Factores predictores del deterioro funcional geriátrico
Predictors factors about functional decline in community-dwelling older persons
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España" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Predictors factors about functional decline in community-dwelling older persons" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2003-01-22" "fechaAceptado" => "2003-04-23" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec1394888" "palabras" => array:6 [ 0 => "Valoración geriátrica" 1 => "Deterioro funcional" 2 => "Actividades básicas de la vida diaria" 3 => "Actividades instrumentales de la vida diaria" 4 => "Deterioro cognitivo" 5 => "Pruebas de rendimiento" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec1394887" "palabras" => array:6 [ 0 => "Geriatric assessment" 1 => "Functionaldeterioration" 2 => "Basic activities of daily living" 3 => "Instrumental activities of daily living" 4 => "Cognition deterioration" 5 => "Performance tests" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span><span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Demostrar la utilidad de sencillos instrumentos geriátricos como predictors del deterioro de las actividades básicas de la vida diaria (ABVD) o pérdida de calidad de vida al año en ancianos con un estado de salud previo aparentemente bueno, para poder ser aplicado en atención primaria de la salud (APS)</p></span> <span><span class="elsevierStyleSectionTitle">Diseño</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio prospectivo</p></span> <span><span class="elsevierStyleSectionTitle">Emplazamiento</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Centro de atención primaria urbano</p></span> <span><span class="elsevierStyleSectionTitle">Participantes</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Muestra sistemática de 100 ancianos con edad<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>75 años, índice de Barthel (IB)<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>90, escala de Karnofsky (EK)<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>70 y ausencia de proceso neoplásico.</p></span> <span><span class="elsevierStyleSectionTitle">Mediciones principales</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Se les aplicó un protocolo de valoración geriátrica integral que incluía variables biopsicosociales y funcionales. Tras 12 meses se revaloraron las ABVD (IB) y la calidad de vida (EK).Se realizó la estimación de las odds ratio (OR) de asociación mediante modelos de regresión logística múltiples</p></span> <span><span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Las alteraciones en las pruebas de cognición (test de Pfeiffer < 2) y en las actividades instrumentales de la vida diaria (AIVD) (índice de Lawton [IL] < 7) se mostraron predictoras del deterioro en las ABVD (OR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>4,66; intervalo de confiaza [IC], 1,33–16,22, y OR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>4,89; IC, 1,65–14,48, respectivamente).Las alteraciones en las AIVD (IL < 7) y las alteraciones en las pruebas de rendimiento (test de Guralnik abreviado <4) se mostraron predictores del deterioro de la calidad de vida (OR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>4,31; IC, 1,62–11,44, y OR<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>7,41; IC, 1,54–35,62,respectivamente)</p></span> <span><span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">En APS, los instrumentos de valoración geriátrica centrados en las AIVD, la cognición y las pruebas de rendimiento predicen el deterioro en las ABVD y en calidad de vida</p></span>" ] "en" => array:1 [ "resumen" => "<span><span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The goal of this work was to prove the usefulness of simple standard geriatrics tools as a predictors of basic daily activities or quality of life decline in one year in older patients apparent healthy to apply in primary care</p></span> <span><span class="elsevierStyleSectionTitle">Design</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Prospective study of a randomized sample of 100 patients</p></span> <span><span class="elsevierStyleSectionTitle">Setting</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Urban primary care center</p></span> <span><span class="elsevierStyleSectionTitle">Patients</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">A systematic sample of 100 patients of 75 years old or older, with Barthel index =90, Karnofsky scale =70 and without any neoformation process evaluated prospectively</p></span> <span><span class="elsevierStyleSectionTitle">Measurements</span><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">A comprehensive geriatric assessment was done that include: physical performance, neural-psychologist performance, organic assessment, social assessment. After 12 month were assessed again basic activities of daily living (Barthel) and quality of life (Karnofsky). To estimate the odds ratio (OR) of association we used logistic regression models</p></span> <span><span class="elsevierStyleSectionTitle">Results</span><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">The alterations in cognition trials (Pfeiffer>2) and in instrumentals activities of daily living (Lawton <7) showed predictors about decline in basic activities of daily living (OR=4.66; CI, 1.33–16.22), (OR=4.89; CI, 1.65–14.48). The alterations in instrumentals activities of daily living (Lawton <7) and in performance tests (abbreviated Guralnik test < 4) showed predictors about decline in quality of life (OR=4.31; CI, 1.62–11.44), (OR=7.41; CI,1.54–35.62)</p></span> <span><span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">In primary care geriatric assessment tools based in instrumentals activities of daily living, cognition and performance tests predict decline in basic activities of daily living and quality of life</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:26 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Características diferenciales de la enfermedad en los ancianos. 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| año/Mes | Html | Total | |
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