[Predictors Factors About Functional Decline in Community-dwelling Older Persons]

Overview

Journal Aten Primaria

Specialty Public Health

Date 2003 Oct 2

PMID 14519290

Citations 3

Authors

E Sitjas Molina

A San Jose Laporte

L Armadans Gil

X Mundet Tuduri

M Vilardell Tarres

Affiliations

Soon will be listed here.

Abstract

Objectives: 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.

Design: Prospective study of a randomised sample of 100 patients.

Setting: Urban primary care center.

Patients: A systematic sample of 100 patients of 75 years old or older, with Barthel index > or =90, Karnofsky scale > or =70 and without any neoformation process evaluated prospectively.

Measurements: 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.

Results: The alterations in cognition trials (Pfeiffer >2) and in instrumental 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 instrumental 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).

Conclusion: In primary care geriatric assessment tools based in instrumental activities of daily living, cognition and performance tests predict decline in basic activities of daily living and quality of life.

Citing Articles

[Health status of the elderly in primary health care practices using an integral geriatric assessment].

Cervantes Becerra R, Villarreal Rios E, Galicia Rodriguez L, Vargas Daza E, Martinez Gonzalez L Aten Primaria. 2014; 47(6):329-35.

PMID: 25300463 PMC: 6983704. DOI: 10.1016/j.aprim.2014.07.007.

[Gender differences in health status in a population of over 85 year-olds: the Octabaix study].

Ferrer A, Badia T, Formiga F, Almeda J, Fernandez C, Pujol R Aten Primaria. 2011; 43(11):577-84.

PMID: 21377767 PMC: 7025107. DOI: 10.1016/j.aprim.2010.09.029.

[Primary care detection of the elderly at risk: recommendation].

Lesende I Aten Primaria. 2005; 36(5):273-7.

PMID: 16194496 PMC: 7681803. DOI: 10.1157/13079149.

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