Informações sobre a morbidade hospitalar em idosos nas internações do Sistema Único de Saúde do Brasil

Góis, Ana Luzia Batista de; Veras, Renato Peixoto

doi:10.1590/s1413-81232010000600023

Cited by 48 publications

(62 citation statements)

References 10 publications

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“…The association between the various comorbidities evaluated and polypharmacy found in this study is consistent with other studies of the elderly 17,32 . A study conducted in Japan found that polypharmacy was more common in the treatment of hypertension, hyperlipidemia, gastric ulcers and diabetes 33 .…”

Section: Discussionsupporting

confidence: 92%

“…These diseases are the main causes of mortality among the global elderly population 33,34 . The high prevalence of diseases of the digestive system can often lead to the unnecessary intake of other drugs, thus explaining the use of polypharmacy in this population 32 . This condition can lead to a cascade of negative effects on the health of the elderly and on the health system.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of and factors associated with polypharmacy among elderly persons resident in the community

Almeida¹,

Reiners

Azevedo

et al. 2017

Rev. bras. geriatr. gerontol.

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Objective: to verify the prevalence of and factors associated with polypharmacy among elderly residents of the city of Cuiabá, in the state of Mato Grosso. Method: a cross-sectional study of 573 people aged 60 and over was performed. Polypharmacy was defined as the use of five or more medications. To investigate the association between polypharmacy and sociodemographic variables, health and access to medication, the Mantel Haenszel chi square test was used in bivariate analysis and Poisson regression was used in multivariate analysis. The significance level adopted was 5%. Result: the prevalence of polypharmacy was 10.30%. Statistically significant associations were found between polypharmacy and living with others, describing suffering from circulatory, endocrine, nutritional and digestive tract diseases, and referring to financial difficulties for the purchase of medicines. Conclusion: some social and health condition factors play an important role in the use of multiple medications among the elderly.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Prevalence of and factors associated with polypharmacy among elderly persons resident in the community

Almeida¹,

Reiners

Azevedo

et al. 2017

Rev. bras. geriatr. gerontol.

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“…These specialties manage various common diseases of aging such as pneumonia, chronic obstructive pulmonary disease (COPD), cardiovascular diseases such as heart failure (HF) and cerebrovascular accidents or strokes (CVA), in addition to fractures. 2,12,13 These situations often feature OIT as a therapeutic resource, used as needed by the patient. 4,18,20 In terms of evolution, approximately 15% of the elderly persons hospitalized and treated with OIT were discharged for treatment at home, which indicates the need for monitoring and longterm care, not only of the patient but also the the environment in which he or she lives, the household conditions and the care to which the patient has access.…”

Section: Discussionmentioning

confidence: 99%

“…1 The most frequent causes of hospitalization among the elderly in Brazil, among both genders, are heart and coronary disease and lung disease, which alternate as the most and second most common causes. 2 Hospitalization rates among those aged 80 or above are three times higher than among individuals aged between 55 and 59 years. 3 During hospitalization, administration of oxygen is one of the most important treatment methods for patients with hypoxia, which results from several common conditions such as cardiovascular events, chronic respiratory diseases and lower respiratory tract infections.…”

Section: Introductionmentioning

confidence: 99%

Oxigenoterapia inalatória em idosos internados em um hospital público

Buranello

Shimano

Patrizzi

2016

Rev. bras. geriatr. gerontol.

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Objectives: To describe the characteristics of oxygen inhalation therapy used on elderly patients of the medical clinical department of a Brazilian public hospital, and to evaluate the knowledge of those accompanying them about the therapy. Method: An observational, descriptive cross-sectional study was carried out. The sample comprised 52 elderly persons who had been hospitalized in the medical clinical department of a public hospital in Minas Gerais for two months. The characteristics of the application of the oxygen inhalation therapy, the sociodemographic aspects and the general health characteristics of the group were evaluated through the analysis of hospital records, medical prescriptions and in loco observation. The knowledge of the persons accompanying the elderly patients was evaluated through a structured interview. Statistical analysis included exploratory univariate analysis, study of the frequencies of the categorical variables and descriptive statistical analysis of the continuous variables. Results: There was a predominance of females (53.8%); a mean age of 75 years; a low educational level (two years) and per capita income (between one and three minimum wages); a marital status of married (42.2%); and nonsmokers (48.1%). A total of 67.3% of the elderly persons had not previously used mechanical ventilation and 61.5% were undergoing physical therapy. The most common outcome was hospital discharge without OIT (53.8%). The nasal cannula was the most commonly used device (51.9%); 42.0% of prescriptions were not documented; monitoring was present in 76.9% of cases; 81.8% of those accompanying the elderly patients did not know what the OIT device was and 27.0% reported having changed the oxygen supply device. Conclusion: This study identified the relevant characteristics of the application of oxygen inhalation therapy among elderly patients of a public hospital, demonstrating the need for standardization of information, prescriptions and monitoring of such individuals during oxygen inhalation therapy, with educational measures for the healthcare team and those accompanying the patients.

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“…Reconhecidamente, o envelhecimento populacional está relacionado com o aumento da prevalência de doenças crônicas não transmissí-veis, entre elas as cardiovasculares, pulmonares obstrutivas crônicas, do aparelho locomotor, endócrinas nutricionais e metabólicas, neoplasias e diabetes 8,9,10,11,12,13,14,15,16 . Esse quadro gera maior demanda nas internações hospitalares, tratamentos medicamentosos e na reabilitação dos pacientes, o que induz ao aumento dos gastos nas atenções secundária e terciária do Sistema Único de Saúde (SUS) 17 .…”

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Perfil de morbidade e gastos hospitalares com idosos no Paraná, Brasil, entre 2008 e 2012

et al. 2016

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Resumo: O aumento da população idosa leva a uma crescente demanda por serviços de saúde e expansão dos gastos, com consequências relevantes sobre a estabilidade econômica. Nesse contexto, o objetivo do estudo foi analisar o perfil das morbidades e gastos hospitalares com idosos em relação às condições socioeconômicas e demográficas do Paraná, Brasil, no período de 2008 a 2012, aplicando-se a análise fatorial em componentes principais e de agrupamentos. As regiões com maior e menor desenvolvimento econômico e humano apresentaram alta prevalência das internações e dos custos relativos às doenças do aparelho circulatório, respiratório e do coração para os sexos masculino e feminino. Já nas regiões com nível de desenvolvimento intermediário, as doenças do sistema nervoso em homens e do aparelho circulatório em mulheres se destacaram com relação às morbidades e gastos hospitalares. Assim, ações de prevenção e promoção de saúde a essa população idosa podem ser direcionadas para investigações regionais.

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Informações sobre a morbidade hospitalar em idosos nas internações do Sistema Único de Saúde do Brasil

Abstract: Informações sobre a morbidade hospitalar em idosos nas internações do Sistema Único de Saúde do BrasilInformation on seniors' morbidity upon internments on the Brazilian Unified Health System

Cited by 48 publications

References 10 publications

Prevalence of and factors associated with polypharmacy among elderly persons resident in the community

Prevalence of and factors associated with polypharmacy among elderly persons resident in the community

Oxigenoterapia inalatória em idosos internados em um hospital público

Perfil de morbidade e gastos hospitalares com idosos no Paraná, Brasil, entre 2008 e 2012

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