Revista Brasileira de Geriatria e Gerontologia最新文献_第5页

Edentulismo e fragilidade em pessoas idosas domiciliadas: um estudo transversal 居住老年人的牙齿缺失与虚弱:一项横断面研究

Revista Brasileira de Geriatria e Gerontologia Pub Date : 2023-01-01 DOI: 10.1590/1981-22562023026.230165.pt

Rubens Boschetto Melo, Liliane Cristina Barbosa, Thais de Moraes Souza, Roosevelt Silva Bastos

{"title":"Edentulismo e fragilidade em pessoas idosas domiciliadas: um estudo transversal","authors":"Rubens Boschetto Melo, Liliane Cristina Barbosa, Thais de Moraes Souza, Roosevelt Silva Bastos","doi":"10.1590/1981-22562023026.230165.pt","DOIUrl":"https://doi.org/10.1590/1981-22562023026.230165.pt","url":null,"abstract":"Resumo Objetivo Investigar a associação entre fragilidade e edentulismo em pessoas idosas domiciliadas e determinar os fatores individuais, sociodemográficos e clínicos associados. Método Participaram deste estudo 333 pessoas idosas com 65 anos ou mais; eles responderam ao instrumento Edmonton Frail Scale Instrument (EFS). Também foram coletados dados sobre fatores socioeconômicos, saúde bucal e uso e necessidade de próteses dentárias. Aqueles com dificuldades cognitivas foram excluídos. Foram realizadas regressões logísticas multivariadas por meio dos métodos stepwise e backward que testaram a relação da perda dentária e covariáveis com os resultados da EFS. Variáveis com p<0,20 nas análises não ajustadas foram incluídas na regressão logística ajustada. Resultados A prevalência de fragilidade moderada a grave foi de 12,3%. O edentulismo foi relacionado à fragilidade (OR 3,45; IC 95%: 1,45 – 8,25; p=0,01), idade (OR 2,19; IC 95%: 1,07 – 4,46; p=0,03), sexo feminino (OR 2,75; IC 95%: 1,23 – 6,15; p=0,01), necessidade de prótese dentária inferior (OR 3,19; IC 95%: 1,27 – 8,05; p=0,01) e percepção de dor de dente (OR 2,74; IC 95%: 1,15 – 6,15; p=0,02). Conclusões A fragilidade foi associada ao edentulismo, idade, sexo feminino, necessidade de prótese dentária inferior e percepção de dor de dente. Essas condições bucais são altamente prevalentes entre os idosos e podem ser prevenidas por políticas públicas e ações multiprofissionais. Os exames bucais devem ser considerados nas avaliações de pacientes pré-frágeis e frágeis, pois os indicadores de saúde bucal foram associados a fragilidade da pessoa idosa.","PeriodicalId":31328,"journal":{"name":"Revista Brasileira de Geriatria e Gerontologia","volume":"103 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":"135213667","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

Cervical human papillomavirus infection in older women 老年妇女宫颈人乳头瘤病毒感染

Revista Brasileira de Geriatria e Gerontologia Pub Date : 2023-01-01 DOI: 10.1590/1981-22562023026.230027.en

Jaqueline Amaral Bessa, Tatiana Mugnol, Jonas Wolf, Thais da Rocha Boeira, Vagner Ricardo Lunge, Janaina Coser

