Pub Date : 2025-04-16DOI: 10.1016/j.regg.2025.101669
Santiago Castejón Hernández , Karla López López , Ana Vena Martínez , Mireia Llonch Masriera
{"title":"Abordaje del paciente anciano en urgencias: recomendaciones de la European Task Force in Geriatric Emergency Medicine","authors":"Santiago Castejón Hernández , Karla López López , Ana Vena Martínez , Mireia Llonch Masriera","doi":"10.1016/j.regg.2025.101669","DOIUrl":"10.1016/j.regg.2025.101669","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101669"},"PeriodicalIF":0.0,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143835076","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 : 2025-04-15DOI: 10.1016/j.regg.2025.101659
Marta Martínez-García , Brian Dax Vásquez-Brolen , Fátima Brañas
Introduction
Delirium, or acute confusional syndrome, poses a challenge for healthcare systems due to its significant economic impact and its effects on the health of hospitalized older adults. Therefore, implementing strategies for early detection and management should be a priority.
The Delirium Code (DC) at the Hospital Universitario Infanta Leonor (HUIL) in Madrid aims to reduce the prevalence and incidence of delirium, as well as minimize its harmful consequences.
Methodology
The DC is a screening, diagnosis, and early treatment program for delirium integrated into the hospital's routine clinical practice. It is led by the geriatrics department and applies to patients over 65 years old admitted to hospitalization units and/or emergency departments. Activation of the program in the hospital's information system is carried out by the nurse responsible for the patient after applying the Confusional Assessment method (CAM) screening tool and activating a specific marker that registers patients for intervention by the DC team.
Discussion
Specialized geriatric care, with a key role played by the geriatric specialist nurse, is essential for optimizing the prevention, diagnosis, and treatment of delirium. Additionally, educational interventions aimed at healthcare professionals improve its recognition and documentation.
Conclusions
The commitment of both hospital management and healthcare professionals, along with proper training, is essential for implementing a program of this kind. The DC is feasible, necessary, and should be considered a quality-of-care indicator.
{"title":"Código delirium","authors":"Marta Martínez-García , Brian Dax Vásquez-Brolen , Fátima Brañas","doi":"10.1016/j.regg.2025.101659","DOIUrl":"10.1016/j.regg.2025.101659","url":null,"abstract":"<div><h3>Introduction</h3><div>Delirium, or acute confusional syndrome, poses a challenge for healthcare systems due to its significant economic impact and its effects on the health of hospitalized older adults. Therefore, implementing strategies for early detection and management should be a priority.</div><div>The Delirium Code (DC) at the Hospital Universitario Infanta Leonor (HUIL) in Madrid aims to reduce the prevalence and incidence of delirium, as well as minimize its harmful consequences.</div></div><div><h3>Methodology</h3><div>The DC is a screening, diagnosis, and early treatment program for delirium integrated into the hospital's routine clinical practice. It is led by the geriatrics department and applies to patients over 65 years old admitted to hospitalization units and/or emergency departments. Activation of the program in the hospital's information system is carried out by the nurse responsible for the patient after applying the Confusional Assessment method (CAM) screening tool and activating a specific marker that registers patients for intervention by the DC team.</div></div><div><h3>Discussion</h3><div>Specialized geriatric care, with a key role played by the geriatric specialist nurse, is essential for optimizing the prevention, diagnosis, and treatment of delirium. Additionally, educational interventions aimed at healthcare professionals improve its recognition and documentation.</div></div><div><h3>Conclusions</h3><div>The commitment of both hospital management and healthcare professionals, along with proper training, is essential for implementing a program of this kind. The DC is feasible, necessary, and should be considered a quality-of-care indicator.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 4","pages":"Article 101659"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828480","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":"Altas demoradas por motivos no clínicos: hospital de crónicos y larga estancia","authors":"Núria Goig , Fátima Moll , Gemma Costa-Requena , Jaume Morera Guitart","doi":"10.1016/j.regg.2025.101654","DOIUrl":"10.1016/j.regg.2025.101654","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101654"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143829673","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 : 2025-04-15DOI: 10.1016/j.regg.2025.101660
Eleonora Rojas Cabrera , Mariana Paredes Della Croce , Ignacio de Loyola González Salgado , Ana J. Zepeda-Ortega
Introduction and objectives
Among aging populations, there is evidence of an increase in mental health diseases and suicides. This paper aims to analyze comparatively the trends in suicide among people aged 65 and over in countries of the Southern Cone (Argentina, Chile and Uruguay) and the iberian peninsula (Spain and Portugal).
