ISCIII
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El Instituto de Salud Carlos III es el principal Organismo Público de Investigación (OPI), que financia, gestiona y ejecuta la investigación biomédica en España.
Con una trayectoria de más de 20 años de investigación en ciencias de la vida y de la salud y prestación de servicios de referencia, es además el organismo gestor de la Acción Estratégica en Salud (AES) en el marco del Plan Nacional de I+D+I.
Adscrito orgánicamente al Ministerio de Ciencia, Innovación y Universidades (Real Decreto 865/2018) y funcionalmente, tanto a este como al Ministerio de Sanidad, Consumo y Bienestar Social (Real Decreto 1047/2018), tiene como misión principal el fomento de la generación de conocimiento científico en ciencias de la salud y el impulso de la innovación en la atención sanitaria y en la prevención de la enfermedad.
Situando al paciente y a la ciudadanía en el centro de todos sus objetivos y actividades, fomenta y coordina la investigación Biomédica y ofrece Servicios Científico-Técnicos de la más alta calidad, en colaboración con todos los agentes del Sistema Español de Ciencia, Tecnología e Innovación.
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Browsing ISCIII by MeSH term "Accidental Falls"
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Publication Development and Validation of a Meta-Instrument for the Assessment of Functional Capacity, the Risk of Falls and Pressure Injuries in Adult Hospitalization Units (VALENF Instrument) (Part II)(Multidisciplinary Digital Publishing Institute (MDPI), 2023-03-12) Luna-Aleixos, David; Llagostera-Reverter, Irene; Castelló-Benavent, Ximo; Aquilué-Ballarín, Marta; Mecho-Montoliu, Gema; Cervera-Gasch, Águeda; Valero-Chillerón, María Jesús; Mena-Tudela, Desirée; Andreu-Pejó, Laura; Martínez-Gonzálbez, Rafael; González-Chordá, Víctor M; Jaume I University (España)The nursing assessment is the first step of the nursing process and fundamental to detecting patients' care needs and at-risk situations. This article presents the psychometric properties of the VALENF Instrument, a recently developed meta-instrument with only seven items that integrates the assessment of functional capacity, risk of pressure injuries and risk of falls with a more parsimonious approach to nursing assessment in adult hospitalization units. A cross-sectional study based on recorded data in a sample of 1352 nursing assessments was conducted. Sociodemographic variables and assessments of the Barthel, Braden and Downton instruments were included at the time of admission through the electronic health history. Thus, the VALENF Instrument obtained high content validity (S-CVI = 0.961), construct validity (RMSEA = 0.072; TLI = 0.968) and internal consistency (Ω = 0.864). However, the inter-observer reliability results were not conclusive, with Kappa values ranging between 0.213 and 0.902 points. The VALENF Instrument has adequate psychometric properties (content validity, construct validity, internal consistency and inter-observer reliability) for assessing the level of functional capacity, risk of pressure injuries and risk of falls. Future studies are necessary to establish its diagnostic accuracy.Publication Effect of comorbidities on the association between age and hospital mortality after fall-related hip fracture in elderly patients(Springer, 2017) Padron-Monedero, Alicia; Galan, Iñaki; Lopez-Cuadrado, Teresa; Martínez-Sánchez, Elena Vanesa; Martin, P; Fernandez-Cuenca, RafaelThe relation between age and mortality after hip fracture was analyzed in elderly patients. 5.5% of the 31,884 patients died. Compared to those 65-74 years old, the multivariate OR for mortality for those 75-84 and ≥85 were 2.11 (95% CI: 1.61-2.77) and 4.10 (95% CI: 3.14-5.35). Purpose: To analyze the impact of Elixhauser comorbidities on the relation between age and mortality after hip fracture in elderly patients. Methods: Cross-sectional study of the population ≥65 years old hospitalized in Spain in 2013 with a diagnosis of fall-related hip fracture in the Basic Minimum Set Data (BMSD). The impact of Elixhauser comorbidities on the association between mortality and age groups (65-74, 75-84, ≥85) was analyzed by logistic regression models with progressive adjustment for demographic variables and comorbidities introduced individually. Results: We identified 31,884 patients, 5.5% of which died during hospitalization. Compared with those 65-74 years old, the multivariate OR of mortality for those 75-84 and ≥85 years old decreased from 2.23 (95% CI: 1.71-2.90) and 4.57 (95% CI: 3.54-5.90) to 2.11 (95% CI: 1.61-2.77) and 4.10 (95% CI: 3.14-5.35), respectively after adjustment for comorbidities. The OR of mortality for men was 1.77 (95% CI: 1.58-1.98) compared to women. The comorbidities with higher OR for mortality were congestive heart failure (OR: 3.88; 95% CI: 3.42-4.41), metastasis (OR: 3.44; 95% CI: 2.27-5.20), fluid and electrolyte disorders (OR: 2.95; 95% CI: 2.47-3.52), coagulation deficiencies (OR: 2.87; 95% CI: 2.08-3.96), and