Instrumentos para medir la capacidad funcional intrínseca y la fragilidad de personas mayores en la Atención Primaria en Chile

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dc.contributor.authorCornejo, Marco
dc.contributor.authorDelgado, Iris
dc.contributor.authorMolina, Xaviera
dc.contributor.authorMasferrer, Dominique
dc.date.accessioned2023-03-23T16:21:52Z
dc.date.available2023-03-23T16:21:52Z
dc.date.issued2022
dc.description.abstractBackground: The evaluation of functional capacity and the presence of frailty is an essential prognostic indicator in older people. Aim: To explore the instruments used to characterize the intrinsic functional capacity (CFI) and frailty in elderly people cared at Primary Health Care Centers (PHC) in Chile. Material and Methods: A narrative review of national and international scientific literature was carried out, including observational studies published in Pubmed (since 2015) and Scielo (since 2010) about tools to assess CFI or frailty. Studies in English or Spanish carried out in Chilean beneficiaries of PHC aged 60 years and over, were included. Results: After the first search, 110 articles were selected in Pubmed and 86 in Scielo. According to the relevance of the title and abstract, 36 articles were preliminarily screened, of which 25 were selected for full reading, 12 of which were finally included in this review. In Chile, the main instrument used to assess CFI is the Functional Examination of the Elderly (EFAM). There are few national studies to assess frailty and the instruments used are mainly based on the Fried criteria and the FTI (Frailty Tilburg Indicator). The reviewed studies suggest improving the coverage and reconsidering the predictive capacity of the measurements used for the assessment of CFI and frailty in older people, suggesting the incorporation of handgrip strength as a predictor of frailty. Conclusions: The main instruments to assess CFI and frailty in older people cared in PHC in Chile are the EFAM, and the Fried and FTI criteria, respectively.
dc.description.versionVersión publicada
dc.identifier.citationCornejo-Ovalle, Marco, Delgado-Becerra, Iris, Molina, Xaviera, & Masferrer, Dominique. (2022). Instrumentos para medir la capacidad funcional intrínseca y la fragilidad de personas mayores en la Atención Primaria en Chile. Revista médica de Chile, 150(7), 930-943. https://dx.doi.org/10.4067/s0034-98872022000700930
dc.identifier.doihttps://doi.org/10.4067/s0034-98872022000700930
dc.identifier.urihttps://repositorio.udd.cl/handle/11447/7142
dc.language.isoes
dc.subjectFrailty
dc.subjectHealth Services for the Aged
dc.subjectPrimary Health Care
dc.subjectPublic Health
dc.titleInstrumentos para medir la capacidad funcional intrínseca y la fragilidad de personas mayores en la Atención Primaria en Chile
dc.title.alternativeInstruments to assess functional capacity and the presence of frailty in older people
dc.typeArticle
dcterms.accessRightsAcceso abierto
dcterms.sourceRevista médica de Chile

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