[Advance care planning and use of health resources among COVID-19 nursing home patients in an integrated health care program for frail elders].

Objectives: To estimate the magnitude and importance of a process of stratification and advance care planning and the use of health resources, among patients in an integrated health care program for frail elderls in nursing homes,that were referred to the hospital with COVID-19.

Material And Methods: Prospective cohort study of patients >64 years old with COVID-19 infection, in a health care program in nursing homes (from 3/15/2020 to 9/15/2020). The identification of patients with palliative needs, the performing and visible registration in electronic health records of the advance care planning and the use of intensive care were assessed.

[Longitudinal follow-up of a population with cognitive complaint: characteristics and progression profile].

Unlabelled: Cognitive complaint is a common cause of consultation among older adults at the primary care level and it may be the first symptom of cognitive impairment, thus its assessment and follow-up are essential for an early diagnosis.

Aim: to describe the baseline neurocognitive profile and evolution of patients with cognitive complaint evaluated at the geriatric assessment unit of the Hospital Italiano de Buenos Aires.

Methods: observational study of a retrospective cohort of 518 patients with cognitive complaint who underwent a comprehensive geriatric evaluation and cognitive impairment screening tests at the first visit and follow-up visits.

[Decreased falls through multifactorial intervention in frail older adults].

Frail elders have higher risk of falls, with associated morbidity and mortality. Our objective was to reduce the percentage of falls in frail elders after a multifactorial and systemic intervention. Design: before-after quasi-experimental study, with own individual as control.

Geriatric co-management and interdisciplinary transitional care reduced hospital readmissions in frail older patients in Argentina: results from a randomized controlled trial.

Background: Hospitalization is a moment of extreme vulnerability for frail older adults. There is scarce evidence on the effectiveness of geriatric co-management or transitional care interventions in Latin America.

Aims: To assess whether geriatric co-management combined with an interdisciplinary transitional care intervention could reduce 30-day hospital readmission rate compared to usual care in hospitalized frail older patients in a tertiary hospital in Argentina.

A multifactorial intervention to lower potentially inappropriate medication use in older adults in Argentina.

Background: Adverse drug reactions are a common cause of potentially avoidable harm, particularly in older adults.

Aims: To evaluate the feasibility and efficacy of a pilot multifactorial intervention to reduce potentially inappropriate medication (PIM) use in older adults.

Methods: We conducted a phase 2, feasibility, open-label study in the ambulatory setting of an integrated healthcare network in Buenos Aires, Argentina.

[Study of the performance of complex activities of daily living in a population of patients with mild cognitive impairment. Mild functional impairment: A new clinical entity?].

Unlabelled: Several papers describe functional changes in the aging population, and its relevance in the early cognitive impairment detection. Alterations in instrumental activities would constitute a diagnostic marker of MCI and predict the progression to Dementia. In order to count on a tool to evaluate the performance in the use of new technologies we have designed a new protocol, Complex Functional Study (CFS), that quantifies performance and functional changes Related to previous states.

Association of Dual-Task Gait With Incident Dementia in Mild Cognitive Impairment: Results From the Gait and Brain Study.

Importance: Gait performance is affected by neurodegeneration in aging and has the potential to be used as a clinical marker for progression from mild cognitive impairment (MCI) to dementia. A dual-task gait test evaluating the cognitive-motor interface may predict dementia progression in older adults with MCI.

Objective: To determine whether a dual-task gait test is associated with incident dementia in MCI.

[New predictors in prodromal Alzheimer: Deferred phase in word recall of MIS test].

Background: The Memory Impairment Screen (MIS-A) is a validated test to detect Alzheimer's Disease (AD) and other dementias. We have modified this test to suit a Spanish speaking population and added a new component, delayed recall (MIS-D).

Objectives: 1) To test a Spanish version of MIS-A and MIS-D.

Spanish Revised Memory and Behavior Problems Checklist Scale (SpRMBPC): trans-cultural adaptation and validation of the RMBPC questionnaire.

Background: The use of standardized scales is critical for monitoring the interventions within and between different populations, but the current Spanish tools are dispersed in several scales. A simple tool for simultaneously and exhaustively evaluating patient's symptoms and caregiver's distress in Spanish-speaking groups is needed.

Methods: RMBPC was translated into Spanish by cross-cultural adaptation.

[A multidisciplinary program for the treatment and follow up of depression in ambulatory elderly].

Depression is a common disorder in the elderly population; with significant elevated rates in terms of morbidity and mortality. Nonetheless it continues to be a subdiagnosticated disease with poor outcomes due to lack in the effectiveness of follow up. We developed collaborative intervention programs for elderly people in primary care at Hospital Italiano de Buenos Aires designing a randomized controlled trial in the ambulatory setting.

Gait disorders are associated with non-cardiovascular falls in elderly people: a preliminary study.

Background: The association between unexplained falls and cardiovascular causes is increasingly recognized. Neurally mediated cardiovascular disorders and hypotensive syndromes are found in almost 20 percent of the patients with unexplained falls. However, the approach to these patients remains unclear.

Gait velocity as a single predictor of adverse events in healthy seniors aged 75 years and older.

Purpose: Although gait velocity (GV) measurement could predict poor outcomes, few studies regarding its usefulness as a single test in well functioning elderly persons have been pursued. The aim of this study was to asses whether GV could be sufficient to predict adverse events such as hospitalization for any cause, requirement for a caregiver, nursing home placement, falls, fractures, or death in healthy elderly persons.

Methods: Ours was a cohort study comprising 102 well functioning participants aged 75 and older.

Is collectionism a diagnostic clue for Diogenes syndrome?

Background: Diogenes syndrome (DS) is characterized by extreme self-neglect, domestic squalor, and social withdrawal. Despite having been described decades ago, it is still difficult to persue a correct diagnosis in primary care clinics.

Methods: This paper reports a case of an elderly man with extreme self neglect and an abnormal collecting pattern whose condition remained undetected for many years.