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oai:recercat.cat:11351/59622025-10-24T10:58:45Zcom_2072_378068com_2072_378040col_2072_378090

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 Zamora-Sánchez, Juan-José Zabaleta-del-Olmo, Edurne Fernández-Bertolín, Sergio Gea-Caballero, Vicente Julián-Rochina, Iván Pérez-Tortajada, Gemma Jordi, Amblàs-Novellas [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 IDIAP Jordi Gol Persones grans dependents - Cura Persones grans - Atenció domiciliària - Barcelona (Catalunya) HEALTH CARE::Health Care Facilities, Manpower, and Services::Health Services::Community Health Services::Home Care Services HEALTH CARE::Health Services Administration::Patient Care Management::Comprehensive Health Care::Primary Health Care NAMED GROUPS::Persons::Age Groups::Adult::Aged::Frail Elderly Catalonia ATENCIÓN DE SALUD::instalaciones, servicios y personal de asistencia sanitaria::servicios de salud::Servicios de Salud Comunitaria::Servicios de Atención de Salud a Domicilio ATENCIÓN DE SALUD::administración de los servicios de salud::gestión de la atención al paciente::atención integral de salud::atención primaria de la salud DENOMINACIONES DE GRUPOS::personas::Grupos de Edad::adulto::anciano::personas mayores frágiles Cataluña Frailty; Primary Health Care; Home care Fragilitat; Atenció primària; Atenció a la llar Fragilidad; Atención primaria; Atención en el hogar 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. 2021-05-19T08:44:25Z 2021-05-19T08:44:25Z 2021-05-13 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 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. 2077-0383 https://hdl.handle.net/11351/5962 10.3390/jcm10102106 http://hdl.handle.net/11351/5962 eng Journal of Clinical Medicine;10(10) https://www.mdpi.com/2077-0383/10/10/2106 info:eu-repo/grantAgreement/ES/PERIS2016-2020/SLT008%2F18%2F00011 Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess application/pdf MDPI Scientia