Cuidados em saúde estão associados à piora da fragilidade em idosos comunitários

• Autor(a) principal: Carneiro, Jair Almeida
• Data de Publicação: 2019
• Outros Autores: Lima, Cássio de Almeida, Costa, Fernanda Marques da, Caldeira, Antônio Prates
• Tipo de documento: Artigo
• Idioma: eng; por
• Título da fonte: Revista de Saúde Pública
• Texto Completo: https://www.revistas.usp.br/rsp/article/view/156054
• topic: Aged; Frail Elderly; Risk Factors; Quality of Health Care; Surveys and Questionnaires, utilization; Idoso; Idoso Fragilizado; Fatores de Risco; Qualidade da Assistência à Saúde; Inquéritos e Questionários, utilização

OBJECTIVE: To identify the factors associated with the worsening of frailty in older adults resident in the community. METHODS: This is a prospective, longitudinal, and analytical study. The data collection in the baseline occurred in the participants’ homes from a random sampling by conglomerates. Demographic and socioeconomic variables, morbidities, and use of health services were analyzed. Frailty was measured by the Edmonton Frail Scale. The second data collection was performed after an average period of 42 months. The adjusted prevalence ratios were obtained by multiple Poisson regression analysis with robust variance. RESULTS: A total of 394 older adults participated in both phases of the study, with 21.8% of them presenting worsening of the frailty condition. The variables that remained statistically associated with the transition to a worse state of frailty were: polypharmacy, negative selfperception of health, weight loss, and hospitalization over the past 12 months. CONCLUSIONS: The factors associated with worsening of frailty along the studied period among older adults in the community were those related to health care. This result must be considered by health professionals when addressing frail and vulnerable older adults.