Valoración de la fragilidad en un centro de diálisis. ¿Son más frágiles los pacientes con diabetes?
Saved in:
| Title: | Valoración de la fragilidad en un centro de diálisis. ¿Son más frágiles los pacientes con diabetes? |
|---|---|
| Alternate Title: | Fragility assessment in a dialysis center. Are patients with diabetes more fragile than others? |
| Authors: | Guerrero-Carreño, Sonia1 sguerrer@clinic.cat, Elías-Sanz, Eva1, Gómez-Umbert, Miquel1, Quintela-Martínez, Marta1, Gabarró-Taulé, Teresa1, Arias-Guillén, Marta1 |
| Source: | Enfermería Nefrológica. ene-mar2023, Vol. 26 Issue 1, p24-32. 9p. |
| Subjects: | CHRONIC kidney failure, FRAIL elderly, SCIENTIFIC observation, FUNCTIONAL status, CROSS-sectional method, GERIATRIC assessment, DIABETES, FUNCTIONAL assessment, COMPARATIVE studies, HEMODIALYSIS facilities, BARTHEL Index, PHENOTYPES |
| Abstract (English): | Introduction: The increase in the inclusion of elderly people in hemodialysis programs is connected to a rise in the prevalence of their frailty, considered as well as a prediction of disability and often associated with adverse health events. Given its reversible nature, screening is essential to improve clinical practice. Objective: To assess the frailty index and the patient functional status in our hemodialysis unit, as well as analyze the differences between diabetics and non-diabetics. Material and Method: Observational cross-sectional study. Frailty was measured using the Fried phenotype and functional assessment using the Barthel, Lawton, Downton, and Short Physical Performance Battery scales. Comorbidity and fall risk were evaluated with the Charlson and Downton scales, respectively. Diabetic and non-diabetic groups were compared, as well as the relationship between frailty and age, dependency, comorbidity, and fall hazard was analyzed. Results: A hundred and twenty-eight patients were included in the study. 45% had diabetes. Diabetic patients had a higher average age than non-diabetics (74.2±11 vs 67.8±15 years) and higher comorbidity (Charlson 8.2±2.2 vs 5.8±2.4). Twenty-five percent of the patients had frailty, observing a trend that suggests higher frailty, worse functional capacity, and a higher degree of dependency in diabetic patients, although not significantly. Conclusions: A quarter of the sampled analyzed presents frailty, with a more pronounced tendency to suffer from it in the case of diabetic patients, which could be related to older age, higher comorbidity, and less functional capacity than non-diabetic people. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción: El incremento en la inclusión de personas de edad avanzada a los programas de hemodiálisis se relaciona con un aumento de la prevalencia de fragilidad, considerada predictora de discapacidad y asociada a eventos adversos de salud. Dado su carácter reversible, es importante hacer un cribaje para mejorar la práctica clínica. Objetivo: Evaluar el grado de fragilidad y estado funcional del paciente en nuestra unidad de hemodiálisis y analizar las diferencias entre diabéticos y no diabéticos. Material y Método: Estudio observacional de corte transversal. La fragilidad se midió utilizando el fenotipo de Fried y la valoración funcional mediante las escalas Barthel, Lawton, Downton y la Short Physical Performance Battery. Se evaluó comorbilidad y riesgo de caídas con las escalas Charlson y Downton respectivamente. Se comparó entre grupos de diabéticos y no diabéticos y se analizó la relación entre la fragilidad y la edad, dependencia, comorbilidad y riesgo de caídas. Resultados: Se incluyeron 128 pacientes. El 45% tenían Diabetes. Los pacientes con diabetes tenían una edad media mayor que los no diabéticos (74,2±11 vs 67,8±15 años) y mayor comorbilidad (Charlson 8,2±2,2 vs 5,8±2,4). El 25% de los pacientes presentaron fragilidad, observando una tendencia que sugirió mayor fragilidad, peor capacidad funcional y mayor grado de dependencia en los pacientes diabéticos, aunque de forma no significativa. Conclusiones: Una cuarta parte de la población estudiada presenta fragilidad, con una tendencia más acusada a padecerla los pacientes diabéticos, que podría estar relacionada con mayor edad, mayor comorbilidad y menor capacidad funcional que los no diabéticos. [ABSTRACT FROM AUTHOR] |
