ACTA MEDICA PERUANA Acta Médica Peruana es la revista científica oficial del Colegio Médico del Perú; tiene como finalidad difundir el conocimiento médico a la comunidad médica y científica a nivel nacional e internacional. en-US (Acta Medica Peruana) (Asistencia Tecnica - AMP) Wed, 02 Dec 2020 21:10:43 -0500 OJS 60 Functional dependence and type 2 diabetes mellitus in elderly subjects covered by Peruvian Social Security: Analysis of ENSSA-2015 <p><strong>Objective:</strong> to estimate the prevalence of functional dependence and to assess its association with type 2 diabetes mellitus (DM) in elderly subjects registered in Peruvian Social Security (EsSalud) in 2015. <strong>Materials and Methods:</strong> this is a secondary analysis of the National Socioeconomic Healthcare Access Survey performed in EsSalud members in 2915 (ENSSA-2015), a survey performed in households using two-stage probabilistic sampling that was representative at a national level of population registered in EsSalud. Functional dependence was assessed using the Katz index (?1 point). DM was determined by participants’ self- report. Adjusted prevalence rates (aPR) were estimated according to potential confounding factors using multiple log-Poisson regression alongside their 95% confidence intervals (CI) and p-values. All analyses took into account the complex sampling used in ENSSA-2015. <strong>Results:</strong> nearly eleven thousand participants (10985) out of 12805 eligible subjects were included in the analysis. Prevalence values for partial and severe functional dependence were 12.9% (95% CI: 11.9–13.8) and 6.0% (95% CI: 5.3–6.7), respectively. The prevalence of functional dependence (partial or severe) in diabetic subjects was 23% higher than that of non-diabetics, after controlling for potential confounding factors (aPR 1.23; 95% CI: 1.04–1.44; p= 0.013). <strong>Conclusions:</strong> nearly one of five elderly subjects registered in EsSalud had some degree of functional dependence (partial or severe). Also, DM was associated with a greater likelihood for having functional dependence in this population.</p> Rofilia Ramirez-Ramirez, Percy Soto-Becerra Copyright (c) 2020 ACTA MEDICA PERUANA Wed, 02 Dec 2020 21:03:41 -0500 IgG-positive for SARS-CoV-2 and deficiencies in Peruvian regulations: apropos of a case Eduardo Ortega-Guillen, Giovanni Meneses Copyright (c) 2020 ACTA MEDICA PERUANA Wed, 02 Dec 2020 21:12:04 -0500