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Effective primary care attenuates the association between frailty and hospital admission in old age: the ELSI-Brazil.
Silva, Silvia L A; Macinko, James; Lima-Costa, Maria Fernanda; Torres, Juliana L.
Afiliación
  • Silva SLA; Departmento de Saúde Coletiva, Faculdade de Medicina, Universidade Federal de Juiz de Fora, Juiz de Fora, Brazil.
  • Macinko J; Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA, United States.
  • Lima-Costa MF; Department of Community Health Sciences, UCLA Fielding School of Public Health, Los Angeles, CA, United States.
  • Torres JL; Núcleo de Estudos em Saúde Pública e Envelhecimento, Fundação Oswaldo Cruz, Belo Horizonte, Brazil.
Fam Pract ; 40(1): 47-54, 2023 02 09.
Article en En | MEDLINE | ID: mdl-35639880
Frailty is a multidimensional syndrome leading to a higher hospitalization. However, few studies explicitly analyze whether measures of effective primary care modify the relationship between frailty and hospital admission. Using data from the Brazilian Longitudinal Study of Aging (ELSI-Brazil), a representative community-based study with older adults aged 50 years and over, we evaluated self-reported hospital admission in the past 12 months, frailty according to 5 phenotypic criteria, and an effective primary care index with 12 attributes indicators. According to data of 7,436 study participants, we revealed that while effective primary care index was positively associated with hospital admission, this association was different among frail older adults. After stratification by frailty status, positive association with hospitalization remained only among prefrail and nonfrail individuals. Therefore, effective primary care decreases the likelihood of hospital admission among frail older adults. Interventions for delaying frailty should be initiated in primary care along with policies to strengthen primary care's organizational and provider/team-level attributes.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fragilidad Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Humans / Middle aged País/Región como asunto: America do sul / Brasil Idioma: En Revista: Fam Pract Año: 2023 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fragilidad Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Humans / Middle aged País/Región como asunto: America do sul / Brasil Idioma: En Revista: Fam Pract Año: 2023 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido