Frailty and geriatric syndromes in elderly assisted in primary health care

Vera Elizabeth Closs; Patrícia Klarmann Ziegelmann; Irenio Gomes; Carla Helena Augustin Schwanke

doi:10.4025/actascihealthsci.v38i1.26327

Autores/as

Vera Elizabeth Closs Pontifícia Universidade Católica do Rio Grande do Sul Autor/a
Patrícia Klarmann Ziegelmann Universidade Federal do Rio Grande do Sul Autor/a
Irenio Gomes Pontifícia Universidade Católica do Rio Grande do Sul Autor/a
Carla Helena Augustin Schwanke Pontifícia Universidade Católica do Rio Grande do Sul Autor/a

DOI:

https://doi.org/10.4025/actascihealthsci.v38i1.26327

Palabras clave:

frail elderly, geriatric syndrome, gerontology, primary health care

Resumen

The aim of this study was to describe the association between frailty and geriatric syndromes (GS) [cognitive impairment (CI); postural instability (PI); urinary/fecal incontinence (UFI); polypharmacy (PP); and immobility (IM)] and the frequency of these conditions in elderly people assisted in primary health care. Five hundred twenty-one elderly participants of The Multidimensional Study of the Elderly in the Family Health Strategy (EMI-SUS) were evaluated. Sociodemographic data, identification of frailty (Fried phenotype) and GS were collected. Multinomial logistic regression analysis was performed. The frequency of frailty was 21.5%, prefrailty 51.1% and robustness 27.4%. The frequency of CI was 54.7%, PP 41.2%, PI 36.5%, UFI 14% and IM 5.8%. The odds of frailty when compared to robustness and adjusted for gender, age, depression, self-perception of health, nutritional status, falls, vision and hearing, was significantly higher in elderly with CI, PI and PP. The adjusted odds of prefrail when compared to robustness was significantly higher only in elderly with CI. The most frequently presented number of GS (0-5) was two geriatric syndromes (26.87%). The frequency of frailty was high among elderly in primary health care and was associated with three of five GS (CI - PI - PP).

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Biografía del autor/a

Vera Elizabeth Closs, Pontifícia Universidade Católica do Rio Grande do Sul

Nutritionist, Master in Biomedical Gerontology, doctoral student of the Postgraduate Biomedical Gerontology Program of the Institute of Geriatrics and Gerontology, Pontifical Catholic University of Rio Grande do Sul (IGG-PUCRS).
Patrícia Klarmann Ziegelmann, Universidade Federal do Rio Grande do Sul

Bachelor in Statistics, Doctorate in Statistics, Associate Professor of the Department of Statistics of the Postgraduate Program in Epidemiology and Postgraduate Program in Cardiovascular Sciences, Federal University of Rio Grande do Sul (UFRGS).
Irenio Gomes, Pontifícia Universidade Católica do Rio Grande do Sul

Neurologist, Doctor of Medicine, Adjunct Professor of the Postgraduate Biomedical Gerontology Program of the Institute of Geriatrics and Gerontology, Pontifical Catholic University of Rio Grande do Sul (IGG-PUCRS).
Carla Helena Augustin Schwanke, Pontifícia Universidade Católica do Rio Grande do Sul

Medical Geriatrician, Doctorate in Biomedical Gerontology, Adjunct Professor of the Postgraduate Biomedical Gerontology Program of the Institute of Geriatrics and Gerontology, Pontifical Catholic University of Rio Grande do Sul (IGG-PUCRS).