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SM ISO690:2012 POPESCU, Ana, ŞORIC, Gabriela, FEDERIUC, Victoria, BANARI, Ion. Vulnerability in institutionalized seniors. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 199. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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CZU: 616-053.9+612.67 | ||||||
Pag. 199-199 | ||||||
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Background. In geriatrics, the term „vulnerability” or „pre-fragility” implies a multidimensional aspect, among which, multimorbidity, functional incapacity, cognitive and socio-economic problems in the elderly. Objective of the study. Assessment of the prevalence of vulnerability in institutionalized elderly in the context of fragility to identify valuable information indices. Material and Methods. The epidemiological study included 301 institutionalized elderly (72.95 ± 0.36 years), fragility syndrome (FS) determined according to the screening Fried criteria, Groningen Index, vulnerability VES-13, respondents were examined according to Complex Geriatric Assessment (CGA) – Katz, Lawton, Tinetti, MMSE, Hamilton, MNA nutritional status. The results were analyzed in the Statistics 7 software program. Results. Of the 301 elderlies involved in the study according to the screening Fried criteria-robust elderly-87 (28.90%), pre-fragile (vulnerable)-86(28.57%), fragile – 128 (42.52%). Pre-fragile showed the mean value of VES13 – 5.46 ± 0.32; according to CGA: autonomy– Katz score (11.16 ± 0.13), Lawton (13.65 ± 0.29), gait and balance Tinetti (22.08 ± 0.50), cognitive status MMSE (25.51 ± 0.28), Hamilton depression (5.01 ± 0.39), MNA nutritional status (24.83 ± 0.35), SPPB physical performance (8.44 ± 0.31), Groningen (5.48 ± 0.26). The average values of Lawton and Tinetti scores had direct correlations with the reduction of walking speed – Rr = -0.42; p < 0.05, respectively – Rr = 0.55; p < 0.05. Conclusion. The results of the study reveal the most affected physical and emotional status due to vulnerability, which represents a high risk for health deteriorating during the aging process. |
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Cuvinte-cheie vulnerability, VES-13, fragility syndrome, elderly., vulnerabilitate, VES-13, sindrom de fragilitate, vârstnic |
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