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Mercedes Díaz-Gegúndez Guillem PaluzieCarme Sanz-Ballester Mercè Boada-MejoranaSusanna Terré-Ohme Dolors Ruiz-Poza 《Revista espa?ola de geriatría y gerontología》2011,46(5):261
Objectives
This study describes the outcomes of an intervention program in Nursing Homes and their effects on emergency room attendance, hospital admissions, and pharmaceutical expenditure.Material and methods
This involved non-randomised community intervention in Nursing Homes with a control group. The program was implemented gradually from 2007 to 2009 in 10 Nursing Homes (857 beds) which participated voluntarily. The control group consisted of 14 Nursing homes (1,200 beds), which refused to participate or were not assigned to our Primary Care centres. Intervention consisted of comprehensive geriatric assessment and follow-up visits by trained personnel, review and adjustment of drug treatment, case management and staff training.Results
In the Nursing Homes where the program was carried out, emergency room attendance decreased from 1165‰ (95%CI 1100-1240]) in 2006 to 674‰ (95%CI 620-730) in 2009, while in the control group it increased from 1071 (95%CI 1020-1130) to 1246‰ (95%CI 1190-1310). The hospital admissions also decreased from 48.4% (95%CI 45-52) in 2006 to 32.1% (95%CI 29-35) in 2009, while in the control group increased from 43.5% (95%CI 41-46) to 55.8% (95%CI 53-59). There was also a 9% reduction in pharmacy cost compared with an increase of 11.9% in the control group.Conclusions
The intervention has proved effective at reducing hospital admissions and emergency room attendance in institutionalised patients, thereby streamlining pharmacy costs. 相似文献3.
Pedro Abizanda Soler Jesús López-Torres HidalgoLuis Romero Rizos Mercedes López JiménezPedro Manuel Sánchez Jurado Pilar Atienzar NúñezJosé Luis Esquinas Requena Inmaculada García NoguerasPablo Hernández Zegarra Yadira Bardales MasRamona Campos Rosa Mercedes Martínez PeñalverEsther de la Osa Nieto Miriam Carión GonzálezÁngela Ruiz Gómez Caridad Aguilar CantosPilar Mañueco Delicado José Luis Oliver Carbonell 《Revista espa?ola de geriatría y gerontología》2011,46(2):81
Objective
To obtain a cohort of subjects of equal to or greater than 70 years, representative of a Spanish urban population, to estimate the prevalence of frailty and follow it up over time to analyse associated factors.Material and methods
A prospective, population-based cohort study. From a population of 18,137 elderly persons, a representative sample of 1172 was randomly stratified, of which 993 (84.7%) agreed to take part. The variables collected were; sociodemographic, comorbidity, functional (n = 825), cognitive, affective and quality of life. On the patients who agreed, body composition was determined by bioimpedance analysis (n = 557), basal metabolic rate by indirect calorimetry (n = 450) and a blood sample was obtained for biomarkers (n = 859). Frailty was defined by the presence of 3 or more Fried criteria: unintentional weight loss, low energy, exhaustion, slow walking, and low physical activity. The cohort will be followed up over time until the death of the subjects.Results
Mean age 79.4 (SD 6.4) years, with 601 (60.5%) women. A total of 21.3% were institutionalised; 16.9% were frail, 48.5% pre-frail, 21.3% non-frail, and 12.8% did not have the 3 criteria to be able to determine their state, of which 9.5% had moderate-severe incapacity, which would increase the prevalence of frailty to 26.4%.Conclusions
A FRADEA cohort has been constructed, representative of an urban population in Spain. The prevalence of frailty in the cohort was 16.9%. 相似文献4.
Cristina Buiza Javier Yanguas Amaia Zulaica Iván Antón Enrique Arriola Alvaro García 《Revista espa?ola de geriatría y gerontología》2018,53(4):208-212
Introduction
Adaptation and validation to the Basque language of tests to assess advanced cognitive impairment is a not covered need for Basque-speaking people. The present work shows the validation of the Basque version of the Severe Mini Mental State Examination (SMMSE).Material and methods
A total of 109 people with advanced dementia (MEC < 15) took part in the validation study, and were classified as GDS 5-7 on the Geriatric Depression Scale (GDS). All participants were Spanish-Basque bilingual.Results
It was shown that SMMSE-eus has a high internal consistency (alpha = 0.92), a good test-retest reliability (r = 0.88; P < .01), and a high inter-rater reliability (CCI = 0.99; P < .00) for the overall score, as well as for each item.Conclusions
Both the high internal consistency and inter-rater reliability, and to a lesser extent, test-retest reliability, made the SMMSE-eus a valid test for the brief assessment of cognitive status in people with advanced dementia in Basque-speaking people. For this reason, the SMMSE-eus is a usable and reliable alternative for assessing Basque-speaking people in their mother-tongue, or preferred language. 相似文献
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