RESUMOObjetiva investigar a prevalência de fragilidade em uma população de longevos. Estudo observacional e transversal com idosos acima de 80 anos de um município da região Sul do Brasil. A síndrome da fragilidade foi identificada de acordo com Fried et al. (2001). Entre os 69 idosos, 58% eram frágeis e 42% pré-frágeis, com maior frequência de diminuição de velocidade da marcha, perda de peso e fadiga. É evidente que a fragilidade está instalada em idosos longevos, assim, avaliar e classificar os idosos de acordo com a fragilidade possibilita a organização das prioridades de assistência, com o objetivo de prevenir, manter e/ou restaurar a capacidade funcional.PALAVRAS-CHAVE Idoso de 80 anos ou mais. Idoso fragilizado. Envelhecimento. Fried et al. (2001) ABSTRACT It aims to investigate the prevalence of frailty in a long-lived population. Observational and cross-sectional study with elderly people over 80 years old in a municipality of the Southern region of Brazil. Frailty syndrome was identified according to

Introduction: The elderly population has risen sharply in Brazil, increasing the need for a health policy focused on health promotion and disease prevention. Attention should also be focused on functional capacity because of the personal and family suffering caused by dependency, as well as the increased demand placed on public services. Objective: To check the health and functional capacity of elderly residents in a small town with a high population aging rate. Methods: A cross-sectional, analytical and non-probabilistic study was performed of 528 elderly persons aged ≥60 years, of both genders, who were evaluated in their home environment. The variables of interest were general health and functional capacity, assessed by the adapted Katz and Lawton and Brody scales. Data analysis was carried out using descriptive and analytical statistical tools. To assess the association between variables the chi-squared test was used, accepting the hypothesis of dependency of variables with p=0.05. Results: The mean age was 72.24±9.33 years. Functional capacity assessment identified that most of the elderly persons carried out activities of daily living (ADLs) and instrumental activities of daily living (IADL) independently; with percentages of 90% and 83.7%, respectively. A statistically significant association was observed ( p=0.001) between reports of falls and functional capacity levels. Conclusion:The results show that the elderly of this municipality are mostly independent in performing their daily tasks, representing successful aging.

ObjectiveTo analyze a cardiac rehabilitation adapted protocol in physical therapy during the postoperative hospital phase of cardiac surgery in a service of high complexity, in aspects regarded to complications and mortality prevalence and hospitalization days.MethodsThis is an observational cross-sectional, retrospective and analytical study performed by investigating 99 patients who underwent cardiac surgery for coronary artery bypass graft, heart valve replacement or a combination of both. Step program adapted for rehabilitation after cardiac surgery was analyzed under the command of the physiotherapy professional team.ResultsIn average, a patient stays for two days in the Intensive Care Unit and three to four days in the hospital room, totalizing six days of hospitalization. Fatalities occurred in a higher percentage during hospitalization (5.1%) and up to two years period (8.6%) when compared to 30 days after hospital discharge (1.1%). Among the postoperative complications, the hemodynamic (63.4%) and respiratory (42.6%) were the most prevalent. 36-42% of complications occurred between the immediate postoperative period and the second postoperative day. The hospital discharge started from the fifth postoperative day. We can observe that in each following day, the patients are evolving in achieving the Steps, where Step 3 was the most used during the rehabilitation phase I.ConclusionThis evolution program by steps can to guide the physical rehabilitation at the hospital in patients after cardiac surgery.

