Item


Predicci贸n de dependencia en ancianos atendidos en atenci贸n primaria = Prediction of dependency in the elderly attended in primary health care

Objective: To identify the elderly population attended in primary health care with more risk of becoming dependent for activities of daily living. Methods: A longitudinal study, based on data recorded in the medical record of people from 75 years old. We constructed a Cox models to determine the risk of becoming dependent on the follow up. The discrimination capacity of the model was estimated with the concordance index. Results: The model showed as predictors of dependency: the mental impairment, according to the Pfeiffer test, severe (HR: 3,02; 95% CI 2,03-4,49) or moderate (HR: 1,35; 95% CI 1,08 to 1,68), homecare situation (HR: 1,82; 95% CI 1,44 to 2,31) and to have recorded history of falls (HR: 1,51; 95% CI 1,20 to 1,90). The C index of the derivation model was 0,72 (95% CI 0,68 to 0,76). Conclusions: The model accurately predicts patients most likely to be dependent

Objetivo principal: Identificar a la poblaci贸n anciana atendida en atenci贸n primaria con m谩s riesgo de ser dependiente para las actividades de la vida diaria. Metodolog铆a: estudio longitudinal, basado en datos registrados en la historia cl铆nica informatizada de personas a partir de 75 a帽os. Se construy贸 un modelo de Cox para determinar el riesgo de devenir dependiente en el seguimiento y se estim贸 su capacidad de discriminaci贸n. Resultados principales: el modelo mostr贸 como variables predictoras de dependencia el deterioro mental severo (HR: 3,02; 95% IC 2,03-4,49) o moderado (HR: 1,35; 95% IC 1,08-1,68) seg煤n el test de Pfeiffer, tener la condici贸n de atenci贸n domiciliaria (HR: 1,82; 95% IC 1,44-2,31) y tener historia de ca铆das registradas (HR: 1,51; 95% IC 1,20-1,90). El 铆ndice C del modelo fue de 0,72 (95% IC 0,68-0,76). Conclusi贸n principal: El modelo predice de forma precisa aquellos pacientes con m谩s probabilidad de ser dependientes

Index de Enfermer铆a, 2016, vol. 25, n煤m. 3, p.146-150

Fundaci贸n Index

Author: Puigvert Vilalta, Margarita
Mart铆 Lluch, Ruth
Ponjoan, Anna
Ramos Blanes, Rafel
Date: 2016 July
Abstract: Objective: To identify the elderly population attended in primary health care with more risk of becoming dependent for activities of daily living. Methods: A longitudinal study, based on data recorded in the medical record of people from 75 years old. We constructed a Cox models to determine the risk of becoming dependent on the follow up. The discrimination capacity of the model was estimated with the concordance index. Results: The model showed as predictors of dependency: the mental impairment, according to the Pfeiffer test, severe (HR: 3,02; 95% CI 2,03-4,49) or moderate (HR: 1,35; 95% CI 1,08 to 1,68), homecare situation (HR: 1,82; 95% CI 1,44 to 2,31) and to have recorded history of falls (HR: 1,51; 95% CI 1,20 to 1,90). The C index of the derivation model was 0,72 (95% CI 0,68 to 0,76). Conclusions: The model accurately predicts patients most likely to be dependent
Objetivo principal: Identificar a la poblaci贸n anciana atendida en atenci贸n primaria con m谩s riesgo de ser dependiente para las actividades de la vida diaria. Metodolog铆a: estudio longitudinal, basado en datos registrados en la historia cl铆nica informatizada de personas a partir de 75 a帽os. Se construy贸 un modelo de Cox para determinar el riesgo de devenir dependiente en el seguimiento y se estim贸 su capacidad de discriminaci贸n. Resultados principales: el modelo mostr贸 como variables predictoras de dependencia el deterioro mental severo (HR: 3,02; 95% IC 2,03-4,49) o moderado (HR: 1,35; 95% IC 1,08-1,68) seg煤n el test de Pfeiffer, tener la condici贸n de atenci贸n domiciliaria (HR: 1,82; 95% IC 1,44-2,31) y tener historia de ca铆das registradas (HR: 1,51; 95% IC 1,20-1,90). El 铆ndice C del modelo fue de 0,72 (95% IC 0,68-0,76). Conclusi贸n principal: El modelo predice de forma precisa aquellos pacientes con m谩s probabilidad de ser dependientes
Format: application/pdf
ISSN: 1132-1296 (versi贸 paper)
1699-5988 (vesi贸 electr貌nica)
Document access: http://hdl.handle.net/10256/14006
Language: spa
Publisher: Fundaci贸n Index
Collection: Reproducci贸 digital del document publicat a: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1132-12962016000200005
Articles publicats (D-CM)
Is part of: Index de Enfermer铆a, 2016, vol. 25, n煤m. 3, p.146-150
Rights: Attribution-NonCommercial 3.0 Spain
Rights URI: http://creativecommons.org/licenses/by-nc/3.0/es/
Subject: Persones grans -- Salut i higiene
Older people -- Health and hygiene
Cognici贸 en les persones grans
Cognition in old age
Persones grans -- Ferides i lesions
Aged -- Wounds amd injuries
Title: Predicci贸n de dependencia en ancianos atendidos en atenci贸n primaria = Prediction of dependency in the elderly attended in primary health care
Type: info:eu-repo/semantics/article
Repository: DUGiDocs

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