Revista Brasileira de Geriatria e Gerontologia最新文献_第3页

Associação dos parâmetros clínicos de sarcopenia e comprometimento cognitivo em pessoas idosas: estudo transversal 老年骨骼肌减少症临床参数与认知障碍的关系:横断面研究

Revista Brasileira de Geriatria e Gerontologia Pub Date : 2023-05-19 DOI: 10.1590/1981-22562023026.220181.pt

Raphaela Xavier Sampaio, Regina de Souza Barros, M. Cera, Felipe dos Santos Mendes, Patrícia Azevedo Garcia

{"title":"Associação dos parâmetros clínicos de sarcopenia e comprometimento cognitivo em pessoas idosas: estudo transversal","authors":"Raphaela Xavier Sampaio, Regina de Souza Barros, M. Cera, Felipe dos Santos Mendes, Patrícia Azevedo Garcia","doi":"10.1590/1981-22562023026.220181.pt","DOIUrl":"https://doi.org/10.1590/1981-22562023026.220181.pt","url":null,"abstract":"Abstract Objective To associate clinical parameters of sarcopenia with cognitive impairment in older people. Method Cross-sectional study with 263 older adults (≥60 years) treated at a specialized public health facility. Sociodemographic and clinical variables were used to characterize the sample and the clinical parameters of sarcopenia (muscle strength, muscle mass and physical performance) were assessed based on handgrip strength (HGS), calf circumference (CC) and the Timed Up and Go (TUG) test. The Mini-Mental State Examination (MMSE) was used to evaluate cognitive status. Associations were analyzed by simple and multiple linear and logistic regression considering the clinical parameters of sarcopenia (independent variables) and cognitive status (dependent variable), adjusted for age, sex, years of schooling, number of medications, nutritional status and functional capacity. Results Of participants with cognitive impairment, 59.6% exhibited low muscle strength. Conclusion Low muscle strength was the sarcopenia parameter independently associated with cognitive impairment. This information is useful in highlighting the likelihood of cognitive impairment when poor muscle strength is identified in older people.","PeriodicalId":31328,"journal":{"name":"Revista Brasileira de Geriatria e Gerontologia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67330719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Qualidade de vida e apoio social de pessoas idosas cuidadoras e receptoras de cuidado em alta vulnerabilidade social 社会弱势老年人照顾者和接受照顾者的生活质量和社会支持

Revista Brasileira de Geriatria e Gerontologia Pub Date : 2023-05-19 DOI: 10.1590/1981-22562023026.230032.pt

Mayara Mayumi Yazawa, Ana Carolina Ottaviani, Ana Laura de Souza e Silva, Keika Inouye, Tábatta Renata Pereira Brito, Ariene Angelini dos Santos-Orlandi

{"title":"Qualidade de vida e apoio social de pessoas idosas cuidadoras e receptoras de cuidado em alta vulnerabilidade social","authors":"Mayara Mayumi Yazawa, Ana Carolina Ottaviani, Ana Laura de Souza e Silva, Keika Inouye, Tábatta Renata Pereira Brito, Ariene Angelini dos Santos-Orlandi","doi":"10.1590/1981-22562023026.230032.pt","DOIUrl":"https://doi.org/10.1590/1981-22562023026.230032.pt","url":null,"abstract":"Abstract Objective to compare quality of life and social support between older adults caregivers and care recipients. Method observational, cross-sectional and quantitative study, carried out with 112 older adults registered in five Family Health Units in a context of high social vulnerability in a city in the interior of São Paulo, Brazil. Sociodemographic, care and health variables, social support by the Medical Outcomes Study Social Support Scale and quality of life by the WHOQOL-bref and WHOQOL-old were evaluated. For data analysis, Pearson's Chi-Square, Mann-Whitney and Spearman's Correlation tests were used. Results There was a significant difference between the participants for material support (p=0.004) and physical domain of the quality of life scale (p=0.002). Older adults caregivers have lower material support scores and better perception of the physical domain of the quality of life scale when compared to care recipients. Furthermore, there was a direct and moderate correlation between quality of life and social support of older adults (p<0.001), that is, the higher the score on the social support scale, the higher the score on the quality of life scale. Conclusion adults caregivers presented lower material support scores and better perception of the physical domain of the quality of life scale compared to care receptors. Actions related to expanding the amount of significant relationships of caregivers can be useful for improving social support, with consequent improvement of the other aspects involved in quality of life.","PeriodicalId":31328,"journal":{"name":"Revista Brasileira de Geriatria e Gerontologia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67330409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Alzheimer’s disease: a case study involving the most prevalent neurocognitive disorder in older people 阿尔茨海默病:一个涉及老年人最普遍的神经认知障碍的案例研究

