Pub 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":"2024-10-18","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 : 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":"2024-10-18","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}
{"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":"2024-10-18","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 : 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":"2024-10-18","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 : 2024-10-18DOI: 10.1016/j.regg.2024.101563
María José Vallejo Herrera , Verónica Vallejo Herrera , María Cruz Almaraz Almaraz
{"title":"La importancia del diagnóstico precoz en el pseudohipoparatiroidismo. Revisión del tema y hallazgos clínico-radiológicos en un caso de pseudohipoparatiroidismo 1 A de presentación tardía","authors":"María José Vallejo Herrera , Verónica Vallejo Herrera , María Cruz Almaraz Almaraz","doi":"10.1016/j.regg.2024.101563","DOIUrl":"10.1016/j.regg.2024.101563","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101563"},"PeriodicalIF":0.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477080","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 : 2024-10-18DOI: 10.1016/j.regg.2024.101564
Carolina Muñoz Muñetón , Luis Carlos Venegas-Sanabria , María Teresa Martínez Sierra , María Mónica Valencia Murillo , Diego Andrés Chavarro-Carvajal , Carlos Alberto Cano-Gutiérrez
Background
Older adults are particularly vulnerable to experiencing hospital-associated functional decline; a multifaceted phenomenon linked to poorer outcomes and increased healthcare costs. Given that functionality serves as a crucial indicator of health in the elderly, various scales have been developed to gauge the continuum of functional ability, potentially serving as prognostic tools to inform tailored interventions.
Objectives
The aim of this study is to determine the prevalence of hospital-associated functional decline in an acute geriatric unit and examine its correlation with the functional continuum through a descriptive analysis of the patient population and exploration of associated factors.
Results
142 patients aged 75 and above were included in the analysis, revealing that 57% exhibited hospital-associated functional decline. Among patients with functional impairment, 26% fell into category 4 (dependence for instrumental activities of daily living and pre-frailty). Among the factors examined, age (OR 1.280, 95% CI 1.099 - 1.547) and prior independence (OR 15.939, 95% CI 1.857 - 186.655) were found to be associated with hospital functional decline.
Conclusion
Hospital-associated functional decline was observed in over half of the patients, with age and prior independence identified as significant contributing factors. This underscores the importance of implementing intervention measures for all elderly patients during their hospitalization, particularly for frail or pre-frail individuals with some level of instrumental dependency.
背景：老年人特别容易出现与医院相关的功能衰退；这是一种多方面的现象，与较差的治疗效果和增加的医疗费用有关。鉴于功能是老年人健康的一个重要指标，人们开发了各种量表来衡量功能能力的连续性，这些量表有可能成为预后工具，为有针对性的干预措施提供依据：本研究旨在通过对患者群体的描述性分析和对相关因素的探究，确定急诊老年病科中医院相关功能衰退的发生率，并研究其与功能连续性的相关性：142 名 75 岁及以上的患者参与了分析，结果显示 57% 的患者表现出与医院相关的功能衰退。在有功能障碍的患者中，26%属于第4类（日常生活工具活动依赖和虚弱前期）。在研究的因素中，年龄（OR 1.280，95% CI 1.099 - 1.547）和之前的独立性（OR 15.939，95% CI 1.857 - 186.655）与住院功能衰退有关：结论：半数以上的患者出现了住院相关功能衰退，年龄和既往独立性是重要的诱因。这强调了在住院期间对所有老年患者实施干预措施的重要性，尤其是对有一定程度工具依赖的虚弱或前期虚弱患者。
{"title":"El continuo funcional y deterioro funcional hospitalario en una Unidad Geriátrica de Agudos","authors":"Carolina Muñoz Muñetón , Luis Carlos Venegas-Sanabria , María Teresa Martínez Sierra , María Mónica Valencia Murillo , Diego Andrés Chavarro-Carvajal , Carlos Alberto Cano-Gutiérrez","doi":"10.1016/j.regg.2024.101564","DOIUrl":"10.1016/j.regg.2024.101564","url":null,"abstract":"<div><h3>Background</h3><div>Older adults are particularly vulnerable to experiencing hospital-associated functional decline; a multifaceted phenomenon linked to poorer outcomes and increased healthcare costs. Given that functionality serves as a crucial indicator of health in the elderly, various scales have been developed to gauge the continuum of functional ability, potentially serving as prognostic tools to inform tailored interventions.</div></div><div><h3>Objectives</h3><div>The aim of this study is to determine the prevalence of hospital-associated functional decline in an acute geriatric unit and examine its correlation with the functional continuum through a descriptive analysis of the patient population and exploration of associated factors.</div></div><div><h3>Results</h3><div>142 patients aged 75 and above were included in the analysis, revealing that 57% exhibited hospital-associated functional decline. Among patients with functional impairment, 26% fell into category 4 (dependence for instrumental activities of daily living and pre-frailty). Among the factors examined, age (OR 1.280, 95% CI 1.099 - 1.547) and prior independence (OR 15.939, 95% CI 1.857 - 186.655) were found to be associated with hospital functional decline.