Lomelí-Rivas Á, Guzmán-Gurrola OA, Escalona-Castro MG, Herrada-Chávez CR

Language: English
References: 8
Page: 82-86
PDF size: 115.06 Kb.

ABSTRACT

Background. The measurement of disability is one of the fundamental activities of any rehabilitation unit. There are many instruments that offer an individual perspective of the level of implementation of the activities of daily living. The aim of this work was to know the degree and type of disability as measured with the Barthel index (BI) in an outpatient population attending a rehabilitation medicine. Material and methods. Information from the records of patients treated at Medica Sur during 2013 was obtained. Demographic data, diagnoses and results of the BI were registered; the files which results were ≤ 99, in order to know the disability degree and the affected domains were included. Results. We obtained 1257 records, of which 515 were males and 742 were females. The mean age was 49 (± 17) years. Evaluation resulted in 279 (22.2%) patients older than 17 years with BI ≤ 99. The average age of the disability group was 52 (± 18) years. Significant correlation was found between the age with grooming (+ 0.6), dressing (+ 0.5), toilet use (+ 0.4) and stairs (+ 0.4) domains. The disabled female population is predominant and with a larger proportion than in women without a disability. Conclusions. The prevalence of disability was 22%, the conditions that produced more disability are orthopedic and traumatic conditions.

REFERENCES

1. Mahoney FI, Barthel BW. Functional evaluation: the Barthel Index. Md State Med J 1965; 14: 61-5.

2. ICF. International Classification of Functioning, Disability and Health. WHO. Geneva.2001

3. INEGI. Censo de población y vivienda 2010. Tabulados del cuestionario ampliado. Discapacidad por Entidad Federativa. México.

4. Horner-Johnson W, Dobbertin K, Lee JC, Andresen EM. Disparities in chronic conditions and health status by type of disability. Disabil Health J 2013; 6: 280-6.

5. Rowland M, Peterson-Besse J, Dobbertin K, Walsh ES, Horner- Johnson W. Health outcome disparities among subgroups of people with disabilities: a scoping review. Disabil Health J 2014; 7: 136-50.

6. Lomelí-Rivas A, Rivero-Garduńo ME, Rovelo-Wegener Y, Herrada- Chávez CR. Perfil epidemiológico del Servicio de Medicina de Rehabilitación de Médica Sur. Rev Invest Med Sur Mex 2014; 21: 62-7.

7. Moore KL, Boscardin WJ, Steinman MA, Schwartz JB. Age and sex variation in prevalence of chronic medical conditions in older residents of U.S. Nursing Homes. J Am Geriatr Soc 2012; 60: 756-64.

8. Sackley CM, Van der Berg ME, Lett K, Patel S, Hollands K, Wright CC, Hoppitt TJ. Effects of a physiotherapy and occupational therapy intervention on mobility and activity in care home residents: a cluster randomized controlled trial. BMJ 2009; 339: b3123 doi:10.1136/bmj.b3123.