Revista Brasileira de Geriatria e Gerontologia Pub Date : 2023-01-01 DOI: 10.1590/1981-22562023026.230012.en

Luciane Fabricio Zanotto, Vanessa Aparecida Pivatto, Ana Paula Gonçalves Pinculini, E. R. Adami

{"title":"Alzheimer’s disease: a case study involving the most prevalent neurocognitive disorder in older people","authors":"Luciane Fabricio Zanotto, Vanessa Aparecida Pivatto, Ana Paula Gonçalves Pinculini, E. R. Adami","doi":"10.1590/1981-22562023026.230012.en","DOIUrl":"https://doi.org/10.1590/1981-22562023026.230012.en","url":null,"abstract":"Abstract Objective To analyze the clinical evolution of a patient affected by Alzheimer's disease and discuss the repercussions of an early diagnosis. Method Instrumental case study of qualitative and descriptive type that was developed in three stages: 1) selection and delimitation of the case; 2) collection of data in the field; and 3) organization and writing of the report. This study is based on the analysis of the clinical evolution described in the medical records of a patient diagnosed with Alzheimer's disease, treated and followed-up by the Center for Psychosocial Care (CAPS), for a period of 10 years, in the Alto Vale do Rio do Peixe region. Results This study was conducted with the patient M.R., female, 71 years old, married, housewife, with incomplete elementary education, carrier of AD and hypothyroidism, who started her follow-up at CAPS II on September 10, 2012. Patient submitted to the Mini Mental State Examination (MMSE), with a result of 14 points in the first test, below the cut-off point for the patient's level of education. Later, in 2018, she scored 10 points on the MMSE, and in 2020 she scored 11, already under medication treatment for AD: memantine 10mg 2x/day and donepezilla 5mg 1x/day. Conclusion Early diagnosis of AD is extremely important for appropriate treatment to slow the progression of the disease. However, mental disorders such as depression are barriers in the initial clinical analysis of patients and in some cases presents itself as a prodrome for AD.","PeriodicalId":31328,"journal":{"name":"Revista Brasileira de Geriatria e Gerontologia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67330555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Use of potentially inappropriate medications by older adults in Primary Health Care: cross-sectional study 初级卫生保健中老年人潜在不适当药物的使用:横断面研究

Revista Brasileira de Geriatria e Gerontologia Pub Date : 2023-01-01 DOI: 10.1590/1981-22562023026.230129.en

Claudia Oliveira Coelho, Silvia L A Silva, D. S. Pereira, Estela Márcia Saraiva Campos

