Frailty Index–CGA and mortality at a 12-month follow-up at Hospital Central de la Fuerza Aérea del Perú

Objective: To determine the relationship between mortality and level of frailty using the Frailty Index–Comprehensive Geriatric Assessment (FI–CGA) among older adults at a 12-month follow-up. Materials and methods: A descriptive, observational and prospective study with non-probabilistic sampling co...

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Autores: Peralta Vargas, Carmen Eliana, Ahon Jiraldo, María, Valdivia Alcalde, Claudia, Falvy-Bockos, Ian
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:Perú
Institución:Universidad de San Martín de Porres
Repositorio:Horizonte médico
Idioma:español
inglés
OAI Identifier:oai:horizontemedico.usmp.edu.pe:article/2385
Acceso en línea:https://horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2385
Access Level:acceso abierto
Palabra clave:frailty
mortality
aged
fragilidad
mortalidad
adulto mayor
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dc.title.none.fl_str_mv Frailty Index–CGA and mortality at a 12-month follow-up at Hospital Central de la Fuerza Aérea del Perú
Índice frágil-VGI y mortalidad a los 12 meses de seguimiento en el Hospital Central Fuerza Aérea del Perú
title Frailty Index–CGA and mortality at a 12-month follow-up at Hospital Central de la Fuerza Aérea del Perú
spellingShingle Frailty Index–CGA and mortality at a 12-month follow-up at Hospital Central de la Fuerza Aérea del Perú
Peralta Vargas, Carmen Eliana
frailty
mortality
aged
fragilidad
mortalidad
adulto mayor
title_short Frailty Index–CGA and mortality at a 12-month follow-up at Hospital Central de la Fuerza Aérea del Perú
title_full Frailty Index–CGA and mortality at a 12-month follow-up at Hospital Central de la Fuerza Aérea del Perú
title_fullStr Frailty Index–CGA and mortality at a 12-month follow-up at Hospital Central de la Fuerza Aérea del Perú
title_full_unstemmed Frailty Index–CGA and mortality at a 12-month follow-up at Hospital Central de la Fuerza Aérea del Perú
title_sort Frailty Index–CGA and mortality at a 12-month follow-up at Hospital Central de la Fuerza Aérea del Perú
dc.creator.none.fl_str_mv Peralta Vargas, Carmen Eliana
Ahon Jiraldo, María
Valdivia Alcalde, Claudia
Falvy-Bockos, Ian
author Peralta Vargas, Carmen Eliana
author_facet Peralta Vargas, Carmen Eliana
Ahon Jiraldo, María
Valdivia Alcalde, Claudia
Falvy-Bockos, Ian
author_role author
author2 Ahon Jiraldo, María
Valdivia Alcalde, Claudia
Falvy-Bockos, Ian
author2_role author
author
author
dc.subject.none.fl_str_mv frailty
mortality
aged
fragilidad
mortalidad
adulto mayor
topic frailty
mortality
aged
fragilidad
mortalidad
adulto mayor
description Objective: To determine the relationship between mortality and level of frailty using the Frailty Index–Comprehensive Geriatric Assessment (FI–CGA) among older adults at a 12-month follow-up. Materials and methods: A descriptive, observational and prospective study with non-probabilistic sampling conducted with patients over 60 years of age from the Geriatrics Service. Using the FI–CGA, frailty was diagnosed if the score was greater than or equal to 0.2 at the different levels of care: acute care unit, day hospital, outpatient clinic and house call. Moreover, a follow-up was conducted 12 months following their telephone consultation. In case of death, the event and cause were confirmed in the Sistema Informático Nacional de Defunciones (SINADEF, National Death Computer System) of the Ministry of Health of Peru. Patients who died from coronavirus complications were excluded. To determine the association between FI–CGA and mortality, chi-square and Student’s t tests were used for the qualitative and quantitative variables, respectively. Results: A total of 241 subjects with an average age of 85.08 years were included in the research. Out of this population, 222 (92.12 %) were classed as frail (FI–CGA score ≥ 0.2), among which 82 were considered mildly frail (0.2–0.36), 59 moderately frail (0.4–0.52) and 54 severely frail (> 0.56). At the 12-month follow-up, 28 (11.61 %) older adults had died during that period. Out of the deceased, 23 (82.14 %) had a FI–CGA score greater than or equal to 0.56. When analyzing the association between mortality and the FI–CGA, it was found that the higher the FI, the higher the mortality, with very significant differences (p = 0.001). There was no association between age and mortality (p = 0.95). Conclusions: The FI–CGA is a useful tool to predict mortality in frail patients, according to their severity, at a 12-month follow-up.
