{"id":"https://openalex.org/W2590056510","doi":null,"title":"Identificaci\u00f3n de factores asociados a cambios de medicaci\u00f3n en personas mayores institucionalizadas","display_name":"Identificaci\u00f3n de factores asociados a cambios de medicaci\u00f3n en personas mayores institucionalizadas","publication_year":2013,"publication_date":"2013-01-01","ids":{"openalex":"https://openalex.org/W2590056510","mag":"2590056510"},"language":"es","primary_location":{"id":"pmh:oai:dadun.unav.edu:10171/38798","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/10171/38798","pdf_url":"http://hdl.handle.net/10171/38798","source":{"id":"https://openalex.org/S4306401514","display_name":"Deposito Adademico Digital Universidad De Navarra (University of Navarra)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I88155538","host_organization_name":"Universidad de Navarra","host_organization_lineage":["https://openalex.org/I88155538"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"info:eu-repo/semantics/doctoralThesis"},"volume":null,"type":"dissertation","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"http://hdl.handle.net/10171/38798","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5050830764","display_name":"L. E. Hern\u00e1ndez-Soto","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"L. E. Hern\u00e1ndez-Soto","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5050830764"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10496","display_name":"Pharmaceutical Practices and Patient Outcomes","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10496","display_name":"Pharmaceutical Practices and Patient Outcomes","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11376","display_name":"Geriatric Care and Nursing Homes","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12246","display_name":"Chronic Disease Management Strategies","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medication-changes","display_name":"medication changes","score":0.9819999933242798},{"id":"https://openalex.org/keywords/nursing-home-residents","display_name":"nursing home residents","score":0.8870000243186951},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.8679999709129333},{"id":"https://openalex.org/keywords/polypharmacy","display_name":"polypharmacy","score":0.9779999852180481},{"id":"https://openalex.org/keywords/comorbidity","display_name":"comorbidities","score":0.9890000224113464},{"id":"https://openalex.org/keywords/drug-related-problems","display_name":"drug-related problems","score":0.8199999928474426},{"id":"https://openalex.org/keywords/medication-review","display_name":"medication review","score":0.8930000066757202},{"id":"https://openalex.org/keywords/risk-factors","display_name":"risk factors","score":0.746999979019165},{"id":"https://openalex.org/keywords/charlson-comorbidity-index","display_name":"Charlson Comorbidity Index","score":0.875},{"id":"https://openalex.org/keywords/chronic-kidney-disease","display_name":"chronic kidney disease","score":0.6639999747276306},{"id":"https://openalex.org/keywords/heart-failure","display_name":"heart failure","score":0.7649999856948853},{"id":"https://openalex.org/keywords/dysphagia","display_name":"dysphagia","score":0.8769999742507935},{"id":"https://openalex.org/keywords/immobility","display_name":"immobility","score":0.9020000100135803}],"concepts":[{"id":"https://openalex.org/C36434225","wikidata":"https://www.wikidata.org/wiki/Q1895998","display_name":"Polypharmacy","level":2,"score":0.9522602558135986},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8658192753791809},{"id":"https://openalex.org/C2779159551","wikidata":"https://www.wikidata.org/wiki/Q1414874","display_name":"Comorbidity","level":2,"score":0.789185643196106},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.6460208892822266},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.6032088994979858},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.5358119606971741},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.494750440120697},{"id":"https://openalex.org/C38180746","wikidata":"https://www.wikidata.org/wiki/Q1952580","display_name":"Multivariate analysis","level":2,"score":0.41345587372779846}],"mesh":[],"locations_count":3,"locations":[{"id":"pmh:oai:dadun.unav.edu:10171/38798","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/10171/38798","pdf_url":"http://hdl.handle.net/10171/38798","source":{"id":"https://openalex.org/S4306401514","display_name":"Deposito