{"title":"Use of potentially inappropriate medications by older adults in Primary Health Care: cross-sectional study","authors":"Claudia Oliveira Coelho, Silvia L A Silva, D. S. Pereira, Estela Márcia Saraiva Campos","doi":"10.1590/1981-22562023026.230129.en","DOIUrl":"https://doi.org/10.1590/1981-22562023026.230129.en","url":null,"abstract":"Abstract Objective To verify the prevalence of potentially inappropriate medications (PIM) in use and possible associated factors in older adults and the agreement between two assessment tool in Primary Health Care (PHC) contex Methods Cross-sectional study. The prevalence of older adults in use of PIM and associated factors were estimated. First of all was calculated the frequency of drugs, among those used, considered PIM. Classification as PIM was based on the 2019 Beers Criteria and the 2016 Brazilian Consensus on Potentially Inappropriate Medications 2016 (BCPIM) for the older adults. The agreement between the two classifications was also evaluated. Multivariate logistic regression models were estimated. Association was evaluated by Odds Ratio (OR). Kappa was calculated for agreement between both classifications. Results The prevalence of older adults using MPI was 32.9%, according to Beers Criteria and 27.6% according to the BCPIM. The reports of diabetes (OR=1.96), depression (OR=2.25) and polypharmacy (OR=4.11) were associated (p<0.001) with the use of inappropriate medication, according to the Beers Criteria. Older adults who were very satisfied with their own health were less likely to use inappropriate medication both according to the Beers Criteria (OR=0.02) and the BCPIM (OR=0.09). Agreement between classifications was considered good (k=0.75, p<0.001). Conclusion Reports of diabetes and depression, polypharmacy and negative self-rated health and satisfaction were associated with PIM’s use. The associations were similar between the two classifications, indicating that both are relevant in identifying PIM use in older adults in the context of PHC.","PeriodicalId":31328,"journal":{"name":"Revista Brasileira de Geriatria e Gerontologia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67331112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Condições de saúde e sobrecarga de trabalho entre cuidadores informais de pessoas idosas com síndromes demenciais 老年痴呆症综合征非正式照顾者的健康状况和工作负担

Revista Brasileira de Geriatria e Gerontologia Pub Date : 2023-01-01 DOI: 10.1590/1981-22562023026.230066.pt

Mariza Alves Barbosa Teles, Mirna Rossi Barbosa-Medeiros, Lucineia de Pinho, Antônio Prates Caldeira

{"title":"Condições de saúde e sobrecarga de trabalho entre cuidadores informais de pessoas idosas com síndromes demenciais","authors":"Mariza Alves Barbosa Teles, Mirna Rossi Barbosa-Medeiros, Lucineia de Pinho, Antônio Prates Caldeira","doi":"10.1590/1981-22562023026.230066.pt","DOIUrl":"https://doi.org/10.1590/1981-22562023026.230066.pt","url":null,"abstract":"Resumo Objetivo estimar a prevalência de sobrecarga de trabalho, identificando fatores associados entre cuidadores informais de pessoas idosas com demência. Método Estudo transversal e analítico, com amostra de cuidadores de pessoas idosas assistidas em um centro de referência à saúde do idoso. A sobrecarga entre os cuidadores foi avaliada pela escala de Zarit. Foram investigadas características sociodemográficas e associadas às condições de saúde e de atenção à pessoa idosa. Para análise dos dados utilizou-se a regressão de Poisson com variância robusta, a partir de modelo hierarquizado, assumindo-se nível de significância de 5%. Resultados Participaram do estudo 436 cuidadores, sendo a maioria do sexo feminino (88,1%). A prevalência de sobrecarga entre os cuidadores foi de 32,8%. No modelo múltiplo, mostraram-se associados à maior prevalência de sobrecarga entre os cuidadores: idade de 40 a 59 anos (RP=1,20; IC95%=1,02-1,39), situação conjugal com companheiro (RP=1,18; IC95%=1,02-1,36), ser filho ou cônjuge da pessoa idosa (RP=1,16; IC95%=1,01-1,33), ter autopercepção negativa da saúde (RP=1,30; IC95%=1,10-1,52), fazer uso de medicamentos (RP=1,24; IC95%=1,06-1,45), não ter medidas de autocuidado (RP=1,49; IC95%=1,17-1,89), suporte à pessoa idosa nas atividades de integração familiar (RP=1,41; IC95%=1,05-1,89), nas atividades culturais (RP=1,36; IC95%=1,08-1,72) e na administração de medicamentos (RP=1,13; IC95%=1,01-1,25). Conclusão A elevada prevalência de sobrecarga entre os cuidadores de pessoas idosas alerta para a necessidade de políticas específicas para esse grupo e representa um aspecto a ser regularmente avaliado pelos profissionais de saúde que lidam diretamente com pessoas com demência e seus familiares.","PeriodicalId":31328,"journal":{"name":"Revista Brasileira de Geriatria e Gerontologia","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135311750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nursing care in a long-term care facility for older people in the context of COVID-19: scoping review 2019冠状病毒病背景下老年人长期护理机构的护理工作:范围审查

