Multidimensional assessment of frailty in hospitalized elderly

• Autor(a) principal: Leandro, Luciano Alves
• Data de Publicação: 2020
• Outros Autores: Gomes, Laryssa Mireli Rodrigues, Chevônica, Juliane Pessoa
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: PAJAR - Pan American Journal of Aging Research
• Texto Completo: https://revistaseletronicas.pucrs.br/ojs/index.php/pajar/article/view/37479
• topic: frail elderly; hospitalization; health profile; ancianos fragilizados; hospitalización; perfil de salud; idoso fragilizado; hospitalização; perfil de saúde

Introduction: a Fragility Syndrome (SF) can have a significant impact on hospital care with the elderly, generating outcomes with varied functional prognoses.Objective: know the multidimensionality involved in the process of hospitalization of elderly and their condition of fragility.Methods: a cross-sectional study with a descriptive approach, which evaluated 150 elderly patients aged 60 years old or older hospitalized in two large hospitals in the city of Curitiba, Paraná state. Data related to sociodemographic characterization data were collected; cognitive factors by Mini Mental State Examination (MMSE); level of fragility by the Edmonton Frail Scale (EFS); depression by the Geriatric Depression Scale (EDG-15); manual grip force (FPM) verified by manual dynamometry.Results: the mean age was 70.0 ± 7.9 years old and 92 (61.3%) were men. 30% of the elderly were classified as vulnerable, 27.3% were evolving towards mild fragility, 22.7% classified as moderate and 9.3% were considered a severe form and only 10.7% normal. Factors such as decreased palmar grip strength and depression were statistically associated with the fragility condition, serving as analytical parameters within a multidimensionality assessed.Conclusion: the study collaborators are more vulnerable, both physically and cognitively, leading to a scenario consistent with reduced motor skills, worse life expectancy and consequent early death.