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 : 2025-02-26DOI: 10.1016/j.regg.2025.101634
Mauricio Lorca , Esperanza Araya , Manuel Monrroy , Javier Enríquez , Paula Moscoso , Rodrigo Montefusco , Mauricio San Martín
Introduction
Immersive virtual reality (IVR) is gaining influence in daily life and is being used in healthcare for promotion, prevention, and rehabilitation. This study evaluated the user experience and the presence of cybersickness in individuals over 65 years old exposed to this technology.
Method
A non-probabilistic convenience sampling method was used. Twenty-three participants (19 women) attended IVR sessions lasting 15–20 minutes, twice a week for three weeks. Health, sociodemographic, technology familiarity, motion sickness history, the Abbreviated Mini-Mental State Examination, the Geriatric Depression Scale, the Simulator Sickness Questionnaire, and a user experience questionnaire were applied.
Results
The 56.5% reported difficulty using technology; none exhibited technological anxiety. All participants (100%) found the glasses easy to use; 87% found learning to use them simple, and 91.3% felt confident using them without assistance. Additionally, 95.7% found IVR useful. All participants positively valued the use of IVR glasses and were willing to use them again or recommend them. The perception of no, negligible, or minimal symptoms was 95.7% in session 1, 82.6% in session 3, 95.7% in session 6, and 100% in sessions 2, 4, and 5.
Conclusions
IVR is well-received and tolerated by older adults, making it a promising tool for rehabilitation. The enthusiasm and positive perception of its utility and ease of use were reflected in the high acceptance and willingness to reuse this technology.
{"title":"Experiencia y presencia de la cibermareo en la exposición inmersiva a la realidad virtual en adultos mayores que viven en la comunidad","authors":"Mauricio Lorca , Esperanza Araya , Manuel Monrroy , Javier Enríquez , Paula Moscoso , Rodrigo Montefusco , Mauricio San Martín","doi":"10.1016/j.regg.2025.101634","DOIUrl":"10.1016/j.regg.2025.101634","url":null,"abstract":"<div><h3>Introduction</h3><div>Immersive virtual reality (IVR) is gaining influence in daily life and is being used in healthcare for promotion, prevention, and rehabilitation. This study evaluated the user experience and the presence of cybersickness in individuals over 65 years old exposed to this technology.</div></div><div><h3>Method</h3><div>A non-probabilistic convenience sampling method was used. Twenty-three participants (19 women) attended IVR sessions lasting 15–20<!--> <!-->minutes, twice a week for three weeks. Health, sociodemographic, technology familiarity, motion sickness history, the Abbreviated Mini-Mental State Examination, the Geriatric Depression Scale, the Simulator Sickness Questionnaire, and a user experience questionnaire were applied.</div></div><div><h3>Results</h3><div>The 56.5% reported difficulty using technology; none exhibited technological anxiety. All participants (100%) found the glasses easy to use; 87% found learning to use them simple, and 91.3% felt confident using them without assistance. Additionally, 95.7% found IVR useful. All participants positively valued the use of IVR glasses and were willing to use them again or recommend them. The perception of no, negligible, or minimal symptoms was 95.7% in session 1, 82.6% in session 3, 95.7% in session 6, and 100% in sessions 2, 4, and 5.</div></div><div><h3>Conclusions</h3><div>IVR is well-received and tolerated by older adults, making it a promising tool for rehabilitation. The enthusiasm and positive perception of its utility and ease of use were reflected in the high acceptance and willingness to reuse this technology.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 4","pages":"Article 101634"},"PeriodicalIF":0.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143488609","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 : 2025-02-24DOI: 10.1016/j.regg.2025.101629
María Josefa López-Navarro , Carmen Rodríguez-Blázquez , Lorena Patricia Gallardo-Peralta
Quality of life (QoL) is a construct that predicts disease outcomes and well-being in old age. We analyzed factors associated with QoL in older women in rural settings. We also had the following specific objectives: (i) to examine socioeconomic variables; (ii) to examine physical and mental health variables, and (iii) to examine psychosocial variables.
A literature review was conducted in the main health sciences databases over the last five years. The search yielded 991 articles. Of these, 24 were reviewed, none carried out in Spain. Women in rural areas showed lower QoL scores than men. The main variables associated with QoL were household structure, educational level, income, multimorbidity, comorbidity, depression, frailty, anxiety and loneliness.
This confirms the lack of studies on the QoL of older women in rural areas in Europe, specifically in Spain, which is a priority objective for public health.
