[Design and validation of the scale to assess the fragility of chronic patients].

OBJECTIVE

To create a scale and tool that allows us to measure the fragility of the chronic patient.

DESIGN

Observational study on the area's chronicles.

LOCATION

Between January 2011 and December 2015, a population of 2108 individuals. Data were collected from the medical history and expressed application for the registration of fragile patients, on structured data collection sheet.

PARTICIPANTS

Fragile subjects of the North Sanitary Area of Malaga.

INTERVENTION

Design and validation of a scale.

MAIN MEASUREMENTS

Study variables.

MAIN OUTCOME VARIABLE

Antequera Fragility Scale (EPADI) consisting of five criteria / factors: age, Pfeiffer, Barthell, Charlson, sociofamiliar and pluripatological. Accessibility outcome variables were used as prediction variables. Quantitative variables are described by mean and standard deviation. The qualitative variables are presented in frequencies along with their percentages. To obtain a predictive model of resource utilization the sample was divided into two subsamples of equal size.

RESULTS

From the variables of interest by experts, univariate predictors were identified in the use of resources in the sample M_EPADI1, to construct a model of multivariate logistic regression that allows to predict the resource utilization. For the validation of the scale, the sample M_EPADI2 was used.

CONCLUSIONS

It was verified that the criteria used in our scale are adequate to define the fragility, therefore the EPADI scale perfectly values the degree of fragility of chronic users based on the resources consumed.

CONCLUSIONS

It has been verified that the criteria used in our scale are adequate to define the fragility, therefore the EPADI scale perfectly evaluates the degree of fragility of chronic users based on the resources consumed.