FP671FRAILTY, COMORBIDITY INDEXES AND THE ANNUAL FREQUENCY OF VISITS TO HOSPITAL EMERGENCY SERVICE IN PATIENTS ON HEMODIALYSIS
Notice bibliographique
Résumé
INTRODUCTION AND AIMS: Frailty has been defined as a syndrome or a state of increased vulnerability resulting from a decline in biological functional reserves, such that the ability to cope with stressors is compromised, and leading to higher risk of poor health outcomes, disability, hospitalization and death. Our objective was to relate frailty, as measured by the Fried Phenotype Frail Index (FPFI) and the Edmonton Frail Scale (EFS), and the Charlson comorbidity index (CCI) with the annual frequency of visits to hospital emergency service in a cohort of hemodialysis patients. METHODS: To that end, frailty, according to the FPFI and EFS and CCI were measured and the number of visits to the hospital emergency service for any cause was recorded for the hemodialysis prevalent patients managed in our sanitary area. the study included 375 hemodialysis patients, 61.5% of them were men, 57.5% suffered from diabetes mellitus, their median age was 65 years and the mean time in hemodialysis was 50.4 (3-318) months. The mean follow-up time was 10.84 months; 215 patients completed the 12.month follow-up; 42 patients died before completing it, 16 received kidney transplantation and 2 were transfered. RESULTS: The proportion of frail patients was 41.1% as measured with the FPFI and 29.5% as measured with the EFS; 65% of patients presented CCI higher than 5, which is high or very high. During the follow-up period, 507 visits to the emergency services were recorded. According to the FPFI, the annual rate of visits to the emergency services was 1.61±2.7 for non-frail patients and 3.28±4.2 for frail ones (P<0.001). Also according to the FPFI, 45.6% of non-frail and 22.1% of frail patients did not visit the emergency services during a year. According to the EFS, the annual rate of visits to the emergency services was 1.70±2.8 for non-frail patients and 3.72±4.5 for frail ones (P<0.001). Also according to the FPFI, 45.3% of non-frail and 13.5% of frail patients did not visit the emergency services during a year. The annual rate of visits to the emergency services was 1.87±3.3 for patients with CCI equal to or lower than 5 and 2.53±3.6 for those with CCI higher than 5 (P<0.05); 44.7% of patients with CCI≤5 and 31.4% of those with CCI>5 did not visit the emergency services during a year (n.s.). CONCLUSIONS: In conclusion, the frequency of visits to the hospital emergency services was significantly higher for hemodialysis patients classified as frail by both indexes. Frailty indexes seemed to be better predictors of higher frequency of visits to the emergency services than the Charlson comorbidity index.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,003 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».