Materials and methods
A quantitative, descriptive and comparative study from a socio-demographic perspective was carried out. Based on data from the United Nations, crude and adjusted specific mortality rates (MR) attributable to suicide were calculated between 2002 and 2019, and their trends were analyzed by applying joinpoint regression models.
Results
Differences in MR and an excess male mortality were observed in all countries, with the highest levels in Uruguay (Male MR 2019: 67.2 and 14.2 per 100,000 persons, respectively). The male MR increased with age and the female MR remained stable. Except for Uruguay, the MR decreased significantly in the whole population (average annual change, 2002-2019: Argentina: −3.9%; 95%CI: −4.6; −3.3%; Chile: −1.4%; 95%CI: −2.6; −0.3%; Spain: −2.0%; 95%CI:−3.0; −1.0%; Portugal: −2.2%; 95%CI: −2.8; −1.6%). However, when the MR were disaggregated by sex, they showed this decline did not take place among women from Chile and Uruguay, and some women from Spain and Portugal.
Conclusions
Suicide level among elder people shows disparities between regions and countries, mostly in men. However, a decreasing trend is observed, particularly among men in some countries.
{"title":"Suicidio en las personas mayores: una comparación entre los países del Cono Sur y de la península ibérica","authors":"Eleonora Rojas Cabrera , Mariana Paredes Della Croce , Ignacio de Loyola González Salgado , Ana J. Zepeda-Ortega","doi":"10.1016/j.regg.2025.101660","DOIUrl":"10.1016/j.regg.2025.101660","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Among aging populations, there is evidence of an increase in mental health diseases and suicides. This paper aims to analyze comparatively the trends in suicide among people aged 65 and over in countries of the Southern Cone (Argentina, Chile and Uruguay) and the iberian peninsula (Spain and Portugal).</div></div><div><h3>Materials and methods</h3><div>A quantitative, descriptive and comparative study from a socio-demographic perspective was carried out. Based on data from the United Nations, crude and adjusted specific mortality rates (MR) attributable to suicide were calculated between 2002 and 2019, and their trends were analyzed by applying joinpoint regression models.</div></div><div><h3>Results</h3><div>Differences in MR and an excess male mortality were observed in all countries, with the highest levels in Uruguay (Male MR 2019: 67.2 and 14.2 per 100,000 persons, respectively). The male MR increased with age and the female MR remained stable. Except for Uruguay, the MR decreased significantly in the whole population (average annual change, 2002-2019: Argentina: −3.9%; 95%CI: −4.6; −3.3%; Chile: −1.4%; 95%CI: −2.6; −0.3%; Spain: −2.0%; 95%CI:−3.0; −1.0%; Portugal: −2.2%; 95%CI: −2.8; −1.6%). However, when the MR were disaggregated by sex, they showed this decline did not take place among women from Chile and Uruguay, and some women from Spain and Portugal.</div></div><div><h3>Conclusions</h3><div>Suicide level among elder people shows disparities between regions and countries, mostly in men. However, a decreasing trend is observed, particularly among men in some countries.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101660"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143829672","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 : 2025-04-14DOI: 10.1016/j.regg.2025.101655
David Robles-Torres , Natividad Lago-Rivero , Brais Bea-Mascato , Iván Agra Blanco , Elena Cerdeira Regueira , Noemí Martínez-López-de-Castro
Introduction
In daily clinical practice, we relatively often encounter situations in which it is not possible to measure the height of elderly patients in a conventional way. For these cases, predictive methods have been developed to estimate the height of patients by measuring body segments. The aim of this paper is to determine the best method for estimating the actual height of elderly patients.
Material and methods
A cross-sectional study was carried out with 130 participants over 65 years of age institutionalised in a socio-health centre. Height was calculated using three estimation methods for each study participant and the results were then compared with the actual height of the patients. Correlation coefficient (R), mean absolute error (MAE) and mean square error (MSE) were calculated for each of the three methods.
Results and discussion
The method ‘height estimation from ulnar measurement’ had an R = 0.97 with an MAE = 0.0386 and an MSE = 0.0019, the ‘knee-heel height formula of Chumlea’ had an R = 0.94 with an MAE = 0.0300 and an MSE = 0.0013 and finally, the ‘knee-malleolus formula of Arango and Zamora’ had an R = 0.9 with an MAE = 0.0353 and an MSE = 0.0018.