Revista Brasileira de Geriatria e Gerontologia Pub Date : 2023-01-01 DOI: 10.1590/1981-22562023026.230101.en

Rutielle Ferreira Silva, Sivia Mary Calveira Gallo, Fernanda Lorrany Silva, Ana Maria Ribeiro dos Santos, Maria do Livramento Fortes Figueiredo

{"title":"Nursing care in a long-term care facility for older people in the context of COVID-19: scoping review","authors":"Rutielle Ferreira Silva, Sivia Mary Calveira Gallo, Fernanda Lorrany Silva, Ana Maria Ribeiro dos Santos, Maria do Livramento Fortes Figueiredo","doi":"10.1590/1981-22562023026.230101.en","DOIUrl":"https://doi.org/10.1590/1981-22562023026.230101.en","url":null,"abstract":"Abstract Objective To Identify the scientific evidence on nursing care for older people in a long-term care facility in the context of the COVID-19 pandemic. Method This scoping review was based on the Joanna Briggs Institute Reviewers’ Manual guidelines. The question was formulated from the acronym PCC, in which “P” corresponded to “older people, “C” to “nursing care” and “C” to “COVID-19”. The search for scientific evidence was carried out on the LILACS, MEDLINE®, CINAHL® and Web of ScienceTM databases. Articles retrieved using controlled and uncontrolled descriptors, and those from gray literature, websites and repositories were analysed. Descriptive and critical analysis of statistics from the studies was performed. Results The final study sample consisted of 14 scientific publications. Most of the output constituted technical reports (35.7%) published in Brazil (64.28%). Nursing care was categorized under: managerial interventions; educational interventions; care interventions, especially those forts preventing and controlling the spread of SARS-CoV-2, residents with suspected or confirmed COVID-19, and handling the corpse in the event of death; interventions facilitating communication between residents and their family/friends and between this group and the nurse; in addition to emotional support interventions for professionals/caregivers and residents. Conclusion Amid the COVID-19 pandemic, nursing care is essential to prevent and control the spread of SARS-CoV-2.","PeriodicalId":31328,"journal":{"name":"Revista Brasileira de Geriatria e Gerontologia","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135214152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Associations between anxiety and functional disability in older adults: a cross-sectional study 老年人焦虑与功能障碍之间的关系:一项横断面研究

Revista Brasileira de Geriatria e Gerontologia Pub Date : 2023-01-01 DOI: 10.1590/1981-22562023026.230073.en

Patrício de Almeida Costa, Maria Paula Ramalho Barbosa, Eduarda Layane da Silva Buriti, Lidiane Lima de Andrade, Mariana Albernaz Pinheiro de Carvalho, Matheus Figueiredo Nogueira

{"title":"Associations between anxiety and functional disability in older adults: a cross-sectional study","authors":"Patrício de Almeida Costa, Maria Paula Ramalho Barbosa, Eduarda Layane da Silva Buriti, Lidiane Lima de Andrade, Mariana Albernaz Pinheiro de Carvalho, Matheus Figueiredo Nogueira","doi":"10.1590/1981-22562023026.230073.en","DOIUrl":"https://doi.org/10.1590/1981-22562023026.230073.en","url":null,"abstract":"Abstract Objective to estimate the prevalence of anxiety in older adults and its association with different levels of functional disability in a small town in the state of Paraiba, Brazil. Method a cross-sectional analytical study was carried out of 233 randomly-selected older users of the Family Health Strategy program. Data were collected using the World Health Organization Disability Assessment Schedule 2.0 and the Geriatric Anxiety Inventory. Results were analyzed using descriptive and bivariate statistics adopting a significance level of p < 0.05. Results Overall, 48.1% of the participants had some degree of selfreported anxiety, with significantly higher levels among women (mean rank = 128.11; p = 0.002). An association was also found between severe anxiety level and severe disability level (p < 0.001). Conclusion the high prevalence of different degrees of geriatric anxiety and its association with severe functional disability indicates the coexistence of psychoemotional and motor alterations. These findings suggest the need to break the chain of underdiagnosis and strengthen the implementation of specialized interventions in the field of gerontology and geriatrics.","PeriodicalId":31328,"journal":{"name":"Revista Brasileira de Geriatria e Gerontologia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67330435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cuidados de enfermagem em instituição de longa permanência para pessoas idosas no contexto da covid-19: revisão de escopo covid-19背景下老年人长期护理机构的护理:范围审查

