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Article ; Online: Frailty and innovative participatory rehabilitation.

Skoumal, Martin / Honegger, Martina / Roller-Wirnsberger, Regina

The journal of nutrition, health & aging

2024 Volume 28, Issue 3, Page(s) 100012

Abstract: This Mini-Review showcases the latest evidence on rehabilitation opportunities for older people with multimorbidity and frailty. There is growing evidence, that a person-centered and contextualized rehabilitation approach may offer benefits, not only in ... ...

Abstract	This Mini-Review showcases the latest evidence on rehabilitation opportunities for older people with multimorbidity and frailty. There is growing evidence, that a person-centered and contextualized rehabilitation approach may offer benefits, not only in the context of preserving mobility, but especially targeting social participation. Modern rehabilitation aligns with the bio-psycho-social model of the International Classification of Functioning, Disability and Health (ICF), emphasizing the individual and collaboratively determined definition of personalized rehabilitation goals at the activity and participation level. Further studies are warranted to evaluate objective outcome-measurement tools within the domains of activity and participation.
MeSH term(s)	Humans ; Aged ; Frailty ; Disabled Persons/rehabilitation ; Social Participation ; Disability Evaluation ; Activities of Daily Living
Language	English
Publishing date	2024-01-01
Publishing country	France
Document type	Review ; Journal Article
ZDB-ID	2081921-3
ISSN	1760-4788 ; 1279-7707
ISSN (online)	1760-4788
ISSN	1279-7707
DOI	10.1016/j.jnha.2023.100012
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Article ; Online: Entwicklung von Lehre und Ausbildung in der Geriatrie.

Roller-Wirnsberger, Regina

Zeitschrift fur Gerontologie und Geriatrie

2017 Volume 50, Issue 8, Page(s) 710–712

Title translation	Development of teaching and training in geriatrics.
MeSH term(s)	Advance Care Planning/standards ; Advance Care Planning/trends ; Aged ; Aged, 80 and over ; Cross-Cultural Comparison ; Curriculum/standards ; Curriculum/trends ; Education, Medical, Graduate/standards ; Education, Medical, Graduate/trends ; Europe ; Forecasting ; Geriatric Assessment/methods ; Geriatrics/education ; Geriatrics/standards ; Geriatrics/trends ; Humans ; Teaching/standards ; Teaching/trends
Language	German
Publishing date	2017-10-06
Publishing country	Germany
Document type	Journal Article ; Review
ZDB-ID	1227032-5
ISSN	1435-1269 ; 0044-281X ; 0948-6704
ISSN (online)	1435-1269
ISSN	0044-281X ; 0948-6704
DOI	10.1007/s00391-017-1314-3
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Article: Effectiveness of multi-professional educational interventions to train Comprehensive Geriatric Assessment (CGA) - a Systematic Review.

Lindner-Rabl, Sonja / Singler, Katrin / Polidori, M Cristina / Herzog, Carolin / Antoniadou, Eleftheria / Seinost, Gerald / Roller-Wirnsberger, Regina

International journal of integrated care

2023 Volume 23, Issue 3, Page(s) 9

Abstract: Introduction: As the world population ages, health and social care professionals are increasingly confronted with patients with chronic long-term conditions and multimorbidity, requiring an extensive assessment and integrated care management strategy. ... ...

Abstract	Introduction: As the world population ages, health and social care professionals are increasingly confronted with patients with chronic long-term conditions and multimorbidity, requiring an extensive assessment and integrated care management strategy. The aim of this paper was to systematically collect and assess evidence of interprofessional education and training strategies for Comprehensive Geriatric Assessment (CGA) to build a competent health workforce. Methods: A systematic review was conducted according to PRISMA guidelines and the databases Medline, CINAHL, Cochrane and Embase were searched for studies illustrating effectiveness of educational interventions for teaching and training CGA in an interprofessional context. Results: Based on 21 identified studies, a great variability and heterogeneity in duration, setting and design of the interventions was identified. Promising results were found in the domains analysed, ranging from knowledge and skills; practices and behaviour; patient health outcomes; attitudes and perceptions to collaboration and quality of care. Discussion: Education and training of transversal skills within a continuous learning approach is key to equip the health care workforce for successful CGA performance in an interprofessional environment. Conclusion: Further research in this field is recommended to strengthen the evidence-base towards development of a resilient and integrated health care workforce for an ageing population.
Language	English
Publishing date	2023-08-14
Publishing country	England
Document type	Journal Article
ZDB-ID	2119289-3
ISSN	1568-4156
ISSN	1568-4156
DOI	10.5334/ijic.7549
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Article: Palliative care competencies for geriatricians across Europe: a Delphi consensus study.

