Perez Mariangela, Lourenço Roberto Alves
Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brasil.
Cad Saude Publica. 2013 Jul;29(7):1381-91. doi: 10.1590/s0102-311x2013000700012.
The objective of this study was to determine the risk profile and factors associated with frailty in elderly community residents. The population consisted of individuals 65 years or older living in the northern districts of the city of Rio de Janeiro, Brazil, and who held private health insurance policies. The cross-sectional study was done at baseline in a cohort with a sample (N = 764) stratified by gender and age. Risk stratification used probability of repeated admissions (PRA) as the screening instrument. Following bivariate analyses, logistic regression analyses were performed to study associations between probability of repeated admissions and socio-demographic, health-status, functional, and cognitive variables. Of the total sample, 6.7% were classified as high risk. Cancer, falls, chronic obstructive pulmonary disease, use of medication, receiving a visit from a health professional, being bedridden at home, living alone, and level of activities of daily living were statistically associated with risk of hospitalization. The instrument appeared to be useful for stratifying risk in the elderly.
本研究的目的是确定老年社区居民虚弱的风险状况及相关因素。研究对象为居住在巴西里约热内卢市北部地区、年龄在65岁及以上且拥有私人医疗保险的个人。这项横断面研究在一个队列的基线阶段进行,样本(N = 764)按性别和年龄分层。风险分层使用再次入院概率(PRA)作为筛查工具。在双变量分析之后,进行逻辑回归分析以研究再次入院概率与社会人口统计学、健康状况、功能和认知变量之间的关联。在总样本中,6.7%被归类为高风险。癌症、跌倒、慢性阻塞性肺疾病、用药情况、接受医护人员探访、居家卧床、独居以及日常生活活动水平与住院风险在统计学上相关。该工具似乎有助于对老年人的风险进行分层。