0028/2016 - Fatores associados à fragilidade de idosos com doença renal crônica em hemodiálise Factors associated with fragility of elderly people with chronic kidney disease on hemodialysis
Objetivo: Identificar os fatores sociodemográficos e clínicos associados à fragilidade de idosos com doença renal crônica em hemodiálise. Método: Trata-se de um estudo correlacional, de corte transversal, realizado em um Centro de Diálise do interior do Estado de São Paulo. A amostra foi composta por 60 participantes. Foi utilizado o Instrumento de Caracterização do Participante para extração dos dados sociodemográficos e clínicos e a Edmonton Frail Scale, que avaliou o nível de fragilidade. Para a identificação dos fatores associados foi utilizada a análise de regressão logística multivariada. Resultados: A média de idade dos 60 idosos avaliados foi de 71,1 (±6,9) anos, com predominância do gênero masculino (70%), 36,7% foram classificados como frágeis. Quanto aos fatores associados à fragilidade, dentre as variáveis gênero, idade, cor autodeclarada, escolaridade, renda per capita mensal, tempo de hemodiálise, número de doenças associadas, quedas no ano, nível de hematócrito, paratormônio e uso de calcitriol, verificou-se que apenas a renda per capita mensal foi significativamente associada à fragilidade (OR=0,44; IC95% 0,1-0,9; p=0,04).Conclusão: Houve associação entre a fragilidade e a renda, mostrando que os idosos com maior risco de fragilidade foram os com menor renda.
Palavras-chave:
Saúde do idoso
Idoso fragilizado
Insuficiência renal crônica
Abstract:
Objective: To identify sociodemographic and clinical factors associated with the frailty of elderly people with chronic kidney disease on hemodialysis. Method: This is a correlational study, cross-sectional, conducted in a dialysis center in the state of São Paulo. The sample consisted of 60 participants. Participant characterization instrument for extracting sociodemographic and clinical data and the Edmonton Frail Scale, which evaluated the level of frailty was used. To identify the factors associated with frailty was used multivariate logistic regression. Results: The mean age of the 60 patients included was 71.1 (± 6.9) years, predominantly male (70%), 36.7% were classified as fragile. As for the factors associated with frailty among the variables gender, age, self-reported skin color, schooling, monthly per capita income, hemodialysis time, number of associated diseases, falls in the year, hematocrit level, parathyroid hormone and use of calcitriol, it was found that only the monthly per capita income was significantly associated with frailty (OR = 0.44; 95% CI 0.1-0.9; p = 0.04), older people at risk of frailty were with lower per capita income. Conclusion: There was an association between frailty and income, the elderly most at risk of frailty were the lower income.
Keywords:
Health of the elderly
Frail elderly
Renal insufficiency, chronic
Factors associated with fragility of elderly people with chronic kidney disease on hemodialysis
Resumo (abstract):
Objective: To identify sociodemographic and clinical factors associated with the frailty of elderly people with chronic kidney disease on hemodialysis. Method: This is a correlational study, cross-sectional, conducted in a dialysis center in the state of São Paulo. The sample consisted of 60 participants. Participant characterization instrument for extracting sociodemographic and clinical data and the Edmonton Frail Scale, which evaluated the level of frailty was used. To identify the factors associated with frailty was used multivariate logistic regression. Results: The mean age of the 60 patients included was 71.1 (± 6.9) years, predominantly male (70%), 36.7% were classified as fragile. As for the factors associated with frailty among the variables gender, age, self-reported skin color, schooling, monthly per capita income, hemodialysis time, number of associated diseases, falls in the year, hematocrit level, parathyroid hormone and use of calcitriol, it was found that only the monthly per capita income was significantly associated with frailty (OR = 0.44; 95% CI 0.1-0.9; p = 0.04), older people at risk of frailty were with lower per capita income. Conclusion: There was an association between frailty and income, the elderly most at risk of frailty were the lower income.
Palavras-chave (keywords):
Health of the elderly
Frail elderly
Renal insufficiency, chronic
