Risco de quedas em pessoas idosas hospitalizadas

Falcão, Renata Maia de Medeiros; Costa, Kátia Nêyla de Freitas Macedo; Fernandes, Maria das Graças Melo; Pontes, Maria de Lourdes de Farias; Vasconcelos, Josilene de Melo Buriti; Oliveira, Jacira dos Santos

doi:10.1590/1983-1447.2019.20180266

Cited by 15 publications

(10 citation statements)

References 8 publications

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“…Os achados relacionados com as características sociodemográficas, econômicas e clínicas dos entre-vistados foram semelhantes aos de outra pesquisa, na qual a maioria de idosos era casada, aposentada, com grande número de não alfabetizados, mas com uma média de 5,5 (±7,1) dias de internação, muito inferior à que foi encontrada neste estudo (12) . Essa diferença parece demonstrar que nossa população apresenta fatores associados à maior fragilidade quando se depara com uma longa hospitalização.…”

Section: Discussionunclassified

Functional capacity: association with risk for falls, fear of falling and pain in the elderly

Nadu¹,

Sala²,

Silva³

et al. 2021

Rev Rene

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Objective: to associate functional capacity with the risk of falls, fear of falling, and pain in hospitalized elderly. Methods: cross-sectional study with 130 elderlies. The following scales were applied: Activities of Daily Living, Instrumental Activities of Daily Living, Morse Falls, Fear of Falling and Pain. The Kruskal-Wallis test was used to associate the categorical variables to the Daily Living Activities and Pain Scales and the Chi-square test to the Morse Falls. Spearman’s Correlation Coefficient was used to associate the continuous variables with the Fear of Falling Scale. Results: most of the elderlies were independent for basic and instrumental activities of daily living, had high risk for falls, little concern about the possibility of falling, and no pain. Those with higher risk for falls are those with more dependence and have more concern about falling. Conclusion: there was an association between functional capacity and the scales fear of falling and pain.

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Section: Discussionunclassified

Functional capacity: association with risk for falls, fear of falling and pain in the elderly

Nadu¹,

Sala²,

Silva³

et al. 2021

Rev Rene

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show abstract

“…No Brasil, as quedas representam o terceiro evento adverso mais notificado à Agência Nacional de Vigilância Sanitária (Anvisa), com risco elevado entre idosos internados e uma prevalência de 28% a 32% fora das instituições de saúde. [8][9][10] Nesse sentido, são necessários estudos que contribuam para uma reflexão sobre o impacto das quedas entre a população idosa e também na economia dos serviços de saúde, além da implementação de medidas para prevenir essa ocorrência.…”

Section: Perspectivasunclassified

Custos das autorizações de internação hospitalar por quedas de idosos no Sistema Único de Saúde, Brasil, 2000-2020: um estudo descritivo

Lima

Quadros

Silva

et al. 2022

Epidemiol. Serv. Saúde

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Objetivo: Descrever os custos das autorizações de internação hospitalar (AIH) por quedas de idosos no âmbito do Sistema Único de Saúde (SUS) do Brasil. Métodos: Estudo descritivo de custos, realizado a partir do Sistema de Informações Hospitalares do SUS, por meio das AIHs decorrentes de quedas de idosos (60 anos ou mais), no período de 2000 a 2020. Foram realizadas análises descritivas e mensurados os custos, por macrocusteio. Resultados: Foram registradas 1.746.097 AIHs por quedas de idosos, somando custos de R$ 2.315.395.702,75. A proporção de custos de internações foi maior entre aqueles com 80 anos ou mais (36,9%), mulheres (60,4%) e região Sudeste do país (57,3%). A média de permanência das internações variou de 5,2 a 7,5 dias. Conclusão: Os elevados custos identificados revelam a necessidade de investimentos em medidas mais efetivas, para prevenir e mitigar os danos decorrentes das quedas em idosos.

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“…Наиболее распространенными ССЗ, связанными с падениями, являются ортостатическая гипотония, гиперчувствительность каротидного синуса, брадиаритмии (например, атриовентрикулярная блокада), тахиаритмия [16]. По данным ряда исследователей, высокий риск падений ассоциирован с сердечной недостаточностью (p≤0,001) и приемом мочегонных средств (p≤0,032) [17].…”

Section: оригинальная статьяunclassified

Risk factors for falls in patients with arterial hypertension

et al. 2019

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Falls are a serious multi-factorial problem faced by the elderly persons which is associated with serious complications, loss of functional autonomy, disability and death. One of the common comorbidities among the elderly persons is arterial hypertension (AH) which increases the risk of falls. Aim. To study the risk factors for falls among patients with AH. Materials and methods. Examined 155 patients of geriatric department with the presence of at least one fall in the last year: 133 (85.8%) women (75,29±8.31 years) and 22 (14.2%) men (79,14±4.64 years). Risk of falls and risk factors of falls were assessed in patients with AH. Results. 148 (95.5%) patients had AH. The most common risk factors for hypertension in the elderly were atherosclerosis and decreased physical activity. Target organ lesions of varying severity were observed in all patients. In 25.7% of cases, BP figures outside the target values were noted. 18 (12.2%) patients received hypotensive therapy irregularly. On avera-ge, at admission, patients received of 2.06±0.63 anti-hypertensive drug. The frequency of falls in patients with hypertension made up 2.59±2.2, two or more falls happened in 91 persons (61.5%). According to the self-assessment risk of falls scale 131 (88.5%) patients had a high risk of falls. A high risk of falling in hospital (on the Morse scale) was identified in 63 (42.6%) patients. The most common risk factors for falls in patients with AH were previous falls in anamnesis, sensory de-ficit, imbalance, osteoarthritis. The CGA results demonstrate that patients with hypertension with blood pressure below the target values in comparison with the target and even high numbers of blood pressure have a higher prevalence of frailty, worse indicators of functional status, higher incidence and high risk of falls on the Morse scale. Conclusion. The most common risk factors for falls among patients with AH are previous falls in anamnesis, sensory deficit, imbalance, osteoarthritis. For patients with hypertension, low blood pressure is a predictor of high risk of falls and a worse prognosis. When blood pressure is below the target, there is a higher prevalence of frailty and worse indicators of functional status, which is a poor prognostic sign for the elderly.

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Risco de quedas em pessoas idosas hospitalizadas

Cited by 15 publications

References 8 publications

Functional capacity: association with risk for falls, fear of falling and pain in the elderly

Functional capacity: association with risk for falls, fear of falling and pain in the elderly

Custos das autorizações de internação hospitalar por quedas de idosos no Sistema Único de Saúde, Brasil, 2000-2020: um estudo descritivo

Risk factors for falls in patients with arterial hypertension

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