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0021/2020 - Fragility in the elderly assisted by primary care teams.
Fragilidade em idosos assistidos por equipes da atenção primária.

Author:

• Luciana Colares Maia - Maia, L.C - <luciana.colares.maia@gmail.com>
ORCID: https://orcid.org/0000-0001-6359-3593

Co-author(s):

• Edgar Nunes de Moraes - Moraes, E.N - <edgarnmoraes@gmail.com>
ORCID: https://orcid.org/000-0002-8923-1029
• Simone de Melo Costa - Costa, S.M. - MONTES CLAROS, - <smelocosta@gmail.com>
ORCID: https://orcid.org/0000-0002-9990-9083
• Antônio Prates Caldeira - Caldeira, A.P - Montes Claros, - <antonio.caldeira@unimontes.br>
ORCID: https://orcid.org/0000-0002-9990-9083


Abstract:

We aimed to know the prevalence and factors associated with frailty in the elderly people in Primary Health Care. This is a cross-sectional study carried out with 1750 elderly people in the Southeast of Brazil. The Brazilian Older Americans Resources and Services MultiDimensional Function Assessment Questionnaire (BOMFAQ) and the Clinical-Functional Vulnerability Index (IVCF-20) were used to data collection. Descriptive and bivariate analyzes were performed, followed by Poisson regression analysis, with robust variance, to obtain adjusted prevalence ratios (PR). The IVCF-20 identified 357 frail older people (20.1%). The variables that remained statistically associated with frailty after multiple analysis were: single/widowed marital status RP=1.05; IC95%=1.02-1.07), schooling up to four years (RP=1.05,IC95%1.03-1.08), polypathology (RP=1.05; IC95%=1.01-1.09),polypharmacy (RP=1.21; IC95%=1.17-1.26), mental disorder (RP=1.16; IC95%=1.12-1.21), cognitive impairment (RP=1.71;IC95%=1.57-1.86), Activities of Daily Living impairment(RP=1.12; IC95%=1.09-1.14), falls (RP=1.06; IC95%=1.03-1.10), hospitalization (RP=1.39; IC95%=1.27-1.52) and urinary incontinence (RP=1.30; IC95%=1.23-1.38), negative self-perception of health (RP= 1.13; IC95% 1.09-1.17). We concluded that a significant prevalence of frailty for the study reaffirms the need for a multidimensional approach for the elderly.

Keywords:

Elderly. Frailty. Primary Health Care.

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Maia, L.C, Moraes, E.N, Costa, S.M., Caldeira, A.P. Fragility in the elderly assisted by primary care teams.. Cien Saude Colet [periódico na internet] (2020/Feb). [Citado em 21/01/2025]. Está disponível em: http://cienciaesaudecoletiva.com.br/en/articles/fragility-in-the-elderly-assisted-by-primary-care-teams/17503?id=17503



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