Conclusions
The Chumlea formula is considered the best method for estimating height in elderly patients in whom height cannot be measured conventionally, as it has a very good correlation coefficient (R = 0.94) and the lowest deviation of the results.
在日常临床实践中，我们比较经常会遇到用常规方法无法测量老年患者身高的情况。对于这些病例，已经开发出预测方法，通过测量身体部分来估计患者的身高。本文的目的是确定估计老年患者实际身高的最佳方法。材料和方法对130名65岁以上的参与者进行了一项横断面研究，这些参与者被安置在一家社会保健中心。采用三种估计方法计算每位研究参与者的身高，然后将结果与患者的实际身高进行比较。计算三种方法的相关系数(R)、平均绝对误差（MAE）和均方误差（MSE）。结果与讨论尺骨测量高度估算法的R = 0.97, MAE = 0.0386, MSE = 0.0019； Chumlea膝跟高度公式的R = 0.94, MAE = 0.0300, MSE = 0.0013； Arango和Zamora膝踝高度公式的R = 0.9, MAE = 0.0353, MSE = 0.0018。结论Chumlea公式具有良好的相关系数（R = 0.94）和最小的误差，是无法进行常规身高测量的老年患者身高估计的最佳方法。
{"title":"Validez de 3 métodos predictivos para estimar la talla en pacientes de edad avanzada","authors":"David Robles-Torres , Natividad Lago-Rivero , Brais Bea-Mascato , Iván Agra Blanco , Elena Cerdeira Regueira , Noemí Martínez-López-de-Castro","doi":"10.1016/j.regg.2025.101655","DOIUrl":"10.1016/j.regg.2025.101655","url":null,"abstract":"<div><h3>Introduction</h3><div>In daily clinical practice, we relatively often encounter situations in which it is not possible to measure the height of elderly patients in a conventional way. For these cases, predictive methods have been developed to estimate the height of patients by measuring body segments. The aim of this paper is to determine the best method for estimating the actual height of elderly patients.</div></div><div><h3>Material and methods</h3><div>A cross-sectional study was carried out with 130 participants over 65 years of age institutionalised in a socio-health centre. Height was calculated using three estimation methods for each study participant and the results were then compared with the actual height of the patients. Correlation coefficient (R), mean absolute error (MAE) and mean square error (MSE) were calculated for each of the three methods.</div></div><div><h3>Results and discussion</h3><div>The method ‘height estimation from ulnar measurement’ had an R<!--> <!-->=<!--> <!-->0.97 with an MAE<!--> <!-->=<!--> <!-->0.0386 and an MSE<!--> <!-->=<!--> <!-->0.0019, the ‘knee-heel height formula of Chumlea’ had an R<!--> <!-->=<!--> <!-->0.94 with an MAE<!--> <!-->=<!--> <!-->0.0300 and an MSE<!--> <!-->=<!--> <!-->0.0013 and finally, the ‘knee-malleolus formula of Arango and Zamora’ had an R<!--> <!-->=<!--> <!-->0.9 with an MAE<!--> <!-->=<!--> <!-->0.0353 and an MSE<!--> <!-->=<!--> <!-->0.0018.</div></div><div><h3>Conclusions</h3><div>The Chumlea formula is considered the best method for estimating height in elderly patients in whom height cannot be measured conventionally, as it has a very good correlation coefficient (R<!--> <!-->=<!--> <!-->0.94) and the lowest deviation of the results.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101655"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825846","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 : 2025-04-14DOI: 10.1016/j.regg.2025.101623
Paula Aldama Marín , Paula Lavandera Verdera , Nicolás María González-Senac , Maite Vidán Astiz
Severe aortic stenosis may increase risks and pose limitations in non-cardiac surgeries, sometimes requiring prior treatment. Surgery for colorectal neoplasms is frequently the priority indicated treatment as its delay can increase the risk of developing complications (e.g. bowel obstruction). The coexistence of both conditions in older comorbid patients may be challenging during the decision-making process. In this case series, four cases of older adults with severe aortic stenosis and colorectal neoplasms with surgical indication are presented. A description of the management of each case, with a revision of the current cardiovascular risk assessment guidelines, is done.