| Copyright of Enfermería Nefrológica is the property of Sociedad Espanola de Enfermeria Nefrologica and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
|---|---|
| Header | DbId: lth DbLabel: MedicLatina An: 163547423 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
| IllustrationInfo | |
| Items | – Name: Title Label: Title Group: Ti Data: Valoración de la fragilidad en un centro de diálisis. ¿Son más frágiles los pacientes con diabetes? – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Fragility assessment in a dialysis center. Are patients with diabetes more fragile than others? – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Guerrero-Carreño%2C+Sonia%22">Guerrero-Carreño, Sonia</searchLink><relatesTo>1</relatesTo><i> sguerrer@clinic.cat</i><br /><searchLink fieldCode="AR" term="%22Elías-Sanz%2C+Eva%22">Elías-Sanz, Eva</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Gómez-Umbert%2C+Miquel%22">Gómez-Umbert, Miquel</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Quintela-Martínez%2C+Marta%22">Quintela-Martínez, Marta</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Gabarró-Taulé%2C+Teresa%22">Gabarró-Taulé, Teresa</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Arias-Guillén%2C+Marta%22">Arias-Guillén, Marta</searchLink><relatesTo>1</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Enfermería+Nefrológica%22">Enfermería Nefrológica</searchLink>. ene-mar2023, Vol. 26 Issue 1, p24-32. 9p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22CHRONIC+kidney+failure%22">CHRONIC kidney failure</searchLink><br /><searchLink fieldCode="DE" term="%22FRAIL+elderly%22">FRAIL elderly</searchLink><br /><searchLink fieldCode="DE" term="%22SCIENTIFIC+observation%22">SCIENTIFIC observation</searchLink><br /><searchLink fieldCode="DE" term="%22FUNCTIONAL+status%22">FUNCTIONAL status</searchLink><br /><searchLink fieldCode="DE" term="%22CROSS-sectional+method%22">CROSS-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22GERIATRIC+assessment%22">GERIATRIC assessment</searchLink><br /><searchLink fieldCode="DE" term="%22DIABETES%22">DIABETES</searchLink><br /><searchLink fieldCode="DE" term="%22FUNCTIONAL+assessment%22">FUNCTIONAL assessment</searchLink><br /><searchLink fieldCode="DE" term="%22COMPARATIVE+studies%22">COMPARATIVE studies</searchLink><br /><searchLink fieldCode="DE" term="%22HEMODIALYSIS+facilities%22">HEMODIALYSIS facilities</searchLink><br /><searchLink fieldCode="DE" term="%22BARTHEL+Index%22">BARTHEL Index</searchLink><br /><searchLink fieldCode="DE" term="%22PHENOTYPES%22">PHENOTYPES</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Introduction: The increase in the inclusion of elderly people in hemodialysis programs is connected to a rise in the prevalence of their frailty, considered as well as a prediction of disability and often associated with adverse health events. Given its reversible nature, screening is essential to improve clinical practice. Objective: To assess the frailty index and the patient functional status in our hemodialysis unit, as well as analyze the differences between diabetics and non-diabetics. Material and Method: Observational cross-sectional study. Frailty was measured using the Fried phenotype and functional assessment using the Barthel, Lawton, Downton, and Short Physical Performance Battery scales. Comorbidity and fall risk were evaluated with the Charlson and Downton scales, respectively. Diabetic and non-diabetic groups were compared, as well as the relationship between frailty and age, dependency, comorbidity, and fall hazard was analyzed. Results: A hundred and twenty-eight patients were included in the study. 