</div></div><div><h3>Conclusion</h3><div>Hospital-associated functional decline was observed in over half of the patients, with age and prior independence identified as significant contributing factors. This underscores the importance of implementing intervention measures for all elderly patients during their hospitalization, particularly for frail or pre-frail individuals with some level of instrumental dependency.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101564"},"PeriodicalIF":0.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477079","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 : 2024-10-08DOI: 10.1016/j.regg.2024.101559
Almudena Ramírez-Martín , Francisco Poveda Gómez , Marta Aranda-Gallardo , Elena Martin-Bautista , Francisco Rivas Ruiz , José Javier García-Alegría
Objectives
To assess the acceptance and intention to use physiological sensor shirt among older patients in healthcare, as well as to identify the factors that encourage a positive attitude towards its adoption.
Methods
Cross-sectional study using questionnaires addressed to patients between 60 and 85 years of age, administered via face-to-face interviews to determine intention to use a shirt with physiological sensors. The extended version of the Technology Acceptance Model (TAM) questionnaire was used in conjunction with administration of the quality of life and perceived stress scales.
Results
Forty-eight patients participated in the study, 54.2% were male with a mean age of 70.5 years. The mean scores for attitude towards use and intention to use were 3.9 (SD: 0.8) and 3.3 (SD: 0.8), respectively, out of a maximum of 5. The willingness to use the device was positive in 72.9% of patients The patients intending to use wearable technology (n = 35) scored significantly higher than those unwilling to wear the shirt (n = 13) on perceived ubiquity (P = .031), perceived ease of use (P = .002), and perceived utility (P = .007).
Conclusions
In a sample of independent older adults from the healthcare sector, a high willingness to use a shirt with physiological sensors was found. Through the TAM questionnaire, ubiquity, perceived ease of use, and perceived usefulness were identified as key factors predisposing its adoption.
{"title":"Aceptación e intención de uso de una camiseta con sensores fisiológicos en el ámbito de la salud en pacientes mayores","authors":"Almudena Ramírez-Martín , Francisco Poveda Gómez , Marta Aranda-Gallardo , Elena Martin-Bautista , Francisco Rivas Ruiz , José Javier García-Alegría","doi":"10.1016/j.regg.2024.101559","DOIUrl":"10.1016/j.regg.2024.101559","url":null,"abstract":"<div><h3>Objectives</h3><div>To assess the acceptance and intention to use physiological sensor shirt among older patients in healthcare, as well as to identify the factors that encourage a positive attitude towards its adoption.</div></div><div><h3>Methods</h3><div>Cross-sectional study using questionnaires addressed to patients between 60 and 85<!--> <!-->years of age, administered via face-to-face interviews to determine intention to use a shirt with physiological sensors. The extended version of the Technology Acceptance Model (TAM) questionnaire was used in conjunction with administration of the quality of life and perceived stress scales.</div></div><div><h3>Results</h3><div>Forty-eight patients participated in the study, 54.2% were male with a mean age of 70.5<!--> <!-->years. The mean scores for attitude towards use and intention to use were 3.9 (SD: 0.8) and 3.3 (SD: 0.8), respectively, out of a maximum of 5. The willingness to use the device was positive in 72.9% of patients The patients intending to use wearable technology (n<!--> <!-->=<!--> <!-->35) scored significantly higher than those unwilling to wear the shirt (n<!--> <!-->=<!--> <!-->13) on perceived ubiquity (<em>P</em> <!-->=<!--> <!-->.031), perceived ease of use (<em>P</em> <!-->=<!--> <!-->.002), and perceived utility (<em>P</em> <!-->=<!--> <!-->.007).</div></div><div><h3>Conclusions</h3><div>In a sample of independent older adults from the healthcare sector, a high willingness to use a shirt with physiological sensors was found. Through the TAM questionnaire, ubiquity, perceived ease of use, and perceived usefulness were identified as key factors predisposing its adoption.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 1","pages":"Article 101559"},"PeriodicalIF":0.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394093","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 purpose of this study is to examine the long-term effects of a programme called Ser Mayor, un RETO («Being Older, a Challenge») aimed at improving quality of life in older adults over 60 living in the community.
