Differences between institutionalized patients and those included in a home care program in Seville
[Objectives]: To describe the characteristics and clinical differences between institutionalised patients and those included in a home care program. [Design]: A descriptive, observational, cross-sectional, and multicentre study. Site Seville, 2016. [Study subjects]: A total 1857 elderly patients of...
| Autores: | , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2020 |
| País: | España |
| Institución: | Consejo Superior de Investigaciones Científicas (CSIC) |
| Repositorio: | DIGITAL.CSIC. Repositorio Institucional del CSIC |
| OAI Identifier: | oai:digital.csic.es:10261/237529 |
| Acceso en línea: | http://hdl.handle.net/10261/237529 |
| Access Level: | acceso abierto |
| Palabra clave: | Institutionalization Aged Chronic diseases Home nursing Dependency Institucionalización Ancianos Enfermedad crónica Atención domiciliaria Dependencia |
| Sumario: | [Objectives]: To describe the characteristics and clinical differences between institutionalised patients and those included in a home care program. [Design]: A descriptive, observational, cross-sectional, and multicentre study. Site Seville, 2016. [Study subjects]: A total 1857 elderly patients of similar characteristics (1441 institutionalised and 416 at home) in Seville in 2016. [Measurements]: The variables studied included gender, age, civil status, family support, pathologies, multiple pathology criteria, and medication prescriptions. Functional and cognitive status was evaluated using the Barthel index, and the Lawton-Brody and Pfeiffer scales. [Results]: The majority of patients (71.40%) were women. The fact of being institutionalised or being included in a home care program were statistically related to the following pathologies and categories: schizophrenia (p < .001), arterial hypertension (p = .012), diabetes mellitus (p = .001), atrial fibrillation (p < .001), and neoplasia (p = .012), A1 (p = .012), A2 (p < .001), B1 (p < .001), B2 (p = .002), C (p < .001), E1 (p < .001), E3 (p = .01), F2 (p < .01), G2 (p = .024), and H (p = .005). The mean Barthel index of the sample was 49.1 ± 34.45 (95% confidence interval: 47.49-50.7). The mean Lawton-Brody scale in the case of patients included the home care program was 2.33 ± 2.49 and in those institutionalised 1.59 ± 2.12. The mean Pfeiffer scale was 4.93 ± 3.53. [Conclusions]: Cognitive impairment was related to institutionalisation, being a result of possible neurological (E3 category) and psychiatric diseases. On the other hand, patient comorbidity was not related to it, because it is very high in patients included in a home care program, in whom functional and cognitive independency status is better. |
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