45% had diabetes. Diabetic patients had a higher average age than non-diabetics (74.2±11 vs 67.8±15 years) and higher comorbidity (Charlson 8.2±2.2 vs 5.8±2.4). Twenty-five percent of the patients had frailty, observing a trend that suggests higher frailty, worse functional capacity, and a higher degree of dependency in diabetic patients, although not significantly. Conclusions: A quarter of the sampled analyzed presents frailty, with a more pronounced tendency to suffer from it in the case of diabetic patients, which could be related to older age, higher comorbidity, and less functional capacity than non-diabetic people. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Introducción: El incremento en la inclusión de personas de edad avanzada a los programas de hemodiálisis se relaciona con un aumento de la prevalencia de fragilidad, considerada predictora de discapacidad y asociada a eventos adversos de salud. Dado su carácter reversible, es importante hacer un cribaje para mejorar la práctica clínica. Objetivo: Evaluar el grado de fragilidad y estado funcional del paciente en nuestra unidad de hemodiálisis y analizar las diferencias entre diabéticos y no diabéticos. Material y Método: Estudio observacional de corte transversal. La fragilidad se midió utilizando el fenotipo de Fried y la valoración funcional mediante las escalas Barthel, Lawton, Downton y la Short Physical Performance Battery. Se evaluó comorbilidad y riesgo de caídas con las escalas Charlson y Downton respectivamente. Se comparó entre grupos de diabéticos y no diabéticos y se analizó la relación entre la fragilidad y la edad, dependencia, comorbilidad y riesgo de caídas. Resultados: Se incluyeron 128 pacientes. El 45% tenían Diabetes. Los pacientes con diabetes tenían una edad media mayor que los no diabéticos (74,2±11 vs 67,8±15 años) y mayor comorbilidad (Charlson 8,2±2,2 vs 5,8±2,4). El 25% de los pacientes presentaron fragilidad, observando una tendencia que sugirió mayor fragilidad, peor capacidad funcional y mayor grado de dependencia en los pacientes diabéticos, aunque de forma no significativa. Conclusiones: Una cuarta parte de la población estudiada presenta fragilidad, con una tendencia más acusada a padecerla los pacientes diabéticos, que podría estar relacionada con mayor edad, mayor comorbilidad y menor capacidad funcional que los no diabéticos. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Enfermería Nefrológica is the property of Sociedad Espanola de Enfermeria Nefrologica and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=lth&AN=163547423 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.37551/S2254-28842023003 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 9 StartPage: 24 Subjects: – SubjectFull: CHRONIC kidney failure Type: general – SubjectFull: FRAIL elderly Type: general – SubjectFull: SCIENTIFIC observation Type: general – SubjectFull: FUNCTIONAL status Type: general – SubjectFull: CROSS-sectional method Type: general – SubjectFull: GERIATRIC assessment Type: general – SubjectFull: DIABETES Type: general – SubjectFull: FUNCTIONAL assessment Type: general – SubjectFull: COMPARATIVE studies Type: general – SubjectFull: HEMODIALYSIS facilities Type: general – SubjectFull: BARTHEL Index Type: general – SubjectFull: PHENOTYPES Type: general Titles: – TitleFull: Valoración de la fragilidad en un centro de diálisis. ¿Son más frágiles los pacientes con diabetes? Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Guerrero-Carreño, Sonia – PersonEntity: Name: NameFull: Elías-Sanz, Eva – PersonEntity: Name: NameFull: Gómez-Umbert, Miquel – PersonEntity: Name: NameFull: Quintela-Martínez, Marta – PersonEntity: Name: NameFull: Gabarró-Taulé, Teresa – PersonEntity: Name: NameFull: Arias-Guillén, Marta IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: ene-mar2023 Type: published Y: 2023 Identifiers: – Type: issn-print Value: 22542884 Numbering: – Type: volume Value: 26 – Type: issue Value: 1 Titles: – TitleFull: Enfermería Nefrológica Type: main |
| ResultId | 1 |
