Determinantes socioeconômicos e demográficos na assistência à fratura de fêmur em idosos

Abstract

Femur fracture affects the elderly with high morbidity and mortality. The purpose of the present study was to analyze the profile of the assistance given to the elderly who have femoral fractures, relating to their socioeconomic and demographic conditions, in the state of Paraná between the years 2008 to 2013. These relationships were obtained through factor analysis and the development and analysis of the following rates: PAE -the potential of primary health care to the elderly, whose variable was represented by the contribution of the elderly to the municipal GDP, PAP -the potential of the primary health care to the population, represented by GDP per capita and TEtreatment efficiency represented by the annual rate of fractures and annual rate of death per residence. The municipalities were classified according to the rate variation range. In relation to PAE, 10 municipalities were classified with low potential of care for the elderly, 357 with moderate potential and 32 had low potential. In relation to PAE, 12 municipalities were classified with low potential of primary care for the elderly, 303 with moderate potential and 84 had low potential. In relation to TE, 109 municipalities showed high treatment efficiency, 110 with moderate efficiency and 180 had low efficiency. Our conclusion was that the performance of the economy exerts significant influence on femoral fracture morbidity in the elderly.

Indicators of Morbidity and Mortality by Femur Fractures in Older People: A Decade-Long Study in Brazilian Hospitals

“…However, the behavior of the three states is shown to be individual when associated with means of permanence and mortality rate. 18,19,20…”

Uma análise acerca das quedas em idosos e sua principal consequência: a fratura de fêmur

“…O Brasil passa por um momento de mudanças demográf icas e além de um processo de envelhecimento populacional. Em 2000, 5,61% da população era f ormada por pessoas com 65 anos ou mais o que f oi para 6,78% em 2010 e, estima-se que alcançará 11,3%, em 2025 (MADEIRAS JG, et al, 2019). Segundo o Instituto Brasileiro de Geograf ia e Estatística, em 2060, o país terá mais idosos do que jovens (PETERLE VCU, et al, 2020).…”

“…A queda é um grave problema de saúde pública na população idosa e decorre da perda total do equilíbrio postural. Nesse contexto, podem estar relacionadasà insuf iciência súbita dos mecanismos neurais e osteoarticulares que estão envolvidos na manutenção postural (SOARES DS, et al, 2015;MADEIRAS JG, et al, 2019).…”

“…As f raturas de quadril estão entre as consequências mais graves das quedas, com mortalidade relatada em um ano variando entre 26% e 33% (MADEIRAS JG, et al, 2019). A f ratura do f êmur é um dos principais problemas de saúde relacionada ao envelhecimento da população, responsável por elevadas taxas de morbidade e pelo comprometimento da qualidade de vida da população idosa (MADEIRAS JG, et al, 2019).…”

Handgrip strength and the fear of falling in elderly / Força de preensão palmar em idosos e o medo de cair

“…associated. [7][8] In this context, the fear of falling assumes an important meaning in the life of the elderly because it brings the possibility of reduction or restriction of activities of daily living, impairing functional capacity, and, as a result of restriction, resulting in general weakening and dependence, social isolation and Possible institutionalization. [9][10][11] It is then asked what would be the main elements capable of generating fear of falling in the elderly.…”