Banca de DEFESA: Regina de Souza Barros

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : Regina de Souza Barros
DATE: 24/08/2023
TIME: 14:00
LOCAL: Auditório
TITLE:

PREDICTORS OF HOSPITALIZATION AND DEATH IN OLDER PEOPLE WITH COGNITIVE IMPAIRMENT ATTENDED BY SPECIALIZED CARE SERVICES IN THE PUBLIC HEALTH SYSTEM

KEY WORDS:

Elderly. Risk factors. Hospitalization. Mortality. Cognitive deficit.

PAGES: 96
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Introduction: The elderly with the need for specialized care, or low physical performance and cognitive incapacity stand out among the factors that contribute to hospitalization and death. Hospitalization is a threatening event for the elderly since it is associated with a greater risk of functional decline and disability, which together contribute to the increase in adverse clinical events and problems in the post-hospital discharge rehabilitation process. Although two risk factors for hospitalization and mortality will be extensively studied in general, those with cognitive impairment are frequently excluded from the research, without justifications or mentions of such exclusion as a limitation of the study, which may reduce the clinical utility of several findings. Recognizing predictors of negative effects in the health of the elderly is of extreme importance aiming to identify those passive of intervention. Objectives: The primary objective of this study was to identify sociodemographic factors, sarcopenia parameters and clinical conditions predictors of hospitalization and death in elderly people with cognitive impairment in the specialized care setting in the public health system. Secondly, the objective was to verify the accuracy of these factors to predict the risk of hospitalization and death in a one-year follow-up. Method: longitudinal observational study carried out with 170 elderly people with cognitive impairment in the western region of the Federal District, Brazil, between 2019 and 2021. The predictive variables were sociodemographic characteristics, clinical conditions and sarcopenia parameters. Muscle strength was assessed using handgrip dynamometry, muscle mass was measured using calf circumference, and physical performance was assessed using the Timed Up and Go test. The predicted variables were hospitalization and death up to one year after the assessment of the elderly. Analyzes were performed using descriptive statistics, independent Student's t-test, U Mann Whitney, Chi-Square and simple logistic regression. Results: majority female (±77.57 years), low education, sedentary, 15.9% with sarcopenia and 13% with a history of hospitalization. It was identified that the level of education has an effect on the occurrence of hospitalization (U=1423.5, p=0.027) and death (U=647.0, p=0.025) in the one-year follow-up. In addition, there is an association between the history of hospitalization in the last 6 months and the occurrence of hospitalization [X2(1)=4.729; p=0.030] and death [X2(1)=3.919; p=0.048] at the one-year follow-up. We identified that the history of hospitalization in the last 6 months was associated with the occurrence of hospitalization in one year of follow-up (OR=2.963; 95%CI 1.076–8.165, p=0.036). Conclusion: a history of hospitalization in the last six months is associated with the occurrence of hospitalization over a year in elderly people with cognitive impairment.

COMMITTEE MEMBERS:
Externo à Instituição - HUDSON AZEVEDO PINHEIRO - SESDF
Externa à Instituição - LUCIANA LILIAN LOUZADA MARTINI - EBSERH
Interna - ***.059.873-** - LUCIANA ZARANZA MONTEIRO - USP
Presidente - 1772842 - PATRICIA AZEVEDO GARCIA