{"title":"Cervical human papillomavirus infection in older women","authors":"Jaqueline Amaral Bessa, Tatiana Mugnol, Jonas Wolf, Thais da Rocha Boeira, Vagner Ricardo Lunge, Janaina Coser","doi":"10.1590/1981-22562023026.230027.en","DOIUrl":"https://doi.org/10.1590/1981-22562023026.230027.en","url":null,"abstract":"Abstract Objective To investigate the presence of cervical infection by human papillomavirus (HPV) and associated factors in older women Method A cross-sectional, retrospective descriptive study with a quantitative approach was conducted. The sample comprised 106 women aged 60 years or over, seen at public health services of a city in southern Brazil, who underwent cervical cell collection for cytological analysis and molecular detection of HPV DNA. Clinical and sociodemographic data were collected using a standardized questionnaire and from Pap test result Results Patient age was 60-82 years, with a mean of 64.9 ± 5.1 years. HPV was detected in 14 (13.2%) of the study participants and 8 viral types were identified, the majority (n=7; 87.5%) of high oncogenic risk. Chi-square analysis revealed that positive HPV cases were associated with a higher number of sexual partners (p= 0.018). On cytology, most of the women (n=102; 96.2%) had a negative result for intraepithelial lesion or malignancy, and two (1.8%) had abnormal cytology, but neither were positive for HPV infection on molecular testing. Of the 10 women evaluated at two visits, seven (70%) tested negative for HPV infection on both evaluations, two (20%) eliminated the HPV infection, and one (10%) showed conversion to positive infection status. None of the cases had persistent infection. Conclusion Older women are susceptible to HPV infection and to the lesions caused by the virus. This group should therefore continue regular cytological screening.","PeriodicalId":31328,"journal":{"name":"Revista Brasileira de Geriatria e Gerontologia","volume":"13 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":"136079290","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

Risk of falls and its associated factors in hospitalized older adults 住院老年人跌倒风险及其相关因素

Revista Brasileira de Geriatria e Gerontologia Pub Date : 2023-01-01 DOI: 10.1590/1981-22562023026.230155.en

Gideany Maiara Caetano, Alexandre Pereira dos Santos Neto, Luciana Soares Costa Santos, Jack Roberto Silva Fhon

{"title":"Risk of falls and its associated factors in hospitalized older adults","authors":"Gideany Maiara Caetano, Alexandre Pereira dos Santos Neto, Luciana Soares Costa Santos, Jack Roberto Silva Fhon","doi":"10.1590/1981-22562023026.230155.en","DOIUrl":"https://doi.org/10.1590/1981-22562023026.230155.en","url":null,"abstract":"Abstract Objective To analyze the risk of falls and its association with demographic and clinical variables, cognitive status, risk of sarcopenia and frailty among older adults hospitalized in a medical clinic of a university hospital. Method A quantitative, observational, cross-sectional analytical study of 60 older adults hospitalized in the medical clinic of a university hospital in São Paulo city, São Paulo state, Brazil, was carried out. Questionnaires collecting demographic profile and clinical data, the Mini-Mental State Examination, Morse Scale, SARC-F Scale and Tilburg Frailty Indicator were applied. Descriptive analyses and the Kolmogorov-Smirnov normality test were performed. Spearman’s correlation test was used for quantitative variables and the Mann-Whitney U-test for categorical variables. Multiple linear regression was used to identify the associations and a significance level of 5% was adopted. Results The study sample comprised predominantly individuals that were female, aged 60-79 years and without a partner. Overall, 80% had cognitive impairment, 88.3% were diagnosed as frail, 60% were at risk for sarcopenia, and 75% had a high risk of falls during hospitalization. Cognitive impairment, frailty and sarcopenia risk were associated with risk of falls in the hospitalized older adults. Conclusion High risk of falls in the hospitalized older adults was directly associated with the presence of cognitive impairment, frailty syndrome and sarcopenia risk, confirming that these factors warrant attention from managers and nursing professionals.","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":"135699172","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

Comparação da fragilidade em pessoas idosas longevas pelo Índice de Vulnerabilidade Clínico-Funcional-20 (IVCF-20) e pela Edmonton Frail Scale (EFS) 临床功能脆弱性指数-20 (IVCF-20)和埃德蒙顿脆弱性量表(EFS)对老年人脆弱性的比较

