Factores sinérgicos de impacto en los años de vida ajustados por calidad en la población geriátrica frágil

IF 2.3 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Revista clinica espanola Pub Date : 2025-06-01 DOI:10.1016/j.rce.2025.502297

L.S. Briongos Figuero , J.P. Miramontes González , M. Gabella Martín , L. Corral Gudino , G. López Muñiz , J.C. Martín Escudero

{"title":"Factores sinérgicos de impacto en los años de vida ajustados por calidad en la población geriátrica frágil","authors":"L.S. Briongos Figuero , J.P. Miramontes González , M. Gabella Martín , L. Corral Gudino , G. López Muñiz , J.C. Martín Escudero","doi":"10.1016/j.rce.2025.502297","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>We aim to analyze which factors predominantly influence the QALYs related to geriatric frailty syndrome (QALYs-frail) in octogenarians.</div></div><div><h3>Materials and methods</h3><div>Prospective observational study on 63 frail octogenarian patients admitted to the medical area. Clinical-demographic variables were collected, as well as quality of life (EuroQoL-5D-5L), nutritional status (MNA-SF), dependence (Barthel scale), comorbidity, and the ADLs related to frailty. Statistical models were carried out to study the association between the different variables and to find predictive factors.</div></div><div><h3>Results</h3><div>Patients with better nutritional status showed a positive correlation with the AVACs-frail (r=0.4; <em>P</em>=.003), as did patients with a lower degree of dependence (r=0.71; p<0.001). When adding multimorbidity, a significant negative correlation was identified (r=−0.16; <em>P</em>=.002). The same happened with age (r=−0.43; <em>P</em><.001).</div></div><div><h3>Conclusions</h3><div>Managing fragility poses a challenge, but specific interventions could have an impactful and cost-effective effect on this vulnerable subgroup of the population.</div></div>","PeriodicalId":21223,"journal":{"name":"Revista clinica espanola","volume":"225 6","pages":"Article 502297"},"PeriodicalIF":2.3000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista clinica espanola","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0014256525000608","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction

We aim to analyze which factors predominantly influence the QALYs related to geriatric frailty syndrome (QALYs-frail) in octogenarians.

Materials and methods

Prospective observational study on 63 frail octogenarian patients admitted to the medical area. Clinical-demographic variables were collected, as well as quality of life (EuroQoL-5D-5L), nutritional status (MNA-SF), dependence (Barthel scale), comorbidity, and the ADLs related to frailty. Statistical models were carried out to study the association between the different variables and to find predictive factors.

Results

Patients with better nutritional status showed a positive correlation with the AVACs-frail (r = 0.4; P=.003), as did patients with a lower degree of dependence (r = 0.71; p< 0.001). When adding multimorbidity, a significant negative correlation was identified (r = −0.16; P=.002). The same happened with age (r = −0.43; P<.001).

Conclusions

Managing fragility poses a challenge, but specific interventions could have an impactful and cost-effective effect on this vulnerable subgroup of the population.

查看原文本刊更多论文

对脆弱老年人口经质量调整的生命年的协同影响

我们的目的是分析哪些因素主要影响与老年衰弱综合征（QALYs-虚弱）相关的80多岁老人的QALYs。材料与方法对63例住院的老年体弱患者进行前瞻性观察研究。收集临床人口学变量，以及生活质量（EuroQoL-5D-5L）、营养状况（MNA-SF）、依赖性（Barthel量表）、合并症和与衰弱相关的adl。采用统计模型研究不同变量之间的关系，寻找预测因素。结果营养状况较好的患者与avacs -脆性呈正相关(r = 0.4；P= 0.003)，依赖程度较低的患者也是如此(r = 0.71；术中;0.001)。当增加多病性时，发现显著负相关(r = - 0.16；P = .002)。与年龄相关(r = - 0.43；术;措施)。管理脆弱性是一项挑战，但具体的干预措施可能对这一弱势人群产生有效和具有成本效益的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Revista clinica espanola 医学-医学：内科

CiteScore

4.40

自引率

6.90%

发文量

审稿时长

28 days

期刊介绍： Revista Clínica Española published its first issue in 1940 and is the body of expression of the Spanish Society of Internal Medicine (SEMI). The journal fully endorses the goals of updating knowledge and facilitating the acquisition of key developments in internal medicine applied to clinical practice. Revista Clínica Española is subject to a thorough double blind review of the received articles written in Spanish or English. Nine issues are published each year, including mostly originals, reviews and consensus documents.