Dificultades en la clínica para el tratamiento en el anciano con comorbilidad

Envejecimiento de la población: hechos y cifras Segunda Asamblea Mundial sobre envejecimiento. Madrid 2002 Fries, 1980, Aging, natural death, and the compression of morbidity, N Engl J Med, 303, 130, 10.1056/NEJM198007173030304 Fries, 1994, Exercise, musculoskeletal disability, pain, and medical care costs: 9-year longitudinal study (Abstract), Arthritis Rheum, 37, S198 Glass, 2003, Successful aging, 173 Struck, 2006, Prescribing exercise for the frail and home bound, Geriatrics, 61, 22 Stevenson, 2004, Managing comorbidities in patients at the end of life, BMJ, 329, 909, 10.1136/bmj.329.7471.909 1995 Langenberg, 1996, Atrial fibrillation in elderly patients: prevalence and comorbidity in general practice, BMJ, 313, 1534, 10.1136/bmj.313.7071.1534 Agüero-Torres, 2000, Alzheimer’s disease and vascular dementia: some points of confluence, Ann NY Acad Sci, 309, 547, 10.1111/j.1749-6632.2000.tb06412.x Agüero-Torres, 2001, Epidemiology of vascular dementia: summary of the findings from the Kungsholmen project, Research and Practice in AD, 5, 69 Satariano, 1994, The effect of comorbidity on 3-year survival of women with primary breast cancer, Annals Int Med, 120, 104, 10.7326/0003-4819-120-2-199401150-00002 Charlson, 1987, A new method of classifying prognostic comorbidity in longitudinal studies: development and validation, J Chron Dis, 40, 373, 10.1016/0021-9681(87)90171-8 Miller, 1991 Creditor, 1993, Hazards of Hospitalization of the elderly, Ann Intern Med, 118, 219, 10.7326/0003-4819-118-3-199302010-00011 Ferreira, 2006, Hipertensión arterial en el niño, en el adolescente y en el anciano, 387 Ogihara, 2003, Guidelines for treatment of hypertension in the elderly-2002. Revised version, Hypertens Res, 26, 1, 10.1291/hypres.26.1 Dickerson, 2005, Management of hypertension in older persons, Am Fam Physician, 71, 469 Bhatia, 2006, Outcome of heart failure with preserved ejection fraction in a population-based study, N Engl J Med, 355, 260, 10.1056/NEJMoa051530 Hunt, 2005, ACC/AHA 2005 guideline update for the diagnosis and management of chronic heart failure in the adult: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines, J Am Coll Cardiol, 46, e1, 10.1016/j.jacc.2005.08.022 Conthe, 2006 Altimir Losada, 2002, Síndrome confusional en el anciano, Med Clin (Barc), 119, 386, 10.1016/S0025-7753(02)73424-6 Guo, 1997, Low blood pressure and five- year mortality in a Stockholm cohort of the very old: possible confounding by cognitive impairment and other factors, Am J Public Health, 87, 623, 10.2105/AJPH.87.4.623 Ferrell, 1995, Pain evaluation and management in the nursing home, Ann Int Med, 123, 681, 10.7326/0003-4819-123-9-199511010-00007 Gómez Sancho M. Avances en cuidados paliativos. Historia clínica del dolor (tomo II). Las Palmas de Gran Canaria: Ed. GAFOS, Gabinete y Asesoramiento de Formación Sociosanitaria; 2003 p. 228-9. Gilron, 2005, Morphine, gabapentin o their combination for neuropathic pain, N Engl J Med, 352, 1324, 10.1056/NEJMoa042580 Leung, 2006, Pilot clinical trial of gabapentin to decrease postoperative delirium in older patients, Neurology, 10.1212/01.wnl.0000233831.87781.a9 Ricart Casas, 2004, Desnutrición en pacientes en atención domiciliaria, Aten Primaria, 34, 238, 10.1157/13066402 Guigoz, 2002, Identifying the elderly at risk for malnutrition. The Mini Nutricional Assessment, Clin Geriatr Med, 18, 737, 10.1016/S0749-0690(02)00059-9 2001, Executive Summary of the III report of the Nacional Cholesterol Education Program (NCEP), JAMA, 285, 2486, 10.1001/jama.285.19.2486 Server, 2003, Prevention of coronary and stroke events with atorvastatin in hypertensive patients who have average or lower-than-average cholesterol concentrations in ASCOT-LLA, Lancet, 361, 1149, 10.1016/S0140-6736(03)12948-0 Shepherd, 2002, Pravastatin in elderly individuals at risk of vascular disease (PROSPER): a randomised controlled trial, Lancet, 360, 1623, 10.1016/S0140-6736(02)11600-X Castro Rodríguez, 2006 Roberts, 2004, Hypothyroidism, Lancet, 363, 793, 10.1016/S0140-6736(04)15696-1 Robles, 2003, Hipotiroidismo e hipertiroidismo subclínico en el anciano, Rev Esp Geriatr Gerontol, 38, 110, 10.1016/S0211-139X(03)74866-5 Real, 2002, Hipertiroidismo en el anciano, Med Clin (Barc), 118, 784, 10.1016/S0025-7753(02)72530-X Muñoz Romero, 2006 Holroyd Leduc, 2004, Urinary incontinence and its association with death, nursing home admission, and functional decline, J Am Geriatric Soc, 52, 712, 10.1111/j.1532-5415.2004.52207.x Kuo, 2004, Cerebral white matter changes and geriatric syndromes: is there a link?, J Gerontol A Biol Sci Med Sci, 59, 818, 10.1093/gerona/59.8.M818 Goode, 2004, Urinari Incontinence, Urology, 63, 58, 10.1016/j.urology.2003.10.032 Brosky, 2003, Key Policy issues in Long Term Care. The cross-cluster initiative on longterm care, World Health Organization, WHO Latour Pérez, 1989, La medición del nivel socioeconómico, Med Clin (Barc), 92, 470 Stuck, 1991, Comprehensive geriatric assessment a metanalysis if controlled trials, Lancet, 342, 1032, 10.1016/0140-6736(93)92884-V Rubenstein, 1984, Effectiveness of geriatric evaluation unit. A randomized clinical trial, N Engl J Med, 311, 1644, 10.1056/NEJM198412273112604 Epstein, 1987, The emergence of geriatric assessment units: the “new technology of geriatrics”, Ann Int Med, 106, 299, 10.7326/0003-4819-106-2-299