ABSTRACT
La fragiIidad es un término comúnmente usadopor los geriatras pero no hay un consenso sobresu definición y su forma de medirla. El artículoenfatiza en la fragilidad como estado devulnerabilidad y punto nodal sobre el que debenenfocarse las acciones de la práctica geriátricaactual. Se hace una revisión sobre sus distintasdefiniciones, su prevalencia, los marcadores defragilidad y los instrumentos que se proponenpara medir el estado frágil
Frailty is a common term used by geriatriciansbut there is no consensus on its definition and itsways to measure. This article emphasizes onfrailty as a state of vulnerability and a nodal pointto focus the actions of the current geriatric practice.The author reviews the many definitions offrailty, its prevalence, the frailty markers and theindexes proposed to measure this state
Subject(s)
Aged , Aged, 80 and over , Humans , Frail Elderly , Health Services for the Aged , Surveys and QuestionnairesABSTRACT
Los pacientes geriátricos, con sus patrones característicos de morbilidad, son más propensos a padecer procesos subsidiarios de cuidados terminales. La frecuente aparición de los grandes síndromes geriátricos (inmovilidad, caídas, incontinencia y deterioro mental) entre la población anciana general nos hizo considerar la forma de presentación, factores de riesgo, causas, consecuencias y manejo de estos síndromes en el paciente anciano terminal. En el artículo se insiste en el cumplimiento del axioma: cuidar más que curar(AU)
Subject(s)
Humans , Aged , Aged , Terminally Ill , Terminal Care , Palliative Care , GeriatricsABSTRACT
Los cuidados terminales van ganando terreno en la práctica médica actual y se extienden desde la definición de enfermo terminal hasta más allá de su muerte. En el artículo se esclarecen los términos y se brinda un marco teórico basal sobre Ios cuidados a pacientes terminales de la población geriátrica, enfatizando en aspectos como la muerte con dignidad, el control de síntomas, el lugar de la muerte y la presentación de los grandes síndromes geriátricos en el paciente anciano terminal (AU)
Subject(s)
Aged , Humans , Terminal Care/methods , Terminally Ill , Health Services for the Aged , Right to DieABSTRACT
OBJECTIVE: To find the value of different risk markers (RM) used for the development of cerebrovascular disease (CVD) in the relatively short term. MATERIAL AND METHODS: We carried out a longitudinal or cohort study in a sample of the population of Cienfuegos as part of the second series of measurements of the Global Project of Cienfuegos (GPC). We followed up 1,369 adults aged 15 years and over (619 men and 750 women: 1,294 alive and 75 posthumously) between January 1992 and February 1994. They formed an equiprobable randomized sample, stratified in groups of age and sex. Persons diagnosed as having CVD in the initial evaluation of the GPC were excluded. Thus the series of CVD for the study of RM was made up of 1,330 individuals requiring a medical interview and 14 new cases. The Odds Ratio (OR) of having CVD was estimated for the different RM studied: Age, sex, colour of skin, smoking, alcoholism, sedentary life, arterial hypertension and the combination of smoking and arterial hypertension. RESULTS: The OR corresponding to age rose to 2.89, which is statistically significant as RM for CVD. The OR of the other RM markers was not found to be statistically significant. CONCLUSIONS: Age, in the comparatively short term--slightly over two years--is the main RM markedly predisposing to the appearance of CVD.
Subject(s)
Cerebrovascular Disorders/diagnosis , Adolescent , Adult , Female , Humans , Longitudinal Studies , Male , Middle Aged , Retrospective Studies , Risk Factors , Surveys and QuestionnairesABSTRACT
INTRODUCTION AND OBJECTIVE: A prospective study was carried out in order to determine the behaviour of the arterial blood pressure in patients with cerebrovascular disease admitted to our hospital. In this study, 365 case histories were reviewed. MATERIAL AND METHODS: There was a higher percentage of previous clinical histories of hypertension, diastolic hypertension, systolic hypertension on admission and labile arterial pressure in patients with hemorrhagic disease. RESULTS: Arterial pressure at the time of admission was higher in those patients who had a previous history of hypertension, had a haemorrhagic episode or in those who died. In patients with a past history of hypertension there were higher incidences of hypertension on admission, labile hypertension and death. CONCLUSION: It is concluded that changes in arterial blood pressure are frequent in patients with cerebrovascular disease, particularly haemorrhagic disease. This would seem to have a direct effect on the neurological course.
