To determine the functional status in elderly patients after a hospitalisation in an Internal Medicine unit. We prospectively studied patients aged 80 or above hospitalised in the Hospital Provincial de Ciudad Real in an Internal Medicine unit, between February and July, 2003. The functional status was determined by Barthel Index. We examined 206 patients (77.4%). They showed a previous Barthel Index of 70.9; one of 48.9 in the hospitalisation stage and one of 58.6 when discharged (p<0.001). We noticed a Barthel Index when discharged which was lower than the previous Barthel one in 73.8% patients. Hospitalisation implies a great functional impairment in the functional status elderly patients. It would be convenient, therefore, to identify the risk factors to be able to set some guidelines for a preventive model.
ciones para BAAR y los cultivos de la ascitis son positivos en pequeños porcentajes (3 y 20% respectivamente), exceptuando estudios de muestras superiores a 1 litro de ascitis en los que la positividad de los cultivos supera el 80% (1). La TAC puede resultar útil especialmente en los casos de masas mesentéricas o engrosamiento peritoneal (8). Por ello en asictis de origen indeterminado, debe solicitarse a menudo la laparoscopia para confirmación del diagnóstico mediante biopsia y cultivo de la muestra y en caso de no ser posible o presentarse complicaciones realizar laparotomía. Se han descrito hasta un 5% de ascitis con doble etiología y no es excepcional encontrar una TP y una carcinomatosis peritoneal simultáneamente (9).
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