Servicio de Geriatría

A geriatric service turning literature into clinical conversation

Servicio de Geriatría, linked in its bio to Hospital General Universitario de Granollers, presents a sustained clinical intelligence file on ageing care. Its strongest living topics follow hospital geriatrics, comprehensive geriatric assessment, interRAI and the digital edge of psychogeriatrics, while an older GERiCOM topic preserved a past phase of work on integrated community care.

A service with a reading habit

The account belongs to a geriatric service rather than a lone commentator, and that institutional voice matters. Its choices are less about personal opinion and more about building a shared reading room for clinicians who manage frailty, complex illness and functional decline every day.

Quiet, practical authority

Silence is part of the editorial style. Many posts simply place the paper in view; when commentary appears, it tends to be in Spanish, brief and clinically pointed, asking what a study means for practice, feasibility or a local journal-club discussion.

Built for specialists, not noise

The account has been present since 2014 and has drawn a modest but real specialist audience, with almost ten thousand views across its topics. Its value is not viral reach; it is the patient accumulation of evidence for a focused professional community.

What defines this selection

Long-range vigilance

Across the analysed topics, the account gathers 1,727 posts, with the largest bodies of work in Geriatría HGG Journal Club and Comprehensive Geriatric Assessment. The scale matters because it reveals a long, steady habit of scanning clinical literature rather than occasional interest.

The patient before the pathway

Frailty, function, cognition, multimorbidity and care transitions appear again and again. The same problems are revisited from emergency departments, surgery, home care, residential care and community screening, which gives the selection a coherent clinical centre.

Evidence first

The account leans on high-trust sources such as NEJM, Age and Ageing, JAMA, JAMDA, BMJ, The Lancet and PubMed or PMC. Most posts are minimally annotated, but the source choices show a preference for peer-reviewed evidence and clinically useful reviews.

Global literature, local questions

English-language literature dominates, while Spanish and Catalan framing keeps the work close to a hospital and teaching environment in Spain. The result is international evidence filtered for practical geriatric discussion.

Deep dives

A journal club built for decisions, not display

The Journal Club topic reads like a working table for hospital geriatrics. It brings international evidence into Spanish-language clinical discussion, with recurring attention to frailty, interRAI scales, perioperative care, stroke prevention, emergency department pressure, nursing-home outreach and Hospital at Home models.

Its strongest signature is practical synthesis. Exercise and cognition, prehabilitation, community screening and older adults’ time in the emergency department are not treated as separate interests; they become ways of asking how a geriatric service can preserve function while managing risk.

The source mix gives the topic weight: NEJM, Age and Ageing, JAMA, JAMDA, BMJ and PMC appear repeatedly. The commentary is often silent, but when it appears it is didactic, local and discussion-oriented, closer to a clinical seminar than to a news feed.

Assessment as the common language of ageing care

Comprehensive geriatric assessment is the conceptual backbone of the account. This topic tracks frailty tools, intrinsic capacity, multidimensional screening and outcome prediction across emergency care, oncology, surgery, community services and rehabilitation.

The selection treats assessment as a bridge between medicine and systems. ICOPE screening, interRAI implementation, coordinated surgery and community tools all point to the same question: how can complex older adults be understood early enough for care to change course?

The range is deliberately broad. Dementia guidelines, anticholinergic burden, diabetes in frailty, vaccination and stroke rehabilitation sit beside loneliness and social isolation. The result is a view of ageing care where biology, function and context are inseparable.

Further reading
Care Coordination and Optimization in Geriatric Surgery (COGS): A Pilot Program to Improve Surgical Outcomes in Older Adults by Gabrielle A. Scannell
Geriatric Assessment and Cancer Survival Prediction by the Vulnerable Elders Survey-13 Screening Tool: A Systematic Review and Meta-Analysis
interRAI Implementation: Health System Considerations
Stroke Rehabilitation: Synopsis of the 2024 U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guidelines

interRAI as a system, not just a scale

The interRAI topic sharpens one of the curator’s most persistent interests: standardised assessment as clinical infrastructure. It follows the scales, quality indicators and implementation questions that can move information across home care, acute care, nursing homes and community settings.

This is not presented as a narrow tool catalogue. The posts frame interRAI as a way to connect evidence, prediction, resource allocation and care planning, with an international eye on Canada, New Zealand, Europe, Belgium, Australia and Spain.

Cognition and function recur as test cases for the whole project. Posts on dementia detection and cognitive performance show the same underlying concern: measurement should not end at classification; it should support decisions that matter to older adults and teams.