Risk factors for functional decline in a population aged 75 years and older without total dependence: A one-year follow-up
| Autor: | Anna Arnau, Montserrat Ferrer, Francesc Formiga, Joan Espaulella, Marta Serrarols, Judit Canudas |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Gerontology
Male Aging Health (social science) Activities of daily living Multivariate analysis Population Walking Logistic regression Cohort Studies 03 medical and health sciences Disability Evaluation 0302 clinical medicine 030502 gerontology Risk Factors Activities of Daily Living Medicine Humans 030212 general & internal medicine education Prospective cohort study Geriatric Assessment Aged Aged 80 and over education.field_of_study business.industry Incidence (epidemiology) Persones grans dependents Hospitalization Persones grans -- Salut i higiene Lower Extremity Spain Female Geriatrics and Gerontology 0305 other medical science business Cognition Disorders Body mass index Cohort study Follow-Up Studies |
| Popis: | OBJECTIVES: estimation of functional loss incidence and identification of risk factors associated with new disability onset in people aged 75 and older without severe dependence in a rural primary care setting. PATIENTS AND METHOD: Prospective cohort study of a representative sample of people aged 75 years or older without severe dependence (Barthel Index>20 and Lawton Index>1) at a primary care center, with a 12-month follow-up. The baseline geriatric assessment recorded activities of daily living (ADL), sociodemographic information, numbers of drugs prescribed, previous hospital admissions and falls, cognitive function, hearing and visual capacity, body mass index, blood pressure, and the Short Physical Performance Battery to evaluate lower limb function. ADL was re-assessed after 12 months, defining functional loss as a fall of ≥10 points on the Barthel Index and/or ≥2 instrumental activities of the Lawton Index. Bivariate and multivariate analyses using logistic regression models were conducted to identify factors independently associated with functional loss. RESULTS: Mean age was 81.7 years, 58.7% of patients were men, and 23.4% presented functional loss at the 12-month follow-up. Variables identified as independent predictors of functional loss were hospital admissions (aOR 3.92; 95%CI: 1.35-11.39), cognitive impairment (aOR 2.60; 95%CI: 1.39-4.92) and lower limbs functional limitation (aOR 2.01; 95%CI: 1.02-3.97). CONCLUSIONS: Our results support the use of performance batteries in primary care for identifying elderly persons at risk of functional decline; and they also highlight the relevance of appropriate management of hospital admissions and planned discharges in order to preserve patients' functional status. Health Research Fund (PI042370) and the European Regional Development Fund (FEDER). III Research Grant of Osona promoted by the Foundation of the Medical and Health Sciences Academy of Catalonia and the Balearics, the Medical Science Group of Osona and the Osona Branch of the Catalan Society of Family and Community Medicine. |
| Databáze: | OpenAIRE |
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