[Design and validation of the scale to assess the fragility of chronic patients].

Diseño y validación de la escala para valorar la fragilidad de los pacientes crónicos.

Journal

Atencion primaria
ISSN: 1578-1275
Titre abrégé: Aten Primaria
Pays: Spain
ID NLM: 9111075

Informations de publication

Date de publication:
10 2019
Historique:
received: 06 06 2017
revised: 14 05 2018
accepted: 04 06 2018
pubmed: 26 10 2018
medline: 1 9 2020
entrez: 25 10 2018
Statut: ppublish

Résumé

To create a scale and tool that allows us to measure the fragility of the chronic patient. Observational study on the area's chronicles. Between January 2011 and December 2015, a population of 2108 individuals. Data were collected from the medical history and expressed application for the registration of fragile patients, on structured data collection sheet. Fragile subjects of the North Sanitary Area of Malaga. Design and validation of a scale. Study variables. Antequera Fragility Scale (EPADI) consisting of five criteria / factors: age, Pfeiffer, Barthell, Charlson, sociofamiliar and pluripatological. Accessibility outcome variables were used as prediction variables. Quantitative variables are described by mean and standard deviation. The qualitative variables are presented in frequencies along with their percentages. To obtain a predictive model of resource utilization the sample was divided into two subsamples of equal size. From the variables of interest by experts, univariate predictors were identified in the use of resources in the sample M_EPADI1, to construct a model of multivariate logistic regression that allows to predict the resource utilization. For the validation of the scale, the sample M_EPADI2 was used. It was verified that the criteria used in our scale are adequate to define the fragility, therefore the EPADI scale perfectly values the degree of fragility of chronic users based on the resources consumed. It has been verified that the criteria used in our scale are adequate to define the fragility, therefore the EPADI scale perfectly evaluates the degree of fragility of chronic users based on the resources consumed.

Identifiants

pubmed: 30352702
pii: S0212-6567(17)30379-7
doi: 10.1016/j.aprim.2018.06.002
pmc: PMC6837145
pii:
doi:

Types de publication

Journal Article Observational Study

Langues

spa

Sous-ensembles de citation

IM

Pagination

486-493

Informations de copyright

Copyright © 2018 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.

Références

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Auteurs

Antonio Jesús Núñez-Montenegro (AJ)

Unidad de Gestión Clínica de Archidona, Área Sanitaria Norte de Málaga, Archidona, Málaga, España; Miembro del grupo de investigación en Cuidados de Málaga IBIMA AE-20 INVESCUIDA; Miembro de la Red de Investigación al Final de la Vida (Red-Eol). Electronic address: antonionunezmontenegro@gmail.com.

Victoria Martín-Yañez (V)

Atención primaria, Área Sanitaria Norte de Málaga, Málaga, España.

María Ángeles Roldan-Liébana (MÁ)

Atención primaria, Área Sanitaria Norte de Málaga, Málaga, España.

Francisca Dolores González-Ruiz (FD)

Atención primaria, Área Sanitaria Norte de Málaga, Málaga, España.

Rita Fernández-Romero (R)

Cuidados Paliativos, Área Sanitaria Norte de Málaga, Málaga, España.

Cristina Narbona-Ríos (C)

Atención primaria, Área Sanitaria Norte de Málaga, Málaga, España.

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