scholarly journals Description of frail older people profiles according to four screening tools applied in primary care settings: a cross sectional analysis

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Itziar Vergara ◽  
Maider Mateo-Abad ◽  
María Carmen Saucedo-Figueredo ◽  
Mónica Machón ◽  
Alonso Montiel-Luque ◽  
...  
Keyword(s):  
Primary Care ◽  
Multiple Correspondence Analysis ◽  
Clinical Care ◽  
Community Dwelling ◽  
Screening Tools ◽  
Timed Up And Go ◽  
Cross Sectional ◽  
Cross Sectional Analysis ◽  
Primary Care Settings ◽  
Sectional Analysis

Abstract Background Regarding the health care of older populations, WHO recommends shifting from disease-driven attention models towards a personalized, integrated and continuous care aimed to the maintenance and enhancement of functional capacities. Impairments in the construct of functional intrinsic capacity have been understood as the condition of frailty or vulnerability. No consensus has been yet reached regarding which tools are the most suitable for screening this kind of patients in primary care settings. Tools based on the measurement of functional performance such as Timed up and go test (TUG), Short Physical Performance battery (SPPB), self-completed questionnaires like Tilburg Frailty Indicator (TFI) and clinical judgement, as the Gerontopole Frailty Scale (GFS) may be adequate. The objective of this work is to describe and compare characteristics of community-dwelling individuals identified as vulnerable or frail by four tools applied in primary care settings. Methods Cross sectional analysis developed in primary care services in two regions of Spain. Community-dwelling independent individuals aged 70 or more willing to participate were recruited and data was collected via face-to-face interviews. Frailty was assessed by TUG, SPPB, TFI and GFST. Also socio-demographic characteristics, lifestyle habits and health status data (comorbidities, polypharmacy, self-perceived health), were collected. Multiple correspondence analysis (MCA) and cluster analysis were used to identify groups of individuals with similar characteristics. Results Eight hundred sixty-five individuals were recruited, 53% women, with a mean age of 78 years. Four clusters of participants emerge. Cluster 1 (N = 263) contained patients categorized as robust by most of the studied tools, whereas clusters 2 (N = 199), 3 (N = 183) and 4 (N = 220) grouped patients classified as frail or vulnerable by at least one of the tools. Significant differences were found between clusters. Conclusions The assessed tools identify different profiles of patients according to their theoretical construct of frailty. There is a group of patients that are identified by TUG and SPPB but not by GFS or TFI. These tools may be useful in primary care settings for the implementation of a function- driven clinical care of older patients.

The Toronto concussion study: a cross-sectional analysis of balance deficits following acute concussion in community-dwelling adults

Brain Injury ◽  
2021 ◽  
pp. 1-9
Author(s):  
Michelle Sweeny ◽  
Olinda Habib Perez ◽  
Elizabeth L. Inness ◽  
Cynthia Danells ◽  
Tharshini Chandra ◽  
...  
Keyword(s):  
Community Dwelling ◽  
Cross Sectional ◽  
Cross Sectional Analysis ◽  
Balance Deficits ◽  
Sectional Analysis

scholarly journals Eating alone at each meal and associated health status by cohabitation situation among Japanese community-dwelling elderly: a cross-sectional analysis of the KAGUYA study

2020 ◽  
Author(s):  
Osamu Kushida ◽  
Jong-Seong Moon ◽  
Daisuke Matsumoto ◽  
Naomi Yamasaki ◽  
Katsuhiko Takatori
Keyword(s):  
Health Status ◽  
Functional Capacity ◽  
Health Status Indicators ◽  
Subjective Health ◽  
Community Dwelling ◽  
Care Needs ◽  
Cross Sectional ◽  
Cross Sectional Analysis ◽  
History Of ◽  
Sectional Analysis

Abstract Background: This study investigated the association between eating alone at each meal and health status including functional capacity according to cohabitation situation among Japanese community-dwelling elderly.Methods: This was a cross-sectional analysis of baseline data from the Keeping Active across Generations Uniting the Youth and the Aged (KAGUYA) study in Japan. A self-administered questionnaire was mailed to all 8004 residents aged 65 or older residing in the same Japanese town the participants in March 2016. Eating alone was assessed by first asking whether participants ate three separate meals each day (i.e., breakfast, lunch, and dinner), and those who answered affirmatively were then asked how many people were usually present at each meal. Health status was assessed in terms of subjective health, medical history, care needs, body mass index, depression, and functional capacity.Results: Data from 3057 respondents were analyzed. Among those living with others, those who reported not being in good subjective health and a history of hypertension were significantly more likely to eat alone at breakfast (odds ratio 1.27; 95% confidence interval 1.01–1.61, and 1.26; 1.06–1.49). Depressive symptoms and many subscales of functional capacity were also significantly associated with eating alone at breakfast, lunch, and dinner (P < 0.05). Among those living alone, those eating alone at breakfast had lower scores for indicators of functional capacity including information practice (P = 0.010) and total scores (P = 0.049).Conclusions: For both cohabitation situations, many health status indicators were related to eating alone at each meal, especially breakfast.

