Publication: [Design and validation of the scale to assess the fragility of chronic patients].
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Date
2018-10-21
Authors
Núñez-Montenegro, Antonio Jesús
Martín-Yañez, Victoria
Roldan-Liébana, María Ángeles
González-Ruiz, Francisca Dolores
Fernández-Romero, Rita
Narbona-Ríos, Cristina
en representación del grupo EPADI
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Abstract
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.
Description
MeSH Terms
Adult
Aged
Aged, 80 and over
Chronic Disease
Cross-Sectional Studies
Female
Frailty
Health Status Indicators
Humans
Logistic Models
Male
Middle Aged
Reproducibility of Results
Research Design
Aged
Aged, 80 and over
Chronic Disease
Cross-Sectional Studies
Female
Frailty
Health Status Indicators
Humans
Logistic Models
Male
Middle Aged
Reproducibility of Results
Research Design
DeCS Terms
CIE Terms
Keywords
Chronic, Clasificación, Classification, Complejo, Complex, Crónico, Escala, Fragile, Frágil, Scale, Validación, Validation