Revista Espanola de Geriatria y Gerontologia最新文献

英文中文

Optimización del cuidado crítico en adultos mayores en la UCI [ICU老年人重症监护优化]。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2025-01-01 DOI: 10.1016/j.regg.2024.101576

Javier Martínez-Peromingo, Myriam Rodríguez-Couso

引用次数: 0

Condiciones de salud bucodental y estados nutricionales, funcionales y cognitivos: una aproximación al adulto mayor institucionalizado [口腔健康状况与营养、功能和认知状况——一种针对住院老年人的方法]。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2024-12-28 DOI: 10.1016/j.regg.2024.101618

Neil Duván Gutiérrez, Jorge Andrés Sosa galindo, Diego Camilo Yarpaz, Valentina Urbano, Juan Fernando Jiménez, Jhoan León, María Teresa Calzada, Raúl Guevara, Bruno Gutiérrez

Introduction/objective

Multidimensional geriatric assessment is an important diagnostic method in geriatrics. The objective of this article was to establish the relationship between nutritional, functional, cognitive status and oral health of institutionalized older adults.

Methodology

A cross-sectional observational study was carried out, where 93 institutionalized older adults participated, including oral assessment and Barthel, Minimental, Mininutritional and Yesavage scales. An univariate, bivariate and multivariate analysis was performed at 2 care sites in the city of Cali, Colombia.

Results

Mean age of the participants was 76.5 years; more than 50% with null or primary educational levels, 23% presented limitation in mobility, arterial hypertension was the most prevalent pathological history with 55%, followed by diabetes mellitus 24%; and 60% of the sample was independent to perform basic activities (Barthel index = 100). Regarding the number of occlusal pairs prosthesis to prosthesis, it was found that the mean of men was lower than women (2.4 and 5.2, P = 0.03). The results showed an altered plaque indicator in patients with cognitive impairment 61.5% versus 100% in patients with dementia screening. Additionally, a number of teeth less than 20 in people with depression indicators in 79.2%. The multivariate analysis showed a relationship with partial or total edentulism, being the total a risk for depressive traits (P = 0.04).

Conclusion

The results show that nutritional, functional, cognitive aspects and depression traits are related to oral health. In addition, it should be noted that a significant proportion of patients require dental intervention.

前言/目的：多维老年评估是老年医学诊断的重要手段。本文的目的是建立营养、功能、认知状况与老年人口腔健康之间的关系。方法：进行了一项横断面观察性研究，共有93名机构老年人参与，包括口头评估和Barthel， Minimental， minnutritional和Yesavage量表。在哥伦比亚卡利市的2个医疗点进行了单因素、双因素和多因素分析。结果：参与者平均年龄76.5岁；50%以上的患者文化程度为零或小学，23%的患者活动能力受限，动脉高血压是最常见的病理史，占55%，其次是糖尿病，占24%；60%的样本能够独立进行基本活动（Barthel指数=100）。在义肢对义肢的咬合对数方面，男性的平均值低于女性（2.4对和5.2对，P=0.03）。结果显示，认知障碍患者的斑块指标改变了61.5%，而痴呆筛查患者的斑块指标改变了100%。此外，牙齿少于20颗的人数在抑郁症患者中占79.2%。多变量分析显示，部分或全牙槽齿与抑郁特征的总风险相关（P=0.04）。结论：营养、功能、认知和抑郁特征与口腔健康有关。此外，应该注意的是，相当比例的患者需要牙科干预。

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引用次数: 0

Traducción y validación de la Escala clínica de fragilidad (ECF) al español en Chile [临床虚弱量表（CFS）在智利的西班牙语翻译和验证]。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2024-12-27 DOI: 10.1016/j.regg.2024.101619

Jorge Browne , Paola Balcázar , Josefa Palacios , Ignacia Sepúlveda , Ingrid Danke , Marcela Carrasco

Introduction

The assessment of frailty is crucial for the management and care of older adults. The Clinical Frailty Scale (CFS) has been proposed as a useful and practical tool for this assessment, but its implementation requires translation and validation to the specific cultural context.

Methods

A standardized process of translation and cultural adaptation of the CFS in its second version was carried out. Then, 44 participants were recruited, including geriatricians and geriatrics residents, who evaluated 11 clinical cases using the scale. The intraclass correlation coefficient (ICC) was used to assess the variability between the evaluators.

Results

A total of 484 evaluations were obtained (11 cases, 44 evaluators) with an intraclass correlation coefficient of 0.98. The sensitivity analysis showed no differences between subgroups of evaluators separated by years of experience or specialty status (certified geriatricians or those in training).

Conclusions

The Spanish version of the CFS is reliable and practical for the assessment of frailty in older adults in Chile, constituting a valuable tool for this purpose in this context.

