A total of 174 patients (37.75%) had cognitive impairment. This group was older, with more functional impairment, and worse sociofamiliar support. One-year mortality was 6.1%, and was correlated with CV and older age.
Clinical, functional, mental and sociofamiliar features in pluripathological patients. One-year prospective study in Primary Health Care
 
  Key words
 
 
  
   pluripathological patient
  
 
 
  
   comorbidity
  
 
 
  
   multimorbidity
  
 
 
  
   frailty
  
 
 
  
   elderly patients
  
 
Objectives
To analyze clinical, functional, mental, sociofamiliar, and evolutional characteristics of pluripathological patients (PP) in Primary Health Care setting.
Patients and method
Prospective, multiinstitutional cohort study in four Primary Health Care Institutions by active identification of PP from a computerized registry using the Spanish Andalusian Health Care Council criteria.
A clinical interview was proposed to all identified patients.
The clinical data, Barthel index (BI), Pfeiffer scale, clinical vulnerability (CV), sociofamiliar features by the Gijon scale, and 1-year admissions and mortality were analyzed.
An univariant and multivariant analysis was performed in order to know the risk factors associated to previously described variables.
Results
Overall, 806 PP were detected (1.38% of the population).
Cardiovascular categories were the most prevalent.
A total of 662 patients (69%) were eligible for the interview.
Median BI was 90 (0-100), and 24% of patients had <dis>severe functional impairment</dis> (BI < 60).
Twenty-nine percent of them had been admitted to hospital at least once in the last 3 months.
Patients with more <dis>functional impairment</dis> and CV were older, having more defining categories, especially E category.
A total of 174 patients (37.75%) had <dis>cognitive impairment</dis>.
This group was older, with more <dis>functional impairment</dis>, and worse sociofamiliar support.
One-year mortality was 6.1%, and was correlated with CV and older age.
Conclusions
The definition of PP used selects in the Primary Care setting a population with a high level of multidimensional frailty having a high prevalence of <dis>functional, cognitive deterioration</dis>, sociofamiliar problems, CV and consumption of health care resources.
Due to this multidimensional deterioration, it is recommendable to make an integral evaluation in the health care practice of these patients.
Objectives
To analyze clinical, functional, mental, sociofamiliar, and evolutional characteristics of pluripathological patients (PP) in Primary Health Care setting.
Patients and method
Prospective, multiinstitutional cohort study in four Primary Health Care Institutions by active identification of PP from a computerized registry using the Spanish Andalusian Health Care Council criteria.
A clinical interview was proposed to all identified patients.
The clinical data, Barthel index (BI), Pfeiffer scale, clinical vulnerability (CV), sociofamiliar features by the Gijon scale, and 1-year admissions and mortality were analyzed.
An univariant and multivariant analysis was performed in order to know the risk factors associated to previously described variables.
Results
Overall, 806 PP were detected (1.38% of the population).
Cardiovascular categories were the most prevalent.
A total of 662 patients (69%) were eligible for the interview.
Median BI was 90 (0-100), and 24% of patients had severe functional impairment (BI < 60).
Twenty-nine percent of them had been admitted to hospital at least once in the last 3 months.
Patients with more functional impairment and CV were older, having more defining categories, especially E category.
A total of 174 patients (37.75%) had cognitive impairment.
This group was older, with more functional impairment, and worse sociofamiliar support.
One-year mortality was 6.1%, and was correlated with CV and older age.
Conclusions
The definition of PP used selects in the Primary Care setting a population with a high level of multidimensional frailty having a high prevalence of functional, cognitive deterioration, sociofamiliar problems, CV and consumption of health care resources.
Due to this multidimensional deterioration, it is recommendable to make an integral evaluation in the health care practice of these patients.
A total of 174 patients (37.75%) had <dis>cognitive impairment</dis>. This group was older, with more <dis>functional impairment</dis>, and worse sociofamiliar support. One-year mortality was 6.1%, and was correlated with CV and older age.
cognitive impairment
DISABILITY
functional impairment
DISABILITY