liver disease (OR: 2.40; 95% CI: 1.82-3.17). Conclusions: The association between age and mortality after hip fracture remains after adjusting for numerous comorbidities. However, some potentially controllable disorders are associated with an increased risk for mortality, thus, improving their management could benefit survival.Publication Mortality trends for accidental falls in older people in Spain, 2000-2015(2017-11-28) Padron-Monedero, Alicia; Damian, Javier; Pilar Martin, M; Fernandez-Cuenca , Rafael; Instituto de Salud Carlos IIIBACKGROUND: Accidental falls in older people are a major public health problem but a relatively limited number of studies have analyzed the mortality trends from this cause. Effective public health interventions have been found to prevent the incidence of falls and their complications. Therefore, characterizing the mortality trends of falls for different subpopulations can help to identify their needs and contribute to develop more appropriate prevention programs for specific target groups. METHODS: This study was based on a longitudinal analysis of death rates from accidental falls (2000-2015) stratified by sex for the population ≥ 65 years and by age groups (65-74, 75-84, ≥85). A joinpoint regression model was used to identify trend inflection points. The Annual Percent Change (APC) was estimated for each trend. RESULTS: Mortality rates per 100,000 person-years increased from 20.6 to 30.1 for men and 13.8 to 20.8 for women between 2000 and 2015. Men presented a relevant trend increase between 2008 and 2015 (APC [95% CI] 7.2% [5.3;9.2]) and women between 2008 and 2013 (7.9% [4.1;11.8]) There were no trend differences between sexes. For 65-74 years old men we found a relevant increase in the last period (2011-2015) (7.8% [1.0;15.1]). Those aged 75-84 years showed a trend increase between 2007 and 2015 (6.4% [4.4;8.4]) and men ≥85 years presented a remarkably high trend between 2008 and 2015 (9.0% [5.2;13]). There were no relevant differences between age groups. Women aged 65-74 had no relevant trend through the period. Those aged 75-84 presented an uniform trend increase for the whole period, 2000-2015, (3.4% [2.3;4.4]) and women ≥85 had and important trend increase between 2008 and 2013 (11.1% [5.3;17.2]), that has reached an stable level in the last 2 years. There were no relevant differences between the 75-84 and ≥85 age groups. CONCLUSIONS: Recent mortality trends from accidental falls increased in men ≥65 years and women ≥75 years. These results recommend the implementation of specific preventive programs.Publication La prevención de las caídas de las personas mayores y sus familiares: una síntesis cualitativa(Elsevier, 2021) de la Cuesta-Benjumea, Carmen; Arredondo-González, Claudia Patricia; Lidón-Cerezuela, Beatriz; Abad-Corpa, Eva; Instituto de Salud Carlos III; Ministerio de Economía, Industria y Competitividad (España); Unión Europea. Fondo Europeo de Desarrollo Regional (FEDER/ERDF)[ES] Objetivo: Analizar y sintetizar la evidencia sobre la prevención de las caídas de las personas mayores de 65 años y los proveedores de cuidados familiares. Método: Síntesis cualitativa que forma parte de una revisión sistemática integrativa de diseño convergente. Se retuvieron 41 estudios cualitativos para su lectura a texto completo y quedaron seleccionados nueve estudios de proveedores de cuidados familiares. Resultados: Las relaciones de parentesco y de cuidados median en las intervenciones de los familiares para prevenir las caídas de las personas mayores; la caída de la persona dependiente constituye un punto de inflexión en estas relaciones. Las personas cuidadoras son un grupo vulnerable de sufrir una caída, y por ello son merecedoras de acciones preventivas. Conclusiones: Considerar el contexto de las relaciones familiares y de cuidados mejorará la eficacia de las intervenciones preventivas y facilitará su aceptación. Las políticas y los programas de prevención de las caídas deben prestar mayor atención a la salud y el bienestar de los/las proveedores/as de cuidados familiares. [EN] Objective: To analyse and synthesize the evidence on fall prevention of people older than 65 years and their family care providers METHOD: Qualitative synthesis, which is a part of a convergent systematic integrative review. Forty-one qualitative studies were retained for full text scrutiny. Nine studies on family care providers were selected for this synthesis. Results: Care providing, and kinship relationships mediated family care providers' interventions to prevent falls in older people. The fall of the dependent relative constitutes a turning point in these relationships. Family care providers are vulnerable to having a fall themselves and therefore receivers of preventive interventions. Conclusions: Taking into account the context of care and family relations will improve the effectiveness of preventive interventions and will facilitate adherence. Fall prevention policy and programmes must pay better attention to the health and wellbeing of family care providers.