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¿Es Galicia una posible zona azul? 加利西亚是一个潜在的蓝色区域吗?]
Q3 Medicine Pub Date : 2025-09-29 DOI: 10.1016/j.regg.2025.101726
José María Faílde Garrido , María D. Dapía Conde , Miguel Ángel Álvarez-Vázquez

Introduction

The health and social improvements that have occurred in the last century have led to a prolongation of human existence in all age groups and with it the population of centenarians. The aim of this study was to map the Galician territory, identifying the areas with the highest and lowest rates of centenarians.

Method

Using the databases of the National Institute of Statistics and the Galician Institute of Statistics, the rates of centenarians per 100,000 inhabitants were calculated and represented as choropleth maps.

Results

Galicia is the second autonomous community with the second highest rate of centenarians and Ourense, together with Soria, are the provinces with the highest prevalence of centenarians. In the Galician community we observe a clear East-West contrast; the 2 Atlantic provinces, A Coruña (57.72) and Pontevedra (73.49), have significantly lower rates of centenarians than Lugo (96.61) and Ourense (127.19). The analysis at county level indicates that the highest concentration of centenarians is found in rural areas in the eastern part of Pontevedra, the south of Lugo and in the province of Ourense. There is a feminisation of the centenarian population, where the number of female centenarians is 3 times higher than the number of male centenarians.

Conclusions

Galicia is a region with a high prevalence of centenarians, with a clear contrast between coastal and inland areas and between the northern and southern areas of its territory, with rates associated with those considered «blue zone».
导言:上个世纪发生的健康和社会改善导致了所有年龄组人类寿命的延长,百岁老人人口也随之延长。这项研究的目的是绘制加利西亚地区的地图,确定百岁老人比例最高和最低的地区。方法:利用国家统计局和加利西亚统计局的数据库,计算每10万居民中百岁老人的比率,并以地图集表示。结果:加利西亚是百岁老人患病率第二高的自治区,乌伦塞和索里亚是百岁老人患病率最高的省份。在加利西亚社区,我们观察到明显的东西方对比;2个大西洋省份A Coruña(57.72)和Pontevedra(73.49)的百岁老人比例明显低于Lugo(96.61)和Ourense(127.19)。县一级的分析表明,百岁老人最集中的地区是蓬特维德拉东部、卢戈南部和乌伦塞省的农村地区。百岁老人人口呈女性化趋势,其中女性百岁老人的数量是男性百岁老人数量的3倍。结论:加利西亚是一个百岁老人高发的地区,其沿海地区和内陆地区以及其领土的北部和南部地区之间存在明显的对比,其比率与被认为是“蓝色区域”的地区有关。
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引用次数: 0
Prevalencia de síndromes geriátricos en pacientes con demencia avanzada atendidos por una Unidad de Atención Geriátrica Domiciliaria 在家庭老年护理单位护理的晚期痴呆患者中的老年综合征患病率
Q3 Medicine Pub Date : 2025-09-22 DOI: 10.1016/j.regg.2025.101723
Arís Somoano Sierra, Blanca Garmendia Prieto, Francisco Sánchez del Corral Usaola, Javier Gómez Pavón
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引用次数: 0
Evaluating the evidence for sensor-based technologies and medical devices in fall prevention among hospitalized older adults: A systematic review 评估基于传感器的技术和医疗设备在住院老年人中预防跌倒的证据:一项系统综述
Q3 Medicine Pub Date : 2025-09-02 DOI: 10.1016/j.regg.2025.101718
Maria Eugenia Campollo-Duquela , Maria Elena Castro-Vilela , Martin Skoumal , Joyce Hogebur-Hester , Femke Ariën , Ingrid Wiig , Karol Biegus , Lorene Zerah

Introduction

Falls among hospitalized older adults increase morbidity, prolong hospital stays, and raise healthcare costs. Sensor-based technologies and medical devices are emerging tools for fall prevention, but their clinical effectiveness remains uncertain. This systematic review aimed to assess their effectiveness in reducing inpatient falls, staff workload, and physical restraint use in hospitalized older adults.

Methodology

This review followed PRISMA guidelines and was registered in PROSPERO (CRD42025645616). A comprehensive search of five databases (MEDLINE, EMBASE, CINAHL, Academic Search Complete, Web of Science) and two clinical trial registries (ClinicalTrials.gov, ICTRP) was conducted for RCTs published between January 2000 and January 2025. Eligible studies were RCTs evaluating sensor-based interventions in hospitalized patients aged ≥65 years in acute or rehabilitation settings. The primary outcome was inpatient falls. Secondary outcomes included physical restraint use, staff involvement in fall prevention tasks and healthcare resource utilization. Two reviewers independently screened records in Covidence, resolving conflicts with a third reviewer.

