Pub Date : 2025-08-28DOI: 10.1016/j.regg.2025.101712
Juan Ballesteros Ruiz
{"title":"Pancitopenia severa inducida por metotrexato en un anciano frágil: la importancia de un abordaje integral","authors":"Juan Ballesteros Ruiz","doi":"10.1016/j.regg.2025.101712","DOIUrl":"10.1016/j.regg.2025.101712","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101712"},"PeriodicalIF":0.0,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144907091","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.2025.101715
María Alejandra Zambrano Gustin, Marta Fernández Esteban, Wendy Fuentes Ramos, Evora Betancor
The symptoms of tuberculosis in the elderly are nonspecific, causing a delay in seeking medical attention; leading to underdiagnosis and delay in treatment.
We present de case of an 90-year-old male, autonomous.
Consultation due to asthenia, anorexia and unquantified weight loss. Decreased mobility in the last two months and pain and edema in his right lower extremity.
The complementary examination shows chest x-ray with diffuse bilateral reticulonodular pattern and doppler echocardiography with deep vein thrombosis in the right femoropopliteal axis and Pulmonary CT angiography, showed an extensive bilateral micronodular pattern with infiltrates, one of them cavitated and mediastinal lymphadenopathy. Findings highly compatible with miliary tuberculosis. Tuberculosis PCR cultures were positive after 72 hours.
Despite antibiotic treatment was started, 3 weeks after discharge, he consulted again due to clinical worsening, multiple emetic episodes and jaundice, with increased bilirubin and hypertransaminasemia, indicating hepatotoxicity due to antiphymic drugs.
{"title":"Tuberculosis miliar en el adulto mayor: a propósito de un caso","authors":"María Alejandra Zambrano Gustin, Marta Fernández Esteban, Wendy Fuentes Ramos, Evora Betancor","doi":"10.1016/j.regg.2025.101715","DOIUrl":"10.1016/j.regg.2025.101715","url":null,"abstract":"<div><div>The symptoms of tuberculosis in the elderly are nonspecific, causing a delay in seeking medical attention; leading to underdiagnosis and delay in treatment.</div><div>We present de case of an 90-year-old male, autonomous.</div><div>Consultation due to asthenia, anorexia and unquantified weight loss. Decreased mobility in the last two months and pain and edema in his right lower extremity.</div><div>The complementary examination shows chest x-ray with diffuse bilateral reticulonodular pattern and doppler echocardiography with deep vein thrombosis in the right femoropopliteal axis and Pulmonary CT angiography, showed an extensive bilateral micronodular pattern with infiltrates, one of them cavitated and mediastinal lymphadenopathy. Findings highly compatible with miliary tuberculosis. Tuberculosis PCR cultures were positive after 72<!--> <!-->hours.</div><div>Despite antibiotic treatment was started, 3 weeks after discharge, he consulted again due to clinical worsening, multiple emetic episodes and jaundice, with increased bilirubin and hypertransaminasemia, indicating hepatotoxicity due to antiphymic drugs.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 6","pages":"Article 101715"},"PeriodicalIF":0.0,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144906851","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 : 2025-08-27DOI: 10.1016/j.regg.2025.101721
Raquel Páramo Fernández , Juan Millán Moreno Martínez , Leire Martínez Alderete , Kevin O’Hara-Veintimilla
{"title":"Psicosis de inicio tardío en una centenaria: 13 años de evolución. A propósito de un caso","authors":"Raquel Páramo Fernández , Juan Millán Moreno Martínez , Leire Martínez Alderete , Kevin O’Hara-Veintimilla","doi":"10.1016/j.regg.2025.101721","DOIUrl":"10.1016/j.regg.2025.101721","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101721"},"PeriodicalIF":0.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144904118","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 : 2025-08-27DOI: 10.1016/j.regg.2025.101713
M. Auxiliadora Castillo Delgado , Lucía Corral Sastre , Ana Merello de Miguel , Alicia Rico Nieto
{"title":"Patrón de crazy paving en paciente geriátrico: a propósito de un caso","authors":"M. Auxiliadora Castillo Delgado , Lucía Corral Sastre , Ana Merello de Miguel , Alicia Rico Nieto","doi":"10.1016/j.regg.2025.101713","DOIUrl":"10.1016/j.regg.2025.101713","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101713"},"PeriodicalIF":0.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144904119","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 : 2025-08-27DOI: 10.1016/j.regg.2025.101702
Christina Röcke
{"title":"Longevity—The dream of eternal life or the need for a culture of aging well","authors":"Christina Röcke","doi":"10.1016/j.regg.2025.101702","DOIUrl":"10.1016/j.regg.2025.101702","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 6","pages":"Article 101702"},"PeriodicalIF":0.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144902370","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 : 2025-08-27DOI: 10.1016/j.regg.2025.101722
