[en] Objective: to study centenarians and analyze their survival after 100 years Method: Prospective study, including home visits and telephone follow-up. Results: 80 centenarians were studied, 67.5 % women. The most prevalent diseases were osteoarthritis, dementia and cardiovascular disease. They had often limitation of hearing and vision . Vaccination coverage rate is low. Most of them had previous hospital admissions. 81.3 % take drugs (mean3.3)The most frequent laboratory abnormalities were anemia (40.3%), hyperfibrinogenemia (63.5 %), renal failure (67.5%) and hypoalbuminemia (22.1%). The ECG was normal in 8%. 26.3% had atrial fibrilation, 37.5% conduction defects, and 38.8% changes suggestive of ischemia. 32.5 % had comorbidity, with no differences by sex. 53.8% of centenarians were independent regarding basic activities of daily living , and 71.3 % had cognitive impairment according to the mini cognoscitive test. Males scored significantly better than women in all questionnaires. The three questionnaires on basic activities of daily living show high concordance among them, while tests concerning assessment of cognitive impairment diverge in their results. In the final multivariate model, the variables that best predict both dependence and cognitive impairment were hypoalbuminemia and comorbidity. Mean survival was 628 days. This is promoted by functional independence and negatively affected by hyperglycemia, hypoalbuminemia, and the presence of atrial fibrillation. Conclusions: Our centenarians are predominantly women, they often have functional dependence and cognitive impairment. These clinical conditions were significantly associated with comorbidity and hypoalbuminemia. Median survival after reaching 100 years is 16 months. Factors that negatively influence survival are potentially modifiable.

[gl] Obxectivo: estudar os centenarios e analizar a supervivencia despois dos 100 anos. Método: Estudo prospectivo, con visita domiciliaria, e seguimento telefónico. Resultados: Estudáronse 80 centenarios, o 67,5% mulleres. As patoloxías máis prevalentes foron osteoartrosis, demencia e enfermidades cardiovasculares. Presentaban frecuente limitación de audición e visión. A cobertura vacunal é baixa. A maioría ingresara previamente. O 81,3% toman fármacos (3,3 de media). As alteracións analíticas máis frecuentes foron anemia (40,3%), hiperfibrinogenemia (63,5%), insuficiencia renal (67,5%) e hipoalbuminemia (22,1%). O ECG foi normal no 8%. Presentaron FA o 26,3%, defectos de condución o 37,5%, e alteracións suxestivas de isquemia o 38,8%. O 32,5% presentaban comorbilidade, sen diferenzas segundo sexo. O 53,8% dos centenarios eran independentes para as ABVD, e o 71,3% presentaban deterioro cognitivo segundo o MEC. Os varóns puntúan significativamente mellor en todos os cuestionarios. Os tres cuestionarios de ABVD mostran elevada concordancia entre eles, mentres que os de valoración de deterioro cognitivo diverxen nos seus resultados. No modelo final multivariante as variables que mellor predicen tanto dependencia para as ABVD coma deterioro cognitivo foron a hipoalbuminemia e a comorbilidade. A supervivencia media foi de 628 días. Favorécen a independencia funcional e afectan negativamente a hiperglicemia, a hipoalbuminemia, e a presenza de fibrilación auricular. Conclusións: Os nosos centenarios son predominantemente mulleres, presentan con frecuencia dependencia funcional e deterioro cognitivo, e estes asócianse de forma significativa á comorbilidade e a hipoalbuminemia. Tras cumprir os 100 anos a mediana de supervivencia é de 16 meses. Os factores que afectan negativamente á supervivencia son potencialmente modificables.