Prevalence of falls in institutionalized elderly in Rio Grande, Southern Brazil

Detalhes bibliográficos
Autor(a) principal: Gonçalves, Lílian Gatto
Data de Publicação: 2008
Outros Autores: Vieira, Simone Theodosio, Siqueira, Fernando Vinholes, Hallal, Pedro Curi
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/32518
Resumo: OBJECTIVE: The increase of life expectancy in developing countries has been a source of concern about quality of life and well-being of elderly people, especially regarding falls. The objective of the study was to assess the prevalence of falls in institutionalized elderly and to describe factors associated. METHODS: Cross-sectional study carried out in the city of Rio Grande (Southern Brazil). A total of 180 elderly (65 years old or more), living in institutions were included in the study. The elderly were interviewed and a pre-tested instrument with questions on falls was administered. In addition to a bivariate analysis (Wald), Poisson's regression analysis was conducted and prevalence ratios and 95% confidence intervals (95% CI) adjusted for confounders were estimated. RESULTS: The prevalence of falls among institutionalized elderly was 38.3%. Falls were most frequently seen at the home premises (62.3%) and mostly in the bedroom (23%). In the adjusted analysis, falls remained associated to white color skin, separated and divorced elderly, depression, and higher continuous use of medications. CONCLUSIONS: The study showed that the prevalence of falls among institutionalized elderly is high and that they can be disabling to this population. Although some of the associated factors are preventable, accidental falls still occur in settings that should be safe, such as the elderly's bedroom.
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spelling Prevalence of falls in institutionalized elderly in Rio Grande, Southern Brazil Prevalencia de caídas en ancianos asilados del município de Rio Grande, Brasil IdosoAcidentes por QuedasFatores de RiscoSaúde do Idoso InstitucionalizadoEstudos TransversaisAncianoAccidentes por CaídasFactores de RiesgoSalud del Anciano InstitucionalizadoEstudios TransversalesAgedAccidental FallsRisk FactorsHealth of Institutionalized ElderlyCross-Sectional Studies OBJECTIVE: The increase of life expectancy in developing countries has been a source of concern about quality of life and well-being of elderly people, especially regarding falls. The objective of the study was to assess the prevalence of falls in institutionalized elderly and to describe factors associated. METHODS: Cross-sectional study carried out in the city of Rio Grande (Southern Brazil). A total of 180 elderly (65 years old or more), living in institutions were included in the study. The elderly were interviewed and a pre-tested instrument with questions on falls was administered. In addition to a bivariate analysis (Wald), Poisson's regression analysis was conducted and prevalence ratios and 95% confidence intervals (95% CI) adjusted for confounders were estimated. RESULTS: The prevalence of falls among institutionalized elderly was 38.3%. Falls were most frequently seen at the home premises (62.3%) and mostly in the bedroom (23%). In the adjusted analysis, falls remained associated to white color skin, separated and divorced elderly, depression, and higher continuous use of medications. CONCLUSIONS: The study showed that the prevalence of falls among institutionalized elderly is high and that they can be disabling to this population. Although some of the associated factors are preventable, accidental falls still occur in settings that should be safe, such as the elderly's bedroom. OBJETIVO: El aumento de la expectativa de vida en los países en desarrollo ha provocado preocupación con la calidad de vida y el bienestar de los ancianos, principalmente la ocurrencia de caídas. En ese sentido, el objetivo del estudio fue describir la prevalencia de caídas en ancianos que viven en asilos y factores asociados. MÉTODOS: Se realizó estudio de delineamiento transversal en la ciudad de Rio Grande (Sur de Brasil), en 2007. Participaron 180 individuos ancianos (65 años o mas) residentes en asilos para protección. En entrevista, los ancianos respondieron las preguntas de instrumento pre-evaluado sobre la ocurrencia de caídas. Además de un análisis bivariado (Wald), se realizó un análisis por regresión de Poisson con cálculo de razones de prevalencia e intervalos de confianza de 95% ajustada para las variables de confusión. RESULTADOS: La prevalencia de caídas entre los ancianos asilados estudiados fue de 38,3%. Las caídas fueron más comunes en el ambiente del asilo (62,3%), siendo el cuarto el ambiente donde ocurrió el mayor número de caídas (23,0%). En el análisis ajustado, las caídas se mantuvieron asociadas con el color blanco de la piel, con los ancianos separados y divorciados, con la depresión, y mayor cantidad referida de medicamentos para uso continuo. CONCLUSIONES: El estudio muestra que la prevalencia de caídas entre los ancianos asilados es alta. A pesar de que algunos de los posibles factores asociados sean pasibles de prevención, aún ocurren caídas en lugares que deberían ser considerados seguros, como el cuarto del anciano. OBJETIVO: O aumento da expectativa de vida nos países em desenvolvimento tem provocado preocupação com a qualidade de vida e o bem-estar dos idosos, principalmente a ocorrência de quedas. Nesse sentido, o objetivo do estudo foi descrever a prevalência de quedas em idosos que vivem em asilos e fatores associados. MÉTODOS: Estudo de delineamento transversal na cidade de Rio Grande (RS), em 2007. Participaram 180 indivíduos idosos (65 anos ou mais) residentes em asilos para acolhimento. Em entrevista, os idosos responderam a questões de instrumento pré-testado sobre a ocorrência de quedas. Além