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Relación entre el riesgo de caídas y deterioro cognitivo en adultos mayores atendidos en el Centro Médico Naval "Cirujano Mayor Santiago Távara" 2010-2015* / Relationship between the risk of falls and cognitive impairment in elderly subjects at the Cirujano Mayor Santiago Tavara Peruvian Navy Medical Center, 2010-2015
Béjar A, Cecilia; Runzer-Colmenares, Fernando M; Parodi, José F.
  • Béjar A, Cecilia; Universidad Científica del Sur. Lima. PE
  • Runzer-Colmenares, Fernando M; Universidad Científica del Sur. Lima. PE
  • Parodi, José F; Universidad de San Martín de Porres. Facultad de Medicina Humana. Centro de Investigación del Envejecimiento. Lima. PE
Acta méd. peru ; 36(2): 110-115, abr.-jun. 2019. tab
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1054738
RESUMEN

Objetivo:

Determinar la relación entre el riesgo de caídas y deterioro cognitivo en adultos mayores del Centro Médico Naval "Cirujano Mayor Santiago Távara" 2010-2015. Materiales y

métodos:

Fue un estudio observacional, analítico, retrospectivo, que consistió en el análisis secundario de una base de datos. Se evaluó el riesgo de caídas mediante los resultados de la prueba de alcance funcional (AF), mientras que para determinar el deterioro cognitivo se utilizó el cuestionario de Pfeiffer. Adicionalmente, se estudiaron factores socio-demográficos como la edad, sexo, nivel educativo; y clínicos como la presencia de comorbilidades, polifarmacia o antecedentes de caídas.

Resultados:

La muestra estuvo conformada por 1786 adultos mayores. El 45,1% tenían entre 71 y 80 años, de sexo masculino (58,9%), con nivel educativo técnico/superior (70,9%), tenían 2 o más comorbilidades (48,9%). Se encontró asociación estadística (p<0,05) entre AF alterado y la edad, el nivel educativo, la presencia de comorbilidades, y el deterioro cognitivo. Al realizar el modelo multivariado, se encontró que el deterioro cognitivo se asoció al riesgo de caídas con un PR ajustado de 3,05 (IC 95% 2,45-3,79).

Conclusión:

Se encontró que el deterioro cognitivo estuvo asociado a un riesgo tres veces mayor de caídas en adultos mayores del Centro Médico Naval "Cirujano Mayor Santiago Távara" durante los años 2010-2015.
ABSTRACT

Objective:

To determine the relationship between the risk of falls and cognitive impairment in elderly subjects at Cirujano Mayor Santiago Tavara Peruvian Navy Medical Center for the 2010-2015 period. Materials and

Methods:

This is a retrospective observational and analytical study, which consisted in a secondary analysis of a database. The risk of falls was assessed using the results of the functional scope test (FS), while cognitive impairment was assessed with the Pfeiffer score. Additionally, socio-demographic factors, such as age, sex, and educational level were studied; also, clinical factors, such as comorbidities, polypharmacy or previous falls were assessed.

Results:

Nearly eighteen hundred (1786) elderly subjects were included. Nearly half of all subjects (45.1%) were between 71 and 80 years old; most of them were male (58.9%); and the majority had technical/higher education level (70.9%). Nearly half of all subjects (48.9%) had 2 or more comorbidities. A statistical association (p<0.05) was found between an altered FS and age, educational level, presence of comorbidities, and cognitive impairment. The multivariate analysis showed that cognitive impairment was associated with a high risk of falls (adjusted PR 3.05; 95% CI 2.45-3.79).

Conclusion:

It was found that cognitive impairment was associated with a threefold risk of falls in elderly subjects from Cirujano Mayor Santiago Tavara Peruvian Navy Medical Center during 2010-2015.

Full text: Available Index: LILACS (Americas) Type of study: Etiology study / Observational study / Prognostic study / Risk factors Language: Spanish Journal: Acta méd. peru Journal subject: Medicine Year: 2019 Type: Article Affiliation country: Peru Institution/Affiliation country: Universidad Científica del Sur/PE / Universidad de San Martín de Porres/PE

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Full text: Available Index: LILACS (Americas) Type of study: Etiology study / Observational study / Prognostic study / Risk factors Language: Spanish Journal: Acta méd. peru Journal subject: Medicine Year: 2019 Type: Article Affiliation country: Peru Institution/Affiliation country: Universidad Científica del Sur/PE / Universidad de San Martín de Porres/PE