Banca de DEFESA: Aline Leão Simões Bitencourt

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : Aline Leão Simões Bitencourt
DATE: 28/06/2023
TIME: 14:00
LOCAL: Sala Multiuso 4
TITLE:

CHARACTERIZATION AND OUTCOME OF ELDERLY PEOPLE VICTIMS OF FALLS ASSISTED BY THE UNIFIED PRE-HOSPITAL CARE SERVICE

KEY WORDS:

Aged; Accidental Falls; Emergency Medical Services.

PAGES: 103
BIG AREA: Outra
AREA: Multidisciplinar
SUMMARY:

falls are a serious public health problem, as they are the main traumatic events that occur to elderly people. Most falls occur at home and during the COVID-19 pandemic, the population had to follow social isolation, which had an impact on the biopsychosocial aspect of elderly people, increasing the risk of falls. OBJECTIVE: to evaluate the outcome of elderly victims of falls assisted by the Unified PreHospital Care Service (SUAPH) in the Federal District (DF). METHOD: descriptive, retrospective study carried out based on a document analysis of data from elderly people who were victims of falls in the year 2021, assisted by the SUAPH of the Federal District during the months of August to October 2021. Data collection took place in the period of January 2022 to April 2022 and was carried out in two stages: analysis of the 231 records of care selected to assess pre-hospital, clinical and care variables and, finally, consultation in the trackcare electronic medical record system to assess intra-hospital variables -hospital and final outcome. Descriptive statistical analysis was performed using SPSS 25.0 and the significance level considered was 5%. RESULTS: the majority of the sample was female (60.6%) aged between 60 and 65 years (20.8%), and among those aged over 85 years, females prevailed (p=0.01) . There was a greater number of occurrences in August, in the morning and at night there was a greater number of falls on weekends. Most falls occurred at the home of the elderly person (84.4%), who had SAH (50.2%) and used medications related to the cardiovascular system for continuous use (55.4%), significantly higher among those aged between 81 and 85 years old (p<0.01). Most occurrences were attended by the basic support team (65.3%) and referred to the hospital (97.0%). Most had blood pressure above acceptable limits (53.7%), significantly higher in females (p<0.001). 75.8% were conscious and 11.7% were drunk. The complaint of pain in two or more sites was prevalent in females (p<0.01) and most men did not complain of pain (p<0.01). In 23.4%, complete immobilization was performed and in 74.5% of the records, Glasgow was not reported. Elderly people aged over 85 years and those aged 76 to 80 years had a longer hospital stay. Women aged between 76 and 80 years had a longer hospital stay (p<0.001). The length of stay was longer in those who underwent surgery (p<0.001). Fracture was the most prevalent consequence (33.5%), followed by TBI (22.7%) and surgery (14.3%). Femur fracture was the most prevalent (44.0%), followed by Upper Limbs (32.0%). The fracture was prevalent in females (p<0.001) and between 81 and 85 years old (p<0.05). The median length of hospital stay for those with fractures was significantly higher (p<0.01). Female elderly people had a 3.02 times greater risk of having fractures (p<0.001). Finally, 74.5% were discharged from the hospital, 17.0% dropped out and 4.0% died. CONCLUSION: the results of this study showed the importance of the complete completion of the forms by the teams in pre-hospital care, since these can be used by managers with the purpose of obtaining data for new studies preventing health problems

BANKING MEMBERS:
Presidente - 1738681 - MARINA MORATO STIVAL LIMA
Interna - 1707017 - MANI INDIANA FUNEZ
Externa ao Programa - 2579017 - CRIS RENATA GROU VOLPE
Externa à Instituição - TALITA DE CÁSSIA RAMINELLI DA SILVA - SESDF