Revista Brasileira de Geriatria e Gerontologia Pub Date : 2023-01-01 DOI: 10.1590/1981-22562023026.230101.pt

Rutielle Ferreira Silva, Sivia Mary Calveira Gallo, Fernanda Lorrany Silva, Ana Maria Ribeiro dos Santos, Maria do Livramento Fortes Figueiredo

{"title":"Cuidados de enfermagem em instituição de longa permanência para pessoas idosas no contexto da covid-19: revisão de escopo","authors":"Rutielle Ferreira Silva, Sivia Mary Calveira Gallo, Fernanda Lorrany Silva, Ana Maria Ribeiro dos Santos, Maria do Livramento Fortes Figueiredo","doi":"10.1590/1981-22562023026.230101.pt","DOIUrl":"https://doi.org/10.1590/1981-22562023026.230101.pt","url":null,"abstract":"Resumo Objetivo Identificar as evidências científicas sobre os cuidados de enfermagem à pessoa idosa em instituição de longa permanência no contexto da pandemia covid-19. Método Trata-se de revisão de escopo baseada nas orientações do Manual para Revisões do Joanna Briggs Institute (JBI). A formulação da questão ocorreu a partir do acrônimo PCC, em que o “P” correspondeu a “pessoa idosa”, o “C” a “cuidados de enfermagem” e o “C” a “covid-19”. A busca das evidências cientificas foi realizada nas bases de dados LILACS, MEDLINE®, CINAHL® e Web of ScienceTM. Foram analisados artigos recuperados ao se empregar os descritores controlados e não controlados, e aqueles provenientes da literatura cinzenta, sites e repositórios. A análise deu-se por estatística descritiva e crítica dos estudos. Resultados A amostra final do estudo foi composta por 14 evidências cientificas. Verificou-se que a maioria das produções pertenciam a modalidade relatório técnico (35,7%) publicadas no Brasil (64,28%). Os cuidados de enfermagem foram organizados em: intervenções gerenciais; intervenções educacionais; intervenções assistenciais em especial aquelas voltadas à prevenção e controle da disseminação do SARS-CoV-2, residentes com quadro suspeito ou confirmado de covid-19 e ao corpo em caso de óbito; intervenções voltadas a facilitar a comunicação entre os residentes e seus familiares/amigos e entre esses e o enfermeiro; além de intervenções de apoio emocional aos profissionais/cuidadores e aos residentes. Conclusão Diante da pandemia covid-19, os cuidados de enfermagem são imprescindíveis para prevenir e controlar a disseminação do SARS-CoV-2.","PeriodicalId":31328,"journal":{"name":"Revista Brasileira de Geriatria e Gerontologia","volume":"153 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135213373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Functional status and associated factors in older persons living on the island of Fernando de Noronha: a cross-sectional study 费尔南多-迪诺罗尼亚岛老年人的功能状况及相关因素:一项横断面研究

Revista Brasileira de Geriatria e Gerontologia Pub Date : 2023-01-01 DOI: 10.1590/1981-22562023026.230050.en

Amanda Maria Santiago de Mello, Rafael da Silveira Moreira, Vanessa de Lima Silva

