Risk of mortality according to the Charlson Comorbidity Index compared with the Frailty Index in elderly patients of the Centro Médico Naval between 2010 and 2015

Objective: To quantify the risk of mortality using the Frailty Index, the Charlson Comorbidity Index and the Short Physical Performance Battery (SPPB) in elderly patients. Such three instruments are useful to assess and subsequently manage this group of patients. Materials and methods: An observatio...

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Detalles Bibliográficos
Autores: Chacón-Cruzado, Midori H., Parodi-Freyre, Daniela, Runzer-Colmenares, Fernando M., Parodi-García, José F., Rojas-Jaimes, Jesús, De Noriega-Madalengoitia, Jimena
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:Perú
Institución:Universidad de San Martín de Porres
Repositorio:Horizonte médico
Idioma:español
OAI Identifier:oai:horizontemedico.usmp.edu.pe:article/1235
Acceso en línea:https://horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/1235
Access Level:acceso abierto
Palabra clave:Geriatría
Comorbilidad
Anciano frágil
Mortalidad
Envejecimiento
Geriatrics
Comorbidity
Frail elderly
Mortality
Aging
Descripción
Sumario:Objective: To quantify the risk of mortality using the Frailty Index, the Charlson Comorbidity Index and the Short Physical Performance Battery (SPPB) in elderly patients. Such three instruments are useful to assess and subsequently manage this group of patients. Materials and methods: An observational, cross-sectional and analytical study conducted from a secondary database analysis with a non-probability, convenience sampling. The database was collected from the original study “Prevalence and factors associated with frailty in Peruvian older adults” carried out between 2010 and 2015 in the Geriatrics Department of the Centro Médico Naval “Cirujano Mayor Santiago Távara.” A total of 1,897 participants over 60 years old were included. Results: Fragility values accounted for 51.33 %, 26.16 % and 73.47 %, according to the Frailty Index, the SPPB and the Charlson Comorbidity Index, respectively. The mortality rate in the study was 10.13 %. Conclusions: The three instruments compared in this study were significant to predict fragility. However, when a sexadjusted analysis was performed, the SPPB and the Charlson Comorbidity Index showed greater statistical significance.