Miguel Germán Borda , Tommy Cederholm , Salomón Salazar-Londoño , Luis Carlos Venegas-Sanabria , Hidetaka Wakabayashi , Mario Ulises Pérez-Zepeda , Miguel Fernando Borda , Jonathan Patricio Baldera , Dag Aarsland
Background and objectives
With the increasing prevalence of dementia, identifying markers that predict prognosis in people newly diagnosed with the disease is crucial for developing targeted interventions and initiating early actions to improve their outcomes. On the other hand, C-reactive protein (CRP) is an easily accessible marker of inflammation. This study aims to evaluate whether CRP is a marker of weight loss, cognitive decline, functional decline, and mortality in older adults newly diagnosed with dementia.
Methods
We utilized data from DemVest, a longitudinal cohort study, including participants diagnosed with mild dementia due to Alzheimer's Disease (AD) or Lewy Body Dementia (LBD). CRP levels were measured at diagnosis. Main outcome measures were functional decline, weight, body mass index (BMI), cognitive decline and mortality assessed during a 5-year follow-up period after diagnosis. Demographic and clinical factors were considered as potential confounders, and we performed linear regression models for baseline and linear mixed models for longitudinal analysis.
Results
A total of 158 participants were included, with an average age of 75.2 years (SD 7.65). 60.8% (n = 96) of patients had AD, and 39.2% (n = 62) had LBD. Elevated CRP was associated with functional decline during follow-up (Est 0.0118, p-value < 0.001). For BMI or weight, we did not find any statistically significant associations, as well as for MMSE, and mortality.
Conclusion
Higher CRP levels were associated with greater functional decline in individuals newly diagnosed with dementia.
{"title":"C-reactive protein predicts functional decline in older adults newly diagnosed with dementia: A 5-year follow-up study","authors":"Miguel Germán Borda , Tommy Cederholm , Salomón Salazar-Londoño , Luis Carlos Venegas-Sanabria , Hidetaka Wakabayashi , Mario Ulises Pérez-Zepeda , Miguel Fernando Borda , Jonathan Patricio Baldera , Dag Aarsland","doi":"10.1016/j.regg.2025.101722","DOIUrl":"10.1016/j.regg.2025.101722","url":null,"abstract":"<div><h3>Background and objectives</h3><div>With the increasing prevalence of dementia, identifying markers that predict prognosis in people newly diagnosed with the disease is crucial for developing targeted interventions and initiating early actions to improve their outcomes. On the other hand, C-reactive protein (CRP) is an easily accessible marker of inflammation. This study aims to evaluate whether CRP is a marker of weight loss, cognitive decline, functional decline, and mortality in older adults newly diagnosed with dementia.</div></div><div><h3>Methods</h3><div>We utilized data from DemVest, a longitudinal cohort study, including participants diagnosed with mild dementia due to Alzheimer's Disease (AD) or Lewy Body Dementia (LBD). CRP levels were measured at diagnosis. Main outcome measures were functional decline, weight, body mass index (BMI), cognitive decline and mortality assessed during a 5-year follow-up period after diagnosis. Demographic and clinical factors were considered as potential confounders, and we performed linear regression models for baseline and linear mixed models for longitudinal analysis.</div></div><div><h3>Results</h3><div>A total of 158 participants were included, with an average age of 75.2 years (SD 7.65). 60.8% (<em>n</em> <!-->=<!--> <!-->96) of patients had AD, and 39.2% (<em>n</em> <!-->=<!--> <!-->62) had LBD. Elevated CRP was associated with functional decline during follow-up (Est 0.0118, <em>p</em>-value<!--> <!--><<!--> <!-->0.001). For BMI or weight, we did not find any statistically significant associations, as well as for MMSE, and mortality.</div></div><div><h3>Conclusion</h3><div>Higher CRP levels were associated with greater functional decline in individuals newly diagnosed with dementia.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 6","pages":"Article 101722"},"PeriodicalIF":0.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144906850","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 : 2025-08-27DOI: 10.1016/j.regg.2025.101720
María Noelia Vivacqua , María Florencia Grande Ratti , José Luis Faccioli
Background and objective
Antipsychotics are frequently prescribed in elderly patients. The aim of this study was to explore the barriers that hinder their rational use in this population in a hospital in Argentina
Method
A qualitative study based on ten semi-structured individual interviews with doctors from various specialties working in outpatient clinics, conducted between May and November 2022. The focus was on identifying perceptions and practices related to the prescription of antipsychotics in elderly patient populations.