简介：虚弱的评估对老年人的管理和护理至关重要。临床虚弱量表（CFS）已被提出作为一种有用和实用的评估工具，但其实施需要根据具体的文化背景进行翻译和验证。方法：对CFS第二版进行标准化的翻译和文化改编。然后，招募了44名参与者，包括老年病医师和老年住院医师，他们使用该量表评估了11例临床病例。使用类内相关系数（ICC）来评估评估者之间的可变性。结果：共获得评价484条（11例，44位评价者），类内相关系数为0.98。敏感性分析显示，按经验年限或专业状况（持证老年病医生或接受培训的医生）划分的评估者亚组之间没有差异。结论：西班牙语版的CFS对于评估智利老年人的虚弱是可靠和实用的，在这方面构成了一个有价值的工具。

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引用次数: 0

Eficacia y seguridad del tratamiento de la osteoporosis en el anciano. Propuesta de SEFRAOS para abordaje de la prevención secundaria de fracturas en el adulto mayor 老年人骨质疏松症治疗的有效性和安全性。老年人骨折的二级预防方法。SEFRAOS的提案]。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2024-12-24 DOI: 10.1016/j.regg.2024.101611

Jose Manuel Cancio Trujillo , Bernardo Abel Cedeño Veloz

引用次数: 0

Implantación de un circuito asistencial para la adaptación de la medicación oral en pacientes con disfagia entre atención especializada y atención primaria [在医院和初级保健机构对吞咽困难患者进行药物治疗调整的医疗保健网络的实施]。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2024-12-24 DOI: 10.1016/j.regg.2024.101616

Susana de Andrés Morera , Susana Chajma Izquierdo , Ana Arancón Pardo , Elena Villamañán Bueno

引用次数: 0

Impact of malnutrition on the clinical evolution in a cohort of older patients undergoing emergency surgery for abdominal pathology 营养不良对一组接受腹部病理急诊手术的老年患者临床演变的影响。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2024-12-24 DOI: 10.1016/j.regg.2024.101609

María Villajos-Guijarro , Raquel Ramírez-Martín , Coro Mauleón-Ladrero , Victoria Déniz González , Alexander Forero Torres , Francisca Garcia-Moreno Nisa , Juan Ignacio González-Montalvo

Purpose

Analyse the influence of the nutritional status of older patients undergoing emergency abdominal surgery on postoperative complications, mortality and mean length of hospital stay.

Methods

We performed a longitudinal observational study including patients older than 80 years who underwent emergency surgery by the general surgery service for abdominal pathology, who were followed by the geriatrics service between September 2018 and May 2021. Malnutrition was diagnosed using Global Leadership Initiative on Malnutrition (GLIM) criteria, classifying patients as malnourished and normonourished. A comprehensive geriatric assessment was performed on patients, and postoperative complications, mean length of hospital stay and mortality in-hospital were recorded.

Results

131 patients were included, 84 of them were malnourished and 47 normonourished. Mean age was 86 ± 4.7 years. Malnourished patients had higher incidence of new-onset atrial fibrillation (odds ratio [OR]: 6.1, 95% confidence interval [CI]: 1.33–27.6, p < 0.05), urinary tract infection (OR 4.72, 95% CI: 1.02–21.95, p < 0.05) and bacteraemia (OR 3.51, 95% CI: 1.14–11.1, p < 0.05), compared with normonourished patients. Surgical complications were more frequent in malnourished patients (OR 3.34, 95% CI: 1.5–7.44, p < 0.05). Mean length of hospital stay in malnourished patients was longer (22.6 (±14.1)) compared with normonourished patients (15.3 (±11.9)) (p < 0.005).

Conclusion

Malnutrition in older patients (mean age 86 years old) undergoing emergency abdominal surgery is associated with a poorer clinical course; thus, it must be considered in the evaluation and follow-up of these patients.

目的：分析老年急诊腹部手术患者营养状况对术后并发症、死亡率及平均住院时间的影响。方法：我们进行了一项纵向观察研究，纳入了在2018年9月至2021年5月期间接受腹部病理普通外科急诊手术的80岁以上患者，并随访了老年科服务。根据营养不良全球领导倡议（GLIM）的标准诊断营养不良，将患者分为营养不良和营养不良。对患者进行全面的老年评估，并记录术后并发症、平均住院时间和住院死亡率。结果：纳入131例患者，其中营养不良84例，营养不良47例。平均年龄86±4.7岁。营养不良患者的新发房颤发生率较高（优势比[OR]: 6.1, 95%可信区间[CI]: 1.33-27.6）。结论：接受急诊腹部手术的老年患者（平均年龄86岁）营养不良与较差的临床病程相关；因此，在这些患者的评估和随访中必须考虑到这一点。

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引用次数: 0

Validation of the Nottingham Hip Fracture Score (NHFS) to predict 30-day mortality following hip fracture in a Mexican population 诺丁汉髋部骨折评分（NHFS）预测墨西哥人群髋部骨折后30天死亡率的验证。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2024-12-24 DOI: 10.1016/j.regg.2024.101610

Mayra Arely Serrano-Lugo , Iván Luján-Hernández , Ma. Elena Ledesma-González , Quitzia Libertad Torres-Salazar

Introduction

Hip fractures in the elderly pose a significant clinical challenge, with high short-term mortality rates. The Nottingham Hip Fracture Score (NHFS) has proven useful in predicting 30-day mortality in European and Asian populations, but its validity in the Mexican population has not been widely assessed.