{"title":"Functional status and associated factors in older persons living on the island of Fernando de Noronha: a cross-sectional study","authors":"Amanda Maria Santiago de Mello, Rafael da Silveira Moreira, Vanessa de Lima Silva","doi":"10.1590/1981-22562023026.230050.en","DOIUrl":"https://doi.org/10.1590/1981-22562023026.230050.en","url":null,"abstract":"Abstract Objective To analyze the functional status profile and associated factors in older persons living on Fernando de Noronha Island/Pernambuco, Brazil. Method This was a cross-sectional, analytical study, and data collection was conducted between August and October 2019. The study population comprised 176 older persons living on the island. The collection protocol was applied through an interview to respond to the behavior of demographic, social, clinical and environmental variables, and to the assessment instruments. The functional status was determined from the Analysis of Latent Classes, evaluated by the protocols of the domains: cognition, mood, instrumental activities of daily living, mobility and communication. Results The chosen analysis model had two classes, named as: “Good autonomy and independence” and “Moderate autonomy and partial dependence”. Most older persons had good functional status and the associated factors were: being male, being separated or divorced, living alone, visiting friends or relatives, having worked more than 36 years, being literate, not having a visual or hearing impairment, taking one or two medications and having a history of falls. Conclusion The functional status of island older persons was presented as a multifactorial phenomenon, as demographic, social and clinical factors remained independently associated with good functionality. It is important that the maintenance of the functional state is encouraged in the implementation of public policies aimed at the specificities of populations residing on islands.","PeriodicalId":31328,"journal":{"name":"Revista Brasileira de Geriatria e Gerontologia","volume":"153 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135214455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of frailty in oldest-old people using the Clinical-Functional Vulnerability Index-20 (IVCF-20) and Edmonton Frail Scale (EFS) 应用临床功能易损指数-20 (IVCF-20)和埃德蒙顿易损量表(EFS)评价老年人群虚弱程度的比较

Revista Brasileira de Geriatria e Gerontologia Pub Date : 2023-01-01 DOI: 10.1590/1981-22562023026.230072.en

Tahiana Ferreira Freitas, Walker Henrique Viana Caixeta, Ronilson Ferreira Freitas, Antônio Prates Caldeira, Fernanda Marques da Costa, Jair Almeida Carneiro

{"title":"Comparison of frailty in oldest-old people using the Clinical-Functional Vulnerability Index-20 (IVCF-20) and Edmonton Frail Scale (EFS)","authors":"Tahiana Ferreira Freitas, Walker Henrique Viana Caixeta, Ronilson Ferreira Freitas, Antônio Prates Caldeira, Fernanda Marques da Costa, Jair Almeida Carneiro","doi":"10.1590/1981-22562023026.230072.en","DOIUrl":"https://doi.org/10.1590/1981-22562023026.230072.en","url":null,"abstract":"Abstract Objective To compare Clinical-Functional Vulnerability Index-20 (IVCF-20) and Edmonton Frail Scale (EFS) scores among community-dwelling older people aged ≥80 years for prevalence and degree of agreement. Method A cross-sectional study nested within a population-based cohort, was conducted. Baseline sampling was probabilistic by two-stage clustering. In the first stage, the census tract was used as the sampling unit. In the second stage, the number of households was defined according to the population density of individuals aged ≥60 years. Sensitivity, specificity and predictive values were determined and Kappa statistics expressed degree of agreement between the instruments. Results 92 oldest-old people were evaluated. The prevalence of high risk of clinical and functional vulnerability on the IVCF, indicating frailty, was 45,7%, whereas the prevalence of frailty using the EFS was 44,6%. Sensitivity, specificity, positive predictive value and negative predictive values were 88,23%, 87,80%, 90,0% and 85,71%, respectively. Accuracy was 88,04% and the Kappa statistic 0.759 (p<0.001). Conclusion The IVCF-20 and EFS instruments showed good accuracy and strong agreement when applied to community-dwelling oldest-old people. The identification of frailty was superior using the IVCF-20. These results show that the instruments detected similar frailty prevalence in community-dwelling oldest-old people.","PeriodicalId":31328,"journal":{"name":"Revista Brasileira de Geriatria e Gerontologia","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135699179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0