Results

Of 2939 records screened, 10 full-text articles were reviewed, but none met all inclusion criteria. Most were excluded due to unsuitable populations, settings, interventions, or lack of isolated analysis of sensor-based technologies. No RCTs specifically evaluating the standalone impact of such technologies on inpatient fall prevention in older adults were identified.

Discussion

Despite the growing adoption of sensor-based technologies in hospitals, no RCTs have evaluated their isolated clinical effectiveness for fall prevention in older inpatients. High-quality clinical trials are urgently needed to inform evidence-based implementation.
住院老年人跌倒增加了发病率,延长了住院时间,并增加了医疗费用。基于传感器的技术和医疗设备是预防跌倒的新兴工具,但其临床效果仍不确定。本系统综述旨在评估其在减少住院老年人跌倒、工作人员工作量和身体约束使用方面的有效性。方法:本综述遵循PRISMA指南,在PROSPERO注册(CRD42025645616)。对2000年1月至2025年1月间发表的随机对照试验进行了5个数据库(MEDLINE, EMBASE, CINAHL, Academic search Complete, Web of Science)和两个临床试验注册(ClinicalTrials.gov, ICTRP)的综合检索。符合条件的研究是评估≥65岁急性或康复住院患者基于传感器干预措施的随机对照试验。主要结局是住院患者跌倒。次要结果包括身体约束的使用、工作人员对预防跌倒任务的参与和保健资源的利用。两名审稿人独立筛选了冠状病毒的记录,解决了与第三名审稿人的冲突。结果在筛选的2939篇文献中,有10篇全文被纳入,但没有一篇符合全部纳入标准。由于不适合的人群、环境、干预措施或缺乏对基于传感器的技术的孤立分析,大多数被排除在外。没有专门评估此类技术对老年人住院患者跌倒预防的单独影响的随机对照试验被确定。尽管医院越来越多地采用基于传感器的技术,但没有随机对照试验评估其在老年住院患者中预防跌倒的单独临床效果。迫切需要高质量的临床试验,为循证实施提供信息。
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引用次数: 0
Las reacciones adversas a medicamentos en las personas mayores. Una revisión sobre epidemiología, factores de riesgo y estrategias de prevención 老年人对药物的不良反应。流行病学、风险因素和预防战略综述
Q3 Medicine Pub Date : 2025-08-29 DOI: 10.1016/j.regg.2025.101714
Erick A. Rodriguez-Espeso , Carlos Verdejo-Bravo , Alfonso J. Cruz-Jentoft
Older adults often take multiple drugs and are high users of hospitals. Consequently, this is associated with an increased risk of adverse drug reactions (ADRs) compared to the general population. Epidemiological studies on ADRs in older adults conducted over recent decades have shown heterogeneous results regarding incidence, clinical characteristics of the events, and causative drugs.
Polypharmacy, multimorbidity, frailty, age-related pharmacokinetic and pharmacodynamic changes, and other geriatric syndromes are associated with a higher risk of adverse drug reactions (ADR).
Medication review and deprescription processes should be conducted within the framework of a comprehensive assessment of older adults, considering their clinical characteristics and the specific needs of each clinical setting.
老年人经常服用多种药物,是医院的高使用者。因此,与一般人群相比,这与药物不良反应(adr)的风险增加有关。近几十年来对老年人不良反应进行的流行病学研究显示,在发病率、事件的临床特征和致病药物方面,结果各不相同。多药、多病、虚弱、与年龄相关的药代动力学和药效学变化以及其他老年综合征与较高的药物不良反应(ADR)风险相关。考虑到老年人的临床特征和每个临床环境的具体需要,应在对老年人进行全面评估的框架内进行药物审查和去处方过程。
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引用次数: 0
Evaluating ferric carboxymaltose administration in elderly patients: Clinical outcomes, comparative characteristics in different care settings and cost analysis. A five year study 评估老年患者的三羧基麦芽糖给药:临床结果,不同护理环境的比较特征和成本分析。一项为期五年的研究
Q3 Medicine Pub Date : 2025-08-28 DOI: 10.1016/j.regg.2025.101717
María Noemí García-Calderón Díaz , Antonio Medina Nieto , Mateo Ballesteros Arana , Valentina Manzanilla Meneses , Evelyn Barriga Pineda , Pedro García Matta , Gabriela Castro Medina , Olga Tornero Torres , Javier Gómez Pavón

Background and objective

Iron deficiency anemia is prevalent in the elderly, with ferric carboxymaltose increasingly used for intravenous iron supplementation. Evaluating its safety, efficacy, and cost implications in various care settings is essential. This study assesses the clinical outcomes, adverse reactions, and cost-effectiveness of administering ferric carboxymaltose to elderly patients across different care settings over five years.