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

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

{"title":"Comparação da fragilidade em pessoas idosas longevas pelo Índice de Vulnerabilidade Clínico-Funcional-20 (IVCF-20) e pela 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.pt","DOIUrl":"https://doi.org/10.1590/1981-22562023026.230072.pt","url":null,"abstract":"Resumo Objetivo Comparar os escores do Índice de Vulnerabilidade Clínico-Funcional-20 (IVCF-20) e da Edmonton Frail Scale (EFS) entre pessoas idosas com 80 anos ou mais de idade que vivem na comunidade, considerando a prevalência e o grau de concordância. Método Trata-se de estudo transversal, aninhado a uma coorte de base populacional. A amostragem na linha de base foi probabilística, por conglomerados, em dois estágios. No primeiro, utilizou-se como unidade amostral o setor censitário. No segundo, definiu-se o número de domicílios segundo a densidade populacional de pessoas idosas. Foram determinados a sensibilidade, a especificidade e os valores preditivos. A estatística Kappa analisou o grau de concordância entre os instrumentos. Resultados Foram avaliadas 92 pessoas idosas longevas. A prevalência do alto risco de vulnerabilidade clínico-funcional, considerado pessoa idosa frágil, foi de 45,7% pelo IVCF-20 e a prevalência de fragilidade pela EFS foi de 44,6%. Os valores de sensibilidade, especificidade, valor preditivo positivo e valor preditivo negativo foram, respectivamente, 88,23%, 87,80%, 90,0% e 85,71%. A acurácia foi de 88,04%. A estatística Kappa foi 0,759 (p<0,001). Conclusão Os instrumentos IVCF-20 e EFS possuem boa acurácia e concordância forte, quando aplicado em pessoas idosas longevos que vivem na comunidade. A identificação da fragilidade foi superior, quando utilizado o IVCF-20. O resultado indica que os instrumentos avaliados possuem similaridade na prevalência da fragilidade em pessoas idosas longevas comunitárias.","PeriodicalId":31328,"journal":{"name":"Revista Brasileira de Geriatria e Gerontologia","volume":"8 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":"135699186","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

Frailty in community-dwelling older adults: a comparative study of screening instruments 社区居住老年人的虚弱:筛查工具的比较研究

Revista Brasileira de Geriatria e Gerontologia Pub Date : 2023-01-01 DOI: 10.1590/1981-22562023026.230057.en

Maria Suzana Marques, Ely Carlos de Jesus, J. Carneiro, L. Maia, A. P. Caldeira

{"title":"Frailty in community-dwelling older adults: a comparative study of screening instruments","authors":"Maria Suzana Marques, Ely Carlos de Jesus, J. Carneiro, L. Maia, A. P. Caldeira","doi":"10.1590/1981-22562023026.230057.en","DOIUrl":"https://doi.org/10.1590/1981-22562023026.230057.en","url":null,"abstract":"Abstract Objective to analyze the agreement between the Edmonton Frail Scale (EFS) and the Clinical Functional Vulnerability Index (CFVI-20). Methods cross-sectional study, during which the Edmonton Frail Scale and the Clinical Functional Vulnerability Index were applied, at home, to older adults, registered in units of the Family Health Strategy of Montes Claros (MG) and randomly selected by lot. To evaluate the correlation and agreement between the instruments, Pearson's correlation coefficient and the weighted Kappa were calculated, considering three levels of frailty classification, as follows: \"robust\", \"risk of frail\" and \"frail\" for the IVCF-20 and \"not frail\", \"vulnerable\" and “frail’” for the EFS. Results We evaluated 673 older adults, predominantly brown, between 60 and 74 years old and female. According to the IVCF-20, 153 (22.7%) of the older adults were classified as \"frail\", 195 (29%) as \"risk of frail\" and 325 (48.3%) as \"robust\". According to the EFS, 159 older adults (23.6%) were classified as \"frail\"; 112 (16.6%) older adults \"apparently vulnerable\" and 402 (59.7%) \"not frail\". Pearson's correlation coefficient was 0.865 (p<0.001) and showed a positive correlation between the instruments and Kappa statistics showed a value of 0.532 (p=0.027), revealing moderate agreement. Conclusion The instruments evaluated showed moderate agreement and strong positive correlation, despite the differences between some of their components. Both showed to be compatible for the assessment of frailty in older adults in the context of Primary Health Care.","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":"67330821","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: 1

Prevalência e fatores associados à multimorbidade em pessoas idosas residentes na zona rural de um município do Nordeste brasileiro 巴西东北部某城市农村地区老年人多病的患病率和相关因素

Revista Brasileira de Geriatria e Gerontologia Pub Date : 2023-01-01 DOI: 10.1590/1981-22562023026.230105.pt

