Please use this identifier to cite or link to this item: http://cicese.repositorioinstitucional.mx/jspui/handle/1007/1698
Nurse home visits with or without alert buttons versus usual care in the frail elderly: a randomized controlled trial
JESUS FAVELA VARA
LUIS ADRIAN CASTRO QUIROA
FRANCISCO FRANCO MARINA
SERGIO SANCHEZ GARCIA
TERESA JUAREZ CEDILLO
MARIA CLAUDIA ESPINEL BERMUDEZ
Julia
Marcela D. Rodríguez
MARIA DEL CARMEN GARCIA PEÑA
Acceso Abierto
Atribución-NoComercial-SinDerivadas
http://dx.doi.org/10.2147/CIA.S38618
Gerontechnology, Frailty, Elderly
"OBJECTIVE: To assess whether an intervention based on nurse home visits including alert buttons (NV+AB) is effective in reducing frailty compared to nurse home visits alone (NV-only) and usual care (control group) for older adults. DESIGN: Unblinded, randomized, controlled trial. SETTING: Insured population covered by the Mexican Social Security Institute living in the city of Ensenada, Baja California, Mexico. PARTICIPANTS: Patients were aged over 60 years with a frailty index score higher than 0.14. INTERVENTION: After screening and informed consent, participants were allocated randomly to the control, NV+AB, or NV-only groups. MEASUREMENTS: The primary outcome was the frailty score 9 months later. Quality of life, depression, comorbidities, health status, and health service utilization were also considered. RESULTS: The framing sample included 819 patients. Of those, 591 were not located because they did not have a landline/telephone (341 patients), they had died (107), they were ill (50), or they were not currently living in the city (28). A screening interview was applied to 228 participants, and 57 had a score ≤0.14, 171 had ≥0.14, and 16 refused to complete the baseline questionnaire. A home visit was scheduled for 155 patients. However, 22 did not complete the baseline questionnaire. The final 133 subjects were randomized into the NV+AB (n = 45), NV-only (n = 44), and control (n = 44) groups. There were no statistically significant differences in the baseline characteristics of the groups. The mean age overall was 76.3 years (standard deviation 4.7) and 45% were men. At the baseline, 61.65% were classified as frail. At end of follow-up the adjusted prevalence of frailty in NV+AB group was 23.3% versus 58.3% in the control group.CONCLUSION: An intervention based on NV+AB seems to have a positive effect on frailty scores."
Dove Medical Press
2013
Artículo
Clinical Interventions in Aging, Vol. 2013, No. 8, Págs. 85-95
Inglés
Favela J.,Castro,L.A.,Franco Marina,F.,Sánchez García,S.,Juárez Cedillo,T.,Espinel Bermúdez,C.,Mora Altamirano,J.,Rodriguez,M.D,,García Peña,C.2013.Nurse home visits with or without alert buttons versus usual care in the frail elderly: a randomized controlled trial.Clinical Interventions in Aging,2013(8),85-95.doi:10.2147/CIA.S38618
CIENCIAS FÍSICO MATEMÁTICAS Y CIENCIAS DE LA TIERRA
Versión publicada
publishedVersion - Versión publicada
Appears in Collections:Artículos - Ciencias de la Computación

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