Factors predictors de deteriorament funcional en el vell sa de la comunitat

摘要: OBJECTIU: Els ancians que viuen a la comunitat son heterogenis respecte el seu estat de salut i necessitat recursos sanitaris. Un millor coneixement levolucio curt termini les activitats basiques vida diaria (ABVD) qualitat ens pot ajudar per sel.leccionar aquells fragils amb unes majors necessitats geriatriques. Lobjectiu del present estudi va ser demostrar utilitat sencills instruments geriatrics com predictors deteriorament ABVD o perdua en un any previ aparentment bo, poder aplicat l atencio primaria (APS). METODE: Es evaluar prospectivament una mostra sistematica 100 75 anys mes, independents (Barthel > 90), acceptable (Karnofsky 70) sense cap proces neoplasic lactualitat. aplicar valoracio geriatrica integral incluia: fisica, neuropsicologica, organica, social vida. Al 12 mesos es tornar valorar vida. Per estimar los odds ratio (OR) dassociacio, varen utilitzar models regressio logistica multiple. RESULTATS: Laplicacio multiple mostrar variables predictores puntuacio test Pfeiffer major 2. (OR: 4,66; CI 95%: 1,33 - 16,22), lIL inferior 7 4,89; 1,65 14,48). Alteracions fisica exremitats inferiors (Guralnik abreviat 4) novament alteracions instrumentalitzades (IL 7) van 7,41; 1,54 35,62), 4,31; 1,62 11,44). CONCLUSIONS: A APS, centrats intrumentalitzades cognicio identifica mes risc presentar complicacions funcional. La qual cosa sera important ajuda lambit lAtencio Primaria Salut racionalitzacio intervencions geriatriques realitzin aquests equips especialitzats vegade intentar prevenir part daquestes conseguint compressio discapacitat persones grans. BACKGROUND: The group of elderly people living in the community is not uniform with respect to their health status and healthcare geriatric needs. better knowledge on evolution within short time basic activities daily (BADL) or quality life can help us select fragile older persons more needs. The goal this work was prove usefulness simple standard tools as decline at one year patients apparently good for application primary care. METHOD: systematic sample over years age, independent without neoplastic condition evaluated prospectively. comprehensive assessment carried out, which included: physical performance, neuropsychological organic assessment, assessment. After month, (Barthel) (Karnofsky) were re-assed. To estimate association, logistic regression used. RESULTS: alterations noted cognition tests (Pfeiffer 2) instrumental (Lawton < proved be living. 14,48). The lower extremities briefed again showed life. 11,44). CONCLUSION: In care, based predict health.