• Atencion primaria · Oct 2019

    Observational Study

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

    • Antonio Jesús Núñez-Montenegro, Victoria Martín-Yañez, María Ángeles Roldan-Liébana, Francisca Dolores González-Ruiz, Rita Fernández-Romero, Cristina Narbona-Ríos, and en representación del grupo EPADI.
    • 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.
    • Aten Primaria. 2019 Oct 1; 51 (8): 486-493.

    ObjectiveTo create a scale and tool that allows us to measure the fragility of the chronic patient.DesignObservational study on the area's chronicles.LocationBetween 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.ParticipantsFragile subjects of the North Sanitary Area of Malaga.InterventionDesign and validation of a scale.Main MeasurementsStudy variables.Main Outcome VariableAntequera 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.ResultsFrom 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.ConclusionsIt 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.ConclusionsIt 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.Copyright © 2018 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.

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