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
[Zamora-Sánchez JJ] Atenció Primària Barcelona Ciutat, Gerència Territorial de Barcelona, Institut Català de la Salut, Generalitat de Catalunya, Barcelona, Spain. School of Nursing, Universitat de Barcelona, Barcelona, Spain. [Zabaleta-del-Olmo E] Atenció Primària Barcelona Ciutat, Gerència Territorial de Barcelona, Institut Català de la Salut, Generalitat de Catalunya, Barcelona, Spain. Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra , Spain. Nursing Department, Faculty of Nursing, Universitat de Girona, Girona, Spain. [Fernández-Bertolín] Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra , Spain. [Gea-Caballero V] Escuela de Enfermería La Fe, Valencia, Spain. Grupo de investigación GREIACC, Instituto de Investigación Sanitaria La Fe, Valencia, Spain. [Julián-Rochina I] Department of Nursing, Faculty of Nursing and Podiatry, Universitat de València, Valencia, Spain. [Pérez-Tortajada G] Atenció Primària de l’Àrea Metropolitana Nord, Gerència Territorial Metropolitana Nord, Institut Català de la Salut, Generalitat de Catalunya, Barcelona, Spain. [Amblàs-Novellas J] Central Catalonia Chronicity Research Group (C3RG), Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVIC-UCC), Vic, Spain
dc.contributor
IDIAP Jordi Gol
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
Jordi, Amblàs-Novellas
dc.date.accessioned
2025-10-24T10:58:45Z
dc.date.available
2025-10-24T10:58:45Z
dc.date.issued
2021-05-19T08:44:25Z
dc.date.issued
2021-05-19T08:44:25Z
dc.date.issued
2021-05-13
dc.identifier
Zamora-Sánchez JJ, Zabaleta-del-Olmo E, Fernández-Bertolín S, Gea-Caballero V, Julián-Rochina I, Pérez-Tortajada G, et al. 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. 2021;10(10):2106.
dc.identifier
2077-0383
dc.identifier
https://hdl.handle.net/11351/5962
dc.identifier
10.3390/jcm10102106
dc.identifier.uri
https://hdl.handle.net/11351/5962
dc.description.abstract
Frailty; Primary Health Care; Home care
dc.description.abstract
Fragilitat; Atenció primària; Atenció a la llar
dc.description.abstract
Fragilidad; Atención primaria; Atención en el hogar
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.format
application/pdf
dc.language
eng
dc.publisher
MDPI
dc.relation
Journal of Clinical Medicine;10(10)
dc.relation
https://www.mdpi.com/2077-0383/10/10/2106
dc.relation
info:eu-repo/grantAgreement/ES/PERIS2016-2020/SLT008%2F18%2F00011
dc.rights
Attribution-NonCommercial-NoDerivatives 4.0 International
dc.rights
http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights
info:eu-repo/semantics/openAccess
dc.source
Scientia
dc.subject
Persones grans dependents - Cura
dc.subject
Persones grans - Atenció domiciliària - Barcelona (Catalunya)
dc.subject
HEALTH CARE::Health Care Facilities, Manpower, and Services::Health Services::Community Health Services::Home Care Services
dc.subject
HEALTH CARE::Health Services Administration::Patient Care Management::Comprehensive Health Care::Primary Health Care
dc.subject
NAMED GROUPS::Persons::Age Groups::Adult::Aged::Frail Elderly
dc.subject
Catalonia
dc.subject
ATENCIÓN DE SALUD::instalaciones, servicios y personal de asistencia sanitaria::servicios de salud::Servicios de Salud Comunitaria::Servicios de Atención de Salud a Domicilio
dc.subject
ATENCIÓN DE SALUD::administración de los servicios de salud::gestión de la atención al paciente::atención integral de salud::atención primaria de la salud
dc.subject
DENOMINACIONES DE GRUPOS::personas::Grupos de Edad::adulto::anciano::personas mayores frágiles
dc.subject
Cataluña
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
info:eu-repo/semantics/article
dc.type
info:eu-repo/semantics/publishedVersion


Files in this item

FilesSizeFormatView

There are no files associated with this item.

This item appears in the following Collection(s)