title: [Stratification of clinical risk groups in a population over 65 years: features and nursing assessment].
abstract: OBJECTIVE
  To analyze the characteristics of the population over 65 years served in a Basic Health Area, according to the Clinical Risk Group (CRG) classification and geriatric assessment test performed by the nurse in relation to their complexity.
  
  
  METHODS
  A descriptive, cross-sectional and observational prevalence study was conducted on the population over 65 years served in a Basic Health Area. The variables collected were: socio-demographic, CRG classification, diseases (ICD-10), healthcare activity, geriatric assessment, and preventive activities. The CRG classification was used as a measurement tool. Data was collected from the Primary Care computerized clinical history (e-CAP).
  
  
  RESULTS
  Population over 65 years: 3,219 people; served at home, 130 (4%), and in residential institutions, 92 (2.85%). The population was grouped into: CRG 1-2: 83 (2.5%); CRG 3: 62 (2%); CRG 4: 99 (3%); CRG 5: 537 (17%); CRG 6: 2,077 (64.5%); CRG 7: 276 (8.6%); CRG 8: 61 (2%); CRG 9: 14 (0.4%). Most frequent chronic diseases: 69.12% AHT; 24.94% DM; 19.51% depression; 11.09% kidney failure. The groups 6-7-8 that were analyzed included 2,414 people (75%). Of those within CRG 6-7-8, only 570 (24%) had tests carried out by the geriatric nurse. The mean number of individuals assigned by a nurse for CRG 6-7-8 was 302.
  
  
  CONCLUSIONS
  The introduction of classification systems in clinical practice, such as the CRG, along with the use of the new information and communication technologies, helps to incorporate predictive models of health needs. It also promotes proactive actions by nurses and the team to prevent complications of diseases, as well as improving efficiency in the use of services and in care of the complex patients.
authors: Área Básica de Salud Gavarra, Institut Català de la Salut, Cornellà de Llobregat, Barcelona, España. Electronic address: ruthlozanovidal@gmail.com.
authors: Ruth
authors: R
authors: Lozano-Vidal
authors: Área Básica de Salud Gavarra, Institut Català de la Salut, Cornellà de Llobregat, Barcelona, España; Departamento de Enfermería de Salud Pública, Salud Mental y Maternoinfantil, Universidad de Barcelona, Barcelona, España.
authors: Rosa M
authors: RM
authors: López-Pisa
authors: Área Básica de Salud Gavarra, Institut Català de la Salut, Cornellà de Llobregat, Barcelona, España.
authors: Ana
authors: A
authors: Boyero-Granados
authors: Área Básica de Salud Gavarra, Institut Català de la Salut, Cornellà de Llobregat, Barcelona, España.
authors: Sandra
authors: S
authors: Recio-Ramos
authors: Área Básica de Salud Gavarra, Institut Català de la Salut, Cornellà de Llobregat, Barcelona, España.
authors: Cristina
authors: C
authors: Padín-Minaya
authors: Centro de Salud Can Bou, Castelldefels, Barcelona, España.
authors: Marina
authors: M
authors: Garzón-Quiñones
authors: SAP Baix Llobregat Centre, Institut Català de la Salut, Cornellà de Llobregat, Barcelona, España.
authors: Luisa M
authors: LM
authors: Rodríguez-Latre
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D015577:Geriatric Assessment; D005851:Geriatric Nursing; D006801:Humans; D008297:Male; D009730:Nursing Assessment; D010361:Patients / Q000145:classification*; D018570:Risk Assessment
keywords: Atención Primaria; Clinical Risk Groups; Comorbidity; Comorbilidad; Enfermería; Grupos de Riesgo Clínico; Nursing; Primary care