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2023-09-11T21:55:16Z2023-09-11T21:55:16Z2021235114https://doi.org/10.1590/1981-22562020023.2002431981-2256http://hdl.handle.net/1843/58569https://orcid.org/0000-0003-4591-5637https://orcid.org/0000-0002-5088-0865https://orcid.org/0000-0003-3161-717XObjetivo Avaliar a associação entre características sociodemográficas, econômicas, clínicas e comportamentais e o grau de fragilidade de pessoas idosas atendidas na atenção secundária à saúde. Método Estudo transversal, analítico, realizado entre maio e setembro de 2018, com 376 pessoas idosas atendidas em um Centro de Especialidades Médicas de Belo Horizonte (MG, Brasil), selecionadas pelo método de amostragem aleatória sistemática. Os dados foram coletados por meio de entrevistas e testes da avaliação do fenótipo de fragilidade, sendo analisados por meio de estatística descritiva, análise bivariada e multivariada, com o Modelo de Chances Proporcionais. Resultados A prevalência de fragilidade foi de 25,3%. As variáveis significativamente relacionadas com a maior chance da presença de fragilidade na pessoa idosa foram: sexo feminino, baixa escolaridade, internação e quedas nos últimos 12 meses, uso de dispositivo de auxílio à marcha e ausência de prática de atividade física. Conclusão O conhecimento dos fatores associados à fragilidade permite melhorar o planejamento das ações de saúde, intervir nos fatores modificáveis que estão relacionados com a fragilidade, prevenindo sua instalação, a ocorrência de eventos negativos decorrentes dessa síndrome ou mesmo reverter seu estágio. Os resultados demonstram a importância dos gestores dos serviços de atenção secundária, implantarem uma metodologia de identificação da fragilidade em pessoas idosas, bem como, um modelo de cuidado ao idoso frágil para acompanhamento e monitoramento das condições clínicas.Objective To evaluate the association between sociodemographic, economic, clinical, and behavioral characteristics and the degree of frailty of old people treated in secondary health care. Method Cross-sectional, analytical study carried out between May and September, 2018 with 376 old people treated at a Center of Medical Specialties of Belo Horizonte (MG, Brazil) selected by the random systematic sampling method. Data was collected by interviews and tests to assess the frailty phenotype, being analyzed using descriptive statistics, bivariate, and multivariate analysis using the Proportional Odds Model. Results The prevalence of frailty was 25.3%. The variables significantly related to the greater chance of presence of frailty in the old people were female gender, low education, hospitalization and falls in the last 12 months, use of walking aid and absence of physical activity. Conclusion The knowledge on the factors associated with frailty allows to improve the planning of health actions and to intervene in the modifiable factors related to frailty, thus preventing its onset, the occurrence of negative events resulting from this syndrome, or even reversing its stage. The results demonstrate the importance of managers of the secondary health care services implementing a methodology to identify frailties in old people, as well as a health care model for the fragile old person to follow and monitor their clinical conditions.porUniversidade Federal de Minas GeraisUFMGBrasilENF - DEPARTAMENTO DE ENFERMAGEM BÁSICARevista Brasileira de Geriatria e GerontologiaEnfermagemSaúde do IdosoFragilidadeSaúde do IdosoIdoso FragilizadoFragilidadeAtenção secundária à saúdeFragilidade em pessoas idosas atendidas na atenção secundária: fatores associadosFrailty of old people treated in secondary health care: associated factorsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://www.scielo.br/j/rbgg/a/y7H7tW36bjBGVjPytj4nyPQ/abstract/?lang=ptDaiana Muniz CostaIsis Laila Oliveira SantanaSônia Maria Soaresapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/58569/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALFrailty of old people treated in secondary health care_ associated factors.pdfFrailty of old people treated in secondary health care_ associated factors.pdfapplication/pdf318202https://repositorio.ufmg.br/bitstream/1843/58569/2/Frailty%20of%20old%20people%20treated%20in%20secondary%20health%20care_%20associated%20factors.pdfefedb078e1d984bd19fdef504dede7e6MD521843/585692023-09-11 18:55:16.617oai:repositorio.ufmg.br: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Repositório InstitucionalPUBhttps://repositorio.ufmg.br/oaiopendoar:2023-09-11T21:55:16Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false
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