Evaluación geriátrica en la atención primaria

A good medical care program for the elderly requires a thorough assessment of the functional capacity and limitations of the consulting patients. Aim: To perform a geriatric assessment to elderly subjects consulting in a public outpatient clinic. Patients and methods: A cross sectional assessment of...

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Autores principales:	Díaz T,Violeta, Díaz T,Inés, Rojas C,Graciela, Novogrodsky R,David
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2003
Materias:	Aged Frail elderly Health care surveys Hypertension
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000800009
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spelling	oai:scielo:S0034-988720030008000092004-12-13Evaluación geriátrica en la atención primariaDíaz T,VioletaDíaz T,InésRojas C,GracielaNovogrodsky R,David Aged Frail elderly Health care surveys Hypertension A good medical care program for the elderly requires a thorough assessment of the functional capacity and limitations of the consulting patients. Aim: To perform a geriatric assessment to elderly subjects consulting in a public outpatient clinic. Patients and methods: A cross sectional assessment of subjects over 60 years old, beneficiaries of the public health care system and consulting in 4 outpatient clinics of a poor community of Metropolitan Santiago. Evaluation included a complete medical history, the Katz score for activities of daily living (ADL), Lawton score for instrumental activities for daily living (IADL) and Folstein Mini Mental state examination. Results: During the study period 1,023 subjects, 73% female, aged 74±7 years, were assessed. Thirteen percent were illiterate, 78% elementary school, 8% had high school and 0.2% university education. Eighty eight percent lived with relatives, 79% did not participate in community groups and 7% smoked. The most common chronic disease detected was high blood pressure in 61%, followed by obesity in 32%, osteoarthritis in 22%, diabetes mellitus in 17%, depression in 11%, cardiac diseases in 8%, hypothyroidism in 3% and epilepsy in 1%. ADL score showed partial dependency in 11% and total dependency in 2%. IADL score showed partial dependency in 41% and total dependency in 4%. Mini Mental score was abnormal in 31% of subjects. Conclusions: High blood pressure, osteoarthritis, depression and cognitive impairment are the most common health problems in this sample of elderly subjects. ADL score showed a low rate of dependency (Rev Méd Chile 2003; 131: 895-901)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.131 n.8 20032003-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000800009es10.4067/S0034-98872003000800009
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Aged Frail elderly Health care surveys Hypertension
spellingShingle	Aged Frail elderly Health care surveys Hypertension Díaz T,Violeta Díaz T,Inés Rojas C,Graciela Novogrodsky R,David Evaluación geriátrica en la atención primaria
description	A good medical care program for the elderly requires a thorough assessment of the functional capacity and limitations of the consulting patients. Aim: To perform a geriatric assessment to elderly subjects consulting in a public outpatient clinic. Patients and methods: A cross sectional assessment of subjects over 60 years old, beneficiaries of the public health care system and consulting in 4 outpatient clinics of a poor community of Metropolitan Santiago. Evaluation included a complete medical history, the Katz score for activities of daily living (ADL), Lawton score for instrumental activities for daily living (IADL) and Folstein Mini Mental state examination. Results: During the study period 1,023 subjects, 73% female, aged 74±7 years, were assessed. Thirteen percent were illiterate, 78% elementary school, 8% had high school and 0.2% university education. Eighty eight percent lived with relatives, 79% did not participate in community groups and 7% smoked. The most common chronic disease detected was high blood pressure in 61%, followed by obesity in 32%, osteoarthritis in 22%, diabetes mellitus in 17%, depression in 11%, cardiac diseases in 8%, hypothyroidism in 3% and epilepsy in 1%. ADL score showed partial dependency in 11% and total dependency in 2%. IADL score showed partial dependency in 41% and total dependency in 4%. Mini Mental score was abnormal in 31% of subjects. Conclusions: High blood pressure, osteoarthritis, depression and cognitive impairment are the most common health problems in this sample of elderly subjects. ADL score showed a low rate of dependency (Rev Méd Chile 2003; 131: 895-901)
author	Díaz T,Violeta Díaz T,Inés Rojas C,Graciela Novogrodsky R,David
author_facet	Díaz T,Violeta Díaz T,Inés Rojas C,Graciela Novogrodsky R,David
author_sort	Díaz T,Violeta
title	Evaluación geriátrica en la atención primaria
title_short	Evaluación geriátrica en la atención primaria
title_full	Evaluación geriátrica en la atención primaria
title_fullStr	Evaluación geriátrica en la atención primaria
title_full_unstemmed	Evaluación geriátrica en la atención primaria
title_sort	evaluación geriátrica en la atención primaria
publisher	Sociedad Médica de Santiago
publishDate	2003
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000800009
work_keys_str_mv	AT diaztvioleta evaluaciongeriatricaenlaatencionprimaria AT diaztines evaluaciongeriatricaenlaatencionprimaria AT rojascgraciela evaluaciongeriatricaenlaatencionprimaria AT novogrodskyrdavid evaluaciongeriatricaenlaatencionprimaria
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Evaluación geriátrica en la atención primaria

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