Quedas: conceitos, frequências e aplicações à assistência ao idoso. Revisão da literatura

Falsarella, Gláucia Regina; Gasparotto, Lívia Pimenta Renó; Coimbra, Arlete Maria Valente

doi:10.1590/1809-9823.2014.13064

Cited by 40 publications

(55 citation statements)

References 30 publications

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“…At the same time, the association of the functional decline of the elderly with falls and fractures is a commonly discussed theme in studies in geriatrics and gerontology 15,16 . In addition, death due to post-fracture hospitalization has attracted the attention of researchers, especially as such events have intensified in age groups younger than 75 years 17,18 .…”

Section: Resultsmentioning

confidence: 99%

Survival analysis of elderly patients in Intensive Care Units

Bonfada

Santos

Lima

et al. 2017

Rev. bras. geriatr. gerontol.

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Objective: Conduct a survival analysis of elderly patients hospitalized in an intensive care unit (ICU), identifying the predictors of mortality among this age group. Methods: A retrospective cohort study was performed with data from the medical records of 457 elderly patients hospitalized in an ICU located in the city of Natal in Brazil. Survival functions were estimated using the Kaplan-Meier estimator, and the Log-rank test was used for comparisons. In addition, a multiple Cox proportional hazards model was constructed to identify the independent effects of the predictors of survival. Results: It was found that the survival of elderly ICU patients declined due to factors such as increased hospitalization time, advancing years, unmarried (including common-lawmarriage) status, the presence of shock, pneumonia, septicaemia, fractures, a reduced state of consciousness, hospitalization for clinical reasons, being bedridden prior to hospitalization, fever, bradycardia, hypotension, cardiac arrest and the need for mechanical ventilation. The multiple Cox proportional hazards model revealed that variables such as shock, longevity, bradycardia, fractures, fever, hospitalization in the public healthcare system and admission for clinical reasons remained significant as predictors of reduced survival in intensive care units. Conclusions: The survival rates of elderly persons in an ICU in the city of Natal in Brazil were affected by demographic and clinical predictors, and those related to the type of hospitalization and the health care network. This shows that any initiative aimed at increasing the survival of elderly ICU patients must look at individual and social issues and factors related to the health care network.

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Section: Resultsmentioning

confidence: 99%

Survival analysis of elderly patients in Intensive Care Units

Bonfada

Santos

Lima

et al. 2017

Rev. bras. geriatr. gerontol.

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“…The concept of falling utilized was: "to inadvertently come to stay on the ground or another lower level, excluding intentional position changes to lean on furniture, walls or other objects" [18][19].…”

Section: Methodsmentioning

confidence: 99%

Characterizing the fall and association between functional independence and balance in the elderly following proximal femoral surgery

Avila

Bocchi

2016

Int Arch Med

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Introduction: Falling in the elderly should be considered sentinel events in the life of an individual, potentially marking in the initiation of an important decline in his functional capacity, have a multicausal etiology and can be attributed to extrinsic factors and intrinsic factors. Objective:To characterize sociodemographics and the diseases of the elderly who sustained a proximal femoral fracture, as a result of falls from a standing height, and to study the relationship between balance and functional independence of these elderly.Method: This was a cross-sectional study conducted over a period of 12 months in a teaching hospital, with a sample of 89 elderly (≥ 60 years).Results: The characteristics of the elderly patients which demonstrated significance with functional independence were: the presence of nervous system disease, and/or mental and behavioural disorders (p = 0.001), and balance (p <0.001). Surgeries in the proximal femoral region occurred in females (67.3%), elderly patients ≥ 80 years of age (46.1%), and 60.7% underwent osteosynthesis. Conclusions:In relationship to functional independence, 23.6% of the elderly were classified as maximum dependence, 38.2% as minimum, and 38.2% as modified independence. The elderly gained balance significantly as they regained their functional independence, regardless of age, gender, and whether or not they presented with nervous system disease and/or mental and behavioural disorders.