Results
Various difficulties in making rational use of antipsychotics were identified: a) Prescription issues, such as drug selection primarily based on the professional's experience and the tendency to use low doses and short-term treatments without considering the patient's clinical progression; b) underestimation of metabolic side effects in the elderly patient population; c) limitations of the healthcare system, such as difficulty in accessing consultations between psychiatry and other medical specialties, and deficiencies in training; d) patient or family preferences that often conflict with medical recommendations.
Conclusions
Barriers to the rational prescription of antipsychotics in elderly patients were identified, both among psychiatrists and doctors from other specialties. These difficulties could compromise the efficacy and safety of treatment in this vulnerable population. Highlighting this information could help healthcare organizations develop strategies to improve the quality of care.
{"title":"Uso racional de antipsicóticos en pacientes mayores: un abordaje cualitativo","authors":"María Noelia Vivacqua , María Florencia Grande Ratti , José Luis Faccioli","doi":"10.1016/j.regg.2025.101720","DOIUrl":"10.1016/j.regg.2025.101720","url":null,"abstract":"<div><h3>Background and objective</h3><div>Antipsychotics are frequently prescribed in elderly patients. The aim of this study was to explore the barriers that hinder their rational use in this population in a hospital in Argentina</div></div><div><h3>Method</h3><div>A qualitative study based on ten semi-structured individual interviews with doctors from various specialties working in outpatient clinics, conducted between May and November 2022. The focus was on identifying perceptions and practices related to the prescription of antipsychotics in elderly patient populations.</div></div><div><h3>Results</h3><div>Various difficulties in making rational use of antipsychotics were identified: a) Prescription issues, such as drug selection primarily based on the professional's experience and the tendency to use low doses and short-term treatments without considering the patient's clinical progression; b) underestimation of metabolic side effects in the elderly patient population; c) limitations of the healthcare system, such as difficulty in accessing consultations between psychiatry and other medical specialties, and deficiencies in training; d) patient or family preferences that often conflict with medical recommendations.</div></div><div><h3>Conclusions</h3><div>Barriers to the rational prescription of antipsychotics in elderly patients were identified, both among psychiatrists and doctors from other specialties. These difficulties could compromise the efficacy and safety of treatment in this vulnerable population. Highlighting this information could help healthcare organizations develop strategies to improve the quality of care.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101720"},"PeriodicalIF":0.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144904114","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 : 2025-08-27DOI: 10.1016/j.regg.2025.101719
José Luis Esquinas Requena, Georgina Martinón Torres, María Teresa Madrid López, Cristina de la Rubia Molina, Rocío Onieva Albañil
{"title":"Síndrome de platipnea-ortodeoxia en neumonía bilateral por SARS-CoV-2: una entidad clínica emergente e infradiagnosticada. A propósito de un caso","authors":"José Luis Esquinas Requena, Georgina Martinón Torres, María Teresa Madrid López, Cristina de la Rubia Molina, Rocío Onieva Albañil","doi":"10.1016/j.regg.2025.101719","DOIUrl":"10.1016/j.regg.2025.101719","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101719"},"PeriodicalIF":0.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144904117","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 : 2025-08-27DOI: 10.1016/j.regg.2025.101716
Nerea Suárez Pérez de Eulate
Objective
To develop an instrument to evaluate the degree of application of the person-centered gerontology care model in gerontology centers that collects the perception of residents who use these resources, their families and direct care professionals.