Adademico Digital Universidad De Navarra (University of Navarra)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I88155538","host_organization_name":"Universidad de Navarra","host_organization_lineage":["https://openalex.org/I88155538"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"info:eu-repo/semantics/doctoralThesis"},{"id":"pmh:oai:www.tdx.cat:10171/38798","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/10171/38798","pdf_url":null,"source":{"id":"https://openalex.org/S4306401111","display_name":"Tesis Doctorals en Xarxa (Consorci de Serveis Universitaris de Catalunya)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210090028","host_organization_name":"Consorci de Serveis Universitaris de Catalunya","host_organization_lineage":["https://openalex.org/I4210090028"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"info:eu-repo/semantics/doctoralThesis"},{"id":"mag:2590056510","doi":null,"is_oa":false,"landing_page_url":"http://dadun.unav.edu/bitstream/10171/38798/1/Tesis_LuisEstebanHern%c3%a1ndezSoto.pdf","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":{"id":"pmh:oai:dadun.unav.edu:10171/38798","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/10171/38798","pdf_url":"http://hdl.handle.net/10171/38798","source":{"id":"https://openalex.org/S4306401514","display_name":"Deposito Adademico Digital Universidad De Navarra (University of Navarra)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I88155538","host_organization_name":"Universidad de Navarra","host_organization_lineage":["https://openalex.org/I88155538"],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"info:eu-repo/semantics/doctoralThesis"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2590056510.pdf","grobid_xml":"https://content.openalex.org/works/W2590056510.grobid-xml"},"referenced_works_count":115,"referenced_works":["https://openalex.org/W75153238","https://openalex.org/W173228942","https://openalex.org/W198899553","https://openalex.org/W1487848766","https://openalex.org/W1488986653","https://openalex.org/W1500713624","https://openalex.org/W1501087640","https://openalex.org/W1526940666","https://openalex.org/W1531394670","https://openalex.org/W1538368282","https://openalex.org/W1551297250","https://openalex.org/W1554786661","https://openalex.org/W1592920221","https://openalex.org/W1644143258","https://openalex.org/W1719304160","https://openalex.org/W1811035186","https://openalex.org/W1847168837","https://openalex.org/W1859942598","https://openalex.org/W1967362085","https://openalex.org/W1967980573","https://openalex.org/W1969388541","https://openalex.org/W1973019412","https://openalex.org/W1973463982","https://openalex.org/W1979284897","https://openalex.org/W1981690313","https://openalex.org/W1982026920","https://openalex.org/W1989824682","https://openalex.org/W1990604124","https://openalex.org/W2000445173","https://openalex.org/W2000461274","https://openalex.org/W2000894998","https://openalex.org/W2001661890","https://openalex.org/W2004319861","https://openalex.org/W2004579251","https://openalex.org/W2006249532","https://openalex.org/W2014556601","https://openalex.org/W2014848601","https://openalex.org/W2017154155","https://openalex.org/W2019286098","https://openalex.org/W2020396510","https://openalex.org/W2024232298","https://openalex.org/W2026196184","https://openalex.org/W2029549566","https://openalex.org/W2034981842","https://openalex.org/W2035568681","https://openalex.org/W2037109573","https://openalex.org/W2045930722","https://openalex.org/W2051228253","https://openalex.org/W2055097998","https://openalex.org/W2062290989","https://openalex.org/W2065146175","https://openalex.org/W2073524602","https://openalex.org/W2075940587","https://openalex.org/W2077722309","https://openalex.org/W2078658003","https://openalex.org/W2080027451","https://openalex.org/W2082221487","https://openalex.org/W2095500884","https://openalex.org/W2096290016","https://openalex.org/W2098880243","https://openalex.org/W2098891980","https://openalex.org/W2098915527","https://openalex.org/W2099241946","https://openalex.org/W2099499113","https://openalex.org/W2100758700","https://openalex.org/W2102196220","https://openalex.org/W2105033388","https://openalex.org/W2108300523","https://openalex.org/W2110919602","https://openalex.org/W2113525252","