Resultados al aplicar el sistema de clasificación de pacientes RUG-T18 en ancianos ingresados a un hospital universitario / Application of RUG-T18 classification to elderly patients admitted to an university hospital

Background: Among case mix classifications, the best for hospitalized elders is the Resource Utilization Groups (RUG) system, which allows a better location of patients, resource administration and the design of health care strategies for elderly people. Aim: To report the results of RUG-T18 classification of elderly patients admitted to an university hospital. Patients and methods: RUG-T18 classification was applied to 210 patients aged 75.2 ñ 7.2 years old, 108 male, admitted to the Clinical Hospital of the Catholic University of Chile. Results: The clinical classification of assessed patients was rehabilitation in 50.9 per cent of cases, special care in 10.5 per cent, clinically complex in 37.1 per cent and reduced physical functions in 0.5 per cent. None had behavioral alterations. There were no differences between subjects older or younger than 75 years old. Daily life activities showed that help was required for sphincter control in 46 per cent of patients, for feeding in 44 per cent and for mobilization in 64 per cent (28 per cent of patients required help from two or more people). Geriatric assessment showed that, since 1993, the proportion of elders with greater functional derangement increased from 18 to 28 per cent, and the proportion of those with mental disturbances from 4 to 12 per cent, specially among those over 75 years old. Conclusions: Most elders admitted to the hospital are classified in the superior categories of the RUG-T18 system and have severe mental and functional limitations. These patients require a multidisciplinary approach with a great emphasis in rehabilitation

Evaluación geriátrica de adultos mayores en un hospital universitario / Geriatric assessment of elders at a university hospital

The aim of this work was to evaluate general aspects, medical diagnoses, degree of disability, mental status and social support of hospitalized elders, using a Geriatric Assessment Scale, devised at the Catholic University. Ninety eight hospitalized subjects (58 female, aged 60 to 74 years old) were surveyed before discharge. Results showed that 34 percent had serious handicaps in their daily living and required third party help, 14 percent had moderated cognitive impairment and that 12 percent lacked social of family support. We conclude that the scale is useful, easy to use and allows to obtain a thorough diagnosis of hospitalized elders

Relación entre el nivel socioeconómico y la edad de la menopausia / Relation between socieconomic level and the age of menopause

En un trabajo previo describimos que la Edad de Menopausia (EM) en pacientes del SSMS era de 47 años. Con el objeto de aclarar si esta baja EM pudiera estar asociada a su bajo nivel socioeconómico se entrevistó a 178 mujeres de un nivel económicamente superior, ("Damas de Rojo") y se las comparó con las beneficiarias del SSMS. La edad promedio, al momento de la encuesta, fue similar en ambos grupos: 55,6 años en las mujeres de nivel socioeconómico más alto y 54.9 años en las beneficiarias (NS). Al analizar las mujeres con menopausia natural se observó que la EM, normalizada con logit-lof, era más temprana en las beneficiarias (47.0 ñ 4.4 Vs 48.8 ñ 5.1 años, p < 0.002). La edad de menarquia en ellas fue menor (12.7 ñ 2.1) Vs 13.6 ñ 1.1 años, p < 01.001). Sobrepeso u obesidad se encontró en 47.1% y 22.8% respectivamente (p < 0.001). Encontramos, por lo tanto, que la menopausia se presenta casi 2 años antes en los estratos socioeconómicos más modesto