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Current Advances in Care, Prevention and Rehabilitation for Geriatric Disease...
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Current Advances in Care, Prevention and Rehabilitation for Geriatric Disease Using Telemedicine with a Focus on Frailty Syndrome Detection and Its Management

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Clinical Rehabilitation".

Deadline for manuscript submissions: 31 January 2025 | Viewed by 2159

Special Issue Editors

Dr. Abrar-Ahmad Zulfiqar

E-Mail Website
Guest Editor
Internal Medicine Department, University Hospital Strasbourg, 67000 Strasbourg, France
Interests: frailty syndrome; telemonitoring; comprehensive geriatric assessment; telemedicine; hypervitaminosis B12 syn-drome; hematological disease in the elderly; vitamin B12-related diseases
Special Issues, Collections and Topics in MDPI journals
Prof. Dr. Emmanuel Andrès

E-Mail Website
Guest Editor
Internal Medicine Department, University Hospital Strasbourg, 67000 Strasbourg, France
Interests: hematological diseases; vitamin B12-related diseases; telemedicine; heart failure prevention; telemonitoring
Special Issues, Collections and Topics in MDPI journals
Dr. Amir El Assani Hajjam

E-Mail Website
Guest Editor
Nanomedicine Imagery & Therapeutics Laboratory, EA4662—UBFC, UTBM, 90000 Belfort, France
Interests: telemedicine; artificial intelligence; nanomedicine; software engineering
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Geriatric syndromes such as falls, confusion, iatrogenesis and the exacerbation of frequent comorbidities such as heart failure and diabetes are priorities for all health professionals, with a significant impact both for the elderly and their caregivers and for professionals along the entire health journey, going from the general practitioner's office to the nursing home via the emergency department and the hospital unit. Their appearance or decompensation negatively impacts the quality of life and balance of elderly people and generates increasingly significant costs. Their detection at an early stage is therefore a priority.

Telemedicine and remote medical monitoring focused on the elderly are tools that are still poorly developed in the elderly, but some work is beginning to emphasize the early detection of exacerbation of geriatric syndromes. Likewise, the prevention of geriatric syndromes also involves the detection of frailty syndromes, on an outpatient basis or in a hospital setting.

This Special Issue aims to share all the work that you have undertaken on the role and challenges of screening for geriatric syndromes, including preliminary studies and conceptual work or even work in progress that deserves our full attention.

Dr. Abrar-Ahmad Zulfiqar
Dr. Emmanuel Andrès
Dr. Amir El Assani Hajjam
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • frailty syndrome
  • telemedicine in the elderly
  • telemonitoring of main geriatric diseases

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Published Papers (2 papers)

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13 pages, 496 KiB  
Article
Prevalence of Unwanted Loneliness and Associated Factors in People over 65 Years of Age in a Health Area of the Region of Murcia, Spain: HELPeN Project
by María Jesús Hernández-López, Solanger Hernández-Méndez, César Leal-Costa, Antonio Jesús Ramos-Morcillo, Isidora Díaz-García, María Verónica López-Pérez, Jessica García-González and María Ruzafa-Martínez
J. Clin. Med. 2024, 13(18), 5604; https://doi.org/10.3390/jcm13185604 - 21 Sep 2024
Viewed by 894
Abstract
Background/Objectives: Population aging poses many challenges to public health, highlighting loneliness and social isolation as severe problems that affect the physical and mental health of older adults. During the COVID-19 pandemic, these became aggravated. The objective of the present study was to assess [...] Read more.
Background/Objectives: Population aging poses many challenges to public health, highlighting loneliness and social isolation as severe problems that affect the physical and mental health of older adults. During the COVID-19 pandemic, these became aggravated. The objective of the present study was to assess the prevalence of loneliness and its relationship with social isolation, depression, cognitive deterioration, sleep quality, and the level of physical mobility and functioning of older adults in Health Area 3 of the Region of Murcia. Methods: A descriptive, observational, and cross-sectional study was performed. The inclusion criteria were age ≥ 65, living in Health Area 3 of the Region of Murcia, and not being institutionalized. The following variables were evaluated: sociodemographic variables, loneliness (UCLA scale), social isolation (DUFSS), depression (GDS), cognitive deterioration (Pfeiffer), sleep quality (PSQI), and mobility (Barthel index). A univariate and multivariate regression model was created to examine how the dependent variable was related to the independent variables. Results: A total of 102 older adults participated in the study. Of these, 31.4% perceived unwanted loneliness and 14.7% low social support. The multivariate regression analysis showed that social isolation, geriatric depression, and cognitive deterioration were significant predictors of loneliness. Conclusions: The findings highlight the importance of developing multifaceted interventions that address not only social isolation but also other interrelated factors such as depression, cognitive deterioration, and sleep quality. The strategies should be centered on community programs and support networks. It is fundamental to perform longitudinal studies to better understand the causal relationships between these variables. Full article
(This article belongs to the Special Issue Current Advances in Care, Prevention and Rehabilitation for Geriatric Disease Using Telemedicine with a Focus on Frailty Syndrome Detection and Its Management)
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14 pages, 413 KiB  
Brief Report
Assessment of the Zulfiqar Frailty Scale (ZFS) in Primary Healthcare
by Abrar-Ahmad Zulfiqar and Emmanuel Andres
J. Clin. Med. 2024, 13(12), 3481; https://doi.org/10.3390/jcm13123481 - 14 Jun 2024
Viewed by 809
Abstract
Introduction: The primary aim of the study was to validate the Zulfiqar Frailty Scale (ZFS) and examine its concordance with the modified Short Emergency Geriatric Assessment (mSEGA) scale, Part A. Methods: A prospective observational study was conducted in Guadeloupe (France) over a two-month [...] Read more.
Introduction: The primary aim of the study was to validate the Zulfiqar Frailty Scale (ZFS) and examine its concordance with the modified Short Emergency Geriatric Assessment (mSEGA) scale, Part A. Methods: A prospective observational study was conducted in Guadeloupe (France) over a two-month duration (from 20 February to 20 April 2024), involving elderly individuals aged 65 and older, deemed self-sufficient with an ADL (Activities of Daily Living) score exceeding four out of six. Results: Within this community cohort of 98 individuals, averaging 75 years in age, frailty according to the modified SEGA criteria was prevalent in 29%. Frailty according to the “ZFS” score was prevalent in 40%. Key predictors of frailty identified in our study included age, comorbidity (Charlson score), polypharmacy (total number of medications and therapeutic classes), and functional ability (ADL scores). Notably, experiences of falls and hospitalizations within the past six months significantly influenced the classification of frailty according to both ZFS and SEGA scales. Significant associations with the presence of home care aides (p < 0.0001), monopodal support test results (p < 0.0001), memory impairments (p < 0.0001), and recent hospitalizations (p = 0.0054) underscored the multidimensional impact of frailty. The Pearson correlation coefficient and its 95% confidence interval between the SEGA and Zulfiqar Frailty Scales stood at 0.73 [0.61: 0.81]. The discernment threshold for frailty was set at three out of six criteria, showcasing a sensitivity of 64% and a negative predictive value of 80%. The area under the curve (AUC) for the Zulfiqar Frailty Scale was reported as 0.8. Conclusion: The “ZFS” tool allows for the detection of frailty with a highly satisfactory sensitivity and negative predictive value. Full article
(This article belongs to the Special Issue Current Advances in Care, Prevention and Rehabilitation for Geriatric Disease Using Telemedicine with a Focus on Frailty Syndrome Detection and Its Management)
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