Fragilidade de idosos internados na clínica médica da unidade de emergência de um hospital geral terciário

Storti, Luana Baldin; Fabrício-Whebe, Suzele Cristina Coelho; Kusumota, Luciana; Rodrigues, Rosalina Aparecida Partezani; Marques, Sueli

doi:10.1590/s0104-07072013000200022

Cited by 51 publications

(79 citation statements)

References 17 publications

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“…However, in studies using EFS, prevalence of fragility in the elderly who lived in the community was 39.1% in Ribeirão Preto, São Paulo (11) and 41.3% in Montes Claros, Minas Gerais (6) , while in the elderly assisted by the Family Health Strategy in Embu, São Paulo, it was 30.1% (12) . Prevalence of frailty was 74.1% in the elderly of an institution of long permanence in Fortaleza, Ceará (13) ,while it was 95.2% in the elderly hospitalized in the Medical Clinic of the Emergency Department of a University Hospital of Ribeirão Preto, São Paulo (14) . We observed that different conditions may influence the prevalence of frailty in the elderly.…”

Section: Discussionmentioning

confidence: 92%

Frailty in the elderly: prevalence and associated factors

et al. 2017

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Objective: to know the prevalence and factors associated with frailty in elderly assisted by the Centro Mais Vida de Referência em Assistência à Saúde do Idoso (Mais Vida Health Reference Center for the Elderly) in the North of Minas Gerais, Brazil. Method: cross-sectional study, with sampling by convenience. Data collection occurred in 2015. Demographic and socioeconomic variables, morbidities, use of health services and the score of the Edmonton Frail Scale were analyzed. The adjusted prevalence ratios were obtained by multiple analysis of Poisson regression with robust variance. Results: 360 elderly aged 65 or older were evaluated. Frailty prevalence was 47.2%. The variables associated with frailty were the following: advanced age elderly, who live without a partner, have a caregiver, present depressive symptoms, osteoarticular disease, as well as history of hospitalization and falls in the last twelve months. Conclusion: knowledge of factors associated with frailty allows development of health actions aimed at the elderly. Descriptors: Elderly; Frail elderly; Health Vulnerability; Health of the Elderly; Public Health. RESUMO Objetivo: conhecer a prevalência e fatores associados à fragilidade em idosos assistidos pelo Centro Mais Vida de Referência em Assistência à Saúde do Idoso ao norte de Minas Gerais, Brasil. Método: estudo transversal, com amostragem por conveniência. A coleta de dados ocorreu em 2015. Analisaram-se variáveis demográfi cas e socioeconômicas, morbidades, utilização de serviços de saúde e o escore da Escala de Fragilidade de Edmonton. As razões de prevalências ajustadas foram obtidas por análise múltipla de regressão de Poisson com variância robusta. Resultados: foram avaliados 360 idosos com idade igual ou superior a 65 anos. A prevalência de fragilidade foi 47,2%. As variáveis associadas à fragilidade foram: idosos longevos, que vivem sem companheiro(a), possuem cuidador, apresentam sintomas depressivos, doença osteoarticular, bem como história de internação e de quedas nos últimos 12 meses. Conclusão: o conhecimento dos fatores associados à fragilidade permite que ações de saúde destinadas a idosos possam ser desenvolvidas. Descritores: Idoso; Idoso Fragilizado; Vulnerabilidade em Saúde; Saúde do Idoso; Saúde Coletiva. RESUMENObjetivo: identifi car la prevalencia y los factores asociados a la fragilidad en ancianos asistidos por el Centro Mais Vida, programa de Asistencia a la Salud del Anciano en el norte de Minas Gerais, Brasil. Método: estudio transversal, con muestreo por conveniencia. Se recolectaron los datos en el 2015. Se evaluaron las variables demográfi cas y socioeconómicas, comorbilidades, utilización de servicios de salud y el puntaje de la Escala de fragilidad de Edmonton. Se empleó el análisis múltiple de regresión de Poisson con varianza robusta para obtener las tasas de prevalencias ajustadas. Resultados: se evaluaron a 360 ancianos de más de 65 años de edad. Un 47,2% fue la tasa de prevalencia de fragilidad. Las variables asociadas a la fragilidad fueron:Rev B...

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Section: Discussionmentioning

confidence: 92%

Frailty in the elderly: prevalence and associated factors

et al. 2017

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“…While this finding agreed with the aforementioned studies, 19,31 there was no difference between FR and NF and between PF and NF individuals, suggesting that even elderly individuals not at risk of frailty may have a negative opinion of their health, or in other words, in this sample perception of health was not decisive for frailty and vice versa. This is possibly due to the low number of reports of poor (16.5%) or very poor (0.0%) health, categories which, according to Stori et al, 32 are determinants of frailty.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of frailty, functional capacity and quality of life of the elderly in geriatric outpatient clinic of a university hospital

Freitas

Sarges

Moreira

et al. 2016

Rev. bras. geriatr. gerontol.