{"title":"Management of older adults with severe aortic stenosis and indication of non-cardiac surgery for colorectal neoplasm: What do we treat first?","authors":"Paula Aldama Marín , Paula Lavandera Verdera , Nicolás María González-Senac , Maite Vidán Astiz","doi":"10.1016/j.regg.2025.101623","DOIUrl":"10.1016/j.regg.2025.101623","url":null,"abstract":"<div><div>Severe aortic stenosis may increase risks and pose limitations in non-cardiac surgeries, sometimes requiring prior treatment. Surgery for colorectal neoplasms is frequently the priority indicated treatment as its delay can increase the risk of developing complications (e.g. bowel obstruction). The coexistence of both conditions in older comorbid patients may be challenging during the decision-making process. In this case series, four cases of older adults with severe aortic stenosis and colorectal neoplasms with surgical indication are presented. A description of the management of each case, with a revision of the current cardiovascular risk assessment guidelines, is done.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 4","pages":"Article 101623"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825512","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 : 2025-04-14DOI: 10.1016/j.regg.2025.101651
Elodia Teresa Bernabeu-Serrano , Eoin Duggan , Román Romero-Ortuño
Aim
To evaluate the association between phase angle (PA), measured by electrical bioimpedance, and age, comorbidity, physical frailty, and sarcopenia in individuals over 50 years old attending a falls clinic.
Materials and methods
Data were collected on demographics (age, sex), anthropometric measurements (body mass index [BMI]), comorbidity (CIRS-G score), physical frailty (SHARE-FI score), probable sarcopenia (by handgrip strength and 5 sit-to-stand test [5-STS]), and bioimpedance parameters (PA and sarcopenia as per Sergi's equation). Bivariate correlations and multiple linear regression models were applied to determine association.
Results
The study included 107 patients (61 women) from the Falls and Syncope Unit, Mercer's Institute for Successful Ageing, St James’ Hospital, Dublin; with a mean age of 69.8 years, PA of 4.7°, and BMI of 26.4 kg/m2. PA demonstrated an inverse correlation with SHARE-FI (ρ: −0.23, P = .019), which remained significant after adjusting for age. PA was also inversely correlated with CIRS-G (ρ: −0.40, P < .001); in regression analysis, this association was independent of age (P < .001) and SHARE-FI (P = .539). PA was inversely associated with bioimpedance-confirmed sarcopenia (P = .002) and probable sarcopenia by handgrip strength (ρ: 0.25, P = .009) and 5-STS (ρ: −0.32, P = .001). Among patients with confirmed or probable sarcopenia (n = 49), PA was inversely related to CIRS-G (P = .011), independent of age (P = .003) and SHARE-FI (P = .959).
Conclusions
PA decreases with age and is significantly influenced by comorbidities, but not by physical frailty. This relationship persists in patients with confirmed or probable sarcopenia, suggesting that PA could be a valuable marker for assessing the burden of comorbidities in these patients.
{"title":"Relación entre el ángulo de fase medido por bioimpedanciometría eléctrica con la fragilidad física, sarcopenia y comorbilidad en pacientes mayores","authors":"Elodia Teresa Bernabeu-Serrano , Eoin Duggan , Román Romero-Ortuño","doi":"10.1016/j.regg.2025.101651","DOIUrl":"10.1016/j.regg.2025.101651","url":null,"abstract":"<div><h3>Aim</h3><div>To evaluate the association between phase angle (PA), measured by electrical bioimpedance, and age, comorbidity, physical frailty, and sarcopenia in individuals over 50<!--> <!-->years old attending a falls clinic.</div></div><div><h3>Materials and methods</h3><div>Data were collected on demographics (age, sex), anthropometric measurements (body mass index [BMI]), comorbidity (CIRS-G score), physical frailty (SHARE-FI score), probable sarcopenia (by handgrip strength and 5 sit-to-stand test [5-STS]), and bioimpedance parameters (PA and sarcopenia as per Sergi's equation). Bivariate correlations and multiple linear regression models were applied to determine association<em>.</em></div></div><div><h3>Results</h3><div>The study included 107 patients (61 women) from the <em>Falls and Syncope Unit, Mercer's Institute for Successful Ageing, St James’ Hospital, Dublin</em>; with a mean age of 69.8 years, PA of 4.7°, and BMI of 26.4<!--> <!-->kg/m<sup>2</sup>. PA demonstrated an inverse correlation with SHARE-FI (ρ: −0.23, <em>P</em> <!-->=<!--> <!-->.019), which remained significant after adjusting for age. PA was also inversely correlated with CIRS-G (ρ: −0.40, <em>P</em> <!--><<!--> <!-->.001); in regression analysis, this association was independent of age (<em>P</em> <!--><<!--> <!-->.001) and SHARE-FI (<em>P</em> <!-->=<!--> <!-->.539). PA was inversely associated with bioimpedance-confirmed sarcopenia (<em>P</em> <!-->=<!--> <!-->.002) and probable sarcopenia by handgrip strength (ρ: 0.25, <em>P</em> <!-->=<!--> <!