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Frailty in community-dwelling older people: comparing screening instruments
CONCLUSIONS: Although the analyses show moderate agreement and strong positive correlation between the instruments, the indicated prevalence of frailty is discrepant. Our results attest the need to standardize the instrument for assessing frailty in community-dwelling older people.RESUMO OBJETIVO: Comparar os instrumentos Edmonton Frail Scale (EFS) e Índice de Vulnerabilidade Clínico-Funcional-20 (IVCF-20) quanto ao grau de concordância e de correlação, bem como comparar modelos descritivos com variáveis associadas à fragilidade em idosos brasileiros comunitários. MÉTODOS: Estudo transversal, aninhado a uma coorte...
Source: Revista de Saude Publica - November 23, 2020 Category: International Medicine & Public Health Source Type: research

Adults at high-risk of severe coronavirus disease-2019 (Covid-19) in Brazil
CONCLUSIONS Proportion and total number of adults at risk of severe Covid-19 are high in Brazil, with wide variation across states and adult subgroups. T hese findings should be considered while designing and implementing prevention measures in Brazil. We argue that these results support broad social isolation measures, particularly when testing capacity for SARS-CoV-2 is limited.
Source: Revista de Saude Publica - May 21, 2020 Category: International Medicine & Public Health Source Type: research

Hospitalizations among older adults: results from ELSI-Brazil
CONCLUSIONS Four of the major diseases associated with hospitalizations (stroke, cardiovascular disease, diabetes and hypertension) are part of the Brazilian list of primary care-sensitive hospitalizations. These results show that there is a window of opportunity to reduce unnecessary hospitalizations among older Brazilian adults through effective primary care actions.RESUMO OBJETIVO Examinar os fatores associados à ocorrência e à frequência de hospitalizações em amostra nacional representativa da população brasileira com 50 anos ou mais. MÉTODOS Foram utilizados dados da linha de base do Estudo Longitudinal da Sa...
Source: Revista de Saude Publica - December 12, 2018 Category: International Medicine & Public Health Source Type: research

Hospital mortality in older patients in the Brazilian Unified Health System, Southeast region
CONCLUSIONS Although the information source has its shortcomings, the ability for discrimination of the risk adjustment model was reasonable. The variability in the risk-adjusted hospital mortality was great and comparatively higher in for-profit private hospitals. Despite the limits, the results favor the use of the risk-adjusted hospital mortality in the monitoring of the quality of hospital care provided to the older adult.RESUMO OBJETIVO Avaliar fatores associados ao óbito hospitalar em idosos internados por doenças do aparelho circulatório específicas no Sistema Único de Saúde, considerando a mortalidade hospita...
Source: Revista de Saude Publica - July 23, 2018 Category: International Medicine & Public Health Source Type: research

Factors associated with the contraindicated use of oral contraceptives in Brazil
CONCLUSIONS Age greater than or equal to 35 and low education level were demographic and iniquity factors, respectively, in the contraindicated use of oral contraceptives.RESUMO OBJETIVO Estimar a preval ência de contraindicação ao uso de anticoncepcionais orais e os fatores associados em mulheres brasileiras. MÉTODOS Participaram 20.454 mulheres que responderam ao inquérito Vigitel em 2008, das quais 3.985 reportaram uso de contraceptivos orais. Definiu-se como uso contraindicado de anticonc epcionais quando presente pelo menos uma condição: hipertensão; doenças cardiovasculares como infarto, derrame/acidente vas...
Source: Revista de Saude Publica - January 13, 2017 Category: Global & Universal Source Type: research

Polypharmacy and Polymorbidity in Older Adults in Brazil: a public health challenge
CONCLUSIONS Older adults with specific diseases have risk factors for polypharmacy modifiable by actions aimed at the rational use of medicines. With the current population aging and successful drug access policy, the trend is an increase in drug use by older adults, which should feature as a priority in the planning agenda of the Brazilian Unified Health System (SUS).RESUMO OBJETIVO Analisar as varia ções da prevalência do uso crônico de medicamentos por idosos no Brasil segundo sua possível associação com as doenças crônicas mais prevalentes, fatores sociodemográficos e de saúde, e identificar fatores de risco...
Source: Revista de Saude Publica - December 13, 2016 Category: Global & Universal Source Type: research