title: [Study protocol concerning the determining factors of physical and psychosocial destabilisation in the elderly].
abstract: OBJECTIVE
  The main objective of this study is to define the factors associated with frailty and psychosocial imbalance in elderly people who live in the community.
  
  
  METHODS
  Multicentre prospective study with a representative sample of subjects older than 75 years who live in the community in the province of Huesca (Spain). 5-year follow-up with biannual assessment. Standardised individual assessment carried out by GPs trained to assess depression, anxiety, cognitive impairment, psychotic symptoms, sarcopenia, social network, dependence for basic and instrumental activities of daily living, physical severity, risk of dependence and quality of life. Further assessment two and five years later to quantify adverse events: institutionalisation, functional impairment or mortality. Possible risk factors will be assessed: gender, age, social status, functional status, mental status and physical severity. Predictive and individual risk models will be designed in order to identify elderly people with high psychosocial frailty and destabilisation risk.
  
  
  CONCLUSIONS
  An understanding of the possible risk factors would facilitate the identification of elderly subjects at greater risk of psychosocial frailty, thereby enabling preventive activities to be implemented aimed at reducing frailty and associated adverse events (institutionalisation, mortality, etc.).
authors.affiliation: Unidad Docente de Medicina Familiar y Comunitaria, Instituto Aragonés de Ciencias de la Salud (IACS), Huesca, España. Electronic address: sbenabarre@hotmail.com.
authors.forename: Sergio
authors.initials: S
authors.lastname: Benabarre Ciria
authors.affiliation: Unidad Docente de Medicina Familiar y Comunitaria, Instituto Aragonés de Ciencias de la Salud (IACS), Huesca, España.
authors.forename: Mariano
authors.initials: M
authors.lastname: Rodríguez Torrente
authors.affiliation: Servicio de Psiquiatría, Hospital San Jorge de Huesca, Servicio Aragonés de Salud (SALUD), Huesca, España.
authors.forename: Javier
authors.initials: J
authors.lastname: Olivera Pueyo
authors.affiliation: Unidad Docente de Medicina Familiar y Comunitaria, Instituto Aragonés de Ciencias de la Salud (IACS), Huesca, España.
authors.forename: Teófilo
authors.initials: T
authors.lastname: Lorente Aznar
authors.affiliation: Unidad Docente de Medicina Familiar y Comunitaria, Instituto Aragonés de Ciencias de la Salud (IACS), Huesca, España.
authors.forename: Soledad
authors.initials: S
authors.lastname: Lorés Casanova
authors.affiliation: Servicio de Psiquiatría, Hospital San Jorge de Huesca, Servicio Aragonés de Salud (SALUD), Huesca, España.
authors.forename: Carmelo
authors.initials: C
authors.lastname: Pelegrín Valero
authors.affiliation: Servicio de Geriatría, Hospital Provincial Sagrado Corazón de Jesús de Huesca, Servicio Aragonés de Salud (SALUD), Huesca, España.
authors.forename: José
authors.initials: J
authors.lastname: Galindo Ortiz de Landazuri
authors.affiliation: Servicio de Geriatría, Hospital Provincial Sagrado Corazón de Jesús de Huesca, Servicio Aragonés de Salud (SALUD), Huesca, España.
authors.forename: Juan
authors.initials: J
authors.lastname: Valles Noguero
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D016330:Frail Elderly; D000073496:Frailty / Q000209:etiology* / Q000401:mortality / Q000517:prevention & control; D015577:Geriatric Assessment; D006801:Humans; D057187:Independent Living; D008603:Mental Health; D011446:Prospective Studies; D011788:Quality of Life; D012307:Risk Factors; D013030:Spain
keywords: Anciano frágil; Community medicine; Frail elderly; Medicina comunitaria; Mortalidad; Mortality