Navegando por Autor "Salvans, Anna Escribà"
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Artigo Risk factors for developing symptomatic COVID-19 in older residents of nursing homes: a hypothesisgenerating observational study(Journal Of Frailty, Sarcopenia And Falls, 2023) Souza, Dyego Leandro Bezerra de; Salvans, Anna Escribà; Fochs, Sandra Rierola; Godayol, Pau Farrés; Tuneu, Miriam Molas; Skelton, Dawn A.; Roura, Ester Goutan; Molina, Eduard Minobes; Roig, Javier JerezObjectives: To identify which risk factors were associated with developing Coronavirus Disease-19 (COVID-19) infection, with symptoms, in institutionalized older people. Methods: A 1-year longitudinal multi-center study was conducted in 5 nursing homes (NHs) over the period December 2019 to March 2021. Inclusion criteria included being a permanent resident in the NH, aged 65 years or older, and a positive diagnosis of COVID-19 objectively confirmed by a diagnostic test. A descriptive and bivariate analysis was performed, calculating relative risk (RR) with 95% confidence intervals and statistical significance at p<0.05. Results: Of the total sample of 78 individuals who tested positive for COVID-19, the mean age was 84.6 years (SD=±7.8), 62 (79.5%) were female; 40 (51.3%) participants presented with COVID-19 symptoms. Living in a private NH (RR=3.6, 95% CI [1.2-11.0], p=0.023) and having suffered a stroke (RR=4.1, 95% CI [1.1-14.7], p=0.033) were positively associated with developing COVID-19 infection with symptoms. Conclusions: Having suffered a stroke and living permanently in a private NH were positively associated with symptomatic COVID-19 in this sample of institutionalized older people. Clinical Trials ID: NCT04297904Artigo Sarcopenia and associated factors according to the EWGSOP2 criteria in older people living in nursing homes: a cross-sectional study(Bmc Geriatrics, 2022) Souza, Dyego Leandro Bezerra de; Salvans, Anna Escribà; Roig, Javier Jerez; Tuneu, Miriam Molas; Godayol, Pau Farrés; Molina, Eduard Minobes; Martin, Pau Moreno; Roura, Ester Goutan; Masramon, Helena Güell; Novellas, Jordi Amblàs; Skelton, Dawn A.; Moreno, Miriam Torres; https://orcid.org/0000-0001-8426-3120Background: In 2018, the European Working Group on Sarcopenia in Older People (EWGSOP2) updated the original defnition of sarcopenia, establishing new criteria to be used globally. Early diagnosis of sarcopenia in nursing home residents and the identifcation of contributing factors would target interventions to reduce the incidence of malnu‑trition, social isolation, functional decline, hospitalization and mortality. Aim: Verify the prevalence and the degree of severity of sarcopenia according to the new EWSGOP2 criteria and to analyse its associated factors in residents living in nursing homes in Central Catalonia (Spain). Design: A cross-sectional multicenter study was conducted in 4 nursing homes. SARC-F test was applied as the initial screening, muscle strength was measured by a dynamometer, skeletal muscle mass by bioimpedance analysis and physical performance by Gait Speed. Four categories were used: total probable sarcopenia, probable sarcopenia, confrmed sarcopenia and severe sarcopenia. Results: Among the total sample of 104 nursing home residents (mean age 84.6, ± 7.8; median 86, IQR 110), 84.6% were women and 85 (81.7%) (95% confdence interval [CI] 73.0-88.0) had total probable sarcopenia, 63 (60.5%) had probable sarcopenia, 19 (18.3%) had confrmed sarcopenia and 7 (6.7%) had severe sarcopenia. In the bivariate analysis, obesity was negatively associated and total time in sedentary behavior positively associated with all sarco‑penia categories. In addition, malnutrition and urinary continence were positively associated with total and probable sarcopenia. Urinary incontinence was a positive associated factor of total and probable sarcopenia. In the multivariate analysis, obesity represented a negative associated factor: OR=0.13 (0.03 - 0.57), p=0.007 and OR=0.14 (0.03 - 0.60), p=0.008 with total and probable sarcopenia, respectively, adjusted by urinary incontinence status. For confrmed sarcopenia, obesity also represented a negative associated factor OR=0.06 (0.01 - 0.99), p=0.049 and the total time in sedentary behavior a positive associated factor OR=1.10 (1.00- 1.20), p=0.040 Conclusions: According the EWGSOP2 criteria, high prevalence of sarcopenia was found in institutionalized older people, ranging from 6.7 to 81.7% depending on the category. Malnutrition, urinary incontinence and total time in sedentary behavior were associated with sarcopenia, whilst obesity represented a protective factor in this populationArtigo Urinary incontinence and sedentary behaviour in nursing home residents in Osona, Catalonia: protocol for the OsoNaH project, a multicentre observational study(Bmj Open, 2021) Souza, Dyego Leandro Bezerra de; Godayol, Pau Farrés; Roig, Javier Jerez; Molina, Eduard Minobes; Yildirim, Meltem; Roura, Ester Goutan; Planas, Laura Coll; Salvans, Anna Escribà; Tuneu, Miriam Molas; Martin, Pau Moreno; Fochs, Sandra Rierola; Colomer, Sergi Rierola; Mas, Montse Romero; Moreno, Miriam Torres; https://orcid.org/0000-0001-8426-3120Introduction Several studies have shown that physical activity (PA) levels and sedentary behaviour (SB) are independent risk factors for many health-related issues. However, there is scarce evidence supporting the relationship between SB and urinary incontinence (UI) in community-dwelling older adults, and no information on any possible association in institutionalised older adults. Stage I of this project has the main objective of determining the prevalence of UI and its associated factors in nursing home (NH) residents, as well as analysing the association between UI (and its types) and SB. Stage II aims to investigate the incidence and predictive factors of functional and continence decline, falls, hospitalisations, mortality and the impact of the COVID-19 pandemic among NH residents. Methods and analysis Stage I is an observational, multicentre, cross-sectional study with mixed methodology that aims to explore the current status of several healthrelated outcomes in NH residents of Osona (Barcelona, Spain). The prevalence ratio will be used as an association measure and multivariate analysis will be undertaken using Poisson regression with robust variance. Stage II is a 2-year longitudinal study that aims to analyse functional and continence decline, incidence of falls, hospitalisations, mortality and the impact of the COVID-19 pandemic on these outcomes. A survival analysis using the actuarial method for functional decline and continence, evaluated every 6 months, and the Kaplan-Meier method for falls, hospitalisations and deaths, and Cox regression for multivariate analysis will be undertaken. Ethics and dissemination The study received the following approvals: University of Vic - Central University of Catalonia Ethics and Research Committee (92/2019 and 109/2020), Clinical Research Ethics Committee of the Osona Foundation for Health Research and Education (FORES) (code 2020118/PR249). Study results will be disseminated at conferences, meetings and through peerreviewed journals