Unitat de Suport a la Recerca de Costa de Ponent

Aldeadávila de la Ribera, Spain

Unitat de Suport a la Recerca de Costa de Ponent

Aldeadávila de la Ribera, Spain
Time filter
Source Type

Contreras M.M.,Hospital Universitario Of La Princesa | Formiga F.,Hospital Universitari Of Bellvitge | Formiga F.,Lhospitalet Of Llobregat | Ferrer A.,CAP El Pla | And 14 more authors.
Revista Espanola de Geriatria y Gerontologia | Year: 2015

Objectives: To analyze the prevalence of anemia in a sample of patients over 85 years old. To explore possible differentiating features in the groups of people with and without anemia, and to evaluate the relationship of anemia with mortality after a follow-up of 3 years. Material and methods: An observational multicenter study was conducted on a cohort of people born in 1924 and who lived in the community. Socio-demographic variables, comorbidity, functionality, cognitive status, social risk, perceived quality of life, nutritional status, drug consumption and laboratory parameters were collected. Multivariate logistic regression analysis was performed. Results: A total of 328 inhabitants were included, of whom 61.6% were women. The prevalence of anemia was 24%. Statistically significant differences in the Charlson index were found, showing higher values in anemic patients (P=0001) and in the Barthel index (BI) and in the Lawton index (LI), with lower levels in anemic patients (P=002 for both). Patients with anemia had a poorer perception of their quality of life (P=015). The presence of anemia was associated with more dependence according the BI values (OR 0.985; 95% CI: 0973-0997) and with higher comorbidity according the Charlson index (OR 1.314; 95% CI: 1124-1536). Mortality was higher in the group of patients with anemia, reaching statistically significant differences in the third year P=005). Conclusions: In our cohort anemia is a fairly prevalent feature in the population over 85 years old, and is associated with higher mortality at three years of follow up. Patients with anemia had worse physical functioning and greater comorbidity. © 2014 SEGG.

Formiga F.,Hospital Universitari Of Bellvitge | Formiga F.,Lhospitalet Of Llobregat | Ferrer A.,Primary Healthcare Center El Pla I | Mimbrera D.,Hospital Universitari Of Bellvitge | And 14 more authors.
Journal of the American Medical Directors Association | Year: 2012

Objective: To assess the prevalence of permanent atrial fibrillation (AF) in community-dwelling subjects aged 85 and to determine the anticoagulation therapy rate. Design: Community-based survey of inhabitants aged 85 years. Participants: Participants were 328 people born in 1924 and assigned to 7 primary health care teams. Measurements: Sociodemographic variables, Barthel Index, the Spanish version of the Mini-Mental State Examination, Mini Nutritional Assessment, Charlson Index, social risk, quality of life, and prevalent chronic diseases were assessed. Permanent AF was determined by patient interview, treatment prescriptions, and clinical records. Results: The sample included 202 women (61.6%) and 126 men. In 41 (12.5%) participants permanent AF was diagnosed; 25 (60.9%) were on anticoagulant oral therapy and 9 (21.9%) were receiving antiplatelet therapy. Using multiple logistic regression analysis, previous diagnosis of heart failure (P < .001, OR 4.170, 95% CI 1.927-9.024) and stroke history (P < .03, OR 2.439, 95% CI 1.101-5.401) were significantly associated with the diagnosis of permanent AF. Conclusion: AF is quite prevalent in 85-year-old subjects. A large percentage of patients with AF were receiving chronic anticoagulant therapy. The percentage of patients who were not receiving prophylactic treatment was low. © 2012 American Medical Directors Association, Inc.

Formiga F.,Hospital Universitari Of Bellvitge | Ferrer A.,El Pla Primary Healthcare Center I | Almeda J.,Unitat de Suport A la Recerca de Costa de Ponent | Almeda J.,CIBER ISCIII | And 3 more authors.
Journal of Nutrition, Health and Aging | Year: 2011

Objectives: To calculate the prevalence of hypovitaminosis D in subjects aged 85 years old and to study the relationship between some common geriatric evaluation scales and vitamin D status. Design: Prospective cohort study. Setting: A community-based study. Participants: 312 subjects aged 85 years old. Measurements: Geriatric assessment was based on comorbidity, functional status according to the Barthel Index (BI) and Lawton Index (LI), cognitive status measured by the Spanish version of the Mini-Mental State Examination (MEC), nutritional risk according to the Mini Nutritional Assessment (MNA), and gait using the Tinetti Gait Scale. Serum 25(OH)D concentrations were used to assess vitamin D status. Hypovitaminosis D was considered as < 25 ng/ml and deficiency <11 ng/ml. Results: Mean serum 25(OH)D level was 28 ± 30 ng/ml. The prevalence of hypovitaminosis D was 52.5% (38.1% insufficiency and 14.4% deficiency). Men had higher levels than women (32.2 ± 44 vs. 25.2 ± 25 ng/ml; p=0.04). The bivariate analyses identified an association between MNA scores and hypovitaminosis D, and showed that females ande participants with poor BI, Tinetti and MNA scores were associated with deficiency. Logistic regression analysis confirmed a significant association between poor MNA scores and both hypovitaminosis D (p<0.04, OR 1.066, 95% CI 1.002-1.135) and vitamin D deficiency (p<0.0001, OR 1.192, 95% CI 1.099-1.293). Conclusions: More than half the population aged 85 years has a vitamin D deficit and 14.4% show a deficiency. A lower score on the MNA scale is associated with a greater likelihood of having lower vitamin D serum values. © 2011 Serdi and Springer Verlag France.