{"title":"Factores asociados a la calidad de vida de las mujeres mayores que viven en el ámbito rural: una revisión bibliográfica","authors":"María Josefa López-Navarro , Carmen Rodríguez-Blázquez , Lorena Patricia Gallardo-Peralta","doi":"10.1016/j.regg.2025.101629","DOIUrl":"10.1016/j.regg.2025.101629","url":null,"abstract":"<div><div>Quality of life (QoL) is a construct that predicts disease outcomes and well-being in old age. We analyzed factors associated with QoL in older women in rural settings. We also had the following specific objectives: (i)<!--> <!-->to examine socioeconomic variables; (ii)<!--> <!-->to examine physical and mental health variables, and (iii)<!--> <!-->to examine psychosocial variables.</div><div>A literature review was conducted in the main health sciences databases over the last five years. The search yielded 991 articles. Of these, 24 were reviewed, none carried out in Spain. Women in rural areas showed lower QoL scores than men. The main variables associated with QoL were household structure, educational level, income, multimorbidity, comorbidity, depression, frailty, anxiety and loneliness.</div><div>This confirms the lack of studies on the QoL of older women in rural areas in Europe, specifically in Spain, which is a priority objective for public health.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 4","pages":"Article 101629"},"PeriodicalIF":0.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143474251","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 : 2025-02-14DOI: 10.1016/j.regg.2025.101627
Maricelis Cruz-Grullón , Nuria Molist-Brunet , Eva Alda-Sánchez , Gemma Cuesta-Castellón , Andrea Padovani-Velasquez , Emma Puigoriol-Juvanteny , Matilde Barneto-Soto , Joan Espaulella-Panicot
Introduction
Managing the care of older adults with frailty is currently a major challenge, especially in the Emergency Department (ED) and the Acute Medical Unit (AMU). The aim of this paper is to describe the use of healthcare resources of patients with frailty admitted to the AMU.
Methods
Prospective, descriptive and observational study, from March 2022 to March 2023. Patients admitted to the AMU ≥ 85-years-old with moderate-advanced frailty and < 85-years-old from selected risk groups (from nursing homes, dementia and advanced chronic disease) were analysed. The degree of frailty was classified according to the Clinical Frailty Scale (CFS). Demographic data, clinical data, conventional hospitalisation and alternatives to conventional hospitalisation (intermediate care, hospital at home), advanced care planning, 3-months mortality after discharge and hospital readmissions between 72 hours and 28 days after discharge were assessed.
Results
A total of 354 patients were studied, of whom 202 (57%) were female; mean age 87.7 ± 3.83 years. 212 (60%) patients were admitted to some alternative to conventional hospitalisation, 120 (56.6%) intermediate care and 92 (43.4%) hospital at home). 138 (39%) patients had a previous assessment by primary care and 85 (24%) patients had advance care planning. 3-months mortality after discharge was 78 patients (22%) and readmissions were 73 patients (20.6%).
Conclusions
The AMU is a key area for tailoring urgent care for older people with frailty, optimising the use of alternatives to conventional hospitalisation and planning ahead for acute episode and future decompensation.
{"title":"Adultos mayores con fragilidad que consultan en Urgencias","authors":"Maricelis Cruz-Grullón , Nuria Molist-Brunet , Eva Alda-Sánchez , Gemma Cuesta-Castellón , Andrea Padovani-Velasquez , Emma Puigoriol-Juvanteny , Matilde Barneto-Soto , Joan Espaulella-Panicot","doi":"10.1016/j.regg.2025.101627","DOIUrl":"10.1016/j.regg.2025.101627","url":null,"abstract":"<div><h3>Introduction</h3><div>Managing the care of older adults with frailty is currently a major challenge, especially in the Emergency Department (ED) and the Acute Medical Unit (AMU). The aim of this paper is to describe the use of healthcare resources of patients with frailty admitted to the AMU.</div></div><div><h3>Methods</h3><div>Prospective, descriptive and observational study, from March 2022 to March 2023. Patients admitted to the AMU ≥ 85-years-old with moderate-advanced frailty and <<!--> <!-->85-years-old from selected risk groups (from nursing homes, dementia and advanced chronic disease) were analysed. The degree of frailty was classified according to the Clinical Frailty Scale (CFS). Demographic data, clinical data, conventional hospitalisation and alternatives to conventional hospitalisation (intermediate care, hospital at home), advanced care planning, 3-months mortality after discharge and hospital readmissions between 72<!--> <!-->hours and 28 days after discharge were assessed.</div></div><div><h3>Results</h3><div>A total of 354 patients were studied, of whom 202 (57%) were female; mean age 87.7<!--> <!-->±<!--> <!-->3.83 years. 212 (60%) patients were admitted to some alternative to conventional hospitalisation, 120 (56.6%) intermediate care and 92 (43.4%) hospital at home). 138 (39%) patients had a previous assessment by primary care and 85 (24%) patients had advance care planning. 3-months mortality after discharge was 78 patients (22%) and readmissions were 73 patients (20.6%).</div></div><div><h3>Conclusions</h3><div>The AMU is a key area for tailoring urgent care for older people with frailty, optimising the use of alternatives to conventional hospitalisation and planning ahead for acute episode and future decompensation.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101627"},"PeriodicalIF":0.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419903","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 : 2025-02-13DOI: 10.1016/j.regg.2025.101632
