Abstract

REBOLLO RUBIO, Ana et al. Analysis of disability in chronic patients, using the WHODAS II tool. Enferm Nefrol [online]. 2014, vol.17, n.1, pp.39-44. ISSN 2255-3517.  https://dx.doi.org/10.4321/S2254-28842014000100007.

Functional dependency is defined as the loss of physical, mental or intellectual autonomy due to health related factors. Disability is an inseparable but not reciprocal attribute of dependency. Functional dependency is therefore a consequence of a disability but not all persons with disabilities are functionally dependents as they may not require any help from others. The objective of the study is to evaluate disability and functional dependency comparing the scores obtained using the Barthel Index and the World Health Organization Disability Assessment Schedule version 2 and relate these scores to the age adjusted - functional dependency predictor Charlson Comorbidity Index to assess the consistency of all these methods. Material and method: Cross - sectional epidemiological study. Result: Significant comorbidity correlation (p<0,05) between the Barthel Index and the World Health Organization Disability Assessment Schedule version 2 scores and the age adjusted Charlson Comorbidity Index was found by analyzing together all the values but functional dependency correlation seems to be stronger than disability's. Conclusions: The evaluation of disability and its ascription and tabulation in the frame of a classification such as the International Functionality, Disability and Health Classification allow us to early identify physical, mental or relational disability areas that may evolve to a functional dependency.

Keywords : functional dependency; disability; barthel index; who; das ii; charlson comorbidity index; hemodialysis.

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