Please use this identifier to cite or link to this item: https://hdl.handle.net/11000/30506
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dc.contributor.authorCegri Lombardo, Francisco-
dc.contributor.authorOrfila, Francesc-
dc.contributor.authorAbellana, Rosa-
dc.contributor.authorPastor-Valero, Maria-
dc.contributor.otherDepartamentos de la UMH::Salud Pública, Historia de la Ciencia y Ginecologíaes_ES
dc.date.accessioned2024-01-12T08:14:50Z-
dc.date.available2024-01-12T08:14:50Z-
dc.date.created2020-08-
dc.identifier.citationBMC Geriatrics, Article number: 281 (2020)es_ES
dc.identifier.issn1471-2318-
dc.identifier.urihttps://hdl.handle.net/11000/30506-
dc.description.abstractBackground: Frailty in older adults is a common multidimensional clinical entity, a state of vulnerability to stressors that increases the risk of adverse outcomes such as functional decline, institutionalization or death. The aim of this study is to identify the factors that anticipate the future inclusion of community-dwelling individuals aged ≥70 years in home care programmes (HC) and nursing homes (NH), and to develop the corresponding prediction models. Methods: A prospective cohort study was conducted in 23 primary healthcare centers located in Catalonia, Spain, with an eight-year follow-up (2005–2013). The cohort was made up of 616 individuals. Data collection included a baseline multidimensional assessment carried out by primary health care professionals. Outcome variables were collected during follow-up by consulting electronic healthcare records, and the Central Registry of Catalonia for mortality. A prognostic index for a HC and NH at 8 years was estimated for each patient. Death prior to these events was considered a competing risk event, and Fine–Gray regression models were used. Results: At baseline, mean age was 76.4 years and 55.5% were women. During follow-up, 19.2% entered a HC program, 8.2% a NH, and 15.4% died without presenting an event. Of those who entered a NH, 31.5% had previously been in a HC program. Multivariate models for a HC and NH showed that the risk of a HC entry was associated with older age, dependence on the Instrumental Activities of Daily Living, and slow gait measured by Timed-up-and-go test. An increased risk of being admitted to a NH was associated with older age, dependence on the Instrumental Activities of Daily Living, number of prescriptions, and the presence of social risk.es_ES
dc.formatapplication/pdfes_ES
dc.format.extent13es_ES
dc.language.isoenges_ES
dc.publisherBMCes_ES
dc.rightsinfo:eu-repo/semantics/openAccesses_ES
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectCohort studyes_ES
dc.subjectFrail elderlyes_ES
dc.subjectPrimary health carees_ES
dc.subjectRisk prediction modelses_ES
dc.subjectLong-term home carees_ES
dc.subjectLong-term institutionalcare-
dc.subject.otherCDU::6 - Ciencias aplicadas::61 - Medicinaes_ES
dc.titleThe impact of frailty on admission to home care services and nursing homes: eightyear follow-up of a community-dwelling, older adult, Spanish cohortes_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.relation.publisherversionhttps://doi.org/10.1186/s12877-020-01683-9es_ES
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Artículos Salud Pública, Historia de la Ciencia y Ginecología


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