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Factores asociados con la fragilidad en un servicio ambulatorio de geriatría de un hospital universitario en Bogotá (Colombia).

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Title: Factores asociados con la fragilidad en un servicio ambulatorio de geriatría de un hospital universitario en Bogotá (Colombia).
Alternate Title: Factors Associated with Frailty in the Geriatric Outpatient Service of a University Hospital in Bogotá (Colombia).
Fatores associados à fragilidade no ambulatório de geriatria de um hospital universitário de Bogotá (Colômbia).
Authors: Acosta, María-Fernanda1, Cepeda-Alfonso, L.2, Arias-Delgado, Diego2 daariasd@javeriana.edu.co, Chavarro-Carvajal, Diego Andrés3, Coca, David3, Cano Gutierrez, Carlos Alberto3, Heredia Ramírez, Rodrigo Alberto3
Source: Revista Ciencias de la Salud. may-ago2024, Vol. 22 Issue 2, p1-15. 15p.
Subjects: ELDER care, CROSS-sectional method, ACADEMIC medical centers, OUTPATIENT services in hospitals, MALNUTRITION, FRAIL elderly, LOGISTIC regression analysis, SEX distribution, DESCRIPTIVE statistics, MULTIVARIATE analysis, AGE distribution, ODDS ratio, STATISTICS, THIGH, CONFIDENCE intervals, WALKING speed, COMORBIDITY
Geographic Terms: COLOMBIA
Abstract (English): Introduction: Frailty, understood as a pre-disability state, increases vulnerability to external stressors and contributes to negative outcomes such as falls, hospitalization, disability, and mortality. This study aims to identify the prevalence of frailty and assess the associated factors in patients attending the geriatric outpatient service of the Hospital Universitario San Ignacio (HUSI). Materials and methods: A cross-sectional study involving 689 patients treated at the HUSI geriatric outpatient clinic between August 2016 and March 2020. Logistic regressions were conducted to identify factors associated with frailty. Results: The prevalence of frailty was 35.4%. In bivariate analysis, variables associated with frailty included age over 80 years (OR: 2.07; CI95%: 1.40-3.20; p = 0.001), female sex (OR: 1.40; CI95%: 0.99-2.02; p = 0.03), multimorbidity (OR: 2.13; CI95%: 1.40-2.90; p < 0.001) and malnutrition (OR: 2.23; CI95%: 1.22-4.07; p = 0.009). In multivariate analysis, multimorbidity (OR: 2.46; CI95%: 1.62-3.75; p = 0.001), slow walking speed (OR: 5.15; CI95%: 3.0-8.60; p = 0.001) and low calf perimeter (OR: 1.60; CI95%: 1.03-2.50; p = 0.06) were associated with frailty. Conclusion: The prevalence of frailty in our center exceeds national references; and the identified variables align with those reported in the literature; reflecting the considerable clinical complexity of our patients. Detecting factors associated with frailty is crucial for intervention and prevention of adverse outcomes. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: la fragilidad, entendida como un estado previo a la discapacidad, confiere mayor vulnerabilidad a estresores externos y contribuye a desenlaces negativos como caídas, hospitalización, discapacidad y mortalidad. El objetivo de este estudio fue identificar su prevalencia y evaluar los factores asociados en los pacientes del Servicio Ambulatorio de Geriatría del Hospital Universitario San Ignacio (HUSI) en Bogotá (Colombia). Materiales y métodos: estudio de corte transversal con 689 pacientes atendidos en la consulta externa de geriatría del HUSI entre agosto de 2016 y marzo de 2020. Mediante regresiones