publishDate 2023
dc.date.none.fl_str_mv 2023-12-18
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.none.fl_str_mv https://horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2385
10.24265/horizmed.2023.v23n4.08
url https://horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2385
identifier_str_mv 10.24265/horizmed.2023.v23n4.08
dc.language.none.fl_str_mv spa
eng
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eng
dc.relation.none.fl_str_mv https://horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2385/1589
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https://horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2385/1670
https://horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2385/1740
https://horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2385/1756
dc.rights.none.fl_str_mv Derechos de autor 2023 Horizonte Médico (Lima)
https://creativecommons.org/licenses/by/4.0
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rights_invalid_str_mv Derechos de autor 2023 Horizonte Médico (Lima)
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dc.publisher.none.fl_str_mv Universidad de San Martín de Porres. Facultad de Medicina Humana
publisher.none.fl_str_mv Universidad de San Martín de Porres. Facultad de Medicina Humana
dc.source.none.fl_str_mv Horizonte Médico (Lima); Vol. 23 No. 4 (2023): Octubre-Diciembre; e2385
Horizonte Médico (Lima); v. 23 n. 4 (2023): Octubre-Diciembre; e2385
Horizonte Médico (Lima); Vol. 23 Núm. 4 (2023): Octubre-Diciembre; e2385
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spelling Frailty Index–CGA and mortality at a 12-month follow-up at Hospital Central de la Fuerza Aérea del PerúÍndice frágil-VGI y mortalidad a los 12 meses de seguimiento en el Hospital Central Fuerza Aérea del Perú Peralta Vargas, Carmen Eliana Ahon Jiraldo, María Valdivia Alcalde, Claudia Falvy-Bockos, Ian frailtymortalityaged fragilidadmortalidadadulto mayor Objective: To determine the relationship between mortality and level of frailty using the Frailty Index–Comprehensive Geriatric Assessment (FI–CGA) among older adults at a 12-month follow-up. Materials and methods: A descriptive, observational and prospective study with non-probabilistic sampling conducted with patients over 60 years of age from the Geriatrics Service. Using the FI–CGA, frailty was diagnosed if the score was greater than or equal to 0.2 at the different levels of care: acute care unit, day hospital, outpatient clinic and house call. Moreover, a follow-up was conducted 12 months following their telephone consultation. In case of death, the event and cause were confirmed in the Sistema Informático Nacional de Defunciones (SINADEF, National Death Computer System) of the Ministry of Health of Peru. Patients who died from coronavirus complications were excluded. To determine the association between FI–CGA and mortality, chi-square and Student’s t tests were used for the qualitative and quantitative variables, respectively. Results: A total of 241 subjects with an average age of 85.08 years were included in the research. Out of this population, 222 (92.12 %) were classed as frail (FI–CGA score ≥ 0.2), among which 82 were considered mildly frail (0.2–0.36), 59 moderately frail (0.4–0.52) and 54 severely frail (> 0.56). At the 12-month follow-up, 28 (11.61 %) older adults had died during that period. Out of the deceased, 23 (82.14 %) had a FI–CGA score greater than or equal to 0.56. When analyzing the association between mortality and the FI–CGA, it was found that the higher the FI, the higher the mortality, with very significant differences (p = 0.001). There was no association between age and mortality (p = 0.95). Conclusions: The FI–CGA is a useful tool to predict mortality in frail patients, according to their severity, at a 12-month follow-up.Objetivo: Conocer la relación entre mortalidad y nivel de fragilidad mediante los índices de fragilidad-valoración geriátrica integral (IF-VGI) a los 12 meses de seguimiento en adultos mayores. Materiales y métodos: Estudio descriptivo, observacional y prospectivo, con muestreo no probabilístico. Se incluyeron pacientes mayores de 60 años del Servicio de Geriatría. Se utilizaron los IF-VGI, y se diagnosticó la fragilidad si la puntuación era mayor o igual a 0,2 en los diferentes niveles de atención: unidad de agudos, hospital de día, consulta externa y consulta domiciliaria; se realizó un seguimiento de 12 meses después de su evaluación por vía telefónica. En caso de fallecimiento, se corroboró el suceso y la causa en el Sistema Informático Nacional de Defunciones (SINADEF) del Ministerio de Salud del Perú. Se excluyeron los pacientes que fallecieron por complicaciones de coronavirus. Para determinar la asociación entre IF-VGI y mortalidad se utilizaron las pruebas ji al cuadrado y t de Student, tanto para las variables cualitativas y cuantitativas, respectivamente. Resultados: Se incluyeron 241 sujetos, con una edad media de 85,08 años. De esta población, 222 (92,12 %) tenían fragilidad con un IF mayor-igual a 0,2. De ellos, 82 presentaron fragilidad leve (IF entre 0,2-0,36); 59, fragilidad moderada (IF entre 0,4-0,52), y 54, fragilidad severa (IF mayor 0,56). En el seguimiento de la población reevaluada a los 12 meses, 28 (11,61 %) fallecieron en este periodo. De los fallecidos, 23 (82,14 %) registraron un IF mayor igual a 0,56. Al analizar la asociación entre la mortalidad y el IF-VGI, se encontró que, a mayor índice de fragilidad, mayor mortalidad, con diferencias muy significativas (p = 0,001). No hubo asociación entre edad y mortalidad (p = 0,95). Conclusiones: El IF-VGI es una herramienta útil para predecir la mortalidad en los pacientes frágiles, según su severidad, a los 12 meses de seguimiento. Universidad de San Martín de Porres. Facultad de Medicina Humana2023-12-18info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdftext/xmltext/htmlapplication/pdftext/xmlhttps://horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/238510.24265/horizmed.2023.v23n4.08Horizonte Médico (Lima); Vol. 23 No. 4 (2023): Octubre-Diciembre; e2385Horizonte Médico (Lima); v. 23 n. 4 (2023): Octubre-Diciembre; e2385Horizonte Médico (Lima); Vol. 23 Núm. 4 (2023): Octubre-Diciembre; e23852227-35301727-558Xreponame:Horizonte médicoinstname:Universidad de San Martín de Porresinstacron:USMPspaenghttps://horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2385/1589https://horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2385/1626https://horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2385/1670https://horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2385/1740https://horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/2385/1756Derechos de autor 2023 Horizonte Médico (Lima)https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessoai:horizontemedico.usmp.edu.pe:article/23852025-02-12T19:21:45Z
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