La calidad de vida en ancianos polimedicados con multimorbilidad / Quality of life in the elderly on polymedication and with multiple morbidities

Objetivos. Estimar los valores de las dimensiones de la calidad de vida mediante el cuestionario SF-12 en ancianos polimedicados con multimorbilidad e identificar variables asociadas. Material y métodos. Estudio transversal en una muestra de 393 enfermos elegidos en la población de mayores de 67 años que tomaban más de 5 medicamentos. El SF-12 se cumplimentó mediante entrevista personal en la consulta o en el domicilio del enfermo. Se calcularon medidas de tendencia central, dispersión y percentiles de las 8 dimensiones y de los componentes sumario físico y mental (CSF y CSM). Todos los enfermos por debajo del percentil 25 de los CSF y CSM fueron clasificados como enfermos con deterioro; mediante la regresión logística se determinaron qué variables se asocian con el deterioro de la calidad de vida. Resultados. Es una población con alta morbilidad. Los sujetos refieren puntuaciones muy bajas en las escalas salud general −media (DE): 25,7 (17,4)−; función física −32,6 (32,1)−; y CSF −37,8 (25,1)−. Las mujeres tienen en todas la escalas peor calidad de vida que los hombres. El sexo femenino, tener más 80 años, caídas frecuentes, dolor crónico, enfermedad cancerosa y depresión son las condiciones asociadas al deterioro de la calidad de vida relacionada con la salud (CVRS). Conclusión. Esta población tiene una mala CVRS sobre todo en las dimensiones físicas. El dolor crónico y la depresión junto con la edad y el sexo femenino son variables determinantes del deterioro de la CVRS (AU)

Objectives. To estimate the values of the quality of life dimensions using the SF-12 questionnaire in the elderly on polymedication and with multiple morbidities, and identify the variables associated with it. Material and methods. A cross-sectional study on a sample of 393 patients selected from the elderly population over 67 years and who took more than 5 drugs. The SF-12 was complemented by a personal interview in the clinic or in the home of the patient. Central tendency, dispersion, and the percentiles of the 8 dimensions were calculated, as well as the SF-36 physical and mental component summary measures (PCS and MCS). All patients below the 25th percentile of the PCS and MCS were classified as patients with a deterioration. Logistic regression was used to determine the variables that were associated with the deterioration in the quality of life. Results. It is a population with high morbidity. The subjects showed very low scores on the general health scales −mean (SD): 25.7 (17.4)−; physical function −32.6 (32.1)−; and PCS: [(37.8 (25.1)]. Women had a worse quality of life than men in all the scales. Female sex, being over 80 years, frequent falls, chronic pain, cancerous disease, and depression, are variables that determine the health-related quality of life (HR-QoL). Conclusion. This population has a poor HR-QoL, particularly in the physical dimensions. Chronic pain and depression, together with age and being female are variables that determine the deterioration in the HR-Q (AU)

[Quality of life in the elderly on polymedication and with multiple morbidities]. / La calidad de vida en ancianos polimedicados con multimorbilidad.

OBJECTIVES: To estimate the values of the quality of life dimensions using the SF-12 questionnaire in the elderly on polymedication and with multiple morbidities, and identify the variables associated with it. MATERIAL AND METHODS: A cross-sectional study on a sample of 393 patients selected from the elderly population over 67 years and who took more than 5 drugs. The SF-12 was complemented by a personal interview in the clinic or in the home of the patient. Central tendency, dispersion, and the percentiles of the 8 dimensions were calculated, as well as the SF-36 physical and mental component summary measures (PCS and MCS). All patients below the 25th percentile of the PCS and MCS were classified as patients with a deterioration. Logistic regression was used to determine the variables that were associated with the deterioration in the quality of life. RESULTS: It is a population with high morbidity. The subjects showed very low scores on the general health scales--mean (SD): 25.7 (17.4)-; physical function -32.6 (32.1)-; and PCS: [(37.8 (25.1)]. Women had a worse quality of life than men in all the scales. Female sex, being over 80 years, frequent falls, chronic pain, cancerous disease, and depression, are variables that determine the health-related quality of life (HR-QoL). CONCLUSION: This population has a poor HR-QoL, particularly in the physical dimensions. Chronic pain and depression, together with age and being female are variables that determine the deterioration in the HR-QoL.