Quedas em idosos não institucionalizados: prevalência e fatores associados em uma metrópole da região central do Brasil

• Autor(a) principal: Sandoval, Renato Alves
• Data de Publicação: 2014
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Repositório Institucional da UFG
• dARK ID: ark:/38995/0013000003vg1
• Texto Completo: http://repositorio.bc.ufg.br/tede/handle/tede/5093
• topic: Acidente por quedas; Idosos; Epidemiologia; Prevalência; Fall accidents; Elderly; Epidemiology; Prevalence; CIENCIAS DA SAUDE::MEDICINA

Falls have an average prevalence of 30% with wide distribution in the world population. Should be valued by both the immediate consequences, as the cumulative effect and crippling and costly potential repercussions. Aims: The objectives of this research were to identify the occurrence of falls in non-institutionalized elderly, consequences and to try to understand the association of falls with age, gender, perceived health, lifestyle, cognitionand functionality. Methods: A cross-sectional, population based study was conducted with people aged over 60 years living in a city in central Brazil. There was a sample of 918 elderly, which was calculated assuming an expected fall incidence rate of 30%, a confidence level of 95% and an accept able error of 10%. For analysis we used descriptive statistics and hierarchical logistic regression to verify their association with p<0,05. Results: The study included 349 elderly males (38.1%) and 569 females (61.9%) aged 60-98 (X=71.47±8.33) years. The occurrence of falls in the previous12 months was reported by 319 participants, representing a prevalence of 34.75%; these 172 (53.92%) participants reported having had a fall. For 256 (80.25%) the causes of falls were reported of the extrinsic factors and 165 (51.72%) had injuries or wounds as a result of the fall. An association was found (p=0.000) between the occurrence of falls and women 80 years of age or older, who reported poor or very poor health and had some level of hearing loss and were ADBL patients. Conclusion: The prevalence of falls represented a large magnitude event and the associated factors confirm the findings described in other national and international studies, then reinforcing the problems a global phenomenon, which should be the priority of programs related to the health promotion for the aged and prevention of injuries and complications. The adequate preparation of professionals who belong to eldercare teams is another point to be highlighted as well as the encouragement and support of a healthy lifestyle since childhood and for the longer period possible.