Browsing by Author "Carrasco Gorman, Marcela"
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- ItemConsumo de alcohol en el adulto mayor chileno que viaja. Alcohol consumption among traveling Chilean older people(2014) Yu C., Chung Bin; Rojas Abalos, Verónica Eugenia; Zalaquett R., Macarena; Torres, Romina; Ramírez C., Cristián; Román O., Fernando; Carrasco Gorman, Marcela; Gac Espínola, Homero; Valderrama Chang, Sebastián Matías; Marín Larraín, Pedro Paulo
- ItemCoste hospitalario asociado al delirium en pacientes mayores(2012) Gonzalez Tugas, Matías; Uslar Nawrath, Wilhelm; Villarroel del Pino, Luis A.; Calderón Pinto, Jorge; Palma Onetto, Carolina; Carrasco Gorman, MarcelaINTRODUCTION: Delirium is a common and serious complication in older patients, associated with increased, potentially preventable, morbidity and mortality. The aim of this study was to evaluate the associated costs of delirium during hospitalization in a university affiliated hospital in Chile. MATERIALS AND METHODS: Prospective cohort study of consecutive patients 65 years and older, admitted to a medical ward. A psychogeriatric team assessed patients during the first and every 48h until discharge using the Confusion Assessment Method (CAM-S), length of hospital stay, pharmacy and total hospitalization costs were analyzed. Statistical analysis was performed using bivariate and multivariate analysis according to delirium diagnosis. RESULTS: Data from 454 patients was analyzed, 160 of them in a delirium cohort (35.2%) and 294 in a non-delirium cohort (64.8%). The delirium cohort had a longer hospital stay (DATA) and higher mortality (7.0% versus 1.7%). The median of total costs of delirium during hospital stay was 38.7% higher than the non-delirium cohort (P<.001). Total costs were significantly higher in the delirium cohort after adjustment of covariables (P=.01). CONCLUSIONS: This study confirms that delirium is associated with significantly greater costs. Considering that effective delirium prevention is possible, the knowledge of associated costs can help health care providers to justify prevention strategies and finally give better care for older patients.
- ItemDelirium: marcador de estado del paciente geriátrico(2008) González Tugas, Matías; Carrasco Gorman, Marcela
- ItemDevelopment and validation of a delirium predictive score in older people(2014) Carrasco Gorman, Marcela; Villarroel del Pino, Luis A.; Andrade, M.; Calderón Pinto, Jorge; González Tugas, Matías
- Item¿Es efectiva la suplementación con vitamina D para la prevención de caídas en pacientes geriátricos?(2016) Scheel, F.; Carrasco Gorman, Marcela
- ItemImpacto del apoyo familiar en la presencia de quejas depresivas en personas mayores chilenas(2013) Carrasco Gorman, Marcela; Herrera Ponce, María Soledad; Fernández Lorca, María Beatriz; Barros L., Carmen
- ItemLoneliness in Older Chilean People: Importance of Family Dysfunction and Depression(2021) Carrasco Gorman, Marcela; Fernández, María Beatriz; Alexander, Emma; Herrera, María SoledadLoneliness is considered a public health problem that negatively affects wellbeing, especially in the older population. In Latin-American countries, most of the older population live with their family. Although this is thought to diminish feelings of loneliness, there is scarce data to support this. The objective of this study is to determine the prevalence of loneliness and evaluate its association with objective social networks, family functioning and perception of social support, in a sample of older people from Santiago, Chile. A survey was conducted of a representative sample of community older people (60–97 years) from Santiago, Chile, using the UCLA abbreviated scale of loneliness. Logistic regression was performed to test the variables related to the loneliness of older people. A total of 1,217 older people were interviewed. 88% were living with at least one person at home and 92% had living children. Using the UCLA abbreviated scale, 45% were found to perceive feelings of loneliness at least some of the time. Logistic regression showed significant association between loneliness and family dysfunction; depressive symptoms; living alone; not having a partner (widowed, separated or single); having little contact with relatives and friends; feeling a lack of social support; and sensation of poor self-efficacy. Loneliness is a prevalent public health problem in this older Latin-American community. Living accompanied does not protect against loneliness, particularly in vulnerable groups such as those with depression, or when there are family conflicts. The high prevalence of loneliness strongly conveys the need for public health policies to address loneliness in older people.
- ItemNiveles de vitamina D en adultos mayores saludables chilenos y su relación con desempeño funcional. Vitamin D levels in older healthy Chilean adults and their association with functional performance(2014) Carrasco Gorman, Marcela; Domínguez de Landa, María Angélica; Martinez, G.; Ihle, S.; Rojas, V.; Foradori, Arnaldo; Marín Larraín, Pedro Paulo
- ItemPerioperative care of older patients with hip fractures(2017) Bengoa, Francisco; Carrasco Gorman, Marcela; Amenábar Edwards, Pedro Pablo; Schweitzer, Daniel; Botello Correa, Eduardo; Klaber Rosenberg, Ianiv
- ItemPolíticas públicas para una población que envejece : panorama y propuestas para el sistema de salud chileno(Centro de Políticas Públicas UC, 2017) Rodríguez Tapia, Juan C.; Russo Namias, Moisés A.; Carrasco Gorman, Marcela
- ItemPrevalencia de pacientes con alto riesgo de caídas en un servicio médico-quirúrgico de un hospital universitario(2018) Aliaga, Braulio; Molina, Natalia; Noguera, Matías; Espinoza, Paula; Sánchez, Sebastián; Lara Hernández, Bárbara Alejandra; Carrasco Gorman, Marcela; Eymin Lago, Gonzalo
- ItemRiesgo de delirium durante la hospitalización en personas mayores : desarrollo y validación de un modelo de predicción clínica(2014) Carrasco Gorman, Marcela; Villarroel del Pino, Luis A.; Calderón Pinto, Jorge; Gabriel, M.; Andrade, M.; González Tugas, Matías
- Item¿Son los antipsicóticos efectivos para prevenir el delirium postoperatorio?(2018) Castro, Viviana; Guinguis, Rami; Carrasco Gorman, Marcela
- ItemUso inapropiado de medicamentos en adultos mayores: resultados de la Encuesta Nacional de Salud 2010(2016) Passi Solar, Alvaro Rodrigo; Margozzini Maira, Paula; Valenzuela Abarca, Eduardo; Hoyl Moreno, María Trinidad; Marín Larraín, Pedro Paulo; Carrasco Gorman, Marcela; Olea Ortega, Ricardo Alonso; Gac Espínola, Homero