Health care are associated with worsening of frailty in community older adults
Health care are associated with worsening of frailty in community older adults
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DOI：
10.11606/s1518-8787.2019053000829
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发表时间：
2019-01-01
期刊：
影响因子：
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通讯作者：
Caldeira, Antônio Prates
中科院分区：
文献类型：
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作者：
Carneiro, Jair Almeida;Lima, Cássio de Almeida;Caldeira, Antônio Prates
目的：确定与社区老年人衰弱恶化相关的因素。方法：这是一项前瞻性、纵向和分析性研究。基线中的数据收集是在参与者的家中通过企业集团的随机抽样进行的。分析了人口统计和社会经济变量、发病率和卫生服务的使用情况。虚弱程度通过埃德蒙顿虚弱量表进行测量。第二次数据收集是在平均 42 个月后进行的。调整后的患病率是通过具有稳健方差的多元泊松回归分析获得的。结果：共有 394 名老年人参与了两个阶段的研究，其中 21.8% 的老年人出现虚弱状况恶化。与向更严重的虚弱状态转变保持统计相关性的变量是：在过去 12 个月内，多次服用药物、对健康的负面自我认知、体重减轻和住院治疗。结论：在研究期间，社区老年人虚弱恶化的相关因素是与医疗保健相关的因素。卫生专业人员在解决体弱和易受伤害的老年人问题时必须考虑这一结果。
OBJECTIVE: To identify the factors associated with the worsening of frailty in older adults resident in the community.METHODS: This is a prospective, longitudinal, and analytical study. The data collection in the baseline occurred in the participants' homes from a random sampling by conglomerates. Demographic and socioeconomic variables, morbidities, and use of health services were analyzed. Frailty was measured by the Edmonton Frail Scale. The second data collection was performed after an average period of 42 months. The adjusted prevalence ratios were obtained by multiple Poisson regression analysis with robust variance.RESULTS: A total of 394 older adults participated in both phases of the study, with 21.8% of them presenting worsening of the frailty condition. The variables that remained statistically associated with the transition to a worse state of frailty were: polypharmacy, negative self-perception of health, weight loss, and hospitalization over the past 12 months.CONCLUSIONS: The factors associated with worsening of frailty along the studied period among older adults in the community were those related to health care. This result must be considered by health professionals when addressing frail and vulnerable older adults.