Clinical-functional vulnerability of older adults assisted in a primary health care unit
DOI:
https://doi.org/10.17267/2238-2704rpf.2024.e5706Keywords:
Aging, Health Vulnerability, Delivery of Health Care, Health Services NeedsAbstract
OBJECTIVE: To identify the factors associated with the condition of clinical-functional vulnerability of elderly people in Salvador followed in a primary health care unit. METHODS: Cross-sectional study conducted with people aged 60 or over registered in a teaching-assistance unit in Salvador, Bahia. Those who had no history of regular outpatient follow-up or had inactive medical records for more than five years were excluded. Sociodemographic data were collected and the Clinical-Functional Vulnerability Index (IVCF-20) was applied between November 2019 and March 2021. The elderly were classified as robust or non-robust and bivariate analyzes were carried out with the aim of verifying the differences between the groups. The variables that presented associations with p<0.10 were included in the Poisson regression model and adjustments were made for possible confounders. RESULTS: 102 elderly people participated in the study and it was found that their aerobic and/or muscular capacity was compromised (RP=2.91; IC95% 1.50 – 6.18), the presence of multiple comorbidities (PR=2.79; IC95 % 1.51 – 5.48), sphincter incontinence (RP=1.86; 95%CI 1.04 – 3.30) and worsening forgetfulness (PR=1.88; 95%CI 1.04 – 3, 55) were the factors independently associated with clinical-functional vulnerability. CONCLUSION: The results of the study allow us to conclude that the impairment of aerobic capacity, the presence of multiple comorbidities, sphincter incontinence and memory loss are associated with the condition of clinical-functional vulnerability of elderly people in Salvador accompanied by a primary health care unit. This information must be considered when planning care within the scope of Primary Health Care and comprehensive care.
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Copyright (c) 2024 Antônio Maurício Brasil, Claudia Furtado, Ana Paula Gomes Santos, Marcela Militão, Carla Ferreira do Nascimento, Helena Fraga-Maia, Elen Beatriz Pinto
This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International License.