-->.009) and 5-STS (ρ: −0.32, <em>P</em> <!-->=<!--> <!-->.001). Among patients with confirmed or probable sarcopenia (n<!--> <!-->=<!--> <!-->49), PA was inversely related to CIRS-G (<em>P</em> <!-->=<!--> <!-->.011), independent of age (<em>P</em> <!-->=<!--> <!-->.003) and SHARE-FI (<em>P</em> <!-->=<!--> <!-->.959).</div></div><div><h3>Conclusions</h3><div>PA decreases with age and is significantly influenced by comorbidities, but not by physical frailty. This relationship persists in patients with confirmed or probable sarcopenia, suggesting that PA could be a valuable marker for assessing the burden of comorbidities in these patients.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 4","pages":"Article 101651"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828481","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 : 2025-04-14DOI: 10.1016/j.regg.2025.101656
Ana María Capitán Fernández , Vanessa Gutiérrez Vallés , Carlos Luis Pérez , Miguel Cerrillo Borja , Nerea Rodríguez Morales , Raquel Tejedor Bartolomé , Carolina Lapena Estella
Introduction
Primary Care cares for dependent people in their homes, and also supports their main caregivers. With the covid-19 pandemic, this care was altered.
Aim
To analyze the level of burden in the informal caregiver role during the first months of the covid-19 pandemic; and study their perception of the support received during the pandemic by Primary Care.
Methods
Explanatory sequential design, combining different methodologies. First, a retrospective longitudinal quantitative study to assess the characteristics of people cared at home and the overload of their informal caregivers before and after the covid-19 first months between March 2020 and December 2021. Secondly, based on these data, 12 informal caregivers with a greater worsening of overload were selected for the qualitative study. In-depth interviews were conducted to find out their perception of their burden.
Results
A total of 13,353 people receiving home care were analyzed for the quantitative study, with a mean age of 86.4 years (SD: 9.1), of which 71.8% were women, 34% of the caregivers were overloaded, which increased by 2.5%(P < 0.001). This overload increased significantly during the covid-19 pandemic. With the 12 interviews of the qualitative study, it was concluded that there was no relevant impact of confinement on the patient that received home care, which would have occurred on the caregivers, due to uncertainly or the lack of social interaction. The informants highlighted the difficulty of telephone access to the Primary Care center and dissatisfaction with the loss of face-to-face contact, although they valued the longitudinality and the telephone follow-up carried out.
Conclusion
It is necessary to reinforce support strategies in the care of informal caregivers within the receiving home care program to reduce the burden seen.
{"title":"Sobrecarga en cuidadores familiares de personas atendidas en el domicilio por Atención Primaria durante la pandemia covid-19: estudio exploratorio","authors":"Ana María Capitán Fernández , Vanessa Gutiérrez Vallés , Carlos Luis Pérez , Miguel Cerrillo Borja , Nerea Rodríguez Morales , Raquel Tejedor Bartolomé , Carolina Lapena Estella","doi":"10.1016/j.regg.2025.101656","DOIUrl":"10.1016/j.regg.2025.101656","url":null,"abstract":"<div><h3>Introduction</h3><div>Primary Care cares for dependent people in their homes, and also supports their main caregivers. With the covid-19 pandemic, this care was altered.</div></div><div><h3>Aim</h3><div>To analyze the level of burden in the informal caregiver role during the first months of the covid-19 pandemic; and study their perception of the support received during the pandemic by Primary Care.</div></div><div><h3>Methods</h3><div>Explanatory sequential design, combining different methodologies. First, a retrospective longitudinal quantitative study to assess the characteristics of people cared at home and the overload of their informal caregivers before and after the covid-19 first months between March 2020 and December 2021. Secondly, based on these data, 12 informal caregivers with a greater worsening of overload were selected for the qualitative study. In-depth interviews were conducted to find out their perception of their burden.</div></div><div><h3>Results</h3><div>A total of 13,353 people receiving home care were analyzed for the quantitative study, with a mean age of 86.4 years (SD: 9.1), of which 71.8% were women, 34% of the caregivers were overloaded, which increased by 2.5%(<em>P</em> <!--><<!--> <!-->0.001). This overload increased significantly during the covid-19 pandemic. With the 12 interviews of the qualitative study, it was concluded that there was no relevant impact of confinement on the patient that received home care, which would have occurred on the caregivers, due to uncertainly or the lack of social interaction. The informants highlighted the difficulty of telephone access to the Primary Care center and dissatisfaction with the loss of face-to-face contact, although they valued the longitudinality and the telephone follow-up carried out.</div></div><div><h3>Conclusion</h3><div>It is necessary to reinforce support strategies in the care of informal caregivers within the receiving home care program to reduce the burden seen.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 5","pages":"Article 101656"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825844","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 : 2025-03-18DOI: 10.1016/j.regg.2025.101636
