Fatores associados à reospitalização em idosos com doenças crônicas acompanhados em programa de atenção domiciliar
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2018-05-29
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Universidade Federal de Goiás
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Introduction: Due to the growth of the elderly population in Brazil, the burden of chronic
diseases and functional disability tend to increase, as well as the number of people who needlong-term care. Home care is a health care modality that complements the care provided in basic care and in hospital services, promoting humanization and quality of life, assisting in
dehospitalization and optimizing health resources. It is important to know the profile of the
elderly served by this modality to obtain information that will help in the execution of public
policies for the improvement of the home care. Objective: To describe the clinical-
epidemiological profile of elderly people with chronic diseases, assisted in a home care
program, and factors associated with rehospitalization. Methodology: An observational,
analytical and cross-sectional study carried out in the elderly accompanied by the home care
service of a Rehabilitation Center of Goiás from March 2014 to January 2017. Data collection
through electronic medical records study. Data analysis was performed by the statistical
program Stata, version 14.0 with descriptive, bivariate and multiple analysis to verify the
association between independent and dependent variables. Results: A total of 109 elderly
people with mean follow-up time of 5.4 (± 3.7) months, 51.4% female, 46.8% married and
42.2% with no schooling. The mean age was 75.9 years (± 9.6), and those with> 80 years
corresponded to 36.7%. Among the chronic diseases that led to functional disability, the most
frequent sequelae was cerebrovascular accident, with 56.9%. Comorbidity was present in
87.2% of patients, 54.1% had some auxiliary device (tracheostomy, gastrostomy, oxygen,
mechanical ventilation) and 48.6% presented some type of infection. Rehospitalization were
more prevalent in patients with ancillary devices, comorbidities and infections. Of the elderly,
31.2% evolved to death in the follow-up period. The factors related to statistically significant
rehospitalization were: neuro-muscular disease, chronic obstructive pulmonary disease and
the presence of tracheostomy. Conclusion: There is a relevant percentage of elderly people
over 80 years old. The main chronic disease was stroke. The prevalence of patients with
comorbidities, ancillary devices and infectious intercurrences was high. As the statistically
significant factors related to rehospitalization are associated with respiratory problems
(neuro-muscular disease, chronic obstructive pulmonary disease and the presence of
tracheostomy), it is proposed to increase the frequency of speech therapy, respiratory
physiotherapy and dental care.
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BORGES, Jackeline Gomes. Fatores associados à reospitalização em idosos com doenças crônicas acompanhados em programa de atenção domiciliar. 2018. 75 f. Dissertação (Mestrado em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2018.