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机构化老年人中新冠重症风险的健康状况。

Health conditions of potential risk for severe Covid-19 in institutionalized elderly people.

机构信息

Department of Collective Health, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.

Municipal Secretary of Health, City Hall of Natal, Natal, Rio Grande do Norte, Brazil.

出版信息

PLoS One. 2021 Jan 14;16(1):e0245432. doi: 10.1371/journal.pone.0245432. eCollection 2021.

Abstract

The objective of this study was to identify the health conditions considered potential risk factors for severe Covid-19 and analyze its association with the BMI of elderly people living in Long-Term Care Facilities (LTCF). This is a descriptive and cross-sectional study, with a quantitative approach, carried out in eight LTCF in the Metropolitan Region of Natal, Rio Grande do Norte, with a population of 267 elderly people, between the months of February and December 2018. The Elderly Health Handbook was used to collect data on sociodemographic, health and risk factors. The Pearson's Chi-square test and odds ratio were used for the analysis. A higher frequency of low weight was observed in elderly people with cognitive impairment (24.6%), and overweight in those hypertensive (23.3%) and diabetics (12.9%). BMI was associated with the age group of 80 years or over, hypertension and diabetes (p = 0.013; p < 0.001; p = 0.001). Hypertensive elderly people were more likely to have low weight when compared to non-hypertensive individuals (RC = 3.6; 95% CI 1.5-8.6). The institutionalized elderly individuals present health conditions that may contribute to the occurrence of adverse outcomes in case of infection by Covid-19. The importance of protective measures for this population must be reinforced, in view of the devastating action of this disease in these institutions.

摘要

本研究旨在确定被认为是新冠重症潜在危险因素的健康状况,并分析其与长期护理机构(LTCF)中老年人 BMI 的关系。这是一项描述性和横断面研究,采用定量方法,在巴西北里奥格兰德州纳塔尔大都市区的 8 个 LTCF 中进行,研究对象为 2018 年 2 月至 12 月期间的 267 名老年人。采用老年人健康手册收集人口统计学、健康和危险因素数据。采用皮尔逊卡方检验和比值比进行分析。研究发现,认知障碍老年人体重偏低的频率较高(24.6%),高血压和糖尿病老年人超重的频率较高(23.3%和 12.9%)。BMI 与 80 岁及以上年龄组、高血压和糖尿病相关(p=0.013;p<0.001;p=0.001)。与非高血压老年人相比,高血压老年人体重偏低的可能性更高(RC=3.6;95%CI 1.5-8.6)。机构化老年人存在可能导致感染新冠病毒后出现不良后果的健康状况。鉴于该疾病在这些机构中的破坏性作用,必须加强对这一人群的保护措施。

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