Method
After the selection and elaboration of items through interviews with people related to care for the elderly and their subsequent evaluation by a group of experts, a pilot study was carried out in which 32 items were selected. The analysis of the psychometric properties of the instrument was carried out with a sample of 265 people (81 direct care professionals, 99 residents and 85 family members) belonging to six gerontological centers in Gipuzkoa (Basque Country).
Results
The factorial structure of the questionnaire confirmed the existence of six highly correlated factors with adequate reliability coefficients. The convergent validity study confirmed significant correlations between the instrument and the Spanish version of the Staff Assessment Person Directed Care. On the other hand, significant correlations were found between the instrument, the burnout, the quality of work life in professionals and deterioration of cognitive functions, perception of quality of life and satisfaction with current life in the case of residents.
Conclusions
The questionnaire obtained has adequate psychometric properties, is an agile tool due to its brevity and is applicable for the three groups participating in the care, which overcomes limitations of other instruments adapted to our environment.
{"title":"Elaboración y validación del cuestionario Modelo de Atención Gerontológica (MAGE) para profesionales, residentes y familiares, para la evaluación de la implantación de la atención gerontológica centrada en la persona en centros residenciales","authors":"Nerea Suárez Pérez de Eulate","doi":"10.1016/j.regg.2025.101716","DOIUrl":"10.1016/j.regg.2025.101716","url":null,"abstract":"<div><h3>Objective</h3><div>To develop an instrument to evaluate the degree of application of the person-centered gerontology care model in gerontology centers that collects the perception of residents who use these resources, their families and direct care professionals.</div></div><div><h3>Method</h3><div>After the selection and elaboration of items through interviews with people related to care for the elderly and their subsequent evaluation by a group of experts, a pilot study was carried out in which 32 items were selected. The analysis of the psychometric properties of the instrument was carried out with a sample of 265 people (81 direct care professionals, 99 residents and 85 family members) belonging to six gerontological centers in Gipuzkoa (Basque Country).</div></div><div><h3>Results</h3><div>The factorial structure of the questionnaire confirmed the existence of six highly correlated factors with adequate reliability coefficients. The convergent validity study confirmed significant correlations between the instrument and the Spanish version of the Staff Assessment Person Directed Care. On the other hand, significant correlations were found between the instrument, the burnout, the quality of work life in professionals and deterioration of cognitive functions, perception of quality of life and satisfaction with current life in the case of residents.</div></div><div><h3>Conclusions</h3><div>The questionnaire obtained has adequate psychometric properties, is an agile tool due to its brevity and is applicable for the three groups participating in the care, which overcomes limitations of other instruments adapted to our environment.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101716"},"PeriodicalIF":0.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144904116","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 : 2025-07-31DOI: 10.1016/j.regg.2025.101699
Matilde Barneto-Soto , María Eugenia Campollo Duquela , Emma Puigoriol-Juvanteny , Leidy Yohanna Ceballos Molina , Kathleen Gisselle Barahona Sandoval , Joan Espaulella-Panicot
Introduction
The growing population of elderly people with multimorbidity and frailty requires care models tailored to their specific needs. Subacute care units in intermediate care hospitals have emerged as an effective alternative to conventional hospitalisation in acute care settings. Appropriate patient selection is essential to enable the early identification of patients who may require prolonged care and to ensure efficient turnover. The objectives of this study were: i) to describe the characteristics of patients’ admitted and process indicators and; ii) to analyse potential factors associated with prolonged hospital stays (≥ 13 days).
