Geriatría transversal. Un reto asistencial para el siglo xxi

González-Montalvo, Juan Ignacio; Ramírez-Martín, Raquel; Colino, Rocío Menéndez; Alarcón, T.; Tarazona-Santabalbina, Francisco José; Martínez‐Velilla, Nicolás; Vidán, María Teresa; Valls, María Pi-Figueras; Formiga, Francesç; Couso, Myriam Rodríguez; Sánchez, Ana Isabel; Vilches‐Moraga, Arturo; Rodríguez-Pascual, Carlos; Rodríguez, José Gutiérrez; Gómez-Pavón, Javier; López, Pilar Sáez; Boixareu, Cristina Bermejo; Martínez-Peromingo, Javier; Castellano, C. Sánchez; Guerrero, José L.; Martín‐Sánchez, Francisco Javier

doi:10.1016/j.regg.2019.10.011

Revista Española de Geriatría y Gerontología

2020

DOI: 10.1016/j.regg.2019.10.011

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Geriatría transversal. Un reto asistencial para el siglo xxi

Juan Ignacio González-Montalvo

Raquel Ramírez-Martín

Rocío Menéndez Colino

et al.

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Cited by 19 publications

(1 citation statement)

References 166 publications

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“…The positive reality informs us that the number of elderly people who are being evaluated for specialties other than geriatrics is increasing. This implies the need to apply the principles of geriatric medicine to advance together using the same language 6 . The association between falls and frailty or sarcopenia is increasingly recognized in the literature 7,8 , but we must speak of the same entities and we must standardize the assessment tests.…”

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confidence: 99%

La importancia de identificar factores intrínsecos modificables de riesgo de caídas para implementar precozmente medidas preventivas

Formiga

Tarazona-Santabalbina

2020

Rev Osteoporos Metab Miner

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Falls in the elderly constitute one of the main public health problems, both due to their prevalence and consequences. One of the most serious is the fracture of the femur. The annual prevalence of falls in the over 65 population ranges between 28% and 35%, and these falls are frequently repeated 1 . The factors responsible for a fall are divided into intrinsic (related to the patients themselves) and extrinsic (derived from the activity or the environment), the cause being multifactorial in most cases 1 . When assessing the intrinsic factors of a fall, we must take into account the physiological disorders related to age (including the presence of nutritional alterations, sarcopenia and frailty), acute and chronic diseases and the prescription of certain drugs 1 . For this reason, when faced with a fall, it is essential to have a comprehensive approach to the adult through a global geriatric assessment that includes a complete assessment of gait and balance.We mention frailty, which ,may be erroneously considered another word for disability and comorbidity. However, frailty is a potentially reversible situation in which there is a progressive decrease in the physiological reserve capacity and in the adaptation capacity of the body's homeostasis (homeostenosis) that occurs especially with non-physiological aging. Frailty, as a clinical entity, is influenced by (individual) genetic factors and is accelerated by acute and chronic diseases, toxic habits, disuse, and social and care conditioning factors. There are currently two fundamental approaches to frailty: a functional and restrictive one, proposed from the Linda Fried phenotype, according to which frailty would be a state prior to disability but different from it, assessed by five components (weight loss, tiredness, weakness, psychomotor slowdown and hypoactivity). There is another, broader but less defined conception in terms of a less clear differentiation of frailty and disability, and in which frailty would be attributed to an accumulation of deficits (Rockwood cumulative indices of frailty).Between these two positions, there is an important multitude of intermediate options 2 .By the same token, there may be an interaction, and overlap, between the presence of frailty and sarcopenia. With age, starting at thirty years old, there is a progressive

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mentioning

confidence: 99%

La importancia de identificar factores intrínsecos modificables de riesgo de caídas para implementar precozmente medidas preventivas

Formiga

Tarazona-Santabalbina

2020

Rev Osteoporos Metab Miner

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Potentially inappropriate medication in acute hospitalized elderly patients with polypharmacy: an observational study comparing PRISCUS, STOPP, and Beers criteria

Sierra

Salazar

Jiménez-Muñoz

et al. 2020

Eur J Clin Pharmacol

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Radiation therapy for vulvar cancer: consensus guidelines of the GINECOR working group of the Spanish Society of Radiation Oncology. Part 1: clinical recommendations

Largo

Rodríguez

et al. 2023

Clin Transl Oncol

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Geriatría transversal. Un reto asistencial para el siglo xxi

Cited by 19 publications

References 166 publications

La importancia de identificar factores intrínsecos modificables de riesgo de caídas para implementar precozmente medidas preventivas

La importancia de identificar factores intrínsecos modificables de riesgo de caídas para implementar precozmente medidas preventivas

Potentially inappropriate medication in acute hospitalized elderly patients with polypharmacy: an observational study comparing PRISCUS, STOPP, and Beers criteria

Radiation therapy for vulvar cancer: consensus guidelines of the GINECOR working group of the Spanish Society of Radiation Oncology. Part 1: clinical recommendations

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