Fatores de risco para mortalidade em idosos

Abstract

OBJECTIVE:The risk factors for diseases and premature deaths are important in drawing up preventive measures. This study had the aim of analyzing the risk factors for death among elderly people. METHODS:This study was carried out among participants in the SABE (Health, Wellbeing and Aging) study, in the city of São Paulo in 2000. Interviews were conducted with 2,143 elderly people (60 years old or over), using a standardized questionnaire for the SABE study. The sample was obtained from census tracts, in two stages, with replacements and with probability proportional to the population, and with supplementation of the sample of people aged 75 years or over. The final data were weighted so that they could be expanded. Between the two data collection times, there were 38 deaths which comprised study sample. Logistic regression was utilized for the data analysis, with a significance level of 5%. RESULTS:The risk factors found were: locomotion difficulty, advanced age, male gender, self-assessment of health as "bad" and difficulty in going to the bathroom, OR=3.15; 2.93; 2.90; 2.69 and 2.51, respectively. CONCLUSIONS:The results may contribute towards the adoption of preventive measures for elderly people, with the aim of diminishing the expected number of fatal outcomes.

Functional and cognitive changes in community-dwelling elderly: Longitudinal study

“…According to the literature, functional limitations comprise one of the most important prognostic factors for mortality of the elderly 2,3 . From the epidemiological point of view, disability is usually measured based on reported difficulties or the need for assistance in the performance of the basic activities of daily living (BADLs) and instrumental activities of daily living (IADLs) 4 .…”

Avaliação das decisões médicas durante o processo do morrer

“…(4,(13)(14)(15) . Nowadays, chronic diseases are responsible for the majority of deaths, (16,(17)(18)(19)(20)(21) and acceptance of therapeutic limitation of cancer patients is more common. (22) Similar results were signaled in this work where it was found, that even in the ICU, where ideally patients with a recovery potential are admitted, 42.6% of admissions terminate in death.…”

“…(16) Similar to countries in Southern Europe they are characterized by greater perseverance, fewer limitations and reduced frequency of communication about decisions with patients and family members, when compared to countries in Northern Europe. (26,28) This situation justifies a lower incidence of WWT in this Brazilian ICU, when compared to the European or North-American.…”

Salud auto-referida y desigualdades sociales, ciudad de Buenos Aires, Argentina, 2005

“…Se encuentran diferencias entre la salud auto-referencia por hombres y mujeres. En las mujeres la auto-referencia de un bajo nivel de salud está relacionada con peor calidad de vida, mientras en los hombres se relaciona con una alta probabilidad de muerte 27 . Estas diferencias son atribuidas a que las respuestas de las mujeres son basadas en un amplio rango de factores relacionados o no con la salud en relación a los hombres 28 ; y por lo tanto se recomienda estudiar por separado hombres y mujeres, como se hizo en nuestro estudio.…”