Clinical-functional vulnerability in older adults and its impact on primary health care actions
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira em Promoção da Saúde |
Texto Completo: | https://ojs.unifor.br/RBPS/article/view/8366 |
Resumo: | Objective: To describe the prevalence of clinical-functional vulnerability among older adults cared for in a Primary Health Care Unit (PHCU). Methods: This is a retrospective epidemiological study performed through the review of medical records of 950 elderly users of a PHCU in the northeast region of Belo Horizonte, between August 2016 and July 2017. The score obtained with use of the Clinical-functional Vulnerability Index (IVCF-20) evidenced the clinical-functional vulnerability of the older adults. The PHCU health professionals had been trained and had been implementing the IVCF-20 since the end of 2015. In 2016, the application of IVCF-20 was intensified following training of psychology undergraduates who participated in the Health Work Education Program (Programa de Educação pelo Trabalho para a Saúde - PET-Saúde). Descriptive statistics was applied to IVCF-20 data to verify the frequency of frail older adults and individuals at risk for frailty. Pearson's chi-square test was used to verify association between the IVCF-20 classification and the Family Health Teams. Results: Of 950 older adults included in the study, 49.37% (n=469) had mild clinical-functional vulnerability, considered robust; 28.84% (n=274) had moderate vulnerability, considered at risk for frailty; and 21.79% (n=207) had high vulnerability, regarded as frail. Conclusion: A high prevalence of clinical-functional vulnerability (mild, moderate, and high) was observed among older adults attended to at primary health care services. Screening with IVCF-20 can prove useful for early identification of vulnerable older adults and to indicate the focus of health promotion and preventive interventions. |
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Clinical-functional vulnerability in older adults and its impact on primary health care actionsVulnerabilidad clínico-funcional de mayores y su impacto en las acciones de la atención primaria de saludPrimary Health CareHealth of the ElderlyFrail Older AdultAtención Primaria de SaludSalud del AncianoAnciano FrágilObjective: To describe the prevalence of clinical-functional vulnerability among older adults cared for in a Primary Health Care Unit (PHCU). Methods: This is a retrospective epidemiological study performed through the review of medical records of 950 elderly users of a PHCU in the northeast region of Belo Horizonte, between August 2016 and July 2017. The score obtained with use of the Clinical-functional Vulnerability Index (IVCF-20) evidenced the clinical-functional vulnerability of the older adults. The PHCU health professionals had been trained and had been implementing the IVCF-20 since the end of 2015. In 2016, the application of IVCF-20 was intensified following training of psychology undergraduates who participated in the Health Work Education Program (Programa de Educação pelo Trabalho para a Saúde - PET-Saúde). Descriptive statistics was applied to IVCF-20 data to verify the frequency of frail older adults and individuals at risk for frailty. Pearson's chi-square test was used to verify association between the IVCF-20 classification and the Family Health Teams. Results: Of 950 older adults included in the study, 49.37% (n=469) had mild clinical-functional vulnerability, considered robust; 28.84% (n=274) had moderate vulnerability, considered at risk for frailty; and 21.79% (n=207) had high vulnerability, regarded as frail. Conclusion: A high prevalence of clinical-functional vulnerability (mild, moderate, and high) was observed among older adults attended to at primary health care services. Screening with IVCF-20 can prove useful for early identification of vulnerable older adults and to indicate the focus of health promotion and preventive interventions.Objetivo: Describir la prevalencia de la vulnerabilidad clínico-funcional entre los mayores asistidos por la Unidad Básica de Salud (UBS). Métodos: Estudio epidemiológico y retrospectivo realizado a través de una revisión de historiales clínicos de 950 usuarios mayores de la UBS de la región nordeste de Belo Horizonte entre agosto de 2016 y julio de 2017. La puntuación obtenida con el uso del Clinical-functional Vulnerability Index (IVCF-20) ha evidenciado la vulnerabilidad clínico-funcional de mayores. Los profesionales sanitarios de la UBS han sido entrenados y se ha puesto en marcha la IVCF-20 desde finales de 2015. En 2016 la aplicación del IVCF-20 ha sido intensificada con el entrenamiento de estudiantes de psicología que han participado del Health Work Education Program (Programa de Educación por el Trabajo para la Salud) - PET-Salud). La estadística descriptiva ha sido aplicada para los datos del IVCF-20 para verificar la frecuencia de mayores frágiles e individuos con riesgo de fragilidad. La prueba de Chi-cuadrado ha sido utilizada para verificar la asociación entre la clasificación del IVCF-20 y los Grupos de Salud de la Familia. Resultados: De los 950 mayores incluidos en el estudio, el 49,37% (n=469) tenían vulnerabilidad clínico-funcional leve y eran considerados fuertes; el 28,84% (n=274) tenían moderada vulnerabilidad y eran considerados de riesgo para la fragilidad y el 21,79% (n=207) tenían alta vulnerabilidad y eran considerados frágiles. Conclusión: Una elevada prevalencia de vulnerabilidad clínico-funcional (leve, moderada y alta) ha sido observada entre los mayores asistidos en los servicios de cuidados primarios de salud. Investigación con el IVCF-20 puede ser útil para la identificación precoz de mayores vulnerables e indicar el foco de las intervenciones de prevención y de promoción de la salud.Universidade de Fortaleza2019-06-28info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion"Peer-reviewed Article""Avaliado pelos pares""Avaliado pelos pares"application/pdfhttps://ojs.unifor.br/RBPS/article/view/836610.5020/18061230.2019.8366Brazilian Journal in Health Promotion; Vol. 32 (2019)Revista Brasileña en Promoción de la Salud; Vol. 32 (2019)Revista Brasileira em Promoção da Saúde; v. 32 (2019)1806-1230reponame:Revista Brasileira em Promoção da Saúdeinstname:Universidade de Fortaleza (Unifor)instacron:UFORenghttps://ojs.unifor.br/RBPS/article/view/8366/pdfCopyright (c) 2019 Revista Brasileira em Promoção da Saúdeinfo:eu-repo/semantics/openAccessRibeiro, Pricila Cristina CorreaNeves, Andréia Cleide Costa eReis, Juliana do CarmoDamaso, André Luiz AlmeidaBarros, Vanessa Cunha2019-08-05T17:12:12Zoai:ojs.ojs.unifor.br:article/8366Revistahttps://periodicos.unifor.br/RBPS/oai1806-12301806-1222opendoar:2019-08-05T17:12:12Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)false |