logísticas se identificaron los factores relacionados con la fragilidad. Resultados: la prevalencia fue del 35.4 %. En el análisis bivariado, las variables asociadas con la fragilidad fueron edad mayor de 80 años (OR: 2.07; IC95 %: 1.40-3.20; p = 0.001), sexo femenino (OR: 1.40; IC95 %: 0.99-2.02; p = 0.03), multimorbilidad (OR: 2.13; IC95 %: 1.40-2.90; p < 0.001) y malnutrición (OR: 2.23; IC95 %: 1.22-4.07; p = 0.009). En el análisis multivariado, la multimorbilidad (OR: 2.46; IC95 %: 1.62-3.75; p = 0.001), la velocidad de la marcha lenta (OR: 5.15; IC95 %: 3.0-8.60; p = 0.001) y el perímetro de pantorrilla bajo (OR: 1.60; IC95 %: 1.03-2.50; p = 0.06) se vincularon con la fragilidad. Conclusión: la prevalencia de fragilidad en el servicio de geriatría del HUSI es mayor a la de los referentes nacionales; adicionalmente, las variables analizadas coinciden con las encontradas en la literatura; todo esto respecto a la gran complejidad clínica de los pacientes. Es clave la detección de los factores que se asocian con fragilidad, a fin de intervenirlos y prevenir desenlaces adversos. [ABSTRACT FROM AUTHOR]
Abstract (Portuguese): Introdução: a fragilidade, entendida como um estado anterior à incapacidade, confere maior vulnerabilidade a estressores externos e contribui para desfechos negativos como quedas, hospitalização, incapacidade e mortalidade. O objetivo deste estudo foi identificar a prevalência e avaliar os fatores associados à fragilidade em pacientes do ambulatório de geriatria do Hospital Universitário San Ignacio (HUSI) de Bogotá, Colômbia. Materiais e métodos: estudo transversal com 689 pacientes atendidos no ambulatório de geriatria do HUSI entre agosto de 2016 e março de 2020. Foram realizadas regressões logísticas para identificar fatores associados à fragilidade. Resultados: a prevalência de fragilidade foi de 35.4 %. Na análise bivariada, as variáveis associadas à fragilidade foram: idade acima de 80 anos (OR: 2.07; IC95 %: 1.40-3,20; p = 0.001), gênero feminino (OR: 1.40; IC95 %: 0.99-2.02; p = 0.03), multimorbidade (OR: 2.13; IC95 %: 1.40-2.90; p < 0.001) e desnutrição (OR: 2.23; IC95 %: 1.22-4.07; p = 0.009). Na análise multivariada, multimorbidade (OR: 2.46; IC95 %: 1.62-3.75; p = 0.001), velocidade lenta de caminhada (OR: 5.15; IC95 %: 3.0-8.60; p = 0.001) e baixa circunferência da panturrilha (OR: 1.60; IC95 %: 1.03-2.50; p = 0.06) foram associados à fragilidade. Conclusão: a prevalência de fragilidade no HUSI é superior à das referências nacionais; adicionalmente, as variáveis associadas coincidem com as encontradas na literatura; tudo isso em relação à grande complexidade clínica dos nossos pacientes. É fundamental detectar os fatores associados à fragilidade para intervir e prevenir resultados adversos. [ABSTRACT FROM AUTHOR]
Copyright of Revista Ciencias de la Salud is the property of Colegio Mayor de Nuestra Senora del Rosario 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.)
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  Data: Factores asociados con la fragilidad en un servicio ambulatorio de geriatr&#237;a de un hospital universitario en Bogot&#225; (Colombia).
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  Data: Factors Associated with Frailty in the Geriatric Outpatient Service of a University Hospital in Bogot&#225; (Colombia).&lt;br /&gt;Fatores associados &#224; fragilidade no ambulat&#243;rio de geriatria de um hospital universit&#225;rio de Bogot&#225; (Col&#244;mbia).
