Search results for "Gerontología"
showing 9 items of 9 documents
Recommendations of the Geriatric Cardiology Section of the Spanish Society of Cardiology for the Assessment of Frailty in Elderly Patients With Heart…
2018
Frailty is an age-associated clinical syndrome characterized by a decrease in physiological reserve in situations of stress, constituting a state of vulnerability that involves a higher risk of adverse events. Its prevalence in Spain is high, especially in elderly individuals with comorbidity and chronic diseases. In cardiovascular disease, frailty is associated worse clinical outcomes and higher morbidity and mortality in all scenarios, in both acute and chronic settings, and could consequently influence diagnosis and treatment. However, frailty is often not addressed or included when planning the management of elderly patients with heart disease. In this article, we review the available s…
Trace elements levels in centenarian ‘dodgers’
2016
Trace element bioavailability can play a role in several metabolic and physiological pathways known to be altered during the aging process. We aimed to explore the association of trace elements with increased lifespan by analyzing the circulating levels of seven trace elements (Cr, Cu, Fe, Mn, Mo, Se and Zn) in a cohort of healthy centenarians or ‘dodgers’ (≥100 years, free of major age-related diseases) in comparison with sex-matched younger elderly controls. Centenarians showed significant lower Cu (783.7 (76.7, 1608.9) vs 962.5 (676.3, 2064.4) μg/mL, P < 0.001), but higher Fe (1.3 (0.4, 4.7) vs 1.1 (0.5, 8.4) μg/mL, P = 0.003) and Se (85.7 (43.0, 256.7) vs 77.8 (24.3, 143.8) ng/mL, P = 0…
Antithrombotic Therapy in Elderly Patients with Acute Coronary Syndromes
2022
The treatment of acute coronary syndrome (ACS) in elderly patients continues to be a challenge because of the characteS.G.B.ristics of this population and the lack of data and specific recommendations. This review summarizes the current evidence about critical points of oral antithrombotic therapy in elderly patients. To this end, we discuss the peculiarities and differences reported referring to dual antiplatelet therapy (DAPT) in ACS management in elderly patients and what might be the best option considering these population characteristics. Furthermore, we analyze antithrombotic strategies in patients with atrial fibrillation (AF), with a particular focus on those cases that also presen…
Calidad de vida de las personas mayores en el África Subsahariana : el caso de Angola
2013
El proceso de envejecimiento de la población mundial es un hecho incuestionable. Según las estadísticas de la Organización Mundial de la Salud (OMS, 2012a) en prácticamente todos los países la proporción de personas mayores está creciendo más rápido que cualquier otro grupo de edad. La población mayor del mundo (personas de 60 años de edad y mayores) se estima en 650 millones, y se prevé llegar a 2000 millones en 2050 (OMS, 2011). Son muchos los países que se encuentran actualmente en esta de situación, en vías de desarrollo, y son pues contextos de especial conflicto para afrontar este cambio poblacional y, sin duda, deben recibir una especial atención. Estos países, aunque en menor medida…
Elderly woman in films. An evaluation to the filmic projects
2016
La presencia de las mujeres en el cine tanto delante como detrás de la cámara es escasa; y esto ocurre más todavía en el caso de las mujeres mayores. Con una mirada de género desde la Gerontología hemos realizado una selección y posterior evaluación de las películas estrenadas entre 1960 y 2015 en las que el protagonismo o co-protagonismo fuese de una mujer mayor de 55 años, obteniendo un total de 63 películas. Con la información obtenida al utilizar una hoja de registro y análisis, se realizó un análisis de contenido que dio lugar a diferentes categorías temáticas y subcategorías. Los resultados muestran que son muy escasas las películas cuya trama argumental gira en torno a mujeres mayore…
Validación de un modelo explicativo del envejecimiento exitoso en muestra española
2015
La presente investigación presenta un modelo explicativo de envejecimiento exitoso que comprenda las concepciones del buen envejecer de la población española. Se parte de la premisa de que la formación continuada a lo largo de la vida del individuo (lifelong learning) puede ser un factor de gran importancia para el mantenimiento de la actividad mental y la realización personal, fomentándose así las conductas de salud y la calidad de vida en las personas mayores. Para ello, en primer término, se realiza una búsqueda sistemática de la bibliografía científica en los últimos 12 años sobre el envejecimiento harmónico relacionado con los principales modelos de envejecimiento y las variables consi…
Prevention of Functional Decline by Reframing the Role of Nursing Homes?
2017
Institutionalization is generally a consequence of functional decline driven by physical limitations, cognitive impairments, and/or loss of social supports. At this stage, intervention to reverse functional losses is often too late. To be more effective, geriatric medicine must evolve to intervene at an earlier stage of the disability process. Could nursing homes (NHs) transform from settings in which many residents dwell to settings in which the NH residents and those living in neighboring communities benefit from staff expertise to enhance quality of life and maintain or slow functional decline? A task force of clinical researchers met in Toulouse on December 2, 2015, to address some of t…
Global Geriatric Assessment and In-Hospital Bleeding Risk in Elderly Patients with Acute Coronary Syndromes: Insights from the LONGEVO-SCA Registry.
2018
Background: Bleeding risk scores have shown a limited predictive ability in elderly patients with acute coronary syndromes (ACS). No study explored the role of a comprehensive geriatric assessment to predict in-hospital bleeding in this clinical setting. Methods: The prospective multicentre LONGEVO-SCA registry included 532 unselected patients with non-ST segment elevation ACS (NSTEACS) aged 80 years or older. Comorbidity (Charlson index), frailty (FRAIL scale), disability (Barthel index and Lawton-Brody index), cognitive status (Pfeiffer test) and nutritional risk (mini nutritional assessment-short form test) were assessed during hospitalization. CRUSADE score was prospectively calculated …
Baseline CHA 2 DS 2 ‐VASc score and prognosis in octogenarians with non‐ST segment elevation acute coronary syndrome
2021
Background CHA2DS2-VASc Score is widely used to predict thromboembolic risk in patients with Atrial Fibrillation (AF). We sought to study if this score predicts outcomes in elderly patients with Non-ST segment Elevation Acute Coronary Syndromes (NSTEACS). Methods The multicenter LONGEVO-SCA prospective registry included 532 unselected patients with NSTEACS aged ≥80 years. Data to calculate CHA2DS2-VASc Score were available in 523 patients (98.3%). They were classified according to CHA2DS2-VASc Score: group 1 (score ≤ 4), and 2 (5-9). We studied outcomes in terms of mortality or readmission at 6 months follow-up. Results A total of 266 patients (51%) had a high CHA2DS2-VASc Score (group 2). …