• Atencion primaria · Jun 2015

    Multicenter Study

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

    • Roxana Gisela Cervantes Becerra, Enrique Villarreal Ríos, Liliana Galicia Rodríguez, Emma Rosa Vargas Daza, and Lidia Martínez González.
    • Unidad de Investigación Epidemiológica y en Servicios de Salud Querétaro, Querétaro, México; Unidad de Medicina Familiar N.11, Instituto Mexicano del Seguro Social, Querétaro, México. Electronic address: roxgcb77@yahoo.com.
    • Aten Primaria. 2015 Jun 1; 47 (6): 329-35.

    ObjectiveTo determine the health status of patients 60 years of age or over in Primary Health Care practices using an integral geriatric assessment.DesignDescriptive cross-sectional study.LocationFive primary care units, Instituto Mexicano del Seguro Social; México.ParticipantsElderly patient aged 60 years of age or over, who were seen in primary health care practices. Previously signed informed consent was given, with exclusion criteria being non-completion of the integral geriatric assessment. A technical sample of conglomerates and quota was used.Main MeasurementsMedical dimension variables: visual, hearing (Hearing Handicap Inventory for the Elderly), urinary incontinence (Consultation in Incontinence Questionnaire), nutritional condition (Mini Nutritional Assessment), personal clinical history, polypharmacy; mental impairment (Mini Mental State Examination), depression (Yesavaje); functional: basic (Katz) and instrumental (Lawton and Brody) activities of daily living, mobility (Up and go) and social (Social sources scale). The analysis included percentages and confidence intervals.ResultsIn the medical dimensions; 42.3% with visual impairment, 27.7% hearing, 68.3% urinary incontinence, 37.0% malnutrition, and 54.7% polypharmacy. In the mental dimension: 4.0% severe mental impairment, and 11% depression: functional dimension: 2.0% total dependence of activities of daily living; 14.3% instrumental activities impairment; 29.0% mobility impairment, and 48.0% had moderately deteriorated social resources.ConclusionThe health status of the elderly seen in primary health care practices is characterized by independent patients with different levels of alterations in the medical dimensions, low levels in mental alteration, and moderately deteriorated social resources.Copyright © 2013 Elsevier España, S.L.U. All rights reserved.

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