Methods
This programme used co-design principles to create sustainable opportunities to improve quality of life, connecting with the community, and empowering older adults to take responsibility for their own health. Ser Mayor, un RETO was based on Bronfenbrenner's bio-social-ecological perspective and the health assets model. Its design was complemented with leisure education and physical activity promotion-based guidelines, identified in the scientific literature. The study design was quasi-experimental, with control group, and was conducted over a period of 20-months (September 2017 to June 2019) in several municipalities near the city of Zaragoza (Spain), with the participation of 213 older adults (n = 120 experimental group and n = 93 control group). Data were analysed using generalised linear mixed models controlling for age and gender of participants and accounting for initial differences between groups in the study outcomes.
Results
The results indicate that the experimental group experienced an improvement in levels of quality of life relative to the control group, which was sustained over the study period, especially in several physical dimensions of quality of life: physical function (P = .014), physical role (P = .027), physical component summary (P = .022) and in emotional role (P = .033).
Conclusion
The Ser Mayor, un RETO programme had a positive effect on the quality of life of older adults, showing potential for sustainability of its effects and for the service providers to develop a sense of ownership over the programme.
目的：本研究旨在考察一项名为 Ser Mayor, un RETO（"上了年纪，面临挑战"）的计划的长期效果，该计划旨在提高居住在社区的 60 岁以上老年人的生活质量：该计划采用共同设计原则，创造可持续的机会来提高生活质量，与社区建立联系，并增强老年人对自身健康负责的能力。市长办公室 "un RETO "以布朗芬布伦纳的生物-社会-生态观点和健康资产模式为基础。其设计与科学文献中确定的以休闲教育和体育活动促进为基础的指导方针相辅相成。研究采用准实验设计，设有对照组，在萨拉戈萨市（西班牙）附近的几个城市进行，为期20个月（2017年9月至2019年6月），共有213名老年人参与（实验组人数=120人，对照组人数=93人）。数据采用广义线性混合模型进行分析，控制了参与者的年龄和性别，并考虑了研究结果中各组之间的初始差异：结果表明，与对照组相比，实验组的生活质量水平有所提高，而且这种提高在研究期间一直持续，特别是在生活质量的几个物理维度上：身体功能（P=.014）、身体角色（P=.027）、身体部分总结（P=.022）和情感角色（P=.033）：Ser Mayor, un RETO 计划对老年人的生活质量产生了积极影响，显示出其效果的可持续性潜力，以及服务提供者对该计划产生主人翁感的潜力。
{"title":"Efectos a largo plazo de un programa de actividad física enriquecido en la calidad de vida relacionada con la salud en adultos mayores","authors":"Víctor Ramón Lisón Loriente , Berta Murillo Pardo , Eduardo Generelo Lanaspa , Enrique García Bengoechea","doi":"10.1016/j.regg.2024.101537","DOIUrl":"10.1016/j.regg.2024.101537","url":null,"abstract":"<div><h3>Purpose</h3><div>The purpose of this study is to examine the long-term effects of a programme called <em>Ser Mayor, un RETO</em> («Being Older, a Challenge») aimed at improving quality of life in older adults over 60 living in the community.</div></div><div><h3>Methods</h3><div>This programme used co-design principles to create sustainable opportunities to improve quality of life, connecting with the community, and empowering older adults to take responsibility for their own health. <em>Ser Mayor, un RETO</em> was based on Bronfenbrenner's bio-social-ecological perspective and the health assets model. Its design was complemented with leisure education and physical activity promotion-based guidelines, identified in the scientific literature. The study design was quasi-experimental, with control group, and was conducted over a period of 20-months (September 2017 to June 2019) in several municipalities near the city of Zaragoza (Spain), with the participation of 213 older adults (n<!--> <!-->=<!--> <!-->120 experimental group and n<!--> <!-->=<!--> <!