Jesús González-Moreno , María Cantero-García , Ana Isabel Agusti , Maria Antonia Parra-Rizo , Javier Guillem-Saiz
Introduction
Attitudes, which influence perception, thought, and motivation, guide behaviors. Positive attitudes foster greater concern for the needs of others, improving care and reducing discrimination. This study evaluated the attitudes of Hispanic university students (from Spain, Chile, and Colombia) toward older adults, exploring how these attitudes relate to sociodemographic variables and personal strengths.
Materials and Methods
The primary objective was to develop a predictive model of positive attitudes. A total of 803 university students participated in the study. Descriptive analyses and ANOVA were used to compare attitudes across countries, along with correlation and multiple linear regression analyses to identify key predictors.
Results
The findings suggest generally positive attitudes toward older adults, with higher scores observed in Spain compared to Chile and Colombia. A positive, albeit weak, correlation was found with variables such as age and gender. The final predictive model included educational level, interest in aging-related topics, and the personal strengths of love, gratitude, and kindness, explaining 15% of the variance in attitudes.
Conclusions
In conclusion, positive attitudes and personal strengths significantly contribute to, fostering more inclusive and respectful treatment of this population. The study highlights the importance of promoting these strengths in educational contexts to combat ageism and enhance social sensitivity toward aging.
{"title":"Estudio de las fortalezas personales como predictores de actitudes positivas hacia las personas mayores de 65 años en estudiantes universitarios de España, Chile y Colombia","authors":"Jesús González-Moreno , María Cantero-García , Ana Isabel Agusti , Maria Antonia Parra-Rizo , Javier Guillem-Saiz","doi":"10.1016/j.regg.2025.101632","DOIUrl":"10.1016/j.regg.2025.101632","url":null,"abstract":"<div><h3>Introduction</h3><div>Attitudes, which influence perception, thought, and motivation, guide behaviors. Positive attitudes foster greater concern for the needs of others, improving care and reducing discrimination. This study evaluated the attitudes of Hispanic university students (from Spain, Chile, and Colombia) toward older adults, exploring how these attitudes relate to sociodemographic variables and personal strengths.</div></div><div><h3>Materials and Methods</h3><div>The primary objective was to develop a predictive model of positive attitudes. A total of 803 university students participated in the study. Descriptive analyses and ANOVA were used to compare attitudes across countries, along with correlation and multiple linear regression analyses to identify key predictors.</div></div><div><h3>Results</h3><div>The findings suggest generally positive attitudes toward older adults, with higher scores observed in Spain compared to Chile and Colombia. A positive, albeit weak, correlation was found with variables such as age and gender. The final predictive model included educational level, interest in aging-related topics, and the personal strengths of love, gratitude, and kindness, explaining 15% of the variance in attitudes.</div></div><div><h3>Conclusions</h3><div>In conclusion, positive attitudes and personal strengths significantly contribute to, fostering more inclusive and respectful treatment of this population. The study highlights the importance of promoting these strengths in educational contexts to combat ageism and enhance social sensitivity toward aging.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 4","pages":"Article 101632"},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395995","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 : 2025-02-12DOI: 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":"2025-02-12","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}
Pub Date : 2025-02-12DOI: 10.1016/j.regg.2025.101631
Kelmara Mendes Vieira, Taiane Keila Matheis, Breno Augusto Diniz Pereira, Leander Luiz Klein
Background and objective
The objective of this study is to identify the perceived financial well-being of older adult Brazilians. Additionally, it aims to evaluate whether this perception differs according to socioeconomic and demographic profiles. As far as is known, this is the first study to assess the financial well-being of the older adult in a representative sample of cases.