Flávia F. Lage, Tamyres Andréa C. Valim, Lara V. Fernandes, Amanda C. Queiroz da Silva, Wellington Shegueto, Camila M. De Melo
Background
Sleep patterns change with the aging process, resulting in an increased risk of sleep disorders. Sleep quality might be associated with body composition and has been associated with frailty. The objective of the present study was to evaluate the association of sleep quality with frailty components and body compositions of community-dwelling elderly individuals.
Methods
Observational and cross-sectional study conducted with ≥60 years of both sexes. Sleep quality was evaluated by the Pittsburgh Sleep Quality Index (PSQI) and the Epworth Sleepiness Scale (ESS). Self-reports of involuntary weight loss, handgrip strength (HGS), self-reported fatigue by the Geriatric Depression Scale (GDS), gait speed (GS) and levels of physical activity were assessed. Anthropometric measurements of body weight, height, calf circumference (CC) and waist circumference (WC), and body composition was assessed.
Results
A total of 141 participants (82% female; 69.5 ± 6.4 years old) were studied. It was found 60% of poor sleep quality. The prevalence of frailty was 2%, and 38% of the participants were classified as prefrail. Positive moderate correlations between sleep quality and BMI, CC, WC, GS, fat mass, fat mass and depressive symptoms (p < 0.05) were found. The logistic regression test revealed that HGS was positively associated with good sleep quality, while fat mass and depressive symptoms were negatively associated.
Conclusion
The present study demonstrated a high prevalence of poor sleep quality and a low prevalence of frailty in community-dwelling older adults. Sleep was associated with strength, body composition and depressive symptoms in this population.
{"title":"Sleep quality, frailty components and body composition of community-dwelling older adults: An exploratory study","authors":"Flávia F. Lage, Tamyres Andréa C. Valim, Lara V. Fernandes, Amanda C. Queiroz da Silva, Wellington Shegueto, Camila M. De Melo","doi":"10.1016/j.regg.2025.101636","DOIUrl":"10.1016/j.regg.2025.101636","url":null,"abstract":"<div><h3>Background</h3><div>Sleep patterns change with the aging process, resulting in an increased risk of sleep disorders. Sleep quality might be associated with body composition and has been associated with frailty. The objective of the present study was to evaluate the association of sleep quality with frailty components and body compositions of community-dwelling elderly individuals.</div></div><div><h3>Methods</h3><div>Observational and cross-sectional study conducted with ≥60 years of both sexes. Sleep quality was evaluated by the Pittsburgh Sleep Quality Index (PSQI) and the Epworth Sleepiness Scale (ESS). Self-reports of involuntary weight loss, handgrip strength (HGS), self-reported fatigue by the Geriatric Depression Scale (GDS), gait speed (GS) and levels of physical activity were assessed. Anthropometric measurements of body weight, height, calf circumference (CC) and waist circumference (WC), and body composition was assessed.</div></div><div><h3>Results</h3><div>A total of 141 participants (82% female; 69.5<!--> <!-->±<!--> <!-->6.4 years old) were studied. It was found 60% of poor sleep quality. The prevalence of frailty was 2%, and 38% of the participants were classified as prefrail. Positive moderate correlations between sleep quality and BMI, CC, WC, GS, fat mass, fat mass and depressive symptoms (<em>p</em> <!--><<!--> <!-->0.05) were found. The logistic regression test revealed that HGS was positively associated with good sleep quality, while fat mass and depressive symptoms were negatively associated.</div></div><div><h3>Conclusion</h3><div>The present study demonstrated a high prevalence of poor sleep quality and a low prevalence of frailty in community-dwelling older adults. Sleep was associated with strength, body composition and depressive symptoms in this population.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101636"},"PeriodicalIF":0.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143641909","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}
Conventional care models for older adults often disregard negative effects of hospitalization and neglect potential benefits of technology. This trial aims to investigate effects of Multicomponent Exercise Program with Virtual Reality (MEP-VR) on functional and cognitive outcomes in hospitalized older adults, compared to MEP-only or usual care approaches.
