Análisis de la discapacidad en el paciente crónico mediante la herramienta WHODAS II

Abstract

Functional dependency is defi ned 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 classifi cation 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.