Fatores associados à fragilidade em idosos hospitalizados: uma revisão integrativa

Abstract

This review aimed to synthesize and evaluate the production of knowledge about factors significantly associated with frailty in hospitalized elderly. Therefore, the Medical Literature and Retrieval System Online (Medline), Literatura Latino-Americana em Ciências da Saúde (Lilacs) and Índice Bibliográfico Español em Ciencias de la Salud (Ibecs) databases were consulted from 2012 to 2016, whose analysis of twenty articles identified the following factors associated with frailty: increased hospital and post-discharge mortality, prolonged hospitalization, rehospitalization, transfers, advanced age, women and widows, as well as psychosocial, physical and / or functional factors. It is expected that the results of the review will facilitate improvement of the practices and the decision-making of the multiprofessional teams that provide elderly care in the hospital. KEYWORDS

Fatores associados à fragilidade em idosos acompanhados na Atenção Primária à Saúde

“…Moreover, it is necessary to understand that there is synergy of intrinsic and extrinsic factors, observing, thus, that advanced age, female gender, poverty, low education, smoking, low body mass index and presence of chronic diseases are predictive factors of frailty. 6 The detection of the Clinical and Functional Frailty Syndrome (CFFS) can be done through the observation of risk factors and appropriate assessment tools, for example, the Clinical and Functional Vulnerability Index-20 (CFVI-20), which has simple and accessible language, can be used by lay people and health professionals, and standardizes the classification of frailty by identifying it quickly. The CFVI-20 represents a national breakthrough, for it is the first Brazilian instrument to identify the frail elderly; and it is ranked among the four best in the world, being a reference in geriatrics when performing frailty screening.…”

Incidência e fatores de risco para hospitalização em pessoas idosas institucionalizadas

“…A high rate of hospital death was identified in the present study, in which one in 3.3 institutionalized old people who were hospitalized died in the hospital, considering that the majority of the sample was considered fragile, an integrative review found in the main factors related to fragility the highest mortality rate, where higher values in fragility scores are able to predict in-hospital mortality 24 .…”

Investigação da fragilidade na atenção primária e secundária à saúde: necessário e viável/ Investigating fragility in primary and secondary health care: necessary and viable

“…Por ser considerada uma síndrome clínica e que aumenta com o avanço da idade, a Fragilidade de forma mais específica, além de resultar em um declínio acentuado das reservas fisiológicas do idoso e uma redução da eficiência da homeostase, vai impactar diretamente nas habilidades para executar as atividades de vida diárias 4 . Abaixo, a figura 1 apresenta as possíveis vias que levam à fragilidade.…”