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“…Além disso, pode resultar em uma síndrome pós-queda, isolamento, imobilização, perda de autonomia, sentimento de fragilidade, insegurança, dependência e depressão, o que levará a importantes mudanças emocionais, psicológicas e sociais. 7,8 A institucionalização deve ser a última alternativa de assistência ao idoso, pois representa um fator de risco para quedas, uma vez que a mudança do ambiente familiar para um ambiente desconhecido pode predispor a alterações psicológicas, cognitivas e funcionais vinculadas ao isolamento, abandono e inatividade física, possibilitando em maior dependência para as atividades de vida diária e decorrente redução da capacidade funcional. 9 Diante do exposto, o presente estudo teve como objetivo avaliar a prevalência de quedas e identificar os fatores de risco associados às quedas em idosos moradores de instituições de longa permanência no município de Anápolis-GO.…”

Section: 2unclassified

Prevalência de quedas e fatores associados em idosos institucionalizados do município de Anápolis - Prevalence of falls and associated factors with institutionalized elderly people in the city of Anápolis

Silva

Martuscelli²,

Fernandes³

et al. 2017

RESU

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ResumoObjetivo: Avaliar a prevalência de quedas em idosos institucionalizados e seus fatores associados. Metodologia: Trata-se de um estudo de delineamento transversal e quantitativo. A amostra foi de conveniência, com idosos de ambos os sexos, residentes em Instituição de Longa Permanência para Idosos. Foi avaliado o histórico de quedas nos últimos 12 meses, condições gerais de saúde-doença, a capacidade cognitiva através do Mini Exame do Estado Mental, a capacidade funcional através do índice de Katz, a Força de Preensão Palmar, a avaliação do equilíbrio estático com o Teste de Apoio Unipodal e o equilíbrio dinâmico com o Teste Timed Up and Go. Resultados: Verificou-se que dos 20 participantes amostrados por conveniência 55% são do sexo feminino com idade média de 78,45±10,88 anos. A doença crônica que se destaca é Hipertensão Arterial Sistêmica em 55,6%, sendo que estes são idosos caidores. Constata-se que nove idosos (45%) caíram nos últimos doze meses, totalizando dezenove quedas em que 25% sofreram mais de uma queda. Dentre os fatores intrínsecos para a ocorrência de quedas destaca-se os usuários de medicamentos sendo 88,9%, e as alterações visuais em 66,7% sendo estes caidores. O local de maior ocorrência de quedas foi o quarto com nove eventos (47,37%). Conclusão: A prevalência de quedas foi alta e semelhante a outros estudos nacionais, demonstrando a necessidade de identificar os fatores de risco associados em idosos institucionalizados, e a partir disso traçar estratégias passiveis de intervenção, para corrigir ou minimizar as chances de novas quedas nessa população. Palavras-chave:Idoso.Quedas. Fatores de risco. AbstractObjective: This study aimed at evaluating the prevalence of falls in institutionalized elderly people and their associated factors. Methodology: this is about a of cross-sectional and quantitative study. The sample was of convenience, with elderly people of both sexes, living in a Long Stay Institution for the Elderly. It was assessed the history of falls in the last 12 months, general conditions of health-disease, cognitive capacity through the Mini Mental State Examination, the functional capacity through the Katz index, the Handgrip strength, the evaluation of the static balance with the Unipodal Support Test and the dynamic balance with the Time Up and Go (TUG) test. Results: It was verified that among the 20 participants sampled by convenience 55% are females members with an average age of 78,45±10,88. The most common chronic disease is the Systemic Arterial Hypertension in 55,6%, being these, elderly who falls. It was verified that 9 elderly people had fallen in the last 12 months, numbering nineteen falls which 25% suffered more than one fall. Among the intrinsic factors for the occurrence of falls, it stands out the ones who make use of medicines 88,9% and the ones with visual changes in 66,7% being people who fall. The place where most of the falls happened was the bedroom with nine events (47,37%). Conclusion: The prevalence of falls was high and similar to other national stu...

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Quedas: conceitos, frequências e aplicações à assistência ao idoso. Revisão da literatura

Cited by 40 publications

References 30 publications

Survival analysis of elderly patients in Intensive Care Units

Survival analysis of elderly patients in Intensive Care Units

Characterizing the fall and association between functional independence and balance in the elderly following proximal femoral surgery

Prevalência de quedas e fatores associados em idosos institucionalizados do município de Anápolis - Prevalence of falls and associated factors with institutionalized elderly people in the city of Anápolis

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