Formiga Perez F.,Hospital Universitari Of Bellvitge | Almeda Ortega J.,Lhospitalet Of Llobregat | Almeda Ortega J.,CIBER ISCIII | Rojas-Farreras S.,Lhospitalet Of Llobregat | And 13 more authors.
Medicina Clinica | Year: 2011

Background and objectives: To study the association between blood pressure and mortality in a cohort of over 80 years olders of the community after four years of follow up. Patients and methods: An observational study cohort of 323 individuals aged over 80 years the population of Martorell. We collected sociodemographic data, comorbidity, evaluation of the basic activities of daily living and the average blood pressure. The mortality and its causes were evaluated after four years of follow up. The association between blood pressure and mortality was investigated using Cox survival analysis. Results: One hundred and thirty-five (41.8%) patients died, resulting in a mortality rate of 14.5% for year. In 60% of cases the cause of death was of cardiovascular origin. Subjects with systolic blood pressure (SBP) < 130 mmHg had a mortality of 63.5% compared to those in the range of SBP = 140-159 mmHg, who had a mortality of 25.5% (Hazard Ratio [HR]: 0.39; 95% CI: 0.21-0.72; p = 0.003). Female gender (HR: 0.62, 95% CI 0.39-0.97, p < 0.036), age (HR: 1.11, 95% CI: 1.04-1.18, p < 0.001), ischemic heart disease (HR: 2.14, 95% CI 1.23-3.70, p < 0.006), orthostatic hypotension (HR: 3.78, 95% CI: 1.88-7.60, p < 0.001), Barthel Index (HR: 0.97, 95% CI: 0.96-0.98, p < 0.001), and SBP = 140-159 mmHg (HR: 0.31, 95% CI: 0.13-0.72; p = 0.007) were independent factors associated with mortality at 4 years of follow up. Conclusions: There is a high cardiovascular mortality in people aged more than 80 years. The risk factors associated with mortality are being female, older age, history of heart disease, presence of orthostatic hypotension and worse function. SBP below 130 mmHg is associated with increased mortality. © 2010 Elsevier España, S.L. All rights reserved.

Formiga F.,Hospital Universitari Of Bellvitge | Formiga F.,Lhospitalet Of Llobregat | Chivite D.,Hospital Universitari Of Bellvitge | Chivite D.,Lhospitalet Of Llobregat | And 15 more authors.
Rejuvenation Research | Year: 2013

Objective: Few studies have prospectively evaluated the utility of geriatric assessment tools as predictors of mortality in the oldest population. We investigated predictors of death in an oldest-old cohort after 3 years of follow-up. Methods: The Octabaix study is a prospective, community-based study with a follow-up period of 3 years involving 328 subjects aged 85 at baseline. Data were collected on functional and cognitive status, co-morbidity, nutritional and falls risk, quality of life, social risk, and long-term drug prescription. Vital status for the total cohort was evaluated after 3 years of follow-up. Results: Mortality after 3 years was 17.3%. Patients who did not survive had significantly poorer baseline functional status for basic and instrumental activities of daily living (Barthel and Lawton Index), higher co-morbidity (Charlson), higher nutritional risk (Mini Nutritional Assessment), higher risk of falls (Tinetti Gait Scale), poor quality of life (visual analog scale of the Quality of Life Test), and higher number of chronic drugs prescribed. Cox regression analysis identified the Lawton Index (hazard ratio [HR] 0.82, 95% confidence interval [CI] 0.73-0.89) and the number of chronic drugs prescribed (HR 1.09, 95% CI 1.01-1.18) as independent predictors of mortality at 3 years. Conclusions: Among the variables studied, the ability to perform instrumental activities of daily living and using few drugs on a chronic basis at baseline are the best predictors of which oldest-old community-dwelling subjects survive after a 3-year follow-up period. © Mary Ann Liebert, Inc.

Loading Unitat de Suport a la Recerca de Costa de Ponent collaborators
Loading Unitat de Suport a la Recerca de Costa de Ponent collaborators