de análise bivariada (Wald), foi realizada análise por regressão de Poisson com cálculo de razões de prevalência e intervalos de confiança de 95%, ajustada para as variáveis de confusão. RESULTADOS: A prevalência de quedas entre os idosos asilados estudados foi de 38,3%. As quedas foram mais comuns no ambiente do asilo (62,3%), sendo o quarto o ambiente onde ocorreu o maior número de quedas (23%). Na análise ajustada, as quedas se mantiveram associadas com cor da pele branca, com os idosos separados e divorciados, com depressão, e maior quantidade referida de medicamentos para uso contínuo. CONCLUSÕES: O estudo mostra que a prevalência de quedas entre idosos asilados é alta. Embora alguns dos possíveis fatores associados sejam passíveis de prevenção, ainda ocorrem quedas em locais que deveriam ser considerados seguros, como o quarto do idoso. Universidade de São Paulo. Faculdade de Saúde Pública2008-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3251810.1590/S0034-89102008000500021Revista de Saúde Pública; Vol. 42 No. 5 (2008); 938-945 Revista de Saúde Pública; Vol. 42 Núm. 5 (2008); 938-945 Revista de Saúde Pública; v. 42 n. 5 (2008); 938-945 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rsp/article/view/32518/34808Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessGonçalves, Lílian GattoVieira, Simone TheodosioSiqueira, Fernando VinholesHallal, Pedro Curi2012-07-09T01:35:00Zoai:revistas.usp.br:article/32518Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-09T01:35Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Prevalence of falls in institutionalized elderly in Rio Grande, Southern Brazil
Prevalencia de caídas en ancianos asilados del município de Rio Grande, Brasil
title Prevalence of falls in institutionalized elderly in Rio Grande, Southern Brazil
spellingShingle Prevalence of falls in institutionalized elderly in Rio Grande, Southern Brazil
Gonçalves, Lílian Gatto
Idoso
Acidentes por Quedas
Fatores de Risco
Saúde do Idoso Institucionalizado
Estudos Transversais
Anciano
Accidentes por Caídas
Factores de Riesgo
Salud del Anciano Institucionalizado
Estudios Transversales
Aged
Accidental Falls
Risk Factors
Health of Institutionalized Elderly
Cross-Sectional Studies
title_short Prevalence of falls in institutionalized elderly in Rio Grande, Southern Brazil
title_full Prevalence of falls in institutionalized elderly in Rio Grande, Southern Brazil
title_fullStr Prevalence of falls in institutionalized elderly in Rio Grande, Southern Brazil
title_full_unstemmed Prevalence of falls in institutionalized elderly in Rio Grande, Southern Brazil
title_sort Prevalence of falls in institutionalized elderly in Rio Grande, Southern Brazil
author Gonçalves, Lílian Gatto
author_facet Gonçalves, Lílian Gatto
Vieira, Simone Theodosio
Siqueira, Fernando Vinholes
Hallal, Pedro Curi
author_role author
author2 Vieira, Simone Theodosio
Siqueira, Fernando Vinholes
Hallal, Pedro Curi
author2_role author
author
author
dc.contributor.author.fl_str_mv Gonçalves, Lílian Gatto
Vieira, Simone Theodosio
Siqueira, Fernando Vinholes
Hallal, Pedro Curi
dc.subject.por.fl_str_mv Idoso
Acidentes por Quedas
Fatores de Risco
Saúde do Idoso Institucionalizado
Estudos Transversais
Anciano
Accidentes por Caídas
Factores de Riesgo
Salud del Anciano Institucionalizado
Estudios Transversales
Aged
Accidental Falls
Risk Factors
Health of Institutionalized Elderly
Cross-Sectional Studies
topic Idoso
Acidentes por Quedas
Fatores de Risco
Saúde do Idoso Institucionalizado
Estudos Transversais
Anciano
Accidentes por Caídas
Factores de Riesgo
Salud del Anciano Institucionalizado
Estudios Transversales
Aged
Accidental Falls
Risk Factors
Health of Institutionalized Elderly
Cross-Sectional Studies
description OBJECTIVE: The increase of life expectancy in developing countries has been a source of concern about quality of life and well-being of elderly people, especially regarding falls. The objective of the study was to assess the prevalence of falls in institutionalized elderly and to describe factors associated. METHODS: Cross-sectional study carried out in the city of Rio Grande (Southern Brazil). A total of 180 elderly (65 years old or more), living in institutions were included in the study. The elderly were interviewed and a pre-tested instrument with questions on falls was administered. In addition to a bivariate analysis (Wald), Poisson's regression analysis was conducted and prevalence ratios and 95% confidence intervals (95% CI) adjusted for confounders were estimated. RESULTS: The prevalence of falls among institutionalized elderly was 38.3%. Falls were most frequently seen at the home premises (62.3%) and mostly in the bedroom (23%). In the adjusted analysis, falls remained associated to white color skin, separated and divorced elderly, depression, and higher continuous use of medications. CONCLUSIONS: The study showed that the prevalence of falls among institutionalized elderly is high and that they can be disabling to this population. Although some of the associated factors are preventable, accidental falls still occur in settings that should be safe, such as the elderly's bedroom.
publishDate 2008
dc.date.none.fl_str_mv 2008-10-01
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/32518
10.1590/S0034-89102008000500021
url https://www.revistas.usp.br/rsp/article/view/32518
identifier_str_mv 10.1590/S0034-89102008000500021
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/32518/34808
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
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. 42 No. 5 (2008); 938-945
Revista de Saúde Pública; Vol. 42 Núm. 5 (2008); 938-945
Revista de Saúde Pública; v. 42 n. 5 (2008); 938-945
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
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