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Acosta%2C+Mar&#237;a-Fernanda%22&quot;&gt;Acosta, Mar&#237;a-Fernanda&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Cepeda-Alfonso%2C+L%2E%22&quot;&gt;Cepeda-Alfonso, L.&lt;/searchLink&gt;&lt;relatesTo&gt;2&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Arias-Delgado%2C+Diego%22&quot;&gt;Arias-Delgado, Diego&lt;/searchLink&gt;&lt;relatesTo&gt;2&lt;/relatesTo&gt;&lt;i&gt; daariasd@javeriana.edu.co&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Chavarro-Carvajal%2C+Diego+Andr&#233;s%22&quot;&gt;Chavarro-Carvajal, Diego Andr&#233;s&lt;/searchLink&gt;&lt;relatesTo&gt;3&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Coca%2C+David%22&quot;&gt;Coca, David&lt;/searchLink&gt;&lt;relatesTo&gt;3&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Cano+Gutierrez%2C+Carlos+Alberto%22&quot;&gt;Cano Gutierrez, Carlos Alberto&lt;/searchLink&gt;&lt;relatesTo&gt;3&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Heredia+Ram&#237;rez%2C+Rodrigo+Alberto%22&quot;&gt;Heredia Ram&#237;rez, Rodrigo Alberto&lt;/searchLink&gt;&lt;relatesTo&gt;3&lt;/relatesTo&gt;
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  Data: Introduction: Frailty, understood as a pre-disability state, increases vulnerability to external stressors and contributes to negative outcomes such as falls, hospitalization, disability, and mortality. This study aims to identify the prevalence of frailty and assess the associated factors in patients attending the geriatric outpatient service of the Hospital Universitario San Ignacio (HUSI). Materials and methods: A cross-sectional study involving 689 patients treated at the HUSI geriatric outpatient clinic between August 2016 and March 2020. Logistic regressions were conducted to identify factors associated with frailty. Results: The prevalence of frailty was 35.4%. In bivariate analysis, variables associated with frailty included age over 80 years (OR: 2.07; CI95%: 1.40-3.20; p = 0.001), female sex (OR: 1.40; CI95%: 0.99-2.02; p = 0.03), multimorbidity (OR: 2.13; CI95%: 1.40-2.90; p &lt; 0.001) and malnutrition (OR: 2.23; CI95%: 1.22-4.07; p = 0.009). In multivariate analysis, multimorbidity (OR: 2.46; CI95%: 1.62-3.75; p = 0.001), slow walking speed (OR: 5.15; CI95%: 3.0-8.60; p = 0.001) and low calf perimeter (OR: 1.60; CI95%: 1.03-2.50; p = 0.06) were associated with frailty. Conclusion: The prevalence of frailty in our center exceeds national references; and the identified variables align with those reported in the literature; reflecting the considerable clinical complexity of our patients. Detecting factors associated with frailty is crucial for intervention and prevention of adverse outcomes. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Introducci&#243;n: la fragilidad, entendida como un estado previo a la discapacidad, confiere mayor vulnerabilidad a estresores externos y contribuye a desenlaces negativos como ca&#237;das, hospitalizaci&#243;n, discapacidad y mortalidad. El objetivo de este estudio fue identificar su prevalencia y evaluar los factores asociados en los pacientes del Servicio Ambulatorio de Geriatr&#237;a del Hospital Universitario San Ignacio (HUSI) en Bogot&#225; (Colombia). Materiales y m&#233;todos: estudio de corte transversal con 689 pacientes atendidos en la consulta externa de geriatr&#237;a del HUSI entre agosto de 2016 y marzo de 2020. Mediante regresiones log&#237;sticas se identificaron los factores relacionados con la fragilidad. Resultados: la prevalencia fue del 35.4 %. En el an&#225;lisis bivariado, las variables asociadas con la fragilidad fueron edad mayor de 80 a&#241;os (OR: 2.07; IC95 %: 1.40-3.20; p = 0.001), sexo femenino (OR: 1.40; IC95 %: 0.99-2.02; p = 0.03), multimorbilidad (OR: 2.13; IC95 %: 1.40-2.90; p &lt; 0.001) y malnutrici&#243;n (OR: 2.23; IC95 %: 1.22-4.07; p = 0.009). En el an&#225;lisis multivariado, la multimorbilidad (OR: 2.46; IC95 %: 1.62-3.75; p = 0.001), la velocidad de la marcha lenta (OR: 5.15; IC95 %: 3.0-8.60; p = 0.001) y el per&#237;metro de pantorrilla bajo (OR: 1.60; IC95 %: 1.03-2.50; p = 0.06) se vincularon con la fragilidad. Conclusi&#243;n: la prevalencia de fragilidad en el servicio de geriatr&#237;a del HUSI es mayor a la de los referentes nacionales; adicionalmente, las variables analizadas coinciden con las encontradas en la literatura; todo esto respecto a la gran complejidad cl&#237;nica de los pacientes. Es clave la detecci&#243;n de los factores que se asocian con fragilidad, a fin de intervenirlos y prevenir desenlaces adversos. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Portuguese)
