Keywords
patient care team
hospitalization
rehabilitation
How to Cite
Abstract
The increase in the elderly population in Brazil demands new healthcare approaches, highlighting the importance of Integrated Continuous Care Units (UCCI). This study evaluated global muscle strength, frailty, and mobility in 31 hospitalized elderly patients in a UCCI, comparing admission and discharge moments. The average muscle strength score increased to 44.61±1.67 points on the MRC scale (p<0.001), while mobility improved from 23.15±4.57 to 37.95±3.87 points on the Morton scale (p<0.001). A significant improvement in frailty levels was also observed using the Rockwood scale (p<0.001). These findings emphasize the need for special attention to geriatric healthcare in hospital environments to attend to the growing demand for care in Brazil.
References
ANTUNES, J. F. S.; OKUNO, M. F. P.; LOPES, M. C. B. T.; CAMPANHARO, C. R. V.; BATISTA, R. E. A. Avaliação da fragilidade de idosos internados em serviço de emergência de um hospital universitário. Cogitare Enfermagem, Curitiba, v. 20, n. 2, p. 120-125, 2015.
KIM, H. et al. Integrated care and its effectiveness in geriatric rehabilitation. Aging Clinical and Experimental Research, [S. l.], v. 33, n. 8, p. 2021-2030, 2021. DOI: 10.1007/s40520-020-01702-0.
LEE, C. et al. Rehabilitation Programs and Functional Improvement in Elderly. Clinical Interventions in Aging, [S. l.], v. 17, p. 25968, 2022. Doi: https://doi.org/10.2147/CIA.S297573.
MARTINEZ, H. et al. Observational studies and bias: methodological issues and design strategies. Journal of Clinical Epidemiology, [S. l.], v. 142, p. 45-56, 2022. Doi: https://doi.org/10.1016/j.jclinepi.2021.10
PATEL, R. et al. Impact of comorbidities on rehabilitation outcomes in elderly. Journal of Aging and Health, [S. l.], v. 33, n. 8, p. 1113-1124, 2021. Doi: https://doi.org/10.1177/0898264321990854
REPÚBLICA PORTUGUESA. Decreto-Lei n. 101/2006, de 6 de junho. Diário da República, Lisboa, 2006. Disponível em: https://diariodarepublica.pt/dr/detalhe/decreto-lei/101-2006-353934. Acesso em: 26 nov. 2023.
ROCKWOOD, K.; SONG, X.; MACKNIGHT, C.; BERGMAN, H.; HOGAN, D. B.; MCDOWELL, I.; MITNITSKI, A. A global clinical measure of fitness and frailty in elderly people. CMAJ Canadian Medical Association Journal, [S. l.], v. 173, n. 5, p. 489-495, 2005.
SILVA, V. Z. M.; LIMA, A. S.; NADIELE, H.; PIRES-NETO, R.; DENEHY, L.; PARRY, S. M. Brazilian Versions of the Physical Function ICU Test-scored and de Morton Mobility Index: translation, cross-cultural adaptation, and clinimetric properties. Jornal Brasileiro de Pneumologia, [S. l.], v. 46, n. 4, e20180366, 2020.
TAVARES, D. M. D. S.; NADER, I. D.; PAIVA, M. M.; DIAS, F. A.; PEGORARI, M. S. Association of socioeconomic and clinical variables with the state of frailty among older inpatients. Revista Latino-Americana de Enfermagem, São Paulo, v. 23, n. 6, p. 1121-1129, 2015. DOI: https://doi.org/10.1590/0104-1169.0660.2657
THOMAS, D. R. et al. Frailty interventions: targeting care and functional decline. Clinical Geriatrics Medicine, [S. l.], v. 37, n. 2, p. 221-234, 2021. Doi: https://doi.org/10.1016/j.cger.2021.01.003
VENTO, D. A.; FARIA, A. M.; SILVA, L. G.; FERREIRA, J. C. M.; GUIMARÃES, V. A. Utilização da escala do medical research council no desmame em pacientes críticos: revisão de literatura. Revista de Educação em Saúde, Anápolis, v. 6, n. 2, p. 125-132, 2018. DOI: https://doi.org/10.29237/2358-9868.2018v6i2.p125-132
ZANG, X. et al. Elderly rehabilitation: comparing different care models. Journal of Rehabilitation Research and Development, [S. l.], v. 59, n. 2, p. 345-354, 2022. Doi: https://doi.org/10.1682/JRRD.2022.01.0005
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