Methods
This three-arm, parallel-group, randomized controlled trial will include 255 participants aged 75 or older, with a Barthel Index score of at least 60, able to walk and cooperate, have an estimated hospital stay of at least four days, and provide informed consent. Patients with severe dementia, terminal illness, or clinical instability will be excluded. Participants will be randomly assigned to a control group or one of two intervention groups. The intervention groups will receive either MEP-VR or MEP-only program, consisting of supervised aerobic exercise, resistance training, and balance training, with or without a virtual reality component. The intervention will occur over four consecutive days, each session lasting 30–40 min. The primary outcome measure will be functional changes at discharge. Cognition, mood, quality of life, and immersive virtual reality (IVR) usability will also be assessed.
Discussion
Technological advances are rapidly increasing with population aging, creating potential benefits for integrating technology into older adult care. This study will evaluate the implementation of IVR combined with MEP. If our hypothesis proves accurate, it will pave the way for modifying the hospitalization system, helping to reduce the critical healthcare burden resulting from hospital-acquired disability in the older population.
Trial registration
This study was approved by the Navarra Clinical Research Ethics Committee on June 14th, 2021 (PI_2021_90). The trial was retrospectively registered at ClinicalTrials.gov, registration number NCT06469554.
{"title":"Effect of a Multicomponent Exercise Program with Virtual Reality (MEP-VR) versus standard approaches on functional and cognitive domains in hospitalised geriatric patients: Study protocol for a randomized controlled trial","authors":"Maria Cristina Ferrara , Fabiola Zambom-Ferraresi , Arkaitz Galbete , Marisa Fernández-González de la Riva , Maite Izco-Cubero , Agurne García-Baztán , Amaya Capón-Sáez , Soledad Domínguez-Mendoza , Itxaso Marín-Epelde , Fabricio Zambom-Ferraresi , Nicolás Martínez-Velilla","doi":"10.1016/j.regg.2025.101646","DOIUrl":"10.1016/j.regg.2025.101646","url":null,"abstract":"<div><h3>Background</h3><div>Conventional care models for older adults often disregard negative effects of hospitalization and neglect potential benefits of technology. This trial aims to investigate effects of Multicomponent Exercise Program with Virtual Reality (MEP-VR) on functional and cognitive outcomes in hospitalized older adults, compared to MEP-only or usual care approaches.</div></div><div><h3>Methods</h3><div>This three-arm, parallel-group, randomized controlled trial will include 255 participants aged 75 or older, with a Barthel Index score of at least 60, able to walk and cooperate, have an estimated hospital stay of at least four days, and provide informed consent. Patients with severe dementia, terminal illness, or clinical instability will be excluded. Participants will be randomly assigned to a control group or one of two intervention groups. The intervention groups will receive either MEP-VR or MEP-only program, consisting of supervised aerobic exercise, resistance training, and balance training, with or without a virtual reality component. The intervention will occur over four consecutive days, each session lasting 30–40<!--> <!-->min. The primary outcome measure will be functional changes at discharge. Cognition, mood, quality of life, and immersive virtual reality (IVR) usability will also be assessed.</div></div><div><h3>Discussion</h3><div>Technological advances are rapidly increasing with population aging, creating potential benefits for integrating technology into older adult care. This study will evaluate the implementation of IVR combined with MEP. If our hypothesis proves accurate, it will pave the way for modifying the hospitalization system, helping to reduce the critical healthcare burden resulting from hospital-acquired disability in the older population.</div></div><div><h3>Trial registration</h3><div>This study was approved by the Navarra Clinical Research Ethics Committee on June 14th, 2021 (PI_2021_90). The trial was retrospectively registered at ClinicalTrials.gov, registration number <span><span>NCT06469554</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 4","pages":"Article 101646"},"PeriodicalIF":0.0,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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