Multidimensional assessment of frailty in hospitalized elderly
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , |
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 |
Resumo: | 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. |
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Multidimensional assessment of frailty in hospitalized elderlyEvaluación multidimensional de la fragilidad en ancianos hospitalizadosAvaliação multidimensional da fragilidade em idosos hospitalizadosfrail elderlyhospitalizationhealth profileancianos fragilizadoshospitalizaciónperfil de saludidoso fragilizadohospitalizaçãoperfil de saúdeIntroduction: 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.Introducción: el Síndrome de la Fragilidad (SF) puede representar un impacto significativo en el cuidado hospitalario a los ancianos generando resultados con pronósticos funcionales variados.Objetivo: conocer la multidimensionalidad involucrada en el proceso de hospitalización en ancianos y su condición de fragilidad.Métodos: estudio transversal con abordaje descriptivo, que evaluó 150 ancianos con 60 años o más, internados en dos grandes hospitales en la ciudad de Curitiba-PR. Se recogieron datos relacionados con la caracterización sociodemográfica; factores cognitivos travésel Mini Examen del Estado Mental (MEEM); nivel de fragilidad por Edmonton Frail Scale (EFS); depresión por la Escala de Depresión Geriátrica (EDG-15); fuerza de asimiento manual (FPM) comprobada por dinamometría manual.Resultados: el promedio de edad fue de 70,0 ± 7,9 años y 92 (61,3%) eran hombres. El 30% de los ancianos fueron clasificados como vulnerables, el 27,3% evolucionó como una fragilidad leve, el 22,7% moderada y el 9,3% considerado una forma grave y sólo el 10,7% normal. Factores como disminución de fuerza de asimiento palmar y depresión fueron estadísticamente asociados a la condición de fragilidad, sirviendo como parámetros analíticos dentro de una multidimensionalidad evaluada.Conclusión: los colaboradores de este estudio se presentan más vulnerables, tanto físicos como cognitivamente, llevando a un escenario acorde a una reducción de sus habilidades motoras, peor expectativa de vida y consecuente muerte precoz.Introdução: a Síndrome da Fragilidade (SF) pode representar um impacto significativo nos cuidados hospitalares aos idosos gerando desfechos com prognósticos funcionais variados.Objetivo: conhecer a multidimensionalidade envolvida no processo de hospitalização de idosos e a sua condição de fragilidade.Métodos: estudo transversal com abordagem descritiva que avaliou 150 idosos com 60 anos ou mais, internados em dois grandes hospitais na cidade de Curitiba, PR. Foram coletados dados relacionados à caracterização sociodemográfica; fatores cognitivos pelo Mini Exame do Estado Mental (MEEM); nível de fragilidade pela Edmonton Frail Scale (EFS); depressão pela Escala de Depressão Geriátrica (EDG-15); e força de preensão manual (FPM) verificada por dinamometria manual.Resultados: a média de idade foi de 70,0±7,9 anos e 92 (61,3%) eram homens. 30% dos idosos foram classificados como vulneráveis, 27,3% evoluindo como uma fragilidade leve, 22,7% moderada, 9,3% considerada uma forma grave e, apenas 10,7% normais. Fatores como diminuição de força de preensão palmar e depressão foram estatisticamente associados à condição de fragilidade, servindo como parâmetros analíticos dentro de uma multidimensionalidade avaliada.Conclusão: os colaboradores deste estudo apresentam-se mais vulneráveis, tanto físico como cognitivamente, levando a um cenário condizente a uma redução de suas habilidades motoras, pior expectativa de vida e consequente morte precoce.Editora da PUCRS - ediPUCRS2020-10-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://revistaseletronicas.pucrs.br/ojs/index.php/pajar/article/view/3747910.15448/2357-9641.2020.1.37479PAJAR - Pan American Journal of Aging Research; Vol. 8 No. 1 (2020): Single Volume; e37479PAJAR - Pan-American Journal of Aging Research; Vol. 8 Núm. 1 (2020): Número Único; e37479PAJAR - Pan-American Journal of Aging Research; v. 8 n. 1 (2020): Número Único; e374792357-964110.15448/2357-9641.2020.1reponame:PAJAR - Pan American