Portal de Periódicos da CAPES

Prevalencia de anciano frágil o de riesgo en el medio rural

1998; Elsevier BV; Volume: 33; Issue: 5 Linguagem: Espanhol

1578-1747

E Valderrama Gama, J Pérez del Molino Martín,

Frailty in Older Adults

espanolOBJETIVO: Determinar la prevalencia de anciano fragil entre las personas no institucionalizadas de 65 o mas anos del municipio de Villanueva de los Castillejos (Huelva). FUNDAMENTO: Valoracion geriatrica en los sujetos considerados fragiles. MATERIAL Y METODOS: Estudio transversal por encuesta de salud a domicilio a 370 ancianos (85,6% de la poblacion). Se consideraron fragiles los sujetos que cumplieran uno o mas de los siguientes criterios: ser mayor de 80 anos, vivir solo, ser soltero, divorciado o separado, no tener hijos, ser dependiente en una o mas de las actividades basicas de la vida diaria (bano, vestido, alimentacion, traslado sillon-cama e ir al servicio), tomar seis o mas medicamentos al dia, haber tenido dos o mas caidas, o haber sido hospitalizado en el ultimo ano. RESULTADOS: El 21,3% de los sujetos tenian mas de 80 anos, el 17,4% vivian solos, el 17% no tenian hijos, y el 8,5% era soltero, separado o divorciado. El 15% era dependiente en una o mas de las actividades basicas de la vida diaria, el 11% tomaban diariamente seis o mas medicamentos, el 7,6% habia tenido dos o mas caidas, y el 17,4% se habia hospitalizado en el ultimo ano. El 74% de los sujetos cumplia uno o mas criterios de anciano fragil. CONCLUSION: La prevalencia de fragilidad es muy alta. Los criterios utilizados en el presente estudio aparecen como poco utiles para seleccionar sujetos sobre los que intervenir en la practica. EnglishOBJECTIVE: To determine the prevalence of fragile elderly persons among non-institutionalized persons 65 and over in the town of Villanueva de los Castillejos (Huelva, Spain). BACKGROUND: Geriatric assessment of subjects considered frail. MATERIAL AND METHODS: Cross-section study using an at-home health survey of 370 elderly persons (85.6%) in the population. Subjects who met one or more of the following criteria were considered frail: age over 80, living alone, single, divorced or separated, not having children, dependence for one or more daily life activities (bathing, dressing, eating, moving from a chair to bed, and using the bathroom), taking 6 or more medications per day, having two or more falls, or hospitalization in the last year. RESULTS: Twenty-one percent (21.3%) of the subjects were over 80, 17.4% lived alone, 17% did not have children, and 8.5% were single, separated or divorced. Fifteen percent (15%) were dependent for one or more activities of daily living, 11% took 6 or more medications per day, 7.6% had fallen once or more, and 17.4% had been hospitalized in the last year. Seventy-four percent (74%) of the subjects met one or more criteria for fragile elderly persons. CONCLUSION: The prevalence of fragility is high. The criteria used in this study were not very useful for selecting persons for interventions.