fa1924a7edfa2d728cfff0c6d385f079 pmc_34068296.pdf 3d320fdb047b3d42ed6ececa209077b04e3499b0 pmc_34068296.pdf 72ad7b0679d74237b8414ee1c8bf3f68279c87b66b8df9c7c6de8296183a4452 pmc_34068296.pdf Title: Profiles of Frailty among Older People Users of a Home-Based Primary Care Service in an Urban Area of Barcelona (Spain): An Observational Study and Cluster Analysis Subject: Background: The multidimensional assessment of frailty allows stratifying it into degrees; however, there is still heterogeneity in the characteristics of people in each stratum. The aim of this study was to identify frailty profiles of older people users of a home-based primary care service. Methods: We carried out an observational study from January 2018 to January 2021. Participants were all people cared for a home-based primary care service. We performed a cluster analysis by applying a k-means clustering technique. Cluster labeling was determined with the 22 variables of the Frail-VIG index, age, and sex. We computed multiple indexes to assess the optimal number of clusters, and this was selected based on a clinical assessment of the best options. Results: Four hundred and twelve participants were clustered into six profiles. Three of these profiles corresponded to a moderate frailty degree, two to a severe frailty degree and one to a mild frailty degree. In addition, almost 75% of the participants were clustered into three profiles which corresponded to mild and moderate degree of frailty. Conclusions: Different profiles were found within the same degree of frailty. Knowledge of these profiles can be useful in developing strategies tailored to these differentiated care needs. Keywords: care dependence; cluster analysis; frailty; home care; multimorbidity; primary health care Author: Juan-José Zamora-Sánchez, Edurne Zabaleta-del-Olmo, Sergio Fernández-Bertolín, Vicente Gea-Caballero, Iván Julián-Rochina, Gemma Pérez-Tortajada and Jordi Amblàs-Novellas Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Wed May 19 02:15:14 2021 CEST ModDate: Wed May 19 02:15:14 2021 CEST Custom Metadata: yes Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 12 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 2340946 bytes Optimized: no PDF version: 1.5 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- CFOJFE+URWPalladioL-Ital Type 1 Custom yes yes no 127 0 TKYCSB+URWPalladioL-Bold Type 1 Custom yes yes no 128 0 VJNASK+VnURWPalladioL-Bold Type 1 Custom yes yes no 129 0 TWNEEW+URWPalladioL-Roma Type 1 Custom 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