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Volume 3 Current Research: Integrative Medicine Chronic Diseases 2018
July 16-17, 2018
Chronic Diseases
July 16-17, 2018 Berlin, Germany
2nd International Conference on
The chronic complex patient in Cantabria and Balearic Island (Spain). An Observational Study
Francisco José Amo Setién1, Encarnación Bustamante Cruz2, Aroa Delgado Uría2, María González Quintana2, Héctor Fernández-Llaca López2, Catalina Pérez
Palomares2, Silvia Gómez Fernández2, Yolanda Ortega Montes 2, Lorena de Carlos Negro2, María Cifrián Martínez2, María Lanza Martínez 2, Nerea Rentería
López2, Julia Gallo Estrada3, Abraham Delgado Diego2, Carmen Ortego Maté 1
1RN PhD, Nursing Department, University of Cantabria, Spain
2RN, Servicio Cántabro de Salud, Spain
3RN PhD, Nursing Department, University of Balearic Islands, Spain
Background: Chronicity management is the greatest challenge that the
Spanish national health system faces, having to invest 80% of health
expenditure to deal with this problem. Complex Chronic Patients
(CCPs) are those patients in with several chronic pathologies coexist
with frequent de-compensation and high risk of functional loss. CCPs
represent between 3-5% of the Spanish population and consume a high
percentage of the resources.
Objective: To describe the level of dependence and cognitive
impairment experienced by chronic complex patients in the urban area
of Santander (Cantabria) and Palma (Balearic Islands).
Methods: A multicenter, cross-sectional study involving over 18 year
old CCPs located at 3-4 level of the risk pyramid in the care model to chronicity. They are located in the urban area of Primary Care
in Santander (Cantabria) and Palma (Balearic Islands). Barthel Index was used to assess dependence and cognitive deterioration was
assessed through the Pfeiffer test.
Results: 20 health centers from Santander (n=2885) and 16 from Palma (n=1631) participated in the study. The average age of the
selected chronic patients was 77 years (SD=12.3). 27.4% presented moderate, severe or total dependence and 23.6% moderate or
significant cognitive impairment. A linear relationship was observed between the scores in the Pfeiffer test and the Barthel index
(r=-0.47, p<0.001). The hospital admission rate correlated with the score in the Pfeiffer test (r=0.2, p<0.001) and in the Barthel index
(r=-0.19, p<0.001).
Conclusion: Age, dependency level, cognitive deterioration and hospital admission rate are intimately related in complex chronic
patients. Therefore, it is important to continue promoting care models aimed at reducing dependency.
Biography
Francisco José Amo Setién has received PhD in Health Sciences from University of Cantabria in 2017, an inter-university Master’s degree in "Genetic, nutritional
and environmental conditioning factors of growth and development" (UC) and a Nursing degree (UC). He has gained research experience in the field of nutrition,
obesity in children and adolescents with intellectual disabilities, as well as in health related quality of life in patients with chronic diseases and he has been a full-time
Teaching Assistant in the area of community health in the Nursing Department of the University of Cantabria since 2014.
Francisco José Amo Setién et al., Curr Res Integr Med 2018, Volume 3
DOI: 10.4172/2529-797X-C1-003