<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0001-6002</journal-id>
<journal-title><![CDATA[Acta Médica Costarricense]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. costarric]]></abbrev-journal-title>
<issn>0001-6002</issn>
<publisher>
<publisher-name><![CDATA[Colegio de Médicos y Cirujanos de Costa Rica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0001-60022019000400166</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Eventos adversos de la Fragilidad en la población adulta mayor de Costa Rica]]></article-title>
<article-title xml:lang="en"><![CDATA[Adverse outcomes of frailty in the older population of Costa Rica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Picado-Ovares]]></surname>
<given-names><![CDATA[José E]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrientos-Calvo]]></surname>
<given-names><![CDATA[Isabel C]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales-Martínez]]></surname>
<given-names><![CDATA[Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sandí-Jirón]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Nacional de Geriatría y Gerontología  ]]></institution>
<addr-line><![CDATA[ San José]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Costa Rica  ]]></institution>
<addr-line><![CDATA[San Pedro San José]]></addr-line>
<country>Costa Rica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>61</volume>
<numero>4</numero>
<fpage>166</fpage>
<lpage>171</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S0001-60022019000400166&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S0001-60022019000400166&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S0001-60022019000400166&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo:  Entre los años del 2000 y 2050 el número de habitantes mayores de 60 años de edad en Costa Rica se duplicarán. Un número considerable de ellos llegarán a ser frágiles. Estudios han demostrado la relación entre la condición de fragilidad y pobres desenlaces. El objetivo del presente trabajo fue identificar los eventos adversos asociados a la fragilidad en la población adulta mayor de Costa Rica.  Métodos:  Para realizar el análisis, se emplea la totalidad de los casos disponibles en la base de datos del estudio de CRELES en el 2005, que pertenecen a la cohorte que da seguimiento en el periodo 2005-2009. En el año de partida de esta cohorte, se cuenta con un total de 2827 pacientes. El fenotipo de la fragilidad fue construido basado en el modelo fenotípico. Se realizó un análisis longitudinal, y se examinó los años iniciales y finales de esta cohorte. Los desenlaces analizados fueron la mortalidad, los ingresos hospitalarios, el deterioro funcional, las caídas y la autopercepción de la salud en el año 2009. Se utilizó una técnica de regresión logística multinomial, utilizando variables de desenlaces como variables dependientes. La condición de fragilidad se utilizó como variable independiente. Como resultado, se obtuvo una odds ratio para la incidencia de cada categoría de desenlaces con un 95% de confianza.  Resultados:  La condición de fragilidad se asoció con mayor deterioro funcional, aumento en los ingresos hospitalarios y empeoramiento en la autopercepción de la salud.  Conclusión:  La fragilidad se relacionó con pobres desenlaces en la población costarricense. La identificación de esta condición proporciona una oportunidad para una intervención temprana.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective:  Between 2000 and 2050 the number of inhabitants aged 60 years or older in the World and in Costa Rica will double. A considerable number of them will become frail. Studies have shown the relationship between the frailty condition and poor outcomes. The aim of this study was to identify the adverse outcomes of frailty in the older Costa Rican population.  Methods:  To carry out the analysis, all the available cases of the CRELES study database in 2005 which belong to the cohort that follows in the period 2005-2009 were used. In the year of the initial cohort there was a total of 2827 patients. A frailty phenotype was constructed based on the phenotypic model. A longitudinal analysis was conducted, and it examined the initial and final years of this cohort. The outcome variables analysed were mortality, hospital admittances, functional deterioration, falls, and self-perception of worsening health in the year 2009. A multinomial logistic regression technique was used, using outcome variables as dependent variables. The frailty condition was used as an independent variable. As a result, there was an odds ratio obtained for the incidence of each outcome category with 95% confidence.  Results:  Frailty was associated with functional declines, hospital admittances, and worsening of the self-perception.  Conclusion:  Frailty was related to adverse outcomes in Costa Rica. Identifying this provides an opportunity for an early intervention.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[fragilidad,]]></kwd>
<kwd lng="es"><![CDATA[resultados]]></kwd>
<kwd lng="es"><![CDATA[incidencia]]></kwd>
<kwd lng="es"><![CDATA[ancianos]]></kwd>
<kwd lng="es"><![CDATA[población mayor.]]></kwd>
<kwd lng="en"><![CDATA[frailty]]></kwd>
<kwd lng="en"><![CDATA[outcomes]]></kwd>
<kwd lng="en"><![CDATA[incidence]]></kwd>
<kwd lng="en"><![CDATA[elderly]]></kwd>
<kwd lng="en"><![CDATA[older population]]></kwd>
</kwd-group>
</article-meta>
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