A multi-institutional, hospital-based assessment of clinical, functional, sociofamilial and health-care characteristics of polypathological patients (PP).

Little is known about the main features of the emergent population of PP. Our objective was to determine the clinical, care and social characteristics of a multi-institutional population of PP, by means of a cross-sectional study including a reference population of hospital-based PP from 36 hospitals. The main clinical, functional, mental and social features and their associated factors were assessed: 1632 PP (53% males, mean age 77.9±9.8 years) were included. An informal caregiver was required by 52% (78% of caregivers were close female relatives). The mean inclusion criteria (Cat): were 2.7±0.8 (49.5% presented ≥3 Cat). The most frequent inclusion Cat were heart (77.5%), lung (45.6%), neurological (38.2%), and kidney diseases (32.2%), whereas the mean of other comorbidities was 4.5±2.7 per PP. The mean Charlson comorbidity index (CCI) was 4; 47.6%, and 52.4% presented dyspnea ≥3 on the NYHA, and on the MRC, respectively; nearly 19% required home oxygen therapy, 19% had suffered >1 fall in previous year, and 11% suffered an active neoplasia. The mean hospital admissions in last 12/3 months, and chronically prescribed drugs were 2/1, and 8±3, respectively. More than 70% presented obesity, while 60% had hypoalbuminemia. The basal/inclusion Barthel index (BI) score was 69±31/58±34 (BI score<60 was present in 31.5%/44%, respectively); and the mean Pfeiffer score was 2.94±3.2 (43% answered with ≥3 errors). More than half of the subjects were at risk or already had established social problems. This emergent population is considerably homogeneous, highly complex, clinically vulnerable, functionally impaired, dependent on caregivers and socially fragile. They need to receive more attention in clinical research and more support in health interventions based on comprehensive attention and continuity of care.

Alternativa psicofamiliar al tratamiento precoz de los problemas de conducta: la escuela de padres / No disponible

Los trastornos del comportamiento perturbador(TCP) constituyen un tema de gran interés, debido alaumento en la prevalencia que se ha producido en lasúltimas décadas, la problemática que representa para eladolescente y su entorno, la complejidad del abordaje ytratamiento, preferentemente multidisciplinar, así comolas consecuencias a corto y largo plazo tanto para elpropio joven como para la sociedad en general.El presente trabajo trata de reflejar la eficacia observadaen estudios recientes sobre los tratamientos psicoterapéuticoscentrándonos en la escuela de padres (EP),especialmente para aquellos casos en los que se observaun problema relacionado con la crianza del niño (Z.62, CIE-10)(AU)

The behavioral disorders (BD) of the teenager are atopic of great interest, due to the increase in prevalencethat has occurred in recent decades, the problems it createsfor adolescents and their environment, the complexityof the management and treatment, preferablymultidisciplinary, as well as the short and long term forboth the young and himself to society in general.This study tries to reflect the effectiveness observedin recent studies, the psychotherapeutic treatments,focusing on the school parent (SP), especially for thosecases in which there is a problem with the upbringing ofchildren (Z.62, ICD-10)(AU)