General objective

To validate the NHFS in predicting 30-day mortality following hip fracture in a Mexican population.

Methodology

An observational, longitudinal, and prospective study was conducted with 143 patients over 60 years of age with hip fractures treated surgically at Hospital General de Zona No. 16 of IMSS. NHFS was applied upon admission, and health status was verified 30 days post-surgery. The area under the ROC curve (AUC), sensitivity, specificity, and model calibration were calculated.

Results

The 30-day mortality rate was 14.7%. The NHFS had an AUC of 0.72, indicating moderate predictive capacity. A cutoff score of 3.5 yielded 85.7% sensitivity and 24% specificity. A higher cutoff of 4.5 improved specificity (45%) but reduced sensitivity (81%).

Conclusions

The NHFS is a useful tool for predicting 30-day mortality in the Mexican population with hip fractures, though its discriminative ability is moderate. A 3.5 cutoff is recommended when prioritizing sensitivity in clinical settings.

老年人髋部骨折具有很高的短期死亡率，是一个重大的临床挑战。诺丁汉髋部骨折评分（NHFS）在预测欧洲和亚洲人群的30天死亡率方面已被证明是有用的，但其在墨西哥人群中的有效性尚未得到广泛评估。总体目的：验证NHFS在预测墨西哥人群髋部骨折后30天死亡率中的作用。方法：对143例60岁以上髋部骨折患者在IMSS第16总医院进行了一项观察性、纵向和前瞻性研究。入院时进行NHFS，术后30天进行健康状况验证。计算ROC曲线下面积（AUC）、灵敏度、特异度和模型校准。结果：30天死亡率为14.7%。NHFS的AUC为0.72，预测能力中等。临界值为3.5，敏感性为85.7%，特异性为24%。4.5的较高临界值提高了特异性（45%），但降低了敏感性（81%）。结论：NHFS是预测墨西哥髋部骨折患者30天死亡率的有用工具，但其判别能力较弱。在临床环境中对敏感性进行优先排序时，推荐3.5的临界值。

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引用次数: 0

Íleo biliar. ¿Cirugía o tratamiento conservador en paciente octogenario vulnerable? 胆石性肠梗阻。易受伤害的八旬老人手术还是保守治疗？］

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2024-12-24 DOI: 10.1016/j.regg.2024.101614

Paula Fernández García , María Teresa Madrid López , Alexander Forero Torres , Coro Mauleón-Ladrero , Raquel Ramírez Martín

引用次数: 0

Beneficio del manejo en la Unidad de Ortogeriatría en una paciente centenaria con fractura pertrocantérea bilateral simultánea de fémur proximal. A propósito de un caso 矫形科治疗一例百岁高龄双侧股骨近端股骨粗隆后骨折的疗效分析。报道一个案件]。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2024-12-24 DOI: 10.1016/j.regg.2024.101613

Nieves Fernández Letamendi , Miguel Sanz Sainz , Alberto Aso Vizán , Javier Domingo Cebollada

引用次数: 0

Regenerative characteristics of the immortal jellyfish, Turritopsis dohrnii, and their potential implications for human aging 不死水母杜氏灯塔水母的再生特性及其对人类衰老的潜在影响。

Q3 Medicine

Revista Espanola de Geriatria y Gerontologia

Pub Date : 2024-12-23 DOI: 10.1016/j.regg.2024.101607

Valentina Velasco-Muñoz , Mateo Uribe-Gaviria , Santiago Andrés Suárez-Gómez , Antonio Villamizar-Romero , Andrés Ricaurte-Fajardo , Isabel Cristina Vásquez-Vélez , Carlos A. Cano-Gutiérrez

The jellyfish Turritopsis dohrnii (T. Nutricala) is a cnidarian of the Oceaniidae family that lives in the Mediterranean Sea. It is known as the immortal jellyfish since, through a process of cell development called transdifferentiation, it manages to return to a polyp state. The role of regeneration processes and their impact on aging have been studied in recent years for their potential applications in the development of more efficient pharmacology to address disorders related to aging. Reviewing the terms related to transdifferentiation in jellyfish and understanding the underlying mechanisms can help comprehend diverse processes such as aging, regeneration, and the molecular bases of diseases like cancer. This paper's purpose is to provide a description of the regenerative characteristics of the jellyfish T. dohrnii, investigate how its regenerative processes allow it to rejuvenate, and determine if these tissue restoration processes are also found in humans.

多氏灯塔水母（T. Nutricala）是生活在地中海的海洋生物科的一种刺胞动物。它之所以被称为不朽的水母，是因为它通过一种被称为转分化的细胞发育过程，成功地回到了水螅体状态。近年来，再生过程的作用及其对衰老的影响已被研究，以开发更有效的药理学来解决与衰老相关的疾病。回顾与水母转分化相关的术语，了解其潜在的机制，有助于理解衰老、再生等多种过程，以及癌症等疾病的分子基础。本文的目的是提供水母T. dohrnii再生特性的描述，研究其再生过程如何使其恢复活力，并确定这些组织恢复过程是否也存在于人类中。

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