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  Data: Introdu&#231;&#227;o: a fragilidade, entendida como um estado anterior &#224; incapacidade, confere maior vulnerabilidade a estressores externos e contribui para desfechos negativos como quedas, hospitaliza&#231;&#227;o, incapacidade e mortalidade. O objetivo deste estudo foi identificar a preval&#234;ncia e avaliar os fatores associados &#224; fragilidade em pacientes do ambulat&#243;rio de geriatria do Hospital Universit&#225;rio San Ignacio (HUSI) de Bogot&#225;, Col&#244;mbia. Materiais e m&#233;todos: estudo transversal com 689 pacientes atendidos no ambulat&#243;rio de geriatria do HUSI entre agosto de 2016 e mar&#231;o de 2020. Foram realizadas regress&#245;es log&#237;sticas para identificar fatores associados &#224; fragilidade. Resultados: a preval&#234;ncia de fragilidade foi de 35.4 %. Na an&#225;lise bivariada, as vari&#225;veis associadas &#224; fragilidade foram: idade acima de 80 anos (OR: 2.07; IC95 %: 1.40-3,20; p = 0.001), g&#234;nero feminino (OR: 1.40; IC95 %: 0.99-2.02; p = 0.03), multimorbidade (OR: 2.13; IC95 %: 1.40-2.90; p &lt; 0.001) e desnutri&#231;&#227;o (OR: 2.23; IC95 %: 1.22-4.07; p = 0.009). Na an&#225;lise multivariada, multimorbidade (OR: 2.46; IC95 %: 1.62-3.75; p = 0.001), velocidade lenta de caminhada (OR: 5.15; IC95 %: 3.0-8.60; p = 0.001) e baixa circunfer&#234;ncia da panturrilha (OR: 1.60; IC95 %: 1.03-2.50; p = 0.06) foram associados &#224; fragilidade. Conclus&#227;o: a preval&#234;ncia de fragilidade no HUSI &#233; superior &#224; das refer&#234;ncias nacionais; adicionalmente, as vari&#225;veis associadas coincidem com as encontradas na literatura; tudo isso em rela&#231;&#227;o &#224; grande complexidade cl&#237;nica dos nossos pacientes. &#201; fundamental detectar os fatores associados &#224; fragilidade para intervir e prevenir resultados adversos. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Revista Ciencias de la Salud is the property of Colegio Mayor de Nuestra Senora del Rosario and its content may not be copied or emailed to multiple sites without the copyright holder&#39;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.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=lth&AN=179524038
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        Value: 10.12804/revistas.urosario.edu.co/revsalud/a.12363
    Languages:
      – Code: spa
        Text: Spanish
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      Pagination:
        PageCount: 15
        StartPage: 1
    Subjects:
      – SubjectFull: ELDER care
        Type: general
      – SubjectFull: CROSS-sectional method
        Type: general
      – SubjectFull: ACADEMIC medical centers
        Type: general
      – SubjectFull: OUTPATIENT services in hospitals
        Type: general
      – SubjectFull: MALNUTRITION
        Type: general
      – SubjectFull: FRAIL elderly
        Type: general
      – SubjectFull: LOGISTIC regression analysis
        Type: general
      – SubjectFull: SEX distribution
        Type: general
      – SubjectFull: DESCRIPTIVE statistics
        Type: general
      – SubjectFull: MULTIVARIATE analysis
        Type: general
      – SubjectFull: AGE distribution
        Type: general
      – SubjectFull: ODDS ratio
        Type: general
      – SubjectFull: STATISTICS
        Type: general
      – SubjectFull: THIGH
        Type: general
      – SubjectFull: CONFIDENCE intervals
        Type: general
      – SubjectFull: WALKING speed
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      – SubjectFull: COMORBIDITY
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      – SubjectFull: COLOMBIA
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      – TitleFull: Factores asociados con la fragilidad en un servicio ambulatorio de geriatría de un hospital universitario en Bogotá (Colombia).
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