Prevalence and detection of frailty syndrome in the elderly at Hospital General de México "Dr. Eduardo Liceaga"

Abstract Background: Frailty syndrome is a state of greater vulnerability manifesting with functional impairment, dependence, and mortality. For its study, it has been used the Fried model. The prevalence found in the same hospital in studies of 1998 and 2015 was 16.5% and 31.2%. We propose to determine the current prevalence using the model proposed by Fried. Materials and methods: A descriptive, cross-sectional, and retrospective study was performed in the Hospital General de México, with 109 participants above 70 years old. Demographic, antrophometric, comorbidities, and functionality data were obtained. Modified Fried criteria were used for classification. The index of Katz and Lawton and Brody was used to assess the basic and instrumental activities of daily living. For statistical analysis, the software SPSS-24 was used. Results: The mean age was 80 years and standard deviation ± 5.63, 74.1% (83 patients) were female. Comorbidities were registered in 86.6%. About 92% obtained Katz A classification, 5.3% Katz B, and 1.7% Katz C. In the Lawton and Brody index, 86.6% were found to be independent. About 14.3% were classified as non-frail, 50% as pre-frail, and 35.7% as frailty. Conclusions: We determined a prevalence of 35.7%, being 28% greater than the one reported by Fried et al., and 20% and 6% greater than the reported in the studies of 1998 and 2015 in the same hospital. Given that it is possible to recover from fragile to pre-frail, this knowledge will serve to design strategies for the benefit of the patients.

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Bibliographic Details
Main Authors: García-Delgado,Alejandro J., Zapata-Altamirano,Leonor E., Andrade-Montoya,Iván A., Aco-Flores,Aramara Y., López-Retamoza,Ana K., Velásquez Sarria,Alejandro
Format: Digital revista
Language:English
Published: Sociedad Médica del Hospital General de México A.C. 2020
Online Access:http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2524-177X2020000200059
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