Fragilidade em idosos no município de São Paulo: prevalência e fatores associados

Duarte, Yeda Aparecida de Oliveira; Nunes, Daniella Pires; Andrade, Fabíola Bof de; Corona, Ligiana Pires; Brito, Tábatta Renata Pereira de; Santos, Jair Lício Ferreira; Lebrão, Maria Lúcia

doi:10.1590/1980-549720180021.supl.2

Cited by 43 publications

(60 citation statements)

References 43 publications

(61 reference statements)

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“…Due to the progressive and dynamic sequential changes in the aging process, which are often followed by functional disabilities, weaknesses, vulnerability, and by the increased longevity of the population, individuals not only have become more susceptible to noncommunicable diseases (such as cancer, cardiovascular and respiratory diseases), but also to acute events of these or other pre-existing conditions, being affected by functional limitations and hospitalizations (4)(5)(6)(7)(8)(9)(10)(11) .…”

Section: Introductionmentioning

confidence: 99%

Hemovigilance and patient safety: analysis of immediate transfusion reactions in elderly

2020

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Objective: To identify immediate transfusion reactions in elders hospitalized in a public hospital in the Federal District. Methods: This is an observational, retrospective, documental, and analytical research, with a quantitative analysis of 516 transfusions of packed red blood cells in elders hospitalized in the largest public hospital, who required blood components, from June to December 2017, through descriptive statistics. Results: The sample corresponded to 46.36% of the total number of transfusions in elders in the period. The mean age was 70 years old. There were adverse effects (reactions to the transfusion) in 12 (2.3%) transfusions. Respiratory alterations (33.3%) and fever (23.8%) were the most common events. Conclusion: The incidence of reactions to the transfusion is below national and international rates, indicating probable undernotification, which could be associated to a lack of knowledge regarding its clinical manifestations and the lack of systematic monitoring of the transfusion.

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Section: Introductionmentioning

confidence: 99%

Hemovigilance and patient safety: analysis of immediate transfusion reactions in elderly

2020

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“…In comparison with other cohort studies of community-dwelling older adults in Brazil [2,[40][41][42][43][44][45][46] and LMICs [47][48][49][50][51][52], our participants were older, had a more signi cant burden of disease, and a higher prevalence of frailty. The result was expected since our sample is mostly comprised of multimorbid older adults, followed in an academic medical center.…”

Section: Discussionmentioning

confidence: 59%

Prospective GERiatric Observational (ProGERO) Study: Cohort Design and Preliminary Results

Saraiva

Rangel

Cunha

et al. 2020

Preprint

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Background: The demographic changes in Brazil as a result of population aging is one of the fastest in the world. The far-reaching new challenges that come with a large older population are particularly disquieting in low- and middle-income countries (LMICs). Longitudinal studies must be completed in LMICs to investigate the social and biological determinants of aging and the consequences of such demographic changes in their context. Therefore, we designed the Prospective GERiatric Observational (ProGERO) study, a longitudinal study of older adults in Brazil, to collect data both on healthy aging and chronic diseases, and investigate characteristics associated with adverse outcomes in this population. Methods: The ProGERO study takes place in a geriatric outpatient clinic in the largest academic medical center in Latin America. We performed baseline health examinations in 2017 and will complete subsequent in-person visits every three years when new participants will also be recruited. We will use periodic telephone interviews to collect information on the outcomes of interest between in-person visits. The baseline evaluation included data on demographics, medical history, physical examination, and comprehensive geriatric assessment (CGA; including multimorbidity, medications, social support, functional status, cognition, depressive symptoms, nutritional status, pain assessment, frailty, gait speed, handgrip strength, and chair-stands test). We used a previously validated CGA-based model to rank participants according to mortality risk (low, medium, high). Our selected outcomes were falls, disability, health services utilization (emergency room visits and hospital admissions), institutionalization, and death. We will follow participants for at least ten years.Results: We included 1,336 participants with a mean age of 82±8 years old. Overall, 70% were women, 31% were frail, and 43% had a Charlson comorbidity index score ≥3. According to our CGA-based model, the incidence of death in one year varied significantly across categories (low-risk=0.6%; medium-risk=7.4%; high-risk=17.5%; P<0.001).Conclusion: The ProGERO study will provide detailed clinical data and explore the late-life trajectories of community-dwelling older patients during a follow-up period of at least 10 years. Moreover, the study will substantially contribute to new information on the predictors of healthy and pathological aging in older adults from LMICs.

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“…Consoante aos dados obtidos nessa pesquisa, estudo realizado com idosos no município de São Paulo identi cou percentual semelhante de indivíduos que apresentavam a condição de préfragilidade (41,5%) (23) . Diante desses resultados, emerge a re exão sobre as redes de apoio formais e informais destinada à população idosa, frente à necessidade de cuidados e de preservarem sua autonomia e bem-estar (24) .…”

Section: Discussionunclassified

Apoio Social E Condições De Saúde De Idosos Brasileiros Da Comunidade

Tavares

Oliveira

Ferreira

2020

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Objetivos: descrever as características sociodemográ cas e de saúde de idosos da comunidade; mensurar o apoio social dos idosos e veri car a associação entre as condições de saúde e o melhor nível de apoio social dos idosos. Material e Método: Estudo transversal desenvolvido na zona urbana da Microrregião de Saúde de Uberaba, Minas Gerais, com 962 idosos da comunidade; a coleta dos dados, por meio de entrevista direta, realizada no domicílio do idoso, de maio 2017 a junho 2018, foi desenvolvida por meio dos seguintes instrumentos:

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Fragilidade em idosos no município de São Paulo: prevalência e fatores associados

Cited by 43 publications

References 43 publications

Hemovigilance and patient safety: analysis of immediate transfusion reactions in elderly

Hemovigilance and patient safety: analysis of immediate transfusion reactions in elderly

Prospective GERiatric Observational (ProGERO) Study: Cohort Design and Preliminary Results

Apoio Social E Condições De Saúde De Idosos Brasileiros Da Comunidade

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