Journal of Aging Researchinstname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUCRSporhttps://revistaseletronicas.pucrs.br/ojs/index.php/pajar/article/view/37479/26330Copyright (c) 2020 PAJAR - Pan-American Journal of Aging Researchhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessLeandro, Luciano AlvesGomes, Laryssa Mireli RodriguesChevônica, Juliane Pessoa2020-10-30T19:39:14Zoai:ojs.revistaseletronicas.pucrs.br:article/37479Revistahttp://revistaseletronicas.pucrs.br/ojs/index.php/pajar/about/editorialTeamPRIhttp://revistaseletronicas.pucrs.br/ojs/index.php/pajar/oaicataldo@pucrs.br||pajar@pucrs.br2357-96412357-9641opendoar:2020-10-30T19:39:14PAJAR - Pan American Journal of Aging Research - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.none.fl_str_mv |
Multidimensional assessment of frailty in hospitalized elderly Evaluación multidimensional de la fragilidad en ancianos hospitalizados Avaliação multidimensional da fragilidade em idosos hospitalizados |
title |
Multidimensional assessment of frailty in hospitalized elderly |
spellingShingle |
Multidimensional assessment of frailty in hospitalized elderly Leandro, Luciano Alves frail elderly hospitalization health profile ancianos fragilizados hospitalización perfil de salud idoso fragilizado hospitalização perfil de saúde |
title_short |
Multidimensional assessment of frailty in hospitalized elderly |
title_full |
Multidimensional assessment of frailty in hospitalized elderly |
title_fullStr |
Multidimensional assessment of frailty in hospitalized elderly |
title_full_unstemmed |
Multidimensional assessment of frailty in hospitalized elderly |
title_sort |
Multidimensional assessment of frailty in hospitalized elderly |
author |
Leandro, Luciano Alves |
author_facet |
Leandro, Luciano Alves Gomes, Laryssa Mireli Rodrigues Chevônica, Juliane Pessoa |
author_role |
author |
author2 |
Gomes, Laryssa Mireli Rodrigues Chevônica, Juliane Pessoa |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Leandro, Luciano Alves Gomes, Laryssa Mireli Rodrigues Chevônica, Juliane Pessoa |
dc.subject.por.fl_str_mv |
frail elderly hospitalization health profile ancianos fragilizados hospitalización perfil de salud idoso fragilizado hospitalização perfil de saúde |
topic |
frail elderly hospitalization health profile ancianos fragilizados hospitalización perfil de salud idoso fragilizado hospitalização perfil de saúde |
description |
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. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-10-30 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revistaseletronicas.pucrs.br/ojs/index.php/pajar/article/view/37479 10.15448/2357-9641.2020.1.37479 |
url |
https://revistaseletronicas.pucrs.br/ojs/index.php/pajar/article/view/37479 |
identifier_str_mv |
10.15448/2357-9641.2020.1.37479 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revistaseletronicas.pucrs.br/ojs/index.php/pajar/article/view/37479/26330 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2020 PAJAR - Pan-American Journal of Aging Research https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2020 PAJAR - Pan-American Journal of Aging Research https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
dc.source.none.fl_str_mv |
PAJAR - Pan American Journal of Aging Research; Vol. 8 No. 1 (2020): Single Volume; e37479 PAJAR - Pan-American Journal of Aging Research; Vol. 8 Núm. 1 (2020): Número Único; e37479 PAJAR - Pan-American Journal of Aging Research; v. 8 n. 1 (2020): Número Único; e37479 2357-9641 10.15448/2357-9641.2020.1 reponame:PAJAR - Pan American Journal of Aging Research instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) instacron:PUCRS |
instname_str |
Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
instacron_str |
PUCRS |
institution |
PUCRS |
reponame_str |
PAJAR - Pan American Journal of Aging Research |
collection |
PAJAR - Pan American Journal of Aging Research |
repository.name.fl_str_mv |
PAJAR - Pan American Journal of Aging Research - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
repository.mail.fl_str_mv |
cataldo@pucrs.br||pajar@pucrs.br |
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1797174625692549120 |