Internação por queda em idosos residentes em Florianópolis, em Santa Catarina e no Brasil: tendência temporal 2006-2014

Confortin, Susana Cararo; Andrade, Selma Regina de; Antes, Danielle Ledur; Marques, Larissa Pruner; Schneider, Ione Jayce Ceola

doi:10.1590/1414-462x202028020255

Cited by 4 publications

(1 citation statement)

References 24 publications

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“…Além das DCNT, as quedas são consideradas uma das principais causas de internação em indivíduos com 60 anos ou mais e aproximadamente 30% dos idosos apresentam problemas em decorrência de quedas no Brasil 3 . No ambiente hospitalar, as quedas configuram-se no principal tipo de acidente, levando à perda da funcionalidade e ao prolongamento do tempo de internação e recuperação, aumento nos custos do tratamento, aumento nas limitações, agravamento da situação clínica e piora de quadro emocional 4 .…”

Section: Introductionunclassified

Risco de queda e força muscular de idosos hospitalizados em um hospital público do RS

Dipp

Nunes

2022

RFS

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Introdução: A hospitalização é um potente fator de risco para o declínio funcional de pessoas idosas, aumentando a chance de queda com impacto direto e negativo na vida destes. Objetivo: Avaliar o risco de queda e a força muscular de idosos hospitalizados. Metodologia: Estudo transversal com idosos internados há mais de 24 horas em um hospital público. A avaliação do risco de queda foi feita com Timed Up&Go e Morse Fall Scale e a força muscular foi feita através da Medical Research Council e Teste de sentar-e-levantar em 30 segundos. Resultados: 69,2% eram homens com 67,4 ± 5,4 anos de idade e tempo de estudo menor que nove anos. Hipertensão e as doenças cardiovasculares/cerebrovasculares foram as causas de internação em 80% da amostra. O alto risco de queda foi identificado pelo Timed Up&Go em 50% e pela Medical Research Council em 23,1% da amostra. Houve redução da força muscular periférica nos idosos avaliados de acordo com o Teste de sentar-e-levantar. Ainda houve associação entre os resultados do Timed Up&Go com a Medical Research Council (r=,477; p=0,014); Teste de sentar-e-levantar (r= -,693; p=0,006) e Medical Research Council (r= -,568; p=0,006). Os testes de força muscular também apresentaram associação (r=,524; p=0,006). Conclusão: Idosos hospitalizados apresentam risco de queda e redução da força muscular periférica e o perfil clínico e demográfico da amostra traduz o impacto das doenças crônicas na população idosa.

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Section: Introductionunclassified

Risco de queda e força muscular de idosos hospitalizados em um hospital público do RS

Dipp

Nunes

2022

RFS

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Epidemiological and clinical profile and trend analysis of hospitalizations for fall-related injuries among older adults, Alagoas (Brazil), 2008–2019

Machado

Lima

Correia

et al. 2022

Geriatr Gerontol Aging

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Objective: To analyze the epidemiological and clinical profile and the time trend of hospitalizations for fall-related injuries among older people (aged 60 years or older) in Alagoas between 2008 and 2019. Methods: This is a time series study with data collected from the Hospital Information System of the Unified National Health System (SIHSUS) referring to hospitalizations for fall-related injuries among older adults in Alagoas between 2008 and 2019. Hospitalization and lethality rates, average annual percent change (AAPC), and annual percent change (APC) were calculated; time trends were analyzed using a Joinpoint Regression Model according to sex, skin color, age range, and causes. A 95% confidence interval (95%CI) was adopted. A p-value<0.01 was adopted for defining statistical significance. Results: In Alagoas, 14 817 cases of hospitalizations due to fall-related injuries were reported among older people in the analyzed period. The highest incidence rate was observed in 2016 (48.39/10 000 inhabitants). There were 517 deaths, and the mean lethality rate was 3.4%. A higher proportion of cases was seen in men (66.36%; n=9832), those aged 80 years or older(34.59%; n=5125), and with Brown skin (54.70%; n=8106). The incidence coefficient varied, showing an upward trend with time (APC: 4.1; 95%CI 0.2–8.2; p<0.01). Conclusion: During the analyzed period, the study showed a higher incidence in individuals aged 80 years or older, men, and found an upward trend in hospitalizations. We suggest the optimization of hospital care and promotion of fall prevention programs among older adults.

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Polypharmacy and drug classes in fall risk among older adults

Sussuarana,

Rocha,

Jucá

et al. 2023

Geriatr Gerontol Aging

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Objective: To identify polypharmacy, including drug classes that, when used concomitantly, increase fall risk in older adults. Methods: This cross-sectional quantitative study included noninstitutionalized individuals aged ≥ 60 years living in Rio Branco, Acre, Brazil. In the descriptive data analysis, the frequency distributions were evaluated and multiple logistic regression was used to identify factors associated with fall risk. The ROC curve was used to determine the logistic model’s accuracy. Results: The fall rate was higher among women (73.30%) and the 70–79 year age group (42.50%). A total of 80.70% of the participants used ≥ 1 medication and 32.60% used 2–3 medications. According to the odds ratio calculation, use of medications with possible drug interactions increased the occurrence of falls by 47.00% in the last 12 months. The model’s accuracy was 55.00%. Conclusions: The results indicate that polypharmacy and the use of certain drug classes in older adults can lead to potential drug interactions, making them more susceptible to adverse events, such as postural hypotension, vertigo, dizziness, and loss of balance, all of which increase fall risk. Educational measures for older adults on correct medication use are needed.

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Internação por queda em idosos residentes em Florianópolis, em Santa Catarina e no Brasil: tendência temporal 2006-2014

Cited by 4 publications

References 24 publications

Risco de queda e força muscular de idosos hospitalizados em um hospital público do RS

Risco de queda e força muscular de idosos hospitalizados em um hospital público do RS

Epidemiological and clinical profile and trend analysis of hospitalizations for fall-related injuries among older adults, Alagoas (Brazil), 2008–2019

Polypharmacy and drug classes in fall risk among older adults

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