Condições de saúde de mulheres e homens idosos com idade avançada: estudo longitudinal

Tavares, Darlene Mara dos Santos; Oliveira, Nayara Gomes Nunes; Santos, Lara Lacerda Soares; Marchiori, Gianna Fiori; Souza, Lara Andrade; Rodrigues, Fernanda Resende

doi:10.12957/reuerj.2021.57581

Cited by 6 publications

(4 citation statements)

References 30 publications

(76 reference statements)

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“…A study in San Antônio, Texas, pointed out that pre-frail individuals were more likely to regress their stage in relation to frail ones, but showed that the higher the frailty stage, the higher the mortality 18 . In another longitudinal study, in Triângulo Mineiro, it also showed worsening in the health conditions of the older people, with women being more frail than men 19 . These results suggest that there is an important variation between frailty levels over time, which reinforces the dynamic nature of the frailty process 12,20 .…”

Section: Discussionmentioning

confidence: 91%

Worsening frailty in community-dwelling older people with hypertension and associated factors

Soares

Brito

Horta

et al. 2022

Rev. bras. geriatr. gerontol.

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Objective To estimate the prevalence and factors associated with the worsening of frailty in older people with arterial hypertension. Methods Quantitative, longitudinal, prospective and analytical study. Carried out in community-dwelling hypertensive older people from Minas Gerais. Sampling was probabilistic, by clusters in two stages. Data collection took place at the older people's homes in two moments. Demographic, socioeconomic and clinical-assistance variables were analyzed. Frailty was measured by the Edmonton Frailty Scale. Poisson regression with robust variance was used to obtain crude and adjusted prevalence ratios. Results 281 older people participated in the study, 23.1% showed a worsening of their state of frailty. The prevalence of frailty increased from 38.0% in the base year to 31.2% in the first wave. The worsening of frailty was associated with negative self-perception of health, polypharmacy and hospitalization in the last 12 months. Conclusion There was a transition between states of frailty. An important contingent of the older people showed worsening frailty.

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Section: Discussionmentioning

confidence: 91%

Worsening frailty in community-dwelling older people with hypertension and associated factors

Soares

Brito

Horta

et al. 2022

Rev. bras. geriatr. gerontol.

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“…Tais dados podem relacionar-se a maior expectativa de vida feminina e, consequentemente, a maiores taxas de doenças crônicas que predispõem a diminuição da capacidade funcional. (20) O estudo INTERSTROKE mostrou que 90% dos AVC estavam associados a dez fatores de risco como HAS, DM, dislipidemia, dieta inadequada, sedentarismo, razão cintura/quadril aumentada, tabagismo, etilismo, depressão e cardiopatias (FA e doença coronariana). (21) Dentre esses, quatro foram observados no presente estudo incluindo a HAS, a mais prevalente, DM, dislipidemia e FA.…”

Section: Discussionunclassified

Fatores associados a incapacidade funcional após acidente vascular cerebral isquêmico

Sales,

Moraes,

Muniz

et al. 2023

Acta Paulista De Enfermagem

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Conflitos de interesse: nada a declarar. ResumoObjetivo: Avaliar o nível de incapacidade funcional e identificar os fatores associados em pessoas após Acidente Vascular Cerebral Isquêmico.Métodos: Coorte prospectiva, realizada em hospital de referência em neurologia, com 224 pessoas com acidente vascular cerebral isquêmico. A coleta de dados ocorreu entre março a outubro de 2019. Os participantes foram acompanhados durante a internação, quando as variáveis sociodemográficas e clínicas foram levantadas empregando-se instrumentos específicos e contatados após 90 dias, por ligação telefônica, para aplicação do Índice de Barthel modificado. Na análise, aplicou-se estatística descritiva e o teste Quiquadrado de Pearson. Adotou-se significância estatística de 5%.Resultados: A maioria apresentou algum grau de incapacidade funcional (58,5%), sendo que 29,5% apresentaram dependência moderada e 29,0% severa ou grave. As variáveis sexo feminino (p=0,011), tempo de chegada ao hospital de referência maior ou igual a 4,5h (p=0,017), Acidente vascular cerebral prévio (p=0,031), não ter realizado trombólise (p=0,023), ter hipertensão arterial (p=0,032) e maior gravidade estimada pela National Institute of Health Stroke Scale (p=0,000) foram associadas a maior nível de incapacidade.Conclusão: Predominou a dependência de moderada a grave. A gravidade do evento, evento prévio, hipertensão, não submissão à trombólise, retardo à chegada ao hospital e sexo feminino foram associados a maior nível de incapacidade funcional.

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Factors associated with functional disability after ischemic stroke

Sales,

Moraes,

Muniz

et al. 2023

Acta Paul Enferm

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Objective To assess the functional disability level and identify associated factors in people after Ischemic Cerebral Vascular Accident. Methods A prospective cohort, carried out in a reference hospital in neurology with 224 people with ischemic stroke. Data collection took place between March and October 2019. Participants were followed up during hospitalization, when sociodemographic and clinical variables were collected using specific instruments and contacted after 90 days, by telephone call, to apply the Modified Barthel Index. In the analysis, descriptive statistics and Pearson’s chi-square test were applied. Statistical significance of 5% was adopted. Results Most had some degree of functional disability (58.5%), with 29.5% having moderate dependence and 29.0% having severe dependence. The variables being female (p=0.011), time of arrival at the reference hospital greater than or equal to 4.5 hours (p=0.017), previous stroke (p=0.031), not having undergone thrombolysis (p=0.023), having high blood pressure (p=0.032) and greater severity estimated by the National Institute of Health Stroke Scale (p=0.000) were associated with a higher disability level. Conclusion Moderate to severe dependence predominated. The severity of the event, previous event, hypertension, non-submission to thrombolysis, delay in arriving at the hospital and female gender were associated with a higher functional disability level.

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Condições de saúde de mulheres e homens idosos com idade avançada: estudo longitudinal

Cited by 6 publications

References 30 publications

Worsening frailty in community-dwelling older people with hypertension and associated factors

Worsening frailty in community-dwelling older people with hypertension and associated factors

Fatores associados a incapacidade funcional após acidente vascular cerebral isquêmico

Factors associated with functional disability after ischemic stroke

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