Ancianos: relación entre residencia y estado de salud

Abstract

Several studies proven the association between PIM and PPO with adverse pharmacological effects, hospitalizations, morbidity and mortality, functional disability and consequently associated with more costs 6,7 . Hence it is important to determine whether there are significant differences in the number and type of PIM and PPO according to the provenance of the patients. This study has as main objective to evaluate the differences between the provenances of the elderly that were hospitalized in the Internal Medicine Service and how the origin influences the basal state of health, the hospitalization and the evolution after discharge. MATERIAL AND METHODSA retrospective observational study was performed to evaluate the differences in health status according to the origin of the patients. The research protocol was approved by the Ethics Committee of the Unidade Local de Saúde do Alto Minho (ULSAM). Taking into account the 2011 census, the district of Viana do Castelo consists of 56,851 elderly people, 2 for a 95% confidence interval (calculated by Epiinfo®, version 7.2.1.0), the representative sample of the population of Viana includes 254 elderly people. Patients aged 65 or over who were admitted to the Internal Medicine Unit of ULSAM since January 1, 2019 to a total of 254 consecutive patients hospitalized in the beds under the responsibility of the authors, and hospitalization through the emergency service occurs randomly by the service. Patients in palliative care and in-hospital deaths were excluded because it was not possible to evaluate the PPO introduced, PIM suspended, rehospitalization and death within 6 months after discharge.