ABSTRACT
Resumen Antecedentes: La fragilidad se ha relacionado con desenlaces adversos, pero aún es escasa la evidencia sobre su asociación con el uso de servicios de salud. Objetivo: Evidenciar la asociación de la fragilidad con el uso de servicios de salud en adultos mexicanos mayores de 60 años. Material y métodos: Análisis del Estudio Nacional sobre Salud y Envejecimiento en México para 2015 (basal) y 2018 (seguimiento). La fragilidad se definió con el índice de fragilidad. Fueron incluidos los siguientes desenlaces: hospitalización, visitas médicas, cirugía mayor, procedimientos quirúrgicos menores y visitas al dentista. Se utilizaron modelos de riesgos competitivos y de número de eventos (regresión negativa binomial). Resultados: Se incluyeron 8526 individuos, cuya edad promedio fue de 70.8 %; 55.8 % correspondió al sexo femenino. De acuerdo con los resultados, los días de hospitalización y el número de procedimientos menores se asociaron a fragilidad. Conclusiones: La fragilidad podría ser un parámetro útil en la planeación de los servicios de salud para los adultos mayores. Por otro lado, su evaluación permitiría priorizar la atención a quienes presenten mayor riesgo de desenlaces adversos.
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.
ABSTRACT
In recent years,great effort has been made in the promotion of healthy aging in China.The core indicator of a country's healthy aging is the level of body health,mental health,social adaptation and quality of life (QOL) of the elderly.This paper summarizes the concept and the progress in the research of healthy ageing and the leading role of geriatric epidemiology.Articles on column "Pay attention to function and health of elderly" analyze the basic conditions affecting the QOL of the elderly,such as disability,comorbidity and Alzheimer disease prevalence,in the elderly in China and related risk factors to describe the severity of different health problems affecting the QOL of the elderly in different areas of China and provide essential data for developing effective health approaches and conducting targeted intervention foe healthy aging.
ABSTRACT
In recent years,great effort has been made in the promotion of healthy aging in China.The core indicator of a country's healthy aging is the level of body health,mental health,social adaptation and quality of life (QOL) of the elderly.This paper summarizes the concept and the progress in the research of healthy ageing and the leading role of geriatric epidemiology.Articles on column "Pay attention to function and health of elderly" analyze the basic conditions affecting the QOL of the elderly,such as disability,comorbidity and Alzheimer disease prevalence,in the elderly in China and related risk factors to describe the severity of different health problems affecting the QOL of the elderly in different areas of China and provide essential data for developing effective health approaches and conducting targeted intervention foe healthy aging.