Pautex, Sophie / Roller-Wirnsberger, Regina / Singler, Katrin / Van den Noortgate, Nele

European geriatric medicine

2021 Volume 12, Issue 4, Page(s) 817–824

Abstract: Purpose: Integration of palliative care competencies with geriatric medicine is important for quality of care for older people, especially in the last years of their life. Therefore, knowledge and skills about palliative care for older people should be ... ...

Abstract	Purpose: Integration of palliative care competencies with geriatric medicine is important for quality of care for older people, especially in the last years of their life. Therefore, knowledge and skills about palliative care for older people should be mandatory for geriatricians. The European Geriatric Medicine Society (EuGMS) has launched a postgraduate curriculum for geriatric medicine recently. Aim: Based on this work, the Special Interest Group (SIG) on Palliative care in collaboration with the SIG in Education and Training aimed to develop a set of specific palliative care competencies to be recommended for training at a postgraduate level. Methods: Competencies were defined using a modified Delphi technique based upon a Likert like rating scale. A template to kick off the first round and including 46 items was developed based on pre-existing competencies developed in Switzerland and Belgium. Results: Three Delphi rounds were necessary to achieve full consensus. Experts came from 12 EU countries. In the first round, the wording of 13 competencies and the content of 10 competencies were modified. We deleted or merged ten competencies, mainly because they were not specific enough. At the end of the 2nd round, one competence was deleted and for three questions the wordings were modified. These modifications had the agreement of the participants during the last round. Conclusion: A list of 35 palliative care competencies for geriatricians is now available for implementation in European countries.
MeSH term(s)	Aged ; Consensus ; Curriculum ; Delphi Technique ; Geriatricians ; Humans ; Palliative Care
Language	English
Publishing date	2021-02-01
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2556794-9
ISSN	1878-7657 ; 1878-7649
ISSN (online)	1878-7657
ISSN	1878-7649
DOI	10.1007/s41999-020-00445-5
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Article ; Online: Intrinsic Capacity Predicts Negative Health Outcomes in Older Adults.

Stolz, Erwin / Mayerl, Hannes / Freidl, Wolfgang / Roller-Wirnsberger, Regina / Gill, Thomas M

The journals of gerontology. Series A, Biological sciences and medical sciences

2021 Volume 77, Issue 1, Page(s) 101–105

Abstract: Background: Monitoring trajectories of intrinsic capacity (IC) in older adults has been suggested by the World Health Organization as a means to inform prevention to avoid or delay negative health outcomes. Due to a lack of longitudinal studies, it is ... ...

Abstract	Background: Monitoring trajectories of intrinsic capacity (IC) in older adults has been suggested by the World Health Organization as a means to inform prevention to avoid or delay negative health outcomes. Due to a lack of longitudinal studies, it is currently unclear how IC changes over time and whether repeatedly measured IC predicts negative health outcomes. Methods: Based on 4 751 repeated observations of IC (range = 0-100) during 21 years of follow-up among 754 older adults 70 and older, we assessed longitudinal trajectories of IC, and whether time-varying IC predicted the risk of chronic activities of daily living disability, long-term nursing home stay, and mortality using joint models. Results: Average IC declined progressively from 77 to 11 points during follow-up, with substantial heterogeneity between older adults. Adjusted for sociodemographics and chronic diseases, a 1-point lower IC value was associated with a 7% increase in the risk of activities of daily living disability, a 6% increase in the risk of a nursing home stay, and a 5% increase in mortality. Accuracy for 5- and 10-year predictions based on up to 3 repeated measurements of IC ranged between moderate and good (area under the receiver operating characteristic curve = 0.76-0.82). Conclusions: Our study indicates that IC declines progressively and that it predicts negative health outcomes among older adults. Therefore, regular monitoring of IC could work as an early warning system informing preventive efforts.
MeSH term(s)	Activities of Daily Living ; Aged ; Disabled Persons ; Humans ; Longitudinal Studies ; Outcome Assessment, Health Care
Language	English
Publishing date	2021-09-27
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	1223643-3
ISSN	1758-535X ; 1079-5006
ISSN (online)	1758-535X
ISSN	1079-5006
DOI	10.1093/gerona/glab279
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Article ; Online: Acceleration of health deficit accumulation in late-life: evidence of terminal decline in frailty index three years before death in the US Health and Retirement Study.

