esther Sánchez Sánchez, Inmaculada Montero García","doi":"10.1016/j.regg.2024.101540","DOIUrl":"10.1016/j.regg.2024.101540","url":null,"abstract":"<div><div>Discrimination against people on the basis of age, ageism, is one of the most latent forms of discrimination in today's society. In this systematic review we analysed the impact of intergenerationality (relationships, contacts and programmes) on reducing ageism. Eighteen articles were selected following the PRISMA protocol, searching three major databases (Scopus, WoS and ERIC). The results of the studies highlight how intergenerational interventions reduce ageism by fostering understanding and contact between generations, with an emphasis on technology and youth programmes. Shared housing and the duration of interventions are also key factors. As a proposal, an approach to ageism from a socio-educational perspective is proposed that favours the creation of inclusive environments, creating synergies to break the stigma of chronological age.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101540"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142486036","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 : 2025-03-01Epub Date: 2025-02-12DOI: 10.1016/j.regg.2025.101625
Ruth Aguado Ortego, Lucía Gómez González, Montserrat Gómez Rubiano, Esperanza Fernández Rodriguez, Juan José Baztán Cortés, Javier Gómez-Pavón
Introduction and objective
The greatest challenge in healthcare is maintaining the functional capacity of the elderly through prevention and reversal programs for situations of physical fragility before crossing the threshold of disability. The aim of this study is to describe the functional evolution of frail and pre-frail elderly people in the community, after a multifactorial intervention based on comprehensive geriatric assessment followed by an outpatient multicomponent exercise program.
Patients and methods
Longitudinal observational study, from May 27, 2021 to January 15, 2023, which included patients with physical frailty (Short Physical Performance Battery [SPPB] < 10) from the Frailty and Fall Prevention Clinic, to carry out an outpatient multicomponent exercise program for 12 weeks, supervised by a multidisciplinary team made up of geriatrics, physiotherapy and specialized nursing. The degree of frailty was assessed using the SPPB (10-12 points: robust, 7-9 points: pre-frail, 4-6 points: frail, 0-3 points: disability). The outcome variables were the pre- and post-intervention difference in SPPB, gait speed, grip strength and quality of life (EuroQoL EQ-5D), compared by Student's T test for paired samples.
Results
A total of 46 patients were included (82.3 years±5.47; 73.91% women). Before the intervention, 39.13% of the patients were categorized as frail and 60.87% as pre-frail. After the intervention, a gain of 3.56 points in the SPPB was achieved (P<.001), being 85.37% of the patients categorized as robust, 14.63% as pre-frail, and none of them as frail. Furthermore, the gait speed improved 0.38m/s (P<.001); the grip strength increased 2.84 kg in women (P<.05) and 3.91 kg in men (P<.05); and the EuroQoL score raised 29.15 points (P<.001).
Conclusion
Multicomponent exercise on an outpatient basis, combined with comprehensive geriatric assessment performed in a geriatric department by a multidisciplinary team, contributes to the reversal of frailty.
医疗保健的最大挑战是在跨越残疾门槛之前，通过预防和逆转方案来维持老年人的功能能力。本研究的目的是描述社区中体弱和体弱前老年人的功能演变，在综合老年评估的基础上进行多因素干预，然后进行门诊多成分锻炼计划。患者和方法：纵向观察研究，从2021年5月27日至2023年1月15日，包括身体虚弱的患者(Short physical Performance Battery [SPPB] <；10)在老年病学、物理治疗和专业护理组成的多学科团队的监督下，从虚弱和预防跌倒诊所，进行为期12周的门诊多成分锻炼计划。使用SPPB评估虚弱程度（10-12分：健壮，7-9分：虚弱前期，4-6分：虚弱，0-3分：残疾）。结果变量为干预前和干预后SPPB、步态速度、握力和生活质量（EuroQoL EQ-5D）的差异，采用配对样本的Student’s T检验比较。结果共纳入46例患者(82.3年±5.47年；73.91%的女性)。干预前，39.13%的患者体弱，60.87%的患者体弱前期。干预后，SPPB评分提高3.56分（P<.001）， 85.37%的患者为健全型，14.63%的患者为体弱型，没有患者为体弱型。步态速度提高0.38m/s (P<.001)；女性握力增加2.84 kg (p < 0.05)，男性握力增加3.91 kg (p < 0.05)；EuroQoL评分上升29.15分（P<.001）。结论在门诊基础上进行多组分锻炼，并结合由多学科团队在老年科进行的综合老年评估，有助于逆转虚弱。
{"title":"Beneficios de un programa ambulatorio de ejercicio multicomponente unido a la valoración geriátrica integral para pacientes mayores de la comunidad con fragilidad física","authors":"Ruth Aguado Ortego, Lucía Gómez González, Montserrat Gómez Rubiano, Esperanza Fernández Rodriguez, Juan José Baztán Cortés, Javier Gómez-Pavón","doi":"10.1016/j.regg.2025.101625","DOIUrl":"10.1016/j.regg.2025.101625","url":null,"abstract":"<div><h3>Introduction and objective</h3><div>The greatest challenge in healthcare is maintaining the functional capacity of the elderly through prevention and reversal programs for situations of physical fragility before crossing the threshold of disability. The aim of this study is to describe the functional evolution of frail and pre-frail elderly people in the community, after a multifactorial intervention based on comprehensive geriatric assessment followed by an outpatient multicomponent exercise program.</div></div><div><h3>Patients and methods</h3><div>Longitudinal observational study, from May 27, 2021 to January 15, 2023, which included patients with physical frailty (Short Physical Performance Battery [SPPB] < 10) from the Frailty and Fall Prevention Clinic, to carry out an outpatient multicomponent exercise program for 12 weeks, supervised by a multidisciplinary team made up of geriatrics, physiotherapy and specialized nursing. The degree of frailty was assessed using the SPPB (10-12 points: robust, 7-9 points: pre-frail, 4-6 points: frail, 0-3 points: disability). The outcome variables were the pre- and post-intervention difference in SPPB, gait speed, grip strength and quality of life (EuroQoL EQ-5D), compared by Student's T test for paired samples.</div></div><div><h3>Results</h3><div>A total of 46 patients were included (82.3 years±5.47; 73.91% women). Before the intervention, 39.13% of the patients were categorized as frail and 60.87% as pre-frail. After the intervention, a gain of 3.56 points in the SPPB was achieved (<em>P</em><.001), being 85.37% of the patients categorized as robust, 14.63% as pre-frail, and none of them as frail. Furthermore, the gait speed improved 0.38m/s (<em>P</em><.001); the grip strength increased 2.84 kg in women (<em>P</em><.05) and 3.91 kg in men (<em>P</em><.05); and the EuroQoL score raised 29.15 points (<em>P</em><.001).</div></div><div><h3>Conclusion</h3><div>Multicomponent exercise on an outpatient basis, combined with comprehensive geriatric assessment performed in a geriatric department by a multidisciplinary team, contributes to the reversal of frailty.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101625"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387467","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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