Capacidade funcional e a gravidade do trauma em idosos

Abstract

Objective: Correlate functional capacity in elderly people with the severity of the trauma and compare it before and after the trauma. Methods: Prospective observational study conducted in an emergency department, comprised of 55 elderly people, age 60 and over, of both sexes, who suffered trauma. The incapacity of patients with functional limitations of various origins was assessed. The research instruments applied at three different times were: the Functional Independence Measure and the Injury Severity Score to assess the severity of the trauma. Results: Functional capacity within 48 hours of the trauma was significantly higher than functional capacity at discharge and after one month. The lower the severity of the trauma was the greater the functional capacity of the aged. Conclusion: The functional capacity of the elderly deteriorated during the time of hospital stay and one month after discharge. ResumoObjetivo: Correlacionar a capacidade funcional do idoso com a gravidade do trauma e compará-la nos momentos antes e após a ocorrência do trauma. Métodos: Estudo prospectivo e observacional realizado no Serviço de Emergência. Foram incluídos 55 idosos com idade a partir de 60 anos, ambos os sexos, vítimas de trauma. Foram avaliados a incapacidade de pacientes com restrições funcionais de origem variada. Os instrumentos de pesquisa aplicados em três momentos foram: a Medida de Independência Funcional e o Injury Severity Score para avaliar a gravidade do trauma. Resultados: A capacidade funcional em até 48 horas foi significativamente maior que a capacidade funcional na alta e após um mês. Quanto menor a gravidade do trauma maior a capacidade funcional do idoso. Conclusão: Os idosos apresentaram piora da capacidade funcional durante o período de internação e após um mês de na alta hospitalar.

Trauma in elderly people: access to the health system through pre-hospital care

“…The prevalence of the mechanism differs according to sex and age, as women over 69 years of age are the main victims of falls, due to the higher degree of frailty associated with osteoporosis, as a result of the post-menopause period, while men are more exposed to traffic accidents and in the age group between 60 and 69 years, due to the exposure to risk factors like greater circulation in the urban perimeter, leisure activities and the job market ( 4 - 5 , 16 - 17 ) .…”

Medicines and its relation to the development of pressure injury in hospitalized-elderly people

“…Additionally, these medications may cause postural hypotension, dizziness, frequent urination, and other effects that may lead to falls in these patients, resulting in a decline in functional capacity. 17 So, this drug class may cause disturbances in homeostasis, poor hydration of the skin tissue and risk factors for trauma, contributing to the occurrence of skin lesions. This is due to changes in the cascades of reactions in the body caused by electrolyte disturbances promoted by this drug class, which may increase the toxicity of several drugs that predispose to digitalis intoxication, changes in homeostasis and skin tissue nutrition.…”

Avaliação Da Fragilidade De Idosos Internados Em Serviço De Emergência De Um Hospital Universitário

“…Além disso, os pacientes desta pesquisa apresentaram comprometimento de 7 dos 9 domínios da EFS, o que diverge do estudo realizado em Unidade de Saúde da Família, no qual houve comprometimento apenas na cognição (11). Este resultado pode estar relacionado ao fato desses idosos não estarem internados e não apresentarem comprometimento agudo.…”