Stolz, Erwin / Mayerl, Hannes / Hoogendijk, Emiel O / Armstrong, Joshua J / Roller-Wirnsberger, Regina / Freidl, Wolfgang

Annals of epidemiology

2021 Volume 58, Page(s) 156–161

Abstract: Background: Little is known about within-person frailty index (FI) changes during the last years of life. In this study, we assess whether there is a phase of accelerated health deficit accumulation (terminal health decline) in late-life.: Material ... ...

Abstract	Background: Little is known about within-person frailty index (FI) changes during the last years of life. In this study, we assess whether there is a phase of accelerated health deficit accumulation (terminal health decline) in late-life. Material and methods: A total of 23,393 observations from up to the last 21 years of life of 5713 deceased participants of the AHEAD cohort in the Health and Retirement Study were assessed. A FI with 32 health deficits was calculated for up to 10 successive biannual, self- and proxy-reported assessments (1995-2014), and FI changes according to time-to-death were analyzed with a piecewise linear mixed model with random change points. Results: The average normal (preterminal) health deficit accumulation rate was 0.01 per year, which increased to 0.05 per year at approximately 3 years before death. Terminal decline began earlier in women and was steeper among men. The accelerated (terminal) rate of health deficit accumulation began at a FI-value of 0.29 in the total sample, 0.27 for men, and 0.30 for women. Conclusion: We found evidence for an observable terminal health decline in the FI following declining physiological reserves and failing repair mechanisms. Our results suggest a conceptually meaningful cut-off value for the continuous FI around 0.30.
MeSH term(s)	Acceleration ; Aged ; Cohort Studies ; Female ; Frail Elderly ; Frailty/epidemiology ; Geriatric Assessment ; Humans ; Male ; Retirement
Language	English
Publishing date	2021-04-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	1074355-8
ISSN	1873-2585 ; 1047-2797
ISSN (online)	1873-2585
ISSN	1047-2797
DOI	10.1016/j.annepidem.2021.03.008
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Article ; Online: Clinical-Pathological Conference Series from the Medical University of Graz : Case No 175: A 54-year-old man with hyponatremia and delirium after surgery for a prolapsed disc.

Fabian, Elisabeth / Reisinger, Anja / Ribitsch, Werner / Stadlbauer, Vanessa / Eherer, Andreas J / Roller-Wirnsberger, Regina / Toplak, Hermann / Fickert, Peter / Krejs, Guenter J

Wiener klinische Wochenschrift

2022 Volume 135, Issue 7-8, Page(s) 203–209

MeSH term(s)	Male ; Humans ; Middle Aged ; Hyponatremia/diagnosis ; Hyponatremia/etiology ; Intervertebral Disc Displacement ; Abdominal Pain ; Delirium/diagnosis ; Delirium/etiology
Language	English
Publishing date	2022-11-08
Publishing country	Austria
Document type	Case Reports ; Journal Article
ZDB-ID	200462-8
ISSN	1613-7671 ; 0043-5325 ; 0300-5178
ISSN (online)	1613-7671
ISSN	0043-5325 ; 0300-5178
DOI	10.1007/s00508-022-02097-w
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Article ; Online: Clinical Interventions to Improve Nutritional Care in Older Adults and Patients in Primary Healthcare - A Scoping Review of Current Practices of Health Care Practitioners.

Lindner-Rabl, Sonja / Wagner, Valentina / Matijevic, Andreas / Herzog, Carolin / Lampl, Christina / Traub, Julia / Roller-Wirnsberger, Regina

Clinical interventions in aging

2022 Volume 17, Page(s) 1–13

Abstract: In light of the increasing life expectancy of Europe's population and the rising significance of active and healthy ageing relating thereto, an integrated approach of nutritional care within primary health care is gaining importance. The aim of the ... ...