https://openalex.org/W2113597436","https://openalex.org/W2113847478","https://openalex.org/W2114656311","https://openalex.org/W2117059102","https://openalex.org/W2121511409","https://openalex.org/W2122231459","https://openalex.org/W2123274280","https://openalex.org/W2124994058","https://openalex.org/W2125391287","https://openalex.org/W2126857011","https://openalex.org/W2128529067","https://openalex.org/W2130501785","https://openalex.org/W2136115801","https://openalex.org/W2136365330","https://openalex.org/W2140659505","https://openalex.org/W2145009683","https://openalex.org/W2147969015","https://openalex.org/W2148034818","https://openalex.org/W2149628144","https://openalex.org/W2154184323","https://openalex.org/W2154579091","https://openalex.org/W2154846541","https://openalex.org/W2158285251","https://openalex.org/W2160217328","https://openalex.org/W2161279153","https://openalex.org/W2164059021","https://openalex.org/W2169742106","https://openalex.org/W2169870197","https://openalex.org/W2170684277","https://openalex.org/W2171146155","https://openalex.org/W2171866384","https://openalex.org/W2178949625","https://openalex.org/W2242396319","https://openalex.org/W2269122550","https://openalex.org/W2281219149","https://openalex.org/W2281334899","https://openalex.org/W2309625127","https://openalex.org/W2319734229","https://openalex.org/W2339769063","https://openalex.org/W2371172094","https://openalex.org/W2414314370","https://openalex.org/W2414608780","https://openalex.org/W2468763670","https://openalex.org/W4233470361","https://openalex.org/W4392290688"],"related_works":["https://openalex.org/W228697873","https://openalex.org/W4414622329","https://openalex.org/W1995970358","https://openalex.org/W7128062420","https://openalex.org/W2093630861","https://openalex.org/W1967980573","https://openalex.org/W2320933340","https://openalex.org/W2743621022","https://openalex.org/W4280534640","https://openalex.org/W2385967261"],"abstract_inverted_index":{"Objective:":[0],"To":[1],"identify":[2],"factors":[3,33,226],"associated":[4,34,98,113,147,223],"with":[5,35,99,114,148,176,185,224],"the":[6,32,46,143,192,198,204,247],"number":[7,24,39,94,117,151,170,219,233],"of":[8,25,40,52,62,77,85,95,118,129,152,161,166,171,206,220,229,234],"medication":[9,81,153,172,211,248],"changes":[10,41,154,173,212],"(MC)":[11],"in":[12,72,157,174,183,213,236],"elderly":[13,237],"nursing":[14,238],"home":[15,239],"residents.":[16,74],"\\nMethod:":[17],"Prospective":[18],"study":[19],"for":[20],"4":[21,208],"months.":[22,215],"The":[23,92,164,232],"MC":[26,96],"was":[27,97],"recorded":[28],"weekly.":[29],"We":[30],"analyzed":[31],"having":[36,121,167,207],"a":[37,50,59,115,149,168],"large":[38,116,169,218],"(4":[42],"or":[43,89,209],"more),":[44],"calculating":[45],"odds":[47],"ratio":[48],"as":[49,189,227],"measure":[51],"association":[53],"through":[54],"multivariate":[55],"logistic":[56],"regression":[57],"and":[58,104,108,135,139],"confidence":[60],"interval":[61],"95%":[63,65],"(OR,":[64],"CI)":[66],"\\nResults:":[67],"There":[68],"were":[69,120,146],"997":[70],"CM":[71,119,221,235],"234":[73],"A":[75,217],"80.0%":[76],"patients":[78,86,175,184,195],"had":[79,87,201],"any":[80],"change,":[82],"while":[83,182],"42.7%":[84],"four":[88,158,214],"more":[90,210],"CM.":[91],"largest":[93],"nervous":[100],"system":[101,106,110],"medicines,":[102],"digestive":[103],"metabolism":[105],"medicines":[107],"cardiovascular":[109],"medicines.":[111],"Factors":[112],"chronic":[122],"renal":[123],"failure,":[124,127],"immobility,":[125],"heart":[126],"loss":[128],"visual":[130],"acuity,":[131],"dysphagia,":[132],"edema,":[133],"comorbidity":[134,140,186],"polypharmacy.":[136],"Both":[137],"polypharmacy":[138,177],"(measured":[141],"by":[142],"Charlson":[144],"index)":[145],"high":[150],"(\u00a1\u00dd":[155],"4)":[156],"months,":[159],"regardless":[160],"other":[162,193],"variables.":[163],"risk":[165,205,225],"is":[178,187,222],"three":[179],"times":[180],"higher,":[181],"twice":[188,203],"high.":[190],"On":[191],"hand,":[194],"suffering":[196],"from":[197],"above":[199],"diseases":[200],"approximately":[202],"\\nConclusions:":[216],"indicators":[228],"drug-related":[230],"problems.":[231],"residents":[240],"may":[241],"be":[242],"an":[243],"indicator":[244],"to":[245],"prioritize":[246],"review.":[249]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2017-03-03T00:00:00"}