Núñez-Montenegro Antonio Jesús, Martín-Yañez Victoria, Roldan-Liébana María Ángeles, González-Ruiz Francisca Dolores, Fernández-Romero Rita, Narbona-Ríos Cristina
Unidad de Gestión Clínica de Archidona, Área Sanitaria Norte de Málaga, Archidona, Málaga, España; Miembro del grupo de investigación en Cuidados de Málaga IBIMA AE-20 INVESCUIDA; Miembro de la Red de Investigación al Final de la Vida (Red-Eol).
Atención primaria, Área Sanitaria Norte de Málaga, Málaga, España.
Aten Primaria. 2019 Oct;51(8):486-493. doi: 10.1016/j.aprim.2018.06.002. Epub 2018 Oct 21.
To create a scale and tool that allows us to measure the fragility of the chronic patient.
Observational study on the area's chronicles.
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.
Fragile subjects of the North Sanitary Area of Malaga.
Design and validation of a scale.
Study variables.
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.
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.
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.
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.
创建一种量表和工具，以便我们能够测量慢性病患者的脆弱性。
对该地区慢性病记录进行观察性研究。
2011年1月至2015年12月期间，共2108人。从病历中收集数据，并在结构化数据收集表上填写脆弱患者登记的相关申请。
马拉加北部卫生区的脆弱人群。
量表的设计与验证。
研究变量。
安特克拉脆弱性量表（EPADI），由五个标准/因素组成：年龄、 Pfeiffer、Barthell、Charlson、社会家庭因素和多病共存因素。将可及性结局变量用作预测变量。定量变量用均值和标准差描述。定性变量以频率及其百分比呈现。为获得资源利用的预测模型，将样本分为两个大小相等的子样本。
从专家感兴趣的变量中，在样本M_EPADI1的资源使用中确定了单变量预测因子，以构建多元逻辑回归模型来预测资源利用情况。为验证该量表，使用了样本M_EPADI2。
经证实，我们量表中使用的标准足以定义脆弱性，因此EPADI量表能够根据所消耗的资源完美地评估慢性病患者的脆弱程度。
经证实，我们量表中使用的标准足以定义脆弱性，因此EPADI量表能够根据所消耗的资源完美地评价慢性病患者的脆弱程度。