Materials and methods
A survey was conducted with 1129 Brazilians aged 60 or older. Perceived financial well-being was assessed using a set of 23 items distributed across four dimensions: financial security, financial tranquility, financial freedom, and satisfaction with financial management. The analysis techniques included descriptive statistics, chi-square tests, and regression analysis.
Results
The results indicate that most older adult exhibited high levels of financial well-being. A significant portion of the older adult (40%) still show shallow levels of financial well-being. When analyzing the dimensions that form financial well-being, it was found that although the older adults are mostly satisfied with how they manage their resources, few still feel financially secure, especially regarding their future financial capacity. It is also noteworthy that despite good results for financial freedom, there is still a significant portion of the older adult for whom this freedom mainly refers to satisfying day-to-day consumption needs, but is rarely enough to support larger financial expenditures such as a vacation trip. The worst levels were identified among those from lower social classes, non-whites, those with lower levels of education, and those without their own home.
Conclusions
The government, the financial system, and society need to unite to prevent financial digitalization, the lack of financial preparation for retirement, and changes in social security systems from negatively impacting the financial well-being of the older adult.
{"title":"Financial well-being of the older adult Brazilians","authors":"Kelmara Mendes Vieira, Taiane Keila Matheis, Breno Augusto Diniz Pereira, Leander Luiz Klein","doi":"10.1016/j.regg.2025.101631","DOIUrl":"10.1016/j.regg.2025.101631","url":null,"abstract":"<div><h3>Background and objective</h3><div>The objective of this study is to identify the perceived financial well-being of older adult Brazilians. Additionally, it aims to evaluate whether this perception differs according to socioeconomic and demographic profiles. As far as is known, this is the first study to assess the financial well-being of the older adult in a representative sample of cases.</div></div><div><h3>Materials and methods</h3><div>A survey was conducted with 1129 Brazilians aged 60 or older. Perceived financial well-being was assessed using a set of 23 items distributed across four dimensions: financial security, financial tranquility, financial freedom, and satisfaction with financial management. The analysis techniques included descriptive statistics, chi-square tests, and regression analysis.</div></div><div><h3>Results</h3><div>The results indicate that most older adult exhibited high levels of financial well-being. A significant portion of the older adult (40%) still show shallow levels of financial well-being. When analyzing the dimensions that form financial well-being, it was found that although the older adults are mostly satisfied with how they manage their resources, few still feel financially secure, especially regarding their future financial capacity. It is also noteworthy that despite good results for financial freedom, there is still a significant portion of the older adult for whom this freedom mainly refers to satisfying day-to-day consumption needs, but is rarely enough to support larger financial expenditures such as a vacation trip. The worst levels were identified among those from lower social classes, non-whites, those with lower levels of education, and those without their own home.</div></div><div><h3>Conclusions</h3><div>The government, the financial system, and society need to unite to prevent financial digitalization, the lack of financial preparation for retirement, and changes in social security systems from negatively impacting the financial well-being of the older adult.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 4","pages":"Article 101631"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395996","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 : 2025-02-12DOI: 10.1016/j.regg.2025.101633
Daniel Rosselló-Jiménez, Anna Soriano Villalbí, Enrique Asensi-Batlle, Mireia Llonch-Masriera
{"title":"Hipervitaminemia B12 de probable origen tumoral en paciente mayor: a propósito de un caso","authors":"Daniel Rosselló-Jiménez, Anna Soriano Villalbí, Enrique Asensi-Batlle, Mireia Llonch-Masriera","doi":"10.1016/j.regg.2025.101633","DOIUrl":"10.1016/j.regg.2025.101633","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101633"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387670","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 : 2025-02-11DOI: 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":"2025-02-11","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}
Pub Date : 2025-02-04DOI: 10.1016/j.regg.2024.101617
Miguel Mansilla-Polo , Carlos Abril-Pérez , Mar Merino-Romero , Rafael Botella-Estrada
{"title":"Manejo multidisciplinar de un caso severo de pioderma gangrenoso en una paciente de edad avanzada","authors":"Miguel Mansilla-Polo , Carlos Abril-Pérez , Mar Merino-Romero , Rafael Botella-Estrada","doi":"10.1016/j.regg.2024.101617","DOIUrl":"10.1016/j.regg.2024.101617","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 4","pages":"Article 101617"},"PeriodicalIF":0.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143131865","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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