Evidence map›Paper›PMID 39252103›Full record

ArticleArchives of public health = Archives belges de sante publique2024

The impact of an integrative healthcare system on longevity in a nonagenarian population in Northern Mexico: an observational study.

Melissa Hughes-García, Daniela Abigail Ojeda-Salazar, Andrea Rivera-Cavazos, Arnulfo Garza-Silva, Andrea Belinda Cepeda-Medina, Iván Francisco Fernández-Chau, Devany Paola Morales-Rodriguez, Miguel Ángel Sanz-Sánchez, Arnulfo González-Cantú, Maria Elena Romero-Ibarguengoitia

Abstract read
In one paragraph

Article in Archives of public health = Archives belges de sante publique, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Melissa Hughes-GarcíaGeriatrics Department, Hospital Clinica Nova de Monterrey, San Nicolás de los Garza, Nuevo Leon, Mexico.
Daniela Abigail Ojeda-SalazarResearch Department, Hospital Clinica Nova de Monterrey, San Nicolás de los Garza, Nuevo Leon, Mexico.
Andrea Rivera-CavazosResearch Department, Hospital Clinica Nova de Monterrey, San Nicolás de los Garza, Nuevo Leon, Mexico.
Arnulfo Garza-SilvaResearch Department, Hospital Clinica Nova de Monterrey, San Nicolás de los Garza, Nuevo Leon, Mexico.
Andrea Belinda Cepeda-MedinaResearch Department, Hospital Clinica Nova de Monterrey, San Nicolás de los Garza, Nuevo Leon, Mexico.
Iván Francisco Fernández-ChauResearch Department, Hospital Clinica Nova de Monterrey, San Nicolás de los Garza, Nuevo Leon, Mexico.
Devany Paola Morales-RodriguezResearch Department, Hospital Clinica Nova de Monterrey, San Nicolás de los Garza, Nuevo Leon, Mexico.
Miguel Ángel Sanz-SánchezDivisión de Ciencias de la Salud, Universidad de Monterrey, San Pedro Garza Garcia, Nuevo Leon, Mexico.
Arnulfo González-CantúResearch Department, Hospital Clinica Nova de Monterrey, San Nicolás de los Garza, Nuevo Leon, Mexico.
Maria Elena Romero-IbarguengoitiaResearch Department, Hospital Clinica Nova de Monterrey, San Nicolás de los Garza, Nuevo Leon, Mexico. elenaromero83@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the growth in the older population, there is a noticeable research gap regarding integrative health systems for older people and their impact on longevity in nonagenarians. This study aimed to evaluate the effect of an integrative health system consisting of medical services, recreational facilities, and housing on longevity in a population of nonagenarians in Northern Mexico.

methodsThis was a cross-sectional, retrospective, descriptive-analytical study in which we measured and analyzed medical history such as number of hospitalizations, visits to geriatric consultation, hypertension, history of chronic pain, polypharmacy, dementia, rheumatic disease, diabetes mellitus, insomnia, depression, ischemic cardiomyopathy, among others. We also measured social engagement and number of caregivers. A logistic regression was performed to evaluate the predictors of mortality in this population.

resultsWe included one hundred and ninety-five nonagenarians with a mean (SD) age of 94 (4.2) years and of which 112 (55.7%) were female. The findings from logistic regression analysis indicated that a higher frequency of hospitalizations was associated with an elevated mortality risk (OR = 1.272, p = 0.049). Conversely, increased visits to geriatric consultation services as primary care were linked to a reduced mortality risk (OR = 0.953, p = 0.002). Additionally, social engagement displayed a protective effect (OR = 0.336, p = 0.05).

conclusionsThis study highlighted the role of systemic health approaches in extending life through insights into nonagenarian patients' involvement in primary care, as measured by consultation frequency, and participation in social activities, mitigating mortality risks. Meanwhile, it emphasized the potential consequences of higher hospitalization rates on increased mortality risk.

Indexed as

Health systemLongevityMortalityNonagenarianSocial factors

Identifiers

PMID39252103
PMCPMC11382524

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.