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Objective: To investigate the occurrence of frailty and analyze the functional capacity and quality of life in the elderly in a department of geriatrics and gerontology in Belém-PA. Method: Cross-sectional, descriptive and analytical study.103 elderly people were assessed as the socio-demographic and clinical aspects, frailty, according to the phenotype of Fried, history of falls, self-perceived health, functional capacity (FC) and quality of life (QOL). The elderly were classified as frail (FR), pre-frail (PF) and non-frail (NF). The groups were compared using the binomial test, Kruskal-Wallis test and ANOVA test, and the relationship between FC and QOL through Pearson correlation. Results: The mean age was 73.39(±6.42) years; 23.0% of the elderly were FR, 57.0%were PF and 20.0% were NF. The highest criteria of phenotype were muscle weakness and physical inactivity. Was no difference in FC between FR and PF ( p<0.01) and FR and NF ( p<0.01). The FR elderly had lower QOL and the highest scores were intimacy (15.33±2.26) and death and dying (14.88±3.26). There were correlation between FC and QOL in groups PF ( p=0.0273) and NF ( p=0.0017). 62.1% of seniors pointed to health as regular and 34.0% had a history of falling. Conclusion: Muscle weakness and physical inactivity were most striking in the development of frailty, which was associated with worse QOL and FC, despite most seniors be independent. These data are important for early detection of determinants of frailty, since the criteria discussed here are reversible.

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“…However, it is worthwhile to remember that educational level is a determinant factor for health condition, particularly in older adults. The literature points out that a low educational level relates to a greater chance of individuals presenting health problems and negatively impacts their functionality 15,20,21 . In sequence, a greater functional impairment is related to multiple comorbidities, and both are risk factors for frailty 20,21 .…”

Section: Discussionmentioning

confidence: 99%

“…The literature points out that a low educational level relates to a greater chance of individuals presenting health problems and negatively impacts their functionality 15,20,21 . In sequence, a greater functional impairment is related to multiple comorbidities, and both are risk factors for frailty 20,21 . On the other hand, still concerning the associations, age was mildly correlated, demonstrating that vulnerable individuals are older than the not-vulnerable ones, which confirms the fact that the older the age, the greater the difficulty in homeostasis maintenance, and the greater the susceptibility to harm 15 .…”

Section: Discussionmentioning

confidence: 99%

Vulnerabilidade física de idosos na alta hospitalar

et al. 2017

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| Vulnerability is the individual's capacity to suffer damage in response to a stimulus. We identified physical vulnerability in older people in hospital discharge; the association of this condition with sociodemographic factors was verified, and we compared vulnerable with not-vulnerable individuals, as well as those referred or not to physical therapy during hospitalization. This was an exploratory study, and the sample consisted of 122 hospitalized older adults. Data were collected using a socio-clinical demographic questionnaire, the RESUMEN | Vulnerabilidad es la capacidad de un individuo sufrir daño en respuesta a un estímulo. Se identificó la vulnerabilidad física de ancianos en el alta hospitalaria y la asociación de esa condición con factores clínicos y sociodemográficos, y fueron comparados ancianos vulnerables con los no vulnerables y aquellos acompañados o no por la fisioterapia durante el ingreso. Este fue un estudio exploratorio, con muestra de 122 ancianos hospitalizados. Los datos fueron obtenidos por medio de cuestionario clínico y sociodemográfico, Mini Prueba del Estado Mental, Escala de Depresión Geriátrica y Vulnerable Elders Survey-13. Se utilizó para tanto la prueba de correlación de Spearman para identificar la correlación entre la vulnerabilidad y los datos clínicos y los sociodemográficos y la prueba de Mann-Whitney. El nivel de significancia fue de un 5%. La vulnerabilidad fue identificada en el 75,4% de los ancianos. Hubo correlación significativa entre la vulnerabilidad y la edad (r=0,52 p=0,01), el tiempo de ingreso (r=0,25 p=0,01) y el número de comorbidades (r=0,25 p=0,01), y la negativa entre la vulnerabilidad y la escolaridad (r=-0,20 p=0,02).Hubo diferencia estadística entre ancianos vulnerables y los no vulnerables para la edad (p=0,01), las comorbidades (p=0,01), el tiempo de ingreso (p=0,01), el MEEM (p=0,01) y el GDS (p=0,01), y entre los ancianos acompañados o no por la fisioterapia para la vulnerabilidad (p=0,04) y el tiempo de ingreso (p=0,01). La gran parte de los ancianos era físicamente vulnerable en el alta hospitalaria, siendo ellos más mayores, con más comorbidades, el tiempo de ingreso más grande, la presencia de descenso cognitivo y los síntomas depresivos. Aquellos que recibieron acompañamiento fisioterapéutico presentaron la vulnerabilidad y el tiempo de ingreso más grandes.Palabras clave | Anciano; Hospitalización; Estudio de Vulnerabilidad; Vulnerabilidad en Salud.

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Fragilidade de idosos internados na clínica médica da unidade de emergência de um hospital geral terciário

Cited by 51 publications

References 17 publications

Frailty in the elderly: prevalence and associated factors

Frailty in the elderly: prevalence and associated factors

Evaluation of frailty, functional capacity and quality of life of the elderly in geriatric outpatient clinic of a university hospital

Vulnerabilidade física de idosos na alta hospitalar

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