Incidência e fatores preditores de quedas de idosos hospitalizados
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/101887 |
Resumo: | OBJECTIVE To estimate the incidence and predicting factors associated with falls among older inpatients. METHODS Prospective cohort study conducted in clinical units of three hospitals in Cuiaba, MT, Midwestern Brazil, from March to August 2013. In this study, 221 inpatients aged 60 or over were followed until hospital discharge, death, or fall. The method of incidence density was used to calculate incidence rates. Bivariate analysis was performed by Chi-square test, and multiple analysis was performed by Cox regression. RESULTS The incidence of falls was 12.6 per 1,000 patients/day. Predicting factors for falls during hospitalization were: low educational level (RR = 2.48; 95%CI 1.17;5.25), polypharmacy (RR = 4.42; 95%CI 1.77;11.05), visual impairment (RR = 2.06; 95%CI 1.01;4.23), gait and balance impairment (RR = 2.95; 95%CI 1.22;7.14), urinary incontinence (RR = 5.67; 95%CI 2.58;12.44) and use of laxatives (RR = 4.21; 95%CI 1.15;15.39) and antipsychotics (RR = 4.10; 95%CI 1.38;12.13). CONCLUSIONS The incidence of falls of older inpatients is high. Predicting factors found for falls were low education level, polypharmacy, visual impairment, gait and balance impairment, urinary incontinence and use of laxatives and antipsychotics. Measures to prevent falls in hospitals are needed to reduce the incidence of this event. |
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Incidência e fatores preditores de quedas de idosos hospitalizadosIncidence and predicting factors of falls of older inpatientsOBJECTIVE To estimate the incidence and predicting factors associated with falls among older inpatients. METHODS Prospective cohort study conducted in clinical units of three hospitals in Cuiaba, MT, Midwestern Brazil, from March to August 2013. In this study, 221 inpatients aged 60 or over were followed until hospital discharge, death, or fall. The method of incidence density was used to calculate incidence rates. Bivariate analysis was performed by Chi-square test, and multiple analysis was performed by Cox regression. RESULTS The incidence of falls was 12.6 per 1,000 patients/day. Predicting factors for falls during hospitalization were: low educational level (RR = 2.48; 95%CI 1.17;5.25), polypharmacy (RR = 4.42; 95%CI 1.77;11.05), visual impairment (RR = 2.06; 95%CI 1.01;4.23), gait and balance impairment (RR = 2.95; 95%CI 1.22;7.14), urinary incontinence (RR = 5.67; 95%CI 2.58;12.44) and use of laxatives (RR = 4.21; 95%CI 1.15;15.39) and antipsychotics (RR = 4.10; 95%CI 1.38;12.13). CONCLUSIONS The incidence of falls of older inpatients is high. Predicting factors found for falls were low education level, polypharmacy, visual impairment, gait and balance impairment, urinary incontinence and use of laxatives and antipsychotics. Measures to prevent falls in hospitals are needed to reduce the incidence of this event.OBJETIVO Estimar a incidência e fatores preditores de quedas de idosos hospitalizados. MÉTODOS Estudo de coorte prospectivo realizado em unidades de clínica médica de três hospitais de Cuiabá, MT, no período de março a agosto de 2013. Foram acompanhadas 221 pessoas com 60 anos ou mais internadas até a alta, óbito ou queda. Para o cálculo das taxas de incidência utilizou-se o método de densidade de incidência. Realizou-se análise bivariada pelo teste do Qui-quadrado e múltipla por meio de regressão Cox. RESULTADOS A incidência de quedas foi 12,6 por mil pacientes/dia. Os fatores preditores para quedas durante a internação foram baixa escolaridade (RR = 2,48; IC95% 1,17;5,25), polifarmácia (RR = 4,42; IC95% 1,77;11,05), presença de disfunção visual (RR = 2,06; IC95% 1,01;4,23) e de marcha e equilíbrio (RR = 2,95; IC95% 1,22;7,14), incontinência urinária (RR = 5,67; IC95% 2,58;12,44) e uso de laxativos (RR = 4,21; IC95% 1,15;15,39) e antipsicóticos (RR = 4,10; IC95% 1,38;12,13). CONCLUSÕES A incidência de quedas dos idosos hospitalizados é alta. Os fatores preditores encontrados foram baixa escolaridade, polimedicação, presença de disfunção visual, de marcha e equilíbrio, incontinência urinária e uso de laxativos e antipsicóticos. São necessárias medidas de prevenção de quedas nos hospitais a fim de reduzir a incidência desse evento.Universidade de São