Arthur Alexandrino, Caio Bismarck Silva de Oliveira, Sávio Marcelino Gomes, Matheus Figueiredo Nogueira, Tamires Carneiro de Oliveira Mendes, Kenio Costa de Lima

{"title":"Prevalência e fatores associados à multimorbidade em pessoas idosas residentes na zona rural de um município do Nordeste brasileiro","authors":"Arthur Alexandrino, Caio Bismarck Silva de Oliveira, Sávio Marcelino Gomes, Matheus Figueiredo Nogueira, Tamires Carneiro de Oliveira Mendes, Kenio Costa de Lima","doi":"10.1590/1981-22562023026.230105.pt","DOIUrl":"https://doi.org/10.1590/1981-22562023026.230105.pt","url":null,"abstract":"Resumo Objetivo identificar a prevalência de multimorbidade em pessoas idosas residentes na zona rural e os fatores sociodemográficos, comportamentais e clínico-terapêuticos associados. Método estudo transversal, realizado com idosos residentes na zona rural de Araçagi, Paraíba, Brasil, vinculados à Estratégia Saúde da Família e selecionados aleatoriamente. A variável dependente do estudo foi a multimorbidade, entendida como a presença de duas ou mais condições crônicas em um só indivíduo. Os dados foram coletados através de um questionário sociodemográfico e um formulário sobre problemas de saúde autorreferidos, abordando 32 condições. Na análise dos dados, utilizou-se a estatística univariada, bivariada e regressão de Poisson. Resultados participaram do estudo 360 idosos com prevalência de multimorbidade de 54,2% (IC95%: 49,0–59,3). Após regressão, identificou-se que sexo feminino (RP=1,16; IC95%: 1,09–1,25), idade ≥ 70 anos (RP=1,08; IC95%: 1,01–1,15), sobrepeso (RP=1,19; IC95%: 1,10–1,29), acesso a água tratada e encanada (RP=1,09; IC95%: 1,00–1,18), histórico de tabagismo (RP=1,10; IC95%: 1,03–1,17), não fazer uso de álcool (RP=1,13; IC95%: 1,05–1,22), dor crônica (RP=1,18; IC95%: 1,10–1,26), hospital como primeira opção de serviço de saúde (RP=1,12; IC95%: 1,03–1,21) e consulta médica no último ano (RP=1,19; IC95%: 1,11–1,27) eram fatores associados à multimorbidade. Conclusão o estudo revelou alta prevalência de multimorbidade e seus fatores associados. Por fim, torna-se viável o planejamento de medidas que melhorem a condição de saúde desses indivíduos e pensar em possibilidades de promover um envelhecimento saudável.","PeriodicalId":31328,"journal":{"name":"Revista Brasileira de Geriatria e Gerontologia","volume":"3 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":"135213110","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

Edentulism and frailty in domiciled older adults: a cross-sectional study 常住老年人的牙长牙症和虚弱:一项横断面研究

Revista Brasileira de Geriatria e Gerontologia Pub Date : 2023-01-01 DOI: 10.1590/1981-22562023026.230165.en

Rubens Boschetto Melo, Liliane Cristina Barbosa, Thais de Moraes Souza, Roosevelt Silva Bastos