Abstract	In light of the increasing life expectancy of Europe's population and the rising significance of active and healthy ageing relating thereto, an integrated approach of nutritional care within primary health care is gaining importance. The aim of the review was to summarize evidence on the effectiveness of nutritional interventions in primary health care. The scoping review is based upon a comprehensive literature search of relevant literature published between January 2010 and August 2021 in PubMed, CINAHL, Cochrane Database of Systematic Reviews, Embase and Medline databases. Overall, 15 studies were included for evidence synthesis and interventions were basically clustered according to their type, into 1) eHealth and tele-medical interventions; 2) targeted single interventions; and 3) comprehensive, multi-faceted interventions. The review presents diverging evidence regarding the efficacy and effectiveness of interventions for nutritional care in primary health care, however, demonstrates encouraging outcomes. eHealth and tele-medical interventions partly show a careful positive tendency. Likewise, manifold single interventions on patient level present significant improvements in patient health outcomes. Multifaceted and comprehensive interventions found in the literature also partly demonstrate significant changes in intervention groups. Primary health care represents a critical setting for the care of older citizens and patients with complex health needs. This scoping review provides an overview of current nutrition care practices in primary health care and results reinforce the need to strengthen implementation of multi-faceted interventions carried out by the inter-disciplinary primary care team for advanced nutritional care.
MeSH term(s)	Aged ; Humans ; Nutritional Support ; Primary Health Care ; Systematic Reviews as Topic ; Telemedicine
Language	English
Publishing date	2022-01-06
Publishing country	New Zealand
Document type	Journal Article ; Review
ZDB-ID	2364924-0
ISSN	1178-1998 ; 1176-9092
ISSN (online)	1178-1998
ISSN	1176-9092
DOI	10.2147/CIA.S343307
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Article ; Online: Prevalence of Sarcopenia in chronic heart failure, and modulating role of Chronic Kidney Disease.

Formiga, Francesc / Moreno-Gónzalez, Rafael / Corsonello, Andrea / Mattace-Raso, Francesco / Carlsson, Axel C / Arnlov, Johan / Kostka, Joanna / Freiberger, Ellen / Roller-Wirnsberger, Regina / Tap, Lisanne / Soltysik, Bartlomiej K / Artzi-Medvedik, Rada / Kob, Robert / Yehoshua, Ilan / Wirnsberger, Gerhard H / Fabbietti, Paolo / Lattanzio, Fabrizia / Chivite, David

Gerontology

2024

Abstract: Objectives: Sarcopenia, heart failure (HF) and chronic kidney disease (CKD) are common among the older people. Our objective was to evaluate the frequency of sarcopenia, among community-dwelling older adults with heart failure, possible causative ... ...

Abstract	Objectives: Sarcopenia, heart failure (HF) and chronic kidney disease (CKD) are common among the older people. Our objective was to evaluate the frequency of sarcopenia, among community-dwelling older adults with heart failure, possible causative factors and the additive factor of CKD. Methods: A cross-sectional analysis of 1420 older people living in the community was carried out. Participants (aged 75 years and more) came from a European multicenter prospective cohort (SCOPE study). Global geriatric assessment including short physical performance battery, handgrip strength test and bioelectrical impedance analysis was performed. Previous known HF was defined as physician-diagnosed HF registered in the patient's medical record or the use of HF-related medications, regardless of left ventricular ejection fraction (LVEF). Sarcopenia was defined by the updated criteria of the European Working Group on Sarcopenia in Older People (EWGSOP2). Estimated glomerular filtration rate (eGFR) was calculated using Berlin Initiative Study (BIS) to define the stages of chronic kidney disease (CKD). Two-year mortality was also collected. Results: A total of 226 (15.9%) participants had a prior chronic HF diagnosis, with a median age of 80.0 (5.0), 123 (54.4%) were women. Using EWGSOP2 definition, 11.5% HF and 10.7% in non-HF participants met diagnostic criteria for sarcopenia. In multivariate analyses, only a lower body mass index (BMI) (odds ratios [OR], 0.82; 95% confidence interval [CI], 0.73-0.93), and lower Short Physical Performance Battery score (OR, 0.81; 95% CI, 0.69-0.96) were associated with sarcopenia. Patients with HF and sarcopenia have a similar all-cause mortality risk but higher two-year cardiovascular mortality risk (p=0.047). Conclusion: One out of ten community-dwelling older adults with concurrent clinical stable chronic HF, without considering LVEF, have sarcopenia. Lower BMI and poor physical performance are associated with sarcopenia in this population, but not CKD.
Language	English
Publishing date	2024-02-06
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	193798-4
ISSN	1423-0003 ; 0304-324X
ISSN (online)	1423-0003
ISSN	0304-324X
DOI	10.1159/000536465
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Article ; Online: Effectiveness of computer-based interventions for community-dwelling people with cognitive decline: a systematic review with meta-analyses.

