Association of frailty with the use of health services in older adults: a secondary analysis of the Mexican Health and Aging Study.

IF 0.6 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI:10.24875/GMM.M24000853

Mario U Pérez-Zepeda

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引用次数: 0

Abstract

Background: Frailty has been related to adverse outcomes, but evidence on its association with the use of health services is still scarce.

Objective: The purpose of this work was to determine the association of frailty with the use of health services in Mexican adults older than 60 years.

Material and methods: Analysis of the Mexican Health and Aging Study for the years 2015 (baseline) and 2018 (follow-up). Frailty was defined with the frailty index. The following outcomes were included: hospitalization, medical visits, major surgery, minor surgical procedures, and dental visits. Competing risk and count analyses (negative binomial regression) were performed.

Results: A total of 8,526 individuals were included, whose average age was 70.8%; 55.8% corresponded to the female gender. According to the results, hospitalization days and the number of minor procedures were associated with frailty.

Conclusions: Frailty could be useful in the planning of health services for older adults. On the other hand, its evaluation would allow prioritizing care for those who are at higher risk of adverse outcomes.

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虚弱与老年人使用医疗服务的关系：对墨西哥健康与老龄化研究的二次分析。

背景：虚弱与不良预后有关，但有关虚弱与使用医疗服务之间关系的证据仍然很少：体弱与不良后果有关，但有关体弱与使用医疗服务之间关系的证据仍然很少：材料与方法：对墨西哥健康与老龄化研究（Mexican Health and Aging Study）2015 年（基线）和 2018 年（后续）的数据进行分析：对 2015 年（基线）和 2018 年（随访）的墨西哥健康与老龄化研究进行分析。用虚弱指数定义虚弱程度。包括以下结果：住院、就诊、大手术、小手术和牙科就诊。进行了竞争风险和计数分析（负二项回归）：共纳入 8526 人，其平均年龄为 70.8%，55.8% 为女性。结果显示，住院天数和小手术次数与体弱有关：结论：体弱有助于规划老年人的医疗服务。结论：体弱对规划老年人的医疗服务很有帮助，另一方面，对体弱进行评估有助于优先照顾不良后果风险较高的人群。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gaceta medica de Mexico 医学-医学：内科

CiteScore

1.00

自引率

0.00%

发文量

216

审稿时长

6-12 weeks

期刊介绍： Gaceta Médica de México México is the official scientific journal of the Academia Nacional de Medicina de México, A.C. Its goal is to contribute to health professionals by publishing the most relevant progress both in research and clinical practice. Gaceta Médica de México is a bimonthly peer reviewed journal, published both in paper and online in open access, both in Spanish and English. It has a brilliant editorial board formed by national and international experts.