Paulo. Faculdade de Saúde Pública2015-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/10188710.1590/S0034-8910.2015049005549Revista de Saúde Pública; Vol. 49 (2015); 1-8Revista de Saúde Pública; Vol. 49 (2015); 1-8Revista de Saúde Pública; v. 49 (2015); 1-81518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPengporhttps://www.revistas.usp.br/rsp/article/view/101887/100352https://www.revistas.usp.br/rsp/article/view/101887/100353Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessAbreu, Hellen Cristina de AlmeidaReiners, Annelita Almeida OliveiraAzevedo, Rosemeiry Capriata de SouzaSilva, Ageo Mário Cândido daAbreu, Débora Regina de Oliveira MouraOliveira, Adriana Delmondes de2017-09-27T11:03:38Zoai:revistas.usp.br:article/101887Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2017-09-27T11:03:38Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Incidência e fatores preditores de quedas de idosos hospitalizados Incidence and predicting factors of falls of older inpatients |
title |
Incidência e fatores preditores de quedas de idosos hospitalizados |
spellingShingle |
Incidência e fatores preditores de quedas de idosos hospitalizados Abreu, Hellen Cristina de Almeida |
title_short |
Incidência e fatores preditores de quedas de idosos hospitalizados |
title_full |
Incidência e fatores preditores de quedas de idosos hospitalizados |
title_fullStr |
Incidência e fatores preditores de quedas de idosos hospitalizados |
title_full_unstemmed |
Incidência e fatores preditores de quedas de idosos hospitalizados |
title_sort |
Incidência e fatores preditores de quedas de idosos hospitalizados |
author |
Abreu, Hellen Cristina de Almeida |
author_facet |
Abreu, Hellen Cristina de Almeida Reiners, Annelita Almeida Oliveira Azevedo, Rosemeiry Capriata de Souza Silva, Ageo Mário Cândido da Abreu, Débora Regina de Oliveira Moura Oliveira, Adriana Delmondes de |
author_role |
author |
author2 |
Reiners, Annelita Almeida Oliveira Azevedo, Rosemeiry Capriata de Souza Silva, Ageo Mário Cândido da Abreu, Débora Regina de Oliveira Moura Oliveira, Adriana Delmondes de |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Abreu, Hellen Cristina de Almeida Reiners, Annelita Almeida Oliveira Azevedo, Rosemeiry Capriata de Souza Silva, Ageo Mário Cândido da Abreu, Débora Regina de Oliveira Moura Oliveira, Adriana Delmondes de |
description |
OBJECTIVE To estimate the incidence and predicting factors associated with falls among older inpatients. METHODS Prospective cohort study conducted in clinical units of three hospitals in Cuiaba, MT, Midwestern Brazil, from March to August 2013. In this study, 221 inpatients aged 60 or over were followed until hospital discharge, death, or fall. The method of incidence density was used to calculate incidence rates. Bivariate analysis was performed by Chi-square test, and multiple analysis was performed by Cox regression. RESULTS The incidence of falls was 12.6 per 1,000 patients/day. Predicting factors for falls during hospitalization were: low educational level (RR = 2.48; 95%CI 1.17;5.25), polypharmacy (RR = 4.42; 95%CI 1.77;11.05), visual impairment (RR = 2.06; 95%CI 1.01;4.23), gait and balance impairment (RR = 2.95; 95%CI 1.22;7.14), urinary incontinence (RR = 5.67; 95%CI 2.58;12.44) and use of laxatives (RR = 4.21; 95%CI 1.15;15.39) and antipsychotics (RR = 4.10; 95%CI 1.38;12.13). CONCLUSIONS The incidence of falls of older inpatients is high. Predicting factors found for falls were low education level, polypharmacy, visual impairment, gait and balance impairment, urinary incontinence and use of laxatives and antipsychotics. Measures to prevent falls in hospitals are needed to reduce the incidence of this event. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-01-01 |
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://www.revistas.usp.br/rsp/article/view/101887 10.1590/S0034-8910.2015049005549 |
url |
https://www.revistas.usp.br/rsp/article/view/101887 |
identifier_str_mv |
10.1590/S0034-8910.2015049005549 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/101887/100352 https://www.revistas.usp.br/rsp/article/view/101887/100353 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 49 (2015); 1-8 Revista de Saúde Pública; Vol. 49 (2015); 1-8 Revista de Saúde Pública; v. 49 (2015); 1-8 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221796617682944 |