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Profiles of Frailty among Older People Users of a Home-Based Primary Care Service in an Urban Area of Barcelona (Spain): An Observational Study and Cluster Analysis

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Profiles of Frailty among Older People Users of a Home-Based Primary Care Service in an Urban Area of Barcelona (Spain): An Observational Study and Cluster Analysis

dc.contributor.author	Zamora-Sánchez, Juan José
dc.contributor.author	Zabaleta-del-Olmo, Edurne
dc.contributor.author	Fernández-Bertolín, Sergio
dc.contributor.author	Gea Caballero, Vicente
dc.contributor.author	Julián Rochina, Iván
dc.contributor.author	Pérez Tortajada, Gemma
dc.contributor.author	Amblàs-Novellas, Jordi
dc.date.accessioned	2021-10-14T11:21:49Z
dc.date.available	2021-10-14T11:21:49Z
dc.date.issued	2021
dc.identifier.citation	Zamora-Sánchez, Juan José Zabaleta-del-Olmo, Edurne Fernández-Bertolín, Sergio Gea Caballero, Vicente Julián Rochina, Iván Pérez Tortajada, Gemma Amblàs-Novellas, Jordi 2021 Profiles of Frailty among Older People Users of a Home-Based Primary Care Service in an Urban Area of Barcelona (Spain): An Observational Study and Cluster Analysis Journal Of Clinical Medicine 10 10
dc.identifier.uri	https://hdl.handle.net/10550/80467
dc.description.abstract	Background: The multidimensional assessment of frailty allows stratifying it into degrees; however, there is still heterogeneity in the characteristics of people in each stratum. The aim of this study was to identify frailty profiles of older people users of a home-based primary care service. Methods: We carried out an observational study from January 2018 to January 2021. Participants were all people cared for a home-based primary care service. We performed a cluster analysis by applying a k-means clustering technique. Cluster labeling was determined with the 22 variables of the Frail-VIG index, age, and sex. We computed multiple indexes to assess the optimal number of clusters, and this was selected based on a clinical assessment of the best options. Results: Four hundred and twelve participants were clustered into six profiles. Three of these profiles corresponded to a moderate frailty degree, two to a severe frailty degree and one to a mild frailty degree. In addition, almost 75% of the participants were clustered into three profiles which corresponded to mild and moderate degree of frailty. Conclusions: Different profiles were found within the same degree of frailty. Knowledge of these profiles can be useful in developing strategies tailored to these differentiated care needs.
dc.language.iso	eng
dc.relation.ispartof	Journal Of Clinical Medicine, 2021, vol. 10, num. 10
dc.subject	Atenció primària
dc.title	Profiles of Frailty among Older People Users of a Home-Based Primary Care Service in an Urban Area of Barcelona (Spain): An Observational Study and Cluster Analysis
dc.type	journal article	es_ES
dc.date.updated	2021-10-14T11:21:50Z
dc.identifier.doi	10.3390/jcm10102106
dc.identifier.idgrec	148029
dc.rights.accessRights	open access	es_ES