在一家参考中心就诊的新冠后老年患者的发病率及与衰弱相关的因素。
Morbidity and factors associated with frailty in post-COVID-19 elderly patients attended at a reference center.
作者信息
Jesus Ely Carlos Pereira de, Pereira Victor Guilherme, Pereira Zilá Aparecida Soares, Marques Maria Suzana, Silva Cristiane Vieira da, Siqueira Leila das Graças, Maia Luciana Colares, Caldeira Antônio Prates
机构信息
Universidade Estadual de Montes Claros. Montes Claros, Minas Gerais, Brazil.
出版信息
Rev Bras Enferm. 2025 Jan 10;77Suppl 1(Suppl 1):e20230454. doi: 10.1590/0034-7167-2023-0454. eCollection 2025.
OBJECTIVE
To assess the morbidity profile and identify factors associated with frailty syndrome in post-COVID-19 elderly patients treated at the only Reference Center for Elderly Health Care in northern Minas Gerais.
METHODS
This is a case series study, utilizing the Clinical-Functional Vulnerability Index-20 (CFVI-20) and Comprehensive Geriatric Assessment (CGA) to characterize and evaluate the health condition of the group. To define the variables associated with frailty, a multivariate analysis was conducted.
RESULTS
The study included 204 elderly individuals, with a predominance of females (63.7%). The variables associated with frailty were cognitive impairment (OR: 2.95; 95% CI: 1.12-7.80; p=0.029), the presence of five or more comorbidities (OR: 11.55; 95% CI: 2.22-60.01; p=0.004), and impairment in instrumental activities of daily living (OR: 41.97; 95% CI: 5.47-321.93; p<0.001).
CONCLUSIONS
The results of this study highlight the need for a well-established and prepared coordination of integrated care to meet the demands of the post-COVID-19 elderly population.
目的
评估米纳斯吉拉斯州北部唯一的老年保健参考中心收治的新冠肺炎康复老年患者的发病情况，并确定与衰弱综合征相关的因素。
方法
这是一项病例系列研究，采用临床功能脆弱指数-20（CFVI-20）和综合老年评估（CGA）来描述和评估该组患者的健康状况。为确定与衰弱相关的变量，进行了多变量分析。
结果
该研究纳入了204名老年个体，其中女性占多数（63.7%）。与衰弱相关的变量包括认知障碍（比值比：2.95；95%置信区间：1.12 - 7.80；p = 0.029）、存在五种或更多合并症（比值比：11.55；95%置信区间：2.22 - 60.01；p = 0.004）以及日常生活工具性活动受损（比值比：41.97；95%置信区间：5.47 - 321.93；p < 0.001）。
结论
本研究结果强调需要建立完善且有准备的综合护理协调机制，以满足新冠肺炎康复老年人群的需求。
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