dc.title.none.fl_str_mv |
Clinical-functional vulnerability in older adults and its impact on primary health care actions Vulnerabilidad clínico-funcional de mayores y su impacto en las acciones de la atención primaria de salud |
title |
Clinical-functional vulnerability in older adults and its impact on primary health care actions |
spellingShingle |
Clinical-functional vulnerability in older adults and its impact on primary health care actions Ribeiro, Pricila Cristina Correa Primary Health Care Health of the Elderly Frail Older Adult Atención Primaria de Salud Salud del Anciano Anciano Frágil |
title_short |
Clinical-functional vulnerability in older adults and its impact on primary health care actions |
title_full |
Clinical-functional vulnerability in older adults and its impact on primary health care actions |
title_fullStr |
Clinical-functional vulnerability in older adults and its impact on primary health care actions |
title_full_unstemmed |
Clinical-functional vulnerability in older adults and its impact on primary health care actions |
title_sort |
Clinical-functional vulnerability in older adults and its impact on primary health care actions |
author |
Ribeiro, Pricila Cristina Correa |
author_facet |
Ribeiro, Pricila Cristina Correa Neves, Andréia Cleide Costa e Reis, Juliana do Carmo Damaso, André Luiz Almeida Barros, Vanessa Cunha |
author_role |
author |
author2 |
Neves, Andréia Cleide Costa e Reis, Juliana do Carmo Damaso, André Luiz Almeida Barros, Vanessa Cunha |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Ribeiro, Pricila Cristina Correa Neves, Andréia Cleide Costa e Reis, Juliana do Carmo Damaso, André Luiz Almeida Barros, Vanessa Cunha |
dc.subject.por.fl_str_mv |
Primary Health Care Health of the Elderly Frail Older Adult Atención Primaria de Salud Salud del Anciano Anciano Frágil |
topic |
Primary Health Care Health of the Elderly Frail Older Adult Atención Primaria de Salud Salud del Anciano Anciano Frágil |
description |
Objective: To describe the prevalence of clinical-functional vulnerability among older adults cared for in a Primary Health Care Unit (PHCU). Methods: This is a retrospective epidemiological study performed through the review of medical records of 950 elderly users of a PHCU in the northeast region of Belo Horizonte, between August 2016 and July 2017. The score obtained with use of the Clinical-functional Vulnerability Index (IVCF-20) evidenced the clinical-functional vulnerability of the older adults. The PHCU health professionals had been trained and had been implementing the IVCF-20 since the end of 2015. In 2016, the application of IVCF-20 was intensified following training of psychology undergraduates who participated in the Health Work Education Program (Programa de Educação pelo Trabalho para a Saúde - PET-Saúde). Descriptive statistics was applied to IVCF-20 data to verify the frequency of frail older adults and individuals at risk for frailty. Pearson's chi-square test was used to verify association between the IVCF-20 classification and the Family Health Teams. Results: Of 950 older adults included in the study, 49.37% (n=469) had mild clinical-functional vulnerability, considered robust; 28.84% (n=274) had moderate vulnerability, considered at risk for frailty; and 21.79% (n=207) had high vulnerability, regarded as frail. Conclusion: A high prevalence of clinical-functional vulnerability (mild, moderate, and high) was observed among older adults attended to at primary health care services. Screening with IVCF-20 can prove useful for early identification of vulnerable older adults and to indicate the focus of health promotion and preventive interventions. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-06-28 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion "Peer-reviewed Article" "Avaliado pelos pares" "Avaliado pelos pares" |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://ojs.unifor.br/RBPS/article/view/8366 10.5020/18061230.2019.8366 |
url |
https://ojs.unifor.br/RBPS/article/view/8366 |
identifier_str_mv |
10.5020/18061230.2019.8366 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://ojs.unifor.br/RBPS/article/view/8366/pdf |
dc.rights.driver.fl_str_mv |
Copyright (c) 2019 Revista Brasileira em Promoção da Saúde info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2019 Revista Brasileira em Promoção da Saúde |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de Fortaleza |
publisher.none.fl_str_mv |
Universidade de Fortaleza |
dc.source.none.fl_str_mv |
Brazilian Journal in Health Promotion; Vol. 32 (2019) Revista Brasileña en Promoción de la Salud; Vol. 32 (2019) Revista Brasileira em Promoção da Saúde; v. 32 (2019) 1806-1230 reponame:Revista Brasileira em Promoção da Saúde instname:Universidade de Fortaleza (Unifor) instacron:UFOR |
instname_str |
Universidade de Fortaleza (Unifor) |
instacron_str |
UFOR |
institution |
UFOR |
reponame_str |
Revista Brasileira em Promoção da Saúde |
collection |
Revista Brasileira em Promoção da Saúde |
repository.name.fl_str_mv |
Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor) |
repository.mail.fl_str_mv |
|
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1808844184748032000 |