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2021-05-13

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cc-by (c) Zamora-Sánchez, Juan José et al., 2021
Please use this identifier to cite or link to this item: https://hdl.handle.net/2445/181128

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

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https://doi.org/10.3390/jcm10102106

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.

Subject

Atenció primària, Cura de les persones grans, Morbiditat, Barcelona (Catalunya : Àrea metropolitana)

Subject (English)

Primary care, Older people's care, Morbidity, Barcelona (Catalonia : Metropolitan area)

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Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil)
Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

Citation

ZAMORA-SÁNCHEZ, Juan José, et al. 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. Journal of Clinical Medicine. 2021. Vol. 10, num. 10, pags. 2106. ISSN 2077-0383. [consulted: 18 of August of 2026]. Available at: https://hdl.handle.net/2445/181128

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