How to cite this article: Chiapinotto S, Dallazen F, Bodnar ET, Winkelman ER. Level of pain and functional independence of patients submitted to cardiac surgery. Rev Baiana Enferm. 2017;31(4):e21388.Objective: to evaluate the correlation of pain and functional independence in the pre and postoperative period of patients submitted to cardiac surgery. Methods: A prospective, noninterventional study of 24 patients submitted to elective cardiac surgery. Clinical data was collected in patients' charts and a direct interview was done both in the preoperative and in the postoperative period. The pain intensity was rated according to the Numerical Visual Scale. Functionality was measured with the Functional Independence Measure. Results: in the first evaluation, the patients did not report pain. In the postoperative evaluation, patients presented an average of 4.75 ± 1.91 points on the pain scale. The functionality increased from 124.29 ± 6.38 in the preoperative period to 97.42 ± 12.73 in the postoperative. There was a significant correlation between pain and functionality. Conclusion: there was an increase in pain and reduced functionality in the postoperative period of cardiac surgery, in addition to a correlation between the variables, demonstrating that the higher the intensity of the pain, the lower the functional independence of the patient.Descriptors: Thoracic surgery. Pain measurement. Physical therapy. Rehabilitation. Objetivo: avaliar a correlação da dor e independência funcional no período pré e pós-operatório dos

Este artigo está licenciado sob forma de uma licença Creative Commons Atribuição 4.0 Internacional, que permite uso irrestrito, distribuição e reprodução em qualquer meio, desde que a publicação original seja corretamente citada. 4±135,6 (p=0,076). No pós-operatório, o tempo de permanência na unidade de terapia intensiva coronariana foi de 2,5±1,8 dias na CRM e de 2,5±0,8 dias na TV (p=0,779). Noventa e seis (75%) pacientes submetidos à CRM e 46 (59%) pacientes submetidos à TV tiveram recuperação espontânea dos batimentos cardíacos (p=0,020). A maioria dos pacientes não apresentou complicações, tanto na CRM (n=105; 81,4%) quanto na TV (n=59; 72,8%) (p=0.561). A mortalidade foi de 2 (1,6%) na CRM e de 4 (4,9%) na TV (p=0,274). A taxa de óbito total durante o período de internação hospitalar foi de 2,9%. CONCLUSÕES: Na análise das cirurgias CRM e TV houve diferenças durante o momento intraoperatório, porém não se identificaram diferenças significativas nas complicações pós-operatórias e na mortalidade hospitalar. A análise descritiva e comparativa dessas duas técnicas cirúrgicas distintas, envolvendo pacientes com diferenças em suas características clínicas, permitiu o conhecimento das suas peculiaridades, podendo contribuir para o planejamento da assistência e da reabilitação cardíaca do paciente. ABSTRACT AIMS: To analyze risk factors, comorbidities, intraoperative and postoperative period, complications and mortality in coronary artery bypass grafting (CABG) and valve replacement (VR) surgeries. METHODS: A retrospective cross-sectional study, carried out in a general hospital, included patients of both sexes, older than 18 years, submitted to CABG or VR. Data on risk factors, comorbidities, intraoperative and postoperative periods, postoperative complications and mortality were collected from patients' records. For statistical analysis, Student's t-test and Pearson's chi-square test were used to compare the variables of interest between the CABG and VR groups, considering p≤0.05 as significant. RESULTS: Of 210 records analyzed, 129 (61.4%) patients had performed CABG and 81 (38.5%) had performed VR. In the intraoperative variables, the following were observed in CABG and in VR, respectively (in minutes): ejection fraction 60.2±11. 1±296.4 vs. 574.4±135.6 (p=0.076). In the postoperative period, the length of stay in the coronary intensive care unit was 2.5±1.8 days in the CABG and 2.5±0.8 days in the VR (p=0.779). Ninety-six (75%) of the patients submitted to CABG and 46 (59%) of the patients submitted to VR had spontaneous heart beat recovery (p=0.020). The majority of patients did not present complications, both in CABG (n=105, 81.4%) and in VR (n=59, 72.8%) (p=0.561). Mortality was 2 (1.6%) in CABG and 4 (4.9%) in VR (p=0.274). The total death rate during the hospital stay was 2.9%. CONCLUSIONS: In the analysis of the CABG and VT surgeries there were differences during the intraoperative period, but no significant differences in postoperative complications and in hospital mortality were identified. Descript...