{"title":"Edentulism and frailty in domiciled older adults: a cross-sectional study","authors":"Rubens Boschetto Melo, Liliane Cristina Barbosa, Thais de Moraes Souza, Roosevelt Silva Bastos","doi":"10.1590/1981-22562023026.230165.en","DOIUrl":"https://doi.org/10.1590/1981-22562023026.230165.en","url":null,"abstract":"Abstract Objective To investigate the association between frailty and edentulism in community-dwelling older adults and determine the individual, sociodemographic, and clinical factors associated. Method A total of 333 older adults aged 65 years or more participated in this study; they responded to the Edmonton Frail Scale instrument (EFS). Data on socioeconomic factors, oral health, and use of and need for dentures were also collected. Those with cognitive difficulties were excluded. Hierarchical multivariable logistic regression models were performed using the stepwise and backward procedure, which tested the relationship of edentulism and covariates with EFS results. Variables with p<0,20 in the unadjusted analyzes were included in the adjusted logistic regression. Results The prevalence of moderate to severe frailty was 12.3%. Edentulism was related to frailty (OR 3,45; IC 95%: 1,45 – 8,25; p=0,01), age (OR 2,19; IC 95%: 1,07 – 4.46; p=0,03), female sex (OR 2,75; IC 95%: 1,23 – 6,15; p=0,01), the need of lower dental prosthesis (OR 3,19; IC 95%: 1,27 – 8,05; p=0,01) and toothache perception (OR 2,74; IC 95%: 1,15 – 6,15; p=0,02). Conclusions Frailty was associated with edentulism, age, female sex, the need for lower dental prosthesis and toothache perception. These oral conditions are highly prevalent among older adults and can be prevented by multiprofessional actions supported by public policies. Oral examinations should be considered in pre-frail and frail patients’ assessments as oral health indicators were associated of older adults’ frailty.","PeriodicalId":31328,"journal":{"name":"Revista Brasileira de Geriatria e Gerontologia","volume":"9 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":"135213366","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

Risco de quedas e seus fatores associados na pessoa idosa hospitalizada 住院老年人跌倒的风险及其相关因素

Revista Brasileira de Geriatria e Gerontologia Pub Date : 2023-01-01 DOI: 10.1590/1981-22562023026.230155.pt

Gideany Maiara Caetano, Alexandre Pereira dos Santos Neto, Luciana Soares Costa Santos, Jack Roberto Silva Fhon

{"title":"Risco de quedas e seus fatores associados na pessoa idosa hospitalizada","authors":"Gideany Maiara Caetano, Alexandre Pereira dos Santos Neto, Luciana Soares Costa Santos, Jack Roberto Silva Fhon","doi":"10.1590/1981-22562023026.230155.pt","DOIUrl":"https://doi.org/10.1590/1981-22562023026.230155.pt","url":null,"abstract":"Resumo Objetivo analisar o risco de queda e sua associação com as variáveis demográficas, clínicas, estado cognitivo, risco de sarcopenia e fragilidade da pessoa idosa hospitalizada em uma clínica médica de um hospital universitário. Método Estudo quantitativo, observacional, transversal e analítico realizado com 60 pessoas idosas hospitalizadas na clínica médica de um hospital universitário da cidade de São Paulo – SP, Brasil, com o uso dos seguintes questionários: perfil demográfico, dados clínicos, Mini Exame do Estado Mental, Escala de Morse, Escala SARC-F e Índice de Fragilidade Tilburg. Foram realizadas análises descritivas e teste de normalidade de Kolmogorov-Smirnov. Para as variáveis quantitativas foi utilizado o teste de correlação de Spearman e para categóricas, o teste U Mann-Whitney. Para identificar a associação, foi utilizada a regressão linear múltipla e adotado um nível de significância de 5%. Resultados Predomínio do sexo feminino, entre 60-79 anos e sem companheiro (a). Ademais, 80% apresentavam comprometimento cognitivo, 88,3% foram categorizados como frágeis, 60% apresentavam risco para sarcopenia e 75% possuíam alto risco de queda durante a hospitalização. Verificou-se associação do comprometimento cognitivo, ser frágil e ter risco de sarcopenia com o risco de queda na pessoa idosa hospitalizada. Conclusão o elevado risco de quedas em idosos hospitalizados está diretamente relacionado com a presença de deficit cognitivo, síndrome da fragilidade e o risco para sarcopenia, afirmando que esses fatores merecem atenção dos gestores e profissionais de enfermagem.","PeriodicalId":31328,"journal":{"name":"Revista Brasileira de Geriatria e Gerontologia","volume":"22 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":"135699176","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

Severe Acute Respiratory Syndrome in older adults amid the COVID-19 pandemic and associated factors COVID-19大流行期间老年人的严重急性呼吸系统综合征及其相关因素

Revista Brasileira de Geriatria e Gerontologia Pub Date : 2023-01-01 DOI: 10.1590/1981-22562023026.220158.en