-->93 control group). Data were analysed using generalised linear mixed models controlling for age and gender of participants and accounting for initial differences between groups in the study outcomes.</div></div><div><h3>Results</h3><div>The results indicate that the experimental group experienced an improvement in levels of quality of life relative to the control group, which was sustained over the study period, especially in several physical dimensions of quality of life: physical function (<em>P</em> <!-->=<!--> <!-->.014), physical role (<em>P</em> <!-->=<!--> <!-->.027), physical component summary (<em>P</em> <!-->=<!--> <!-->.022) and in emotional role (<em>P</em> <!-->=<!--> <!-->.033).</div></div><div><h3>Conclusion</h3><div>The <em>Ser Mayor, un RETO</em> programme had a positive effect on the quality of life of older adults, showing potential for sustainability of its effects and for the service providers to develop a sense of ownership over the programme.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 1","pages":"Article 101537"},"PeriodicalIF":0.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394095","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 : 2024-10-08DOI: 10.1016/j.regg.2024.101539
Isabel Bermejo-Gómez
{"title":"Preparación para afrontar la muerte de pacientes en profesionales geriátricos","authors":"Isabel Bermejo-Gómez","doi":"10.1016/j.regg.2024.101539","DOIUrl":"10.1016/j.regg.2024.101539","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 1","pages":"Article 101539"},"PeriodicalIF":0.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394098","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 : 2024-10-08DOI: 10.1016/j.regg.2024.101536
Li Sz Wei, María Pia Izaguirre Germain, Diego Caruso
Introduction
Clinical trials are a fundamental tool in evidence-based medicine, with participant recruitment being a critical factor for their execution. Low participation in a study leads to inadequate sample size. Older adults constitute a minority in clinical trials, and various factors influence their level of participation and retention during the study process. Our objective is to determine the willingness of older adults to participate in clinical trials and identify their main barriers and facilitator.
Methods
A cross-sectional study was carried out on outpatient adults over 60 years of age. The rate of desire for voluntary participation in clinical trials was determined and through a validated survey “National Health Information Trends Survey (HINTS 5, cycle 4)” the knowledge, rate of prior participation in CE and the influence of different factors that could be associated with a positive attitude to participate. These factors were analyzed using ordinal logistic regression.
Results
251 older adults were surveyed. Of them, 171 (68%) reported not having any knowledge about clinical trials and 80 (31.87%) reported having it to some degree. 12 patients (5%) previously participated in a CS and up to 88 patients (35%) expressed that they would probably or definitely participate in one. It was observed that, the older the age, the less willingness to participate in CE [OR]: 0.55 (CI 95% 0.34-0.88). Likewise, male sex was associated with a greater desire to participate [OR]: 1.74 (CI 95% 1.06-2.84), respectively. The scenarios that were associated with a greater desire to participate in CE were knowing that by participating you could help others [OR]: 1.95 (95% CI 1.36-2.178), the possibility of receiving help for participating [OR]: 1.69 (95% CI 1.26-2.26) and the possibility of trying a new type of medical care [OR]: 1.71 (95% CI 1.20-2.42).
