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Health of Spanish centenarians: a cross-sectional study based on electronic health records
BACKGROUND: With the number of centenarians increasing exponentially in Spain, a deeper knowledge of their socio-demographic, clinical, and healthcare use characteristics is important to better understand the health profile of the very elderly. METHODS: We conducted a retrospective, cross-sectional...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6701024/ https://www.ncbi.nlm.nih.gov/pubmed/31426764 http://dx.doi.org/10.1186/s12877-019-1235-7 |
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author | Gimeno-Miguel, Antonio Clerencia-Sierra, Mercedes Ioakeim, Ignatios Poblador-Plou, Beatriz Aza-Pascual-Salcedo, Mercedes González-Rubio, Francisca Rodríguez Herrero, Raquel Prados-Torres, Alexandra |
author_facet | Gimeno-Miguel, Antonio Clerencia-Sierra, Mercedes Ioakeim, Ignatios Poblador-Plou, Beatriz Aza-Pascual-Salcedo, Mercedes González-Rubio, Francisca Rodríguez Herrero, Raquel Prados-Torres, Alexandra |
author_sort | Gimeno-Miguel, Antonio |
collection | PubMed |
description | BACKGROUND: With the number of centenarians increasing exponentially in Spain, a deeper knowledge of their socio-demographic, clinical, and healthcare use characteristics is important to better understand the health profile of the very elderly. METHODS: We conducted a retrospective, cross-sectional observational study in the EpiChron Cohort (Aragón, Spain) aimed at analyzing the socio-demographic, clinical, drug use and healthcare use characteristics of 1680 centenarians during 2011–2015, using data from electronic health records and clinical-administrative databases. RESULTS: Spanish centenarians (79.1% women) had 101.6 years on average. Approximately 80% of centenarians suffered from multimorbidity, with an average of 4.0 chronic conditions; 50% were exposed to polypharmacy, with an average of 4.8 medications; only 6% of centenarians were free of chronic diseases and only 7% were not on medication. Centenarians presented a cardio-cerebrovascular pattern in which hypertension, heart failure, cerebrovascular disease and dementia were the most frequent conditions. Primary care was the most frequently visited healthcare level (79% of them), followed by medical specialist consultations (23%), hospitalizations (13%), and emergency service use (9%). CONCLUSIONS: Multimorbidity is the rule rather than the exception in Spanish centenarians. Addressing medical care in the very elderly from a holistic geriatric view is critical in order to preserve their health, and avoid the negative effects of polypharmacy. |
format | Online Article Text |
id | pubmed-6701024 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-67010242019-08-26 Health of Spanish centenarians: a cross-sectional study based on electronic health records Gimeno-Miguel, Antonio Clerencia-Sierra, Mercedes Ioakeim, Ignatios Poblador-Plou, Beatriz Aza-Pascual-Salcedo, Mercedes González-Rubio, Francisca Rodríguez Herrero, Raquel Prados-Torres, Alexandra BMC Geriatr Research Article BACKGROUND: With the number of centenarians increasing exponentially in Spain, a deeper knowledge of their socio-demographic, clinical, and healthcare use characteristics is important to better understand the health profile of the very elderly. METHODS: We conducted a retrospective, cross-sectional observational study in the EpiChron Cohort (Aragón, Spain) aimed at analyzing the socio-demographic, clinical, drug use and healthcare use characteristics of 1680 centenarians during 2011–2015, using data from electronic health records and clinical-administrative databases. RESULTS: Spanish centenarians (79.1% women) had 101.6 years on average. Approximately 80% of centenarians suffered from multimorbidity, with an average of 4.0 chronic conditions; 50% were exposed to polypharmacy, with an average of 4.8 medications; only 6% of centenarians were free of chronic diseases and only 7% were not on medication. Centenarians presented a cardio-cerebrovascular pattern in which hypertension, heart failure, cerebrovascular disease and dementia were the most frequent conditions. Primary care was the most frequently visited healthcare level (79% of them), followed by medical specialist consultations (23%), hospitalizations (13%), and emergency service use (9%). CONCLUSIONS: Multimorbidity is the rule rather than the exception in Spanish centenarians. Addressing medical care in the very elderly from a holistic geriatric view is critical in order to preserve their health, and avoid the negative effects of polypharmacy. BioMed Central 2019-08-19 /pmc/articles/PMC6701024/ /pubmed/31426764 http://dx.doi.org/10.1186/s12877-019-1235-7 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Gimeno-Miguel, Antonio Clerencia-Sierra, Mercedes Ioakeim, Ignatios Poblador-Plou, Beatriz Aza-Pascual-Salcedo, Mercedes González-Rubio, Francisca Rodríguez Herrero, Raquel Prados-Torres, Alexandra Health of Spanish centenarians: a cross-sectional study based on electronic health records |
title | Health of Spanish centenarians: a cross-sectional study based on electronic health records |
title_full | Health of Spanish centenarians: a cross-sectional study based on electronic health records |
title_fullStr | Health of Spanish centenarians: a cross-sectional study based on electronic health records |
title_full_unstemmed | Health of Spanish centenarians: a cross-sectional study based on electronic health records |
title_short | Health of Spanish centenarians: a cross-sectional study based on electronic health records |
title_sort | health of spanish centenarians: a cross-sectional study based on electronic health records |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6701024/ https://www.ncbi.nlm.nih.gov/pubmed/31426764 http://dx.doi.org/10.1186/s12877-019-1235-7 |
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