@article{ref1,
title="The Norton Scale as predictor of health-related quality of life in institutionalized elderly",
journal="Enfermeria Clinica",
year="2015",
author="González-Expósito, Josefina and García-Román, Juan Carlos and Prado-Amores, María and Pardo-Fernández, Laura and Pariente-Rodrigo, Emilio",
volume="25",
number="6",
pages="312-318",
abstract="OBJECTIVE: A low Norton Scale (NS) score predicts pressure ulcer risk and several adverse outcomes in the elderly. On the other hand, health-related quality of life (HRQOL) is an indicator with clinical and predictive utilities. The aim was to assess the relationship between NS and HRQOL, in a gender analysis. <br><br>METHOD: Fifty-one women and 39 men, institutionalized and aged≥65 years, were evaluated through personal interview and medical records. The NS, HRQOL -with EuroQol-5D-, age, body mass index, falls, use of psychoactive drugs, cognitive function and Charlson, Barthel and Tinetti indexes, were assessed. Two regression models were developed, with EuroQol-5D as dependent variable. <br><br>RESULTS: The NS showed the same score in both sexes, with a median (interquartile range) value of 19 (2). Women presented a worse HRQOL, with an EuroQol-5D=0.78, whereas it was 0.87 in men (P=.02). The NS score was correlated with HRQOL in women (r=0.57; P<.001) but not in men (r=0.15; P=.36). After adjusting for confounders, the NS showed a β value of 0.54 (P=.02) in women and β=0.35 (P=.14) in men. <br><br>CONCLUSIONS: The NS has shown to be the strongest factor on HRQOL in women, regardless of age, comorbidity and the rest of covariates. Conversely, the relationship was weaker and non-significant in men.<p /> <p>Language: es</p>",
language="es",
issn="1130-8621",
doi="10.1016/j.enfcli.2015.07.004",
url="http://dx.doi.org/10.1016/j.enfcli.2015.07.004"
}