Conclusions
The level of knowledge about CE among older adults is low and up to a third of them would participate as volunteers in a CE. The dissemination of information about ECs could encourage a higher participation rate.
导言：临床试验是循证医学的一项基本工具，而参与者的招募则是实施临床试验的关键因素。参与度低会导致样本量不足。老年人在临床试验中占少数，在研究过程中，各种因素会影响他们的参与度和保留率。我们的目标是确定老年人参与临床试验的意愿，并找出他们的主要障碍和促进因素：我们对 60 岁以上的门诊成年人进行了一项横断面研究。通过 "全国健康信息趋势调查（HINTS 5，第 4 周期）"的有效调查，确定了老年人自愿参与临床试验的愿望率，以及他们对CE的了解程度、先前参与CE的比率和可能与积极的参与态度相关的不同因素的影响。结果：251 名老年人接受了调查。其中，171 人（68%）表示对临床试验一无所知，80 人（31.87%）表示对临床试验有一定程度的了解。12名患者（5%）曾参加过临床试验，88名患者（35%）表示可能或肯定会参加临床试验。据观察，年龄越大，参与 CE 的意愿越低 [OR]：0.55（CI 95% 0.34-0.88）。同样，男性性别也与参与意愿越强有关[OR]：1.74（CI 95% 1.06-2.84）。与参与行政首长协调会的更大愿望相关的情景是：知道参与行政首长协调会可以帮助他人[OR]：1.95（95% CI 1.36-2.178），参与后可能得到帮助[OR]：1.69（95% CI 1.26-2.26）和尝试新型医疗的可能性[OR]：结论：结论：老年人对长者健康中心的了解程度较低，多达三分之一的老年人愿意作为志愿者参加长者健康中心。传播有关义工的信息可以提高参与率。
{"title":"Predisposición de los pacientes a participar en ensayos clínicos en el Hospital Dr. César Milstein: un estudio de corte transversal","authors":"Li Sz Wei, María Pia Izaguirre Germain, Diego Caruso","doi":"10.1016/j.regg.2024.101536","DOIUrl":"10.1016/j.regg.2024.101536","url":null,"abstract":"<div><h3>Introduction</h3><div>Clinical trials are a fundamental tool in evidence-based medicine, with participant recruitment being a critical factor for their execution. Low participation in a study leads to inadequate sample size. Older adults constitute a minority in clinical trials, and various factors influence their level of participation and retention during the study process. Our objective is to determine the willingness of older adults to participate in clinical trials and identify their main barriers and facilitator.</div></div><div><h3>Methods</h3><div>A cross-sectional study was carried out on outpatient adults over 60 years of age. The rate of desire for voluntary participation in clinical trials was determined and through a validated survey “National Health Information Trends Survey (HINTS 5, cycle 4)” the knowledge, rate of prior participation in CE and the influence of different factors that could be associated with a positive attitude to participate. These factors were analyzed using ordinal logistic regression.</div></div><div><h3>Results</h3><div>251 older adults were surveyed. Of them, 171 (68%) reported not having any knowledge about clinical trials and 80 (31.87%) reported having it to some degree. 12 patients (5%) previously participated in a CS and up to 88 patients (35%) expressed that they would probably or definitely participate in one. It was observed that, the older the age, the less willingness to participate in CE [OR]: 0.55 (CI 95% 0.34-0.88). Likewise, male sex was associated with a greater desire to participate [OR]: 1.74 (CI 95% 1.06-2.84), respectively. The scenarios that were associated with a greater desire to participate in CE were knowing that by participating you could help others [OR]: 1.95 (95% CI 1.36-2.178), the possibility of receiving help for participating [OR]: 1.69 (95% CI 1.26-2.26) and the possibility of trying a new type of medical care [OR]: 1.71 (95% CI 1.20-2.42).</div></div><div><h3>Conclusions</h3><div>The level of knowledge about CE among older adults is low and up to a third of them would participate as volunteers in a CE. The dissemination of information about ECs could encourage a higher participation rate.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 1","pages":"Article 101536"},"PeriodicalIF":0.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394097","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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