# name
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

# metadata.dc.description.abstract[].value
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.

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Journal of Clinical Medicine, 2021, vol. 10, num. 10, p. 2106

# metadata.dc.rights[].value
cc-by (c) Zamora-Sánchez, Juan José et al., 2021

# metadata.dc.source[].value
Articles publicats en revistes (Infermeria de Salut Pública, Salut mental i Maternoinfantil)

# metadata.dc.subject.classification[].value
Barcelona (Catalunya : Àrea metropolitana)

# metadata.dc.subject.other[].value
Barcelona (Catalonia : Metropolitan area)

# metadata.dc.title[].value
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