Prevalencia del diagnóstico de demencia en pacientes ancianos institucionalizados en Zaragoza. Estudio piloto / Prevalence of dementia patients diagnosis of elderly home care in Zaragoza. Pilot study

Introducción. El proceso de envejecimiento biológico de las personas es irreversible, y comienza prácticamente desde el nacimiento. Los avances sociales y sanitarios han hecho que la esperanza de vida aumente de forma exponencial, lo cual ha producido que los síndromes asociados al envejecimiento se conviertan en uno de los principales problemas del siglo XXI. Las enfermedades neurodegenerativas constituyen el paradigma de enfermedad crónica incapacitante. Las personas con demencia suelen ser los usuarios más habituales en las residencias de la tercera edad. Aquellos que padecen demencia, además de padecer una alteración importante en las funciones cognitivas, pueden presentar los llamados síntomas psicológicos y conductuales de la demencia (SPCD). Objetivo. Determinar la prevalencia del diagnóstico de demencia en la población de una residencia geriátrica y cuántos usuarios presentan deterioro cognitivo sin estar diagnosticados. Conclusiones. Existe un porcentaje importante de usuarios que presentan deterioro cognitivo en las pruebas diagnósticas sin estar diagnosticados de demencia (AU)

Introduction. The process of biological aging of people is irreversible, and starts virtually from birth. Health and social advances have made life expectancy increases exponentially, making the syndromes associated with aging become one of the main problems of the XXI century. Neurodegenerative diseases are the paradigm of chronic disabling disease. People with dementia are often the most regular users in the elderly care homes. They also suffer significant alterations in cognitive functions, and may have the so-called psychological and behavioural symptoms of dementia (BPSD). Objectives. To determine the prevalence of diagnosis of dementia in the population of a nursing home and how many users present undiagnosed cognitive impairment. Conclusions. There are a significant percentage of users who have cognitive impairment in diagnostic tests without being diagnosed with dementia (AU)

[Prevalence of Dementia Patients Diagnosis of Elderly Home Care in Zaragoza: Pilot Study]. / Prevalencia del diagnóstico de demencia en pacientes ancianos institucionalizados en Zaragoza.

Introduction: The process of biological aging of people is irreversible, and starts virtually from birth. Health and social advances have made life expectancy increases exponentially, making the syndromes associated with aging become one of the main problems of the XXI century. Neurodegenerative diseases are the paradigm of chronic disabling disease. People with dementia are often the most regular users in the elderly care homes. They also suffer significant alterations in cognitive functions, and may have the so-called physiological and behavioural symptoms of dementia (BPSD). Objectives: To determine the prevalence of diagnosis of dementia in the population of a nursing home and how many users present undiagnosed cognitive impairment. Conclusions: There are a significant percentage of users who have cognitive impairment in diagnostic tests without being diagnosed with dementia.

Epidemiología de caídas en la población anciana española no institucionalizada. Revisión sistemática 2014 / Epidemiology of falls in the non-institutionalized spanish elderly population, systematic review 2014

Objetivo. Identificar publicaciones científicas sobre las caídas en la población anciana española no institucionalizada y resumir los hallazgos de los estudios que examinaron la incidencia, los factores de asociados y las consecuencias de las caídas en la población geriátrica española mayor o igual a 65 años no institucionalizada. Material y método. Revisión sistemática de estudios observacionales epidemiológicos en España, con registro de caídas, con temporalidad retrospectiva y publicados como artículos científicos entre los años 2003 y 2014 inclusive. La búsqueda de artículos se efectuó en julio de 2014, con límite de idioma y año de publicación, en las bases electrónicas PubMed, Dialnet, RedALyC, SciELO, Enfispo y Google Scholar. Resultados. La frecuencia de caídas registradas varió del 14.9 % al 66.2 %. La media de la ingesta de fármacos/día se encontraba entre 2.7 a 4.5 fármacos/día. El miedo a caer que presentaba la población anciana no institucionalizada se encontraba entre un 44.7 % y un 49.4 %. La gran mayoría de las caídas se produjeron en el ámbito domiciliario, y se hallaron porcentajes de entre el 55.1 % y el 61 %. Entre un 30 % y un 55.1 % de las personas que sufrieron caídas mantuvieron un contacto sanitario de forma inmediata, y la prevalencia de fracturas se situó entre un 0 % y un 26.1 %. Conclusión. Se puede confirmar que la prevalencia de caídas en la población anciana española es elevada, por lo que se aprecia la necesidad de nuevas investigaciones (AU)

Objective. To identify scientific publications about falls among non-institutionalized Spanish elderly population and to summarize the study findings which analysed the incidence, the risk factors and the consequences of the falls in the geriatric Spanish population aged 65 years and over who lives institutionalized in our country. Material and method. Systematic review of the epidemiological observational studies in Spain, with recording of falls, with temporary retrospective and published as scientific articles between the years 2003 and 2014 included. The articles search took place in July 2014, with the limit of language and publication year, in the electronic databases PubMed, Dialnet, RedALyC, SciELO, Enfispo and Google Scholar. Results. The percentage of people who suffered falls depending on the publication year. The frequency of falls recorded varied from 14.9 % to 66.2 %. The mean intake of daily drugs was between 2.7 to 4.5 drugs per day. The fear of falling that had the elderly population non-institutionalized was between 44.7 % and 49.4 %. The vast majority of falls occurred at home, with percentages between 55.1 % and 61 %. Between 30 % and 55.1 % of people who suffered falls maintained health care contact immediately and the fractures prevalence was between 0 % and 26.1 %. Conclusion. It can be confirmed that the falls prevalence in the spanish elderly population is high, so the need of new researches are appreciated (AU)

[EPIDEMIOLOGY OF FALLS IN THE NON-INSTITUTIONALIZED SPANISH ELDERLY POPULATION, SYSTEMATIC REVIEW 2014]. / Epidemiología de caídas en la población anciana española no institucionalizada: REVISIÓN SISTEMÁTICA 2014.

UNLABELLED: OBJECTIVE To identify scientific publications about falls among non-institutionalized Spanish elderly population and to summarize the study findings which analysed the incidence, the risk factors and the consequences of the falls in the geriatric spanish population aged 65 years and over who lives institutionalized in our country. MATERIAL AND METHOD: Systematic review of the epidemiological observational studies in Spain, with recording of falls, with temporary retrospective and published as scientific articles between the years 2003 and 2014 included. The articles search took place in July 2014, with the limit of language and publication year, in the electronic databases PubMed, Dialnet, RedALyC, SciELO, Enfispo and Google Scholar. RESULTS: The percentage of people who suffered falls depending on the publication year. The frequency of falls recorded varied from 14.9 % to 66.2 %. The mean intake of daily drugs was between 2.7 to 4.5 drugs per day. The fear of falling that had the elderly population non-institutionalized was between 44.7 % and 49.4 %. The vast majority of falls occurred at home, with percentages between 55.1 % and 61 %. Between 30 % and 55.1 % of people who suffered falls maintained health care contact immediately and the fractures prevalence was between 0 % and 26.1 %. CONCLUSTON: It can be confirmed that the falls prevalence in the spanish elderly population is high, so the need ofnew researches are appreciated.