Zuschnegg, Julia / Schoberer, Daniela / Häussl, Alfred / Herzog, Sereina A / Russegger, Silvia / Ploder, Karin / Fellner, Maria / Hofmarcher-Holzhacker, Maria M / Roller-Wirnsberger, Regina / Paletta, Lucas / Koini, Marisa / Schüssler, Sandra

BMC geriatrics

2023 Volume 23, Issue 1, Page(s) 229

Abstract: Background: Cognitive deficits arise with age and can increase the risk for subjective cognitive decline (SCD) and mild cognitive impairment (MCI), which may result in dementia, leading to health problems, care dependency and institutionalization. ... ...

Abstract	Background: Cognitive deficits arise with age and can increase the risk for subjective cognitive decline (SCD) and mild cognitive impairment (MCI), which may result in dementia, leading to health problems, care dependency and institutionalization. Computer-based cognitive interventions (CCIs) have the potential to act as important counteraction functions in preserving or improving cognition concomitant to available pharmacological treatment. The aim was to assess the effectiveness of CCIs performed individually with a personal or tablet computer, game console, virtual, augmented, or mixed reality application on cognition in community-dwelling people with SCD, MCI and dementia. Methods: A systematic review with meta-analyses of randomized controlled trials (RCTs) was performed. The systematic literature search was conducted in MEDLINE, CINAHL, Embase, Cochrane CENTRAL, IEEE Xplore Digital Library, Web of Science, Scopus and PsycINFO. In addition, a search for gray literature and backward citation searching were carried out. To judge on the evidence, two reviewers independently used the Cochrane Risk of Bias Tool. The standardized mean difference (SDM) for pooling comparable studies using the random-effects model was applied. Results: Twenty-four RCTs were identified, of which 1 RCT examined CCIs in individuals with SCD, 18 RCTs with MCI, and 6 RCTs with dementia. Most interventions were conducted with personal computers. Meta-analyses with 12 RCTs showed significant effects of computer-based cognitive interventions for people with MCI in the domains memory, working memory, attention/concentration/processing speed and executive functioning, but no significant improvements in global cognition and language. Regarding dementia a meta-analysis pooled with 4 RCTs demonstrated a tendency towards, but no significant increase of memory functions (SMD 0.33, CI 95% [-0.10, 0.77]). One RCT regarding SCD reported significant improvements in memory functions for participants conducting a cognitive training on a personal computer. Conclusions: The results demonstrated that CCIs have beneficial effects on domain-specific cognition in people with MCI but no significant effects on people with dementia. In terms of SCD, one study showed significant improvements in memory functions. It seems that the beneficial effect for cognitive preservation or improvement due to CCIs occurs at the earliest intervention state. However, more research on SCD is needed. Trial registration: PROSPERO International Prospective Register of Systematic Reviews CDR42020184069.
MeSH term(s)	Humans ; Dementia/therapy ; Independent Living ; Cognitive Dysfunction/therapy ; Cognition ; Computers
Language	English
Publishing date	2023-04-12
Publishing country	England
Document type	Meta-Analysis ; Systematic Review ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2059865-8
ISSN	1471-2318 ; 1471-2318
ISSN (online)	1471-2318
ISSN	1471-2318
DOI	10.1186/s12877-023-03941-y
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