Methods
Retrospective study was conducted including 208 patients admitted to a subacute care unit between January and December 2023. Demographic, clinical and functional variables were collected, as well as the reason for admission, prior healthcare resourcesuse, discharge destination, and readmission.
Results
The mean age was 82,5 ± 14,3 years, with a mean VIG-Frail score of 0.39 ± 0.13 and an average comorbidity of 6,8 ± 2,5. The median length of stay was 10,0 (P25:7; P75:13) days. A total of 67.3% of patients were discharged home, 85,7% of whom did so within 13 days. Patients identified as complex chronic cases prior to admission were more likely a mean length of stay ≥13 days (44,7 vs. 69,2%; P=.055).
Conclusions
Our unit is consolidated as an effective alternative to acute hospitalisation, enabling crisis management in elderly people with multimorbidity and frailty, and facilitating a time return home.
越来越多的患有多种疾病和身体虚弱的老年人需要根据他们的具体需求量身定制护理模式。中级护理医院的亚急性护理单元已成为急性护理环境中传统住院治疗的有效替代方案。适当的患者选择对于早期识别可能需要长期护理的患者并确保有效的转诊至关重要。本研究的目的是：i)描述患者入院和过程指标的特征；Ii)分析与延长住院时间（≥13天）相关的潜在因素。方法对2023年1月至12月在亚急性监护室住院的208例患者进行回顾性研究。收集了人口学、临床和功能变量，以及入院原因、既往医疗资源使用、出院目的地和再入院。结果患者平均年龄85.2±14.3岁，平均vig -虚弱评分为0.39±0.13，平均合并症为6.8±2.5。中位住院时间为10,0 (P25:7；P75:13)天。67.3%的患者出院，其中85.7%的患者在13天内出院。入院前确诊为复杂慢性病例的患者更有可能平均住院时间≥13天(44.7% vs. 69.2%；P = .055)。结论：sour单元可作为急性住院治疗的有效替代方案，使多重疾病和虚弱的老年人能够进行危机管理，并促进其及时回家。
{"title":"Alternativa a la hospitalización convencional en los pacientes mayores con fragilidad","authors":"Matilde Barneto-Soto , María Eugenia Campollo Duquela , Emma Puigoriol-Juvanteny , Leidy Yohanna Ceballos Molina , Kathleen Gisselle Barahona Sandoval , Joan Espaulella-Panicot","doi":"10.1016/j.regg.2025.101699","DOIUrl":"10.1016/j.regg.2025.101699","url":null,"abstract":"<div><h3>Introduction</h3><div>The growing population of elderly people with multimorbidity and frailty requires care models tailored to their specific needs. Subacute care units in intermediate care hospitals have emerged as an effective alternative to conventional hospitalisation in acute care settings. Appropriate patient selection is essential to enable the early identification of patients who may require prolonged care and to ensure efficient turnover. The objectives of this study were: i) to describe the characteristics of patients’ admitted and process indicators and; ii) to analyse potential factors associated with prolonged hospital stays (≥<!--> <!-->13 days).</div></div><div><h3>Methods</h3><div>Retrospective study was conducted including 208 patients admitted to a subacute care unit between January and December 2023. Demographic, clinical and functional variables were collected, as well as the reason for admission, prior healthcare resourcesuse, discharge destination, and readmission.</div></div><div><h3>Results</h3><div>The mean age was 82,5<!--> <!-->±<!--> <!-->14,3 years, with a mean VIG-Frail score of 0.39<!--> <!-->±<!--> <!-->0.13 and an average comorbidity of 6,8<!--> <!-->±<!--> <!-->2,5. The median length of stay was 10,0 (P25:7; P75:13) days. A total of 67.3% of patients were discharged home, 85,7% of whom did so within 13 days. Patients identified as complex chronic cases prior to admission were more likely a mean length of stay ≥13 days (44,7 vs. 69,2%; <em>P</em>=.055).</div></div><div><h3>Conclusions</h3><div>Our unit is consolidated as an effective alternative to acute hospitalisation, enabling crisis management in elderly people with multimorbidity and frailty, and facilitating a time return home.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101699"},"PeriodicalIF":0.0,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144749575","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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