Tasso Kfuri Araújo Mafra, Julio Cesar Stobbe, R. Rabello, I. Lindemann, S. G. Silva

{"title":"Severe Acute Respiratory Syndrome in older adults amid the COVID-19 pandemic and associated factors","authors":"Tasso Kfuri Araújo Mafra, Julio Cesar Stobbe, R. Rabello, I. Lindemann, S. G. Silva","doi":"10.1590/1981-22562023026.220158.en","DOIUrl":"https://doi.org/10.1590/1981-22562023026.220158.en","url":null,"abstract":"Abstract Severe Acute Respiratory Syndrome (SARS) is one of the most worrying respiratory diseases, characterized by a flu-like condition associated with tachypnea or hypoxemia, with saturation below 95% in ambient air. In the context of the new coronavirus (SARSCoV- 2) pandemic, exponential growth in cases was observed, with the elderly being the most affected population group. This study aimed to describe SARS cases, as well as socio-demographic and health-associated factors in the elderly population of a city in the north of Rio Grande do Sul state, Brazil. This is an epidemiological study carried out by Influenza Epidemiological Surveillance Information System. The information was made available by the Municipal Health Department of the Passo Fundo between January 1st and December 31st, 2020. In the descriptive analysis, the distribution of absolute (n) and relative (%) frequencies of the variables of interest was performed. Crude and adjusted odds ratios were estimated using Logistic Regression. A total of 1,268 SARS notifications were observed in the elderly, 72% of which were caused by covid-19. The lethality was high (40.9%), mainly among men and those with low education, with the presence of at least one risk factor, especially chronic kidney disease. It is expected that the associations highlighted in this study can help to develop health policies aimed at the health of the elderly, especially by strengthening actions in primary health care.","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":"67330129","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

Timed Up and Go in assessing the frailty of older farmers in Rio Grande do Sul: cross-sectional study 在评估巴西南格兰德州老年农民的脆弱性:横断面研究

Revista Brasileira de Geriatria e Gerontologia Pub Date : 2023-01-01 DOI: 10.1590/1981-22562023026.230004.en

Jorge Luiz de Andrade Trindade, Marielly de Moraes, Alexandre Simões Dias

{"title":"Timed Up and Go in assessing the frailty of older farmers in Rio Grande do Sul: cross-sectional study","authors":"Jorge Luiz de Andrade Trindade, Marielly de Moraes, Alexandre Simões Dias","doi":"10.1590/1981-22562023026.230004.en","DOIUrl":"https://doi.org/10.1590/1981-22562023026.230004.en","url":null,"abstract":"Abstract Objectives To evaluate the sensitivity of the Timed Up and Go test (TUG) as a predictor of frailty syndrome in the elderly (IFS) in the elderly rural population of Rio Grande do Sul (RS) and to identify the prevalence of IFS in this population. Method Cross-sectional study, carried out with 604 farmers over 60 years of age (321 men and 283 women) identified through clusters structured from the regions of the Federation of Agricultural Workers of Rio Grande do Sul (FETAG-RS) and respective unions. In addition to demographic variables (gender, age), functional mobility was assessed by performing the TUG and reported frailty. The Receiver-Operating Characteristic (ROC) curve was constructed to assess a TUG test cutoff point for frailty. Results IFS or frailty was identified in 52.5% (n=317) of the surveyed population; 35.1% (n=212) pre-frail and 12.4% (n=75) non-frail. And the mean time to perform the TUG varied according to gender was 11.6 seconds for women and 10.8 seconds for men – (p=0.0001). The progression of age was related to longer time spent on the age test (young elderly - 60-64 years old; older elderly -75-79 and oldest old - 80+ - p=0.0001). The ROC curve indicated 10 seconds in the execution of the TUG test as the best cutoff point for diagnosing the SF frailty syndrome in rural elderly. Conclusion The frequency of frailty and pre-frailty in this research indicates a condition of vulnerability of rural workers in RS in their aging process. Demonstrating, from the TUG test, characteristics of functional mobility and risk of frailty of older farmers, important for future considerations on the singularities of the health of this population and necessary professional interventions.","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":"67330453","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}

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