Methods

This retrospective observational cohort study included 198 elderly patients who received ferric carboxymaltose at a Geriatric Day Hospital from January 1, 2019, to December 31, 2023. Data on sociodemographic, clinical, and laboratory factors, along with adverse reaction records, were collected. Costs of administration at the Geriatric Day Hospital were compared with hypothetical costs if administered at home or in a nursing home by a Geriatric Home Hospitalization unit.

Results

A total of 279 doses of ferric carboxymaltose were administered. Mean age of 87.3 years, 70% women. Primary indication for treatment was intestinal iron malabsorption (62.7%). Treatment was generally safe, no severe adverse reactions; mild adverse reactions occurred in 5.73% of doses, mainly involving arterial hypo- or hypertension. Patients in nursing homes exhibited higher functional dependence, frailty, and comorbidity compared to those living at home. Cost analysis showed potential savings of €39,353.80 with administration by the Geriatric Home Hospitalization unit, attributed to lower operational and personnel costs.

Conclusions

Ferric carboxymaltose is safe and effective for elderly patients, including those with high frailty and comorbidity. Administering this treatment in home or nursing home settings is cost-effective, potentially enhancing accessibility and reducing overall healthcare costs.
背景与目的缺铁性贫血在老年人中普遍存在,羧麦芽糖铁越来越多地用于静脉补铁。评估其在各种护理环境中的安全性、有效性和成本影响是至关重要的。本研究评估了五年来不同护理环境的老年患者给予三羧基麦芽糖铁的临床结果、不良反应和成本效益。方法回顾性观察队列研究纳入2019年1月1日至2023年12月31日在某老年日间医院接受羧麦芽糖铁治疗的198例老年患者。收集了社会人口学、临床和实验室因素的数据以及不良反应记录。将老年日间医院的管理成本与在家中或由老年家庭住院单位在养老院管理的假设成本进行比较。结果共给药279剂羧麦芽糖铁。平均年龄87.3岁,70%为女性。治疗的主要指征为肠铁吸收不良(62.7%)。治疗总体安全,无严重不良反应;5.73%的剂量发生轻度不良反应,主要涉及动脉低或高血压。与住在家里的病人相比,住在养老院的病人表现出更高的功能依赖、虚弱和合并症。成本分析显示,由于业务和人事成本较低,由老年家庭住院单位进行管理可能节省39 353.80欧元。结论羧麦芽糖铁对老年患者安全有效,包括高衰弱和合并症患者。在家庭或养老院环境中进行这种治疗具有成本效益,可能提高可及性并降低总体医疗保健成本。
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引用次数: 0
Pancitopenia severa inducida por metotrexato en un anciano frágil: la importancia de un abordaje integral 脆弱老年人甲氨蝶呤诱发的严重胰腺炎:采取综合办法的重要性
Q3 Medicine Pub Date : 2025-08-28 DOI: 10.1016/j.regg.2025.101712
Juan Ballesteros Ruiz
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引用次数: 0
Tuberculosis miliar en el adulto mayor: a propósito de un caso 老年人的乳突结核:以一个病例为例
Q3 Medicine Pub Date : 2025-08-28 DOI: 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.
老年人结核病的症状不具有特异性,导致就医延误;导致诊断不足和治疗延误。我们报告一例90岁男性,自主。因虚弱、厌食和未量化的体重减轻而就诊。过去两个月活动能力下降右下肢疼痛水肿。补充检查胸部x线示双侧弥漫性网状结节型,多普勒超声心动图示右股腘轴深静脉血栓形成,肺CT血管造影示双侧广泛小结节型伴浸润,其中1例空化,纵隔淋巴结病变。结果与军旅结核高度吻合。72h后结核PCR培养呈阳性。虽予抗生素治疗,出院后3周再次就诊,临床恶化,多次呕吐,黄疸,胆红素增高,高转氨酶血症,提示抗药所致肝毒性。
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引用次数: 0
Psicosis de inicio tardío en una centenaria: 13 años de evolución. A propósito de un caso 百年晚期精神病:13年的进化。关于一个案例
Q3 Medicine Pub Date : 2025-08-27 DOI: 10.1016/j.regg.2025.101721
Raquel Páramo Fernández , Juan Millán Moreno Martínez , Leire Martínez Alderete , Kevin O’Hara-Veintimilla
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引用次数: 0
Patrón de crazy paving en paciente geriátrico: a propósito de un caso 老年病人的疯狂铺路模式:以一个案例为目的
Q3 Medicine Pub Date : 2025-08-27 DOI: 10.1016/j.regg.2025.101713
M. Auxiliadora Castillo Delgado , Lucía Corral Sastre , Ana Merello de Miguel , Alicia Rico Nieto
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引用次数: 0
Longevity—The dream of eternal life or the need for a culture of aging well 长寿-永生的梦想或需要一个良好的老龄化文化
Q3 Medicine Pub Date : 2025-08-27 DOI: 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}
引用次数: 0
期刊
Revista Espanola de Geriatria y Gerontologia
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