scholarly journals Acne in primary care: A cross-sectional analysis

2019 ◽  
Vol 48 (11) ◽  
pp. 781-788
Author(s):  
Hilary Brown ◽  
Amanda Tapley ◽  
Mieke L van Driel ◽  
Andrew R Davey ◽  
Elizabeth Holliday ◽  
...  
Keyword(s):  
Primary Care ◽  
Cross Sectional ◽  
Cross Sectional Analysis ◽  
Sectional Analysis

scholarly journals Deprivation and primary care funding in Greater Manchester after devolution: a cross-sectional analysis

2019 ◽  
Vol 69 (688) ◽  
pp. e794-e800
Author(s):  
Jessica A Lee ◽  
Rachel Meacock ◽  
Evangelos Kontopantelis ◽  
James Matheson ◽  
Matthew Gittins
Keyword(s):  
Primary Care ◽  
Health Inequities ◽  
Care Quality ◽  
Area Deprivation ◽  
Cross Sectional ◽  
Practice Location ◽  
Cross Sectional Analysis ◽  
Health And Social Care ◽  
Sectional Analysis ◽  
Quality Measurements

BackgroundIn April 2016 Greater Manchester gained control of its health and social care budget, a devolution that aimed to reduce health inequities both within Greater Manchester and between Greater Manchester and the rest of the country.AimTo describe the relationship between practice location deprivation and primary care funding and care quality measurements in the first year of Greater Manchester devolution (2016/2017).Design and settingCross-sectional analysis of 472 general practices in Greater Manchester in England.MethodFinancial data for each general practice were linked to the area deprivation of the practice location, as measured by the 2015 Index of Multiple Deprivation. Practices were categorised into five quintiles relative to national deprivation. NHS Payments data and indicators of care quality were compared across social deprivation quintiles.ResultsPractices in areas of greater deprivation did not receive additional funding per registered patient. Practices in less deprived quintiles received higher National Enhanced Services payments from NHS England than practices in the most deprived quintile. A trend was observed towards funding to more deprived practices being supported by Local Enhanced Service payments from clinical commissioning groups, but these represent a small proportion of overall practice income. Practices in less deprived areas had better care quality measurements according to Quality and Outcomes Framework achievement and Care Quality Commission ratings.ConclusionFollowing devolution, primary care practices in Greater Manchester are still reliant on funding from national funding schemes, which poorly reflect its deprivation. The devolved administration’s ability to address health inequities at the primary care level seems uncertain.

scholarly journals Association of pain with HbA1cin a predominantly black population of community-dwelling adults with diabetes: a cross-sectional analysis

2013 ◽  
Vol 30 (12) ◽  
pp. 1466-1471 ◽  
Author(s):  
M. S. Herbert ◽  
A. L. Varley ◽  
S. J. Andreae ◽  
B. R. Goodin ◽  
L. A. Bradley ◽  
...  
Keyword(s):  
Black Population ◽  
Community Dwelling ◽  
Predominantly Black ◽  
Cross Sectional ◽  
Cross Sectional Analysis ◽  
Sectional Analysis

scholarly journals Task-Specific Fatigue Among Older Primary Care Patients

2016 ◽  
Vol 29 (2) ◽  
pp. 310-323
Author(s):  
Perrin E. Romine ◽  
Dan K. Kiely ◽  
Nicole Holt ◽  
Sanja Percac-Lima ◽  
Suzanne Leveille ◽  
...  
Keyword(s):  
Primary Care ◽  
Task Performance ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Performance Tasks ◽  
Test Items ◽  
Primary Care Patients ◽  
Chair Rise ◽  
Sectional Analysis ◽  
Climbing Stairs

Objective: Fatigue is a common condition contributing to disability among older patients. We studied self-reported task-specific fatigue and its relation with mobility task performance among community-dwelling primary care patients. Method: Cross-sectional analysis of baseline demographic and health data from a prospective cohort study of 430 primary care patients aged 65 years or older. Fatigue was measured using the Avlund Mobility–Tiredness Scale. Performance tasks included rising from a chair, walking 4 m, and climbing two flights of stairs. Results: Among demographic and health factors, pain was the only attribute consistently predictive of fatigue status. Self-reported chair rise fatigue and walking fatigue were associated with specific task performance. Stair climb fatigue was not associated with stair climb time. Discussion: Pain is strongly associated with fatigue while rising from a chair, walking indoors, and climbing stairs. This study supports the validity of self-reported chair rise fatigue and walking fatigue as individual test items.

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