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Title: | Profiles of frailty among older people users of a home-based primary care service in an urban area of Barcelona (Spain): an observational study and cluster analysis |
Author: | Zamora-Sánchez, Juan José Zabaleta-del-Olmo, Edurne Fernández Bertolin, Sergio Gea Caballero, Vicente Julián-Rochina, Iván Pérez-Tortajada, Gemma Amblàs-Novellas, Jordi |
Keywords: | Atenció primària Cura de les persones grans Morbiditat Barcelona (Catalunya : Àrea metropolitana) Primary care Older people's care Morbidity Barcelona (Catalonia : Metropolitan area) |
Issue Date: | 13-May-2021 |
Publisher: | MDPI |
Abstract: | Background: the multidimensional assessment of frailty allows stratifying it into degrees; however, there is still heterogeneity in the characteristics of people in each stratum. The aim of this study was to identify frailty profiles of older people users of a home-based primary care service. Methods: we carried out an observational study from January 2018 to January 2021. Participants were all people cared for a home-based primary care service. We performed a cluster analysis by applying a k-means clustering technique. Cluster labeling was determined with the 22 variables of the Frail-VIG index, age, and sex. We computed multiple indexes to assess the optimal number of clusters, and this was selected based on a clinical assessment of the best options. Results: four hundred and twelve participants were clustered into six profiles. Three of these profiles corresponded to a moderate frailty degree, two to a severe frailty degree and one to a mild frailty degree. In addition, almost 75% of the participants were clustered into three profiles which corresponded to mild and moderate degree of frailty. Conclusions: different profiles were found within the same degree of frailty. Knowledge of these profiles can be useful in developing strategies tailored to these differentiated care needs. |
Note: | Reproducció del document publicat a: https://doi.org/10.3390/jcm10102106 |
It is part of: | Journal of Clinical Medicine, 2021, vol. 10, num. 10, p. 2106 |
URI: | http://hdl.handle.net/2445/181128 |
Related resource: | https://doi.org/10.3390/jcm10102106 |
ISSN: | 2077-0383 |
Appears in Collections: | Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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