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 documento: | artigo |
| Estado: | Versão publicada |
| Data de publicação: | 2020 |
| País: | España |
| Recursos: | Consejo Superior de Investigaciones Científicas (CSIC) |
| Repositório: | DIGITAL.CSIC. Repositorio Institucional del CSIC |
| OAI Identifier: | oai:digital.csic.es:10261/237529 |
| Acesso em linha: | http://hdl.handle.net/10261/237529 |
| Access Level: | Acceso aberto |
| Palavra-chave: | Institutionalization Aged Chronic diseases Home nursing Dependency Institucionalización Ancianos Enfermedad crónica Atención domiciliaria Dependencia |
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España |
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Differences between institutionalized patients and those included in a home care program in Seville Diferencias entre pacientes institucionalizados y pacientes en atención domiciliaria en la provincia de Sevilla |
| title |
Differences between institutionalized patients and those included in a home care program in Seville |
| spellingShingle |
Differences between institutionalized patients and those included in a home care program in Seville Huesa Andrade, Macarena Institutionalization Aged Chronic diseases Home nursing Dependency Institucionalización Ancianos Enfermedad crónica Atención domiciliaria Dependencia |
| title_short |
Differences between institutionalized patients and those included in a home care program in Seville |
| title_full |
Differences between institutionalized patients and those included in a home care program in Seville |
| title_fullStr |
Differences between institutionalized patients and those included in a home care program in Seville |
| title_full_unstemmed |
Differences between institutionalized patients and those included in a home care program in Seville |
| title_sort |
Differences between institutionalized patients and those included in a home care program in Seville |
| dc.creator.none.fl_str_mv |
Huesa Andrade, Macarena Calvo-Gallego, José Luis Pedregal González, Miguel Ángel Bohórquez Colombo, Pilar |
| author |
Huesa Andrade, Macarena |
| author_facet |
Huesa Andrade, Macarena Calvo-Gallego, José Luis Pedregal González, Miguel Ángel Bohórquez Colombo, Pilar |
| author_role |
author |
| author2 |
Calvo-Gallego, José Luis Pedregal González, Miguel Ángel Bohórquez Colombo, Pilar |
| author2_role |
author author author |
| dc.contributor.none.fl_str_mv |
Sociedad Andaluza de Medicina Familiar y Comunitaria Consejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72] |
| dc.subject.none.fl_str_mv |
Institutionalization Aged Chronic diseases Home nursing Dependency Institucionalización Ancianos Enfermedad crónica Atención domiciliaria Dependencia |
| topic |
Institutionalization Aged Chronic diseases Home nursing Dependency Institucionalización Ancianos Enfermedad crónica Atención domiciliaria Dependencia |
| description |
[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. |
| publishDate |
2020 |
| dc.date.none.fl_str_mv |
2020 2021 2021 2021 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article http://purl.org/coar/resource_type/c_6501 Publisher's version info:eu-repo/semantics/publishedVersion |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.none.fl_str_mv |
http://hdl.handle.net/10261/237529 |
| url |
http://hdl.handle.net/10261/237529 |
| dc.language.none.fl_str_mv |
Inglés |
| language_invalid_str_mv |
Inglés |
| dc.relation.none.fl_str_mv |
http://dx.doi.org/10.1016/j.aprim.2019.10.002 Sí |
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info:eu-repo/semantics/openAccess |
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openAccess |
| dc.publisher.none.fl_str_mv |
Elsevier |
| publisher.none.fl_str_mv |
Elsevier |
| dc.source.none.fl_str_mv |
reponame:DIGITAL.CSIC. Repositorio Institucional del CSIC instname:Consejo Superior de Investigaciones Científicas (CSIC) |
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Consejo Superior de Investigaciones Científicas (CSIC) |
| reponame_str |
DIGITAL.CSIC. Repositorio Institucional del CSIC |
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DIGITAL.CSIC. Repositorio Institucional del CSIC |
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1869408441806618624 |
| spelling |
Differences between institutionalized patients and those included in a home care program in SevilleDiferencias entre pacientes institucionalizados y pacientes en atención domiciliaria en la provincia de SevillaHuesa Andrade, MacarenaCalvo-Gallego, José LuisPedregal González, Miguel ÁngelBohórquez Colombo, PilarInstitutionalizationAgedChronic diseasesHome nursingDependencyInstitucionalizaciónAncianosEnfermedad crónicaAtención domiciliariaDependencia[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.[ES]: [Objetivo]: Conocer las características y las diferencias clínicas entre pacientes institucionalizados y los de programas de atención domiciliaria. [Diseño]: Estudio observacional descriptivo transversal multicéntrico. Emplazamiento Sevilla, 2016. [Participantes] Un total de 1.857 pacientes ancianos (1.441 institucionalizados y 416 en domicilio). [Mediciones]: Las variables estudiadas fueron: sexo, edad, estado civil, apoyo familiar, patologías, criterios de pluripatología y fármacos. Se valoraron el estado funcional y el cognitivo mediante las escalas de Barthel, Lawton-Brody y Pfeiffer. [Resultados]: Un 71,40% fueron mujeres. Estadísticamente el hecho de estar institucionalizados o vivir en el domicilio se relaciona con las siguientes patologías y categorías: esquizofrenia (p < 0,001), HTA (p = 0,012), DM (p = 0,001), FA (p< 0,001) y neoplasias (p = 0, 012), A1 (p = 0,012), A2 (p < 0,001), B1 (p < 0,001), B2 (p = 0,002), C (p < 0,001), E1 (p < 0,001), E3 (p = 0,01), F2 (p < 0,01), G2 (p = 0,024) y H (p = 0,005). El promedio del índice de Barthel de la muestra fue de 49,1 ± 34,45 (IC 95%: 47,49-50,7), el de Lawton-Brody en domicilio fue de 2,33 ± 2,49 y en institucionalizados, de 1,59 ± 2,12. La media de la escala de Pfeiffer fue de 4,93 ± 3,53. [Conclusiones]: Se asocia con la institucionalización el deterioro cognitivo, consecuencia de posibles patologías neurológicas (categoría E3) y psiquiátricas. Por el contrario, no se asocia con la comorbilidad del paciente, puesto que es muy elevada en pacientes en situación de atención domiciliaria con mejores estados de independencia funcional y cognitivo.Sociedad Andaluza de Medicina Familiar y Comunitaria a través de la Beca Samfyc Isabel Fernández.ElsevierSociedad Andaluza de Medicina Familiar y ComunitariaConsejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72]2021202120202021info:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_6501Publisher's versioninfo:eu-repo/semantics/publishedVersionhttp://hdl.handle.net/10261/237529reponame:DIGITAL.CSIC. Repositorio Institucional del CSICinstname:Consejo Superior de Investigaciones Científicas (CSIC)Ingléshttp://dx.doi.org/10.1016/j.aprim.2019.10.002Síinfo:eu-repo/semantics/openAccessoai:digital.csic.es:10261/2375292026-05-22T06:33:51Z |
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