Síndrome da fragilidade biológica em idosos: revisão sistemática

Abstract

RESUMOObjetivo O objetivo desse estudo foi identificar a prevalência e as estratégias de avaliação da Síndrome da Fragilidade Biológica em Idosos. Metodologia Para o desenvolvimento deste estudo foi realizada uma busca em base de dados eletrônica (Medline/Pubmed) e lista de referências dos artigos identificados, utilizando os seguintes descritores, na língua inglesa: "frailty e "frail" conjugados com os termos "elderly", "aging" e "prevalence". Estes termos/descritores foram combinados usando os operadores lógicos disponíveis nas ferramentas de buscas. A busca eletrônica inicial resultou em 1 865 manuscritos. O processo de análise dos estudos envolveu leitura de títulos, resumos e textos completos. Após todas essas fases, 35 manuscritos preencheram os critérios de inclusão da revisão. Resultados Os resultados indicaram que as mulheres, com índices que variam de 7,3 % a 21,6 %, são mais frágeis do que os homens, com percentuais que variam de 4 % a 19,2 %. Conclusão As disparidades na prevalência de índices de fragilidade e pré-fragilidade devem ser minimizadas, com estímulo a padronização metodológica para a avaliação da fragilidade humana. Palavras-chave:Idoso fragilizado, prevalência, revisão (fonte: DeCS, BIREME). ABSTRACTObjective The aim of this study was to identify the prevalence and assessment strategies of Biological Fragility Syndrome in the Elderly. Methods For the development of this study was it was done a search in electronic databases (Medline/PubMed) and the reference lists of articles identified using the following key words/terms in English: "frailty" and 'frail" in conjunction with the terms "elderly", "aging" and "prevalence". These terms/descriptors were combined using the logical operators available in search engines. The initial electronic search resulted in 1 865 manuscripts. The process of analysis of the studies involved reading titles, abstracts and full texts. After all these phases, 35 manuscripts met the inclusion criteria of the review.Rev. salud pública. 13 (5): 853-864, 2011 853Revisión/Review

Prevalence of frailty syndrome in old people in a hospital institution

“…There is a correlation between frailty and sex, with the prevalence higher in women than in men (6,12,15) , in contrast to the data in this study, no statistically significant association was found between the sex and the prevalence of frailty. Possibly this is related to the reason for hospitalization, with the men having more severe and disabling conditions.…”

“…(6) have been validated for elderly people from this age group. In a review study (12) , all publications had a population range age of equal to or older than 65. HSVP hospital is a tertiary teaching hospital, with macro-regional scope com, integrated into the SUS public health system and has 617 inpatient beds.…”

Perfil dos idosos que cochilam

“…These data corroborate the results of other studies found in the literature. The prevalence of frailty syndrome in research around the world with the use of this phenotype, were found in percentages ranging from 5 to 20% (26)(27) . The increasing number of publications concerning the frailty syndrome in recent years refers to the growing interest in the matter, since frailty can be considered a public health problem, although it may be prevented or even reversed when treated early (27).…”

Fall and its association with the frailty syndrome in the elderly: systematic review with meta-analysis

“…The prevalence of frailty, according to the phenotype (7) , is from 6.9% to 21%. Research showed that, for females, this state was higher, from 6.8% to 22%, and for males, from 4% to 19.2% (12) . Measuring this syndrome, using different models used in Primary Health Care, a prevalence of 4% to 59.1% was found, with populations in Southeastern Europe, Hispanics and African-Americans being the most affected (13) .…”

“…On the other hand, it was observed that the prevalence of falls ranged from 8.2% (28) to 93.0% (32) . It should be noted that frailty was measured with different measurement instruments, since it is a great challenge for researchers to obtain an instrument that can be considered as a "gold standard" to accurately compare the results (12) . Frailty was evaluated with eight instruments: the CSBA Index (41) , with nine items; The SOF Index (37) with three; The CHS Index (7) , with five; The LASA Frailty Instrument (42) , with nine; The FRAIL Index (43) , with five; The Edmonton Frail Scale (11) with nine; The VES-13 (44) , with 13; and SNAC Instrument (45) , with three domains.…”