The prevalence and distribution of comorbidities involved in elderly patients in a health unit of the municipality of Cascavel-PR

Authors

DOI:

https://doi.org/10.33448/rsd-v12i4.41215

Keywords:

Aged; Comorbidity; Delivery of health care.

Abstract

The present study aimed to characterize the distribution of the most prevalent comorbidities and to analyze the association of such comorbidities with sociodemographic characteristics in the geriatric population at the outpatient level in a Basic Health Unit in the municipality of Cascavel-PR in 2022 in order to obtain knowledge about their distributions in the region, as well as the modifiable factors that can be intervened by health professionals and managers. This cross-sectional study was carried out based on the analysis of medical records of elderly patients undergoing outpatient follow-up, dated January 2022. During the study period, the medical records of 111 patients who met the inclusion criteria were analyzed. Among the evaluated, 76 (68.5%) were female and 35 (31.5%) were male. Regarding the age group, 68 (61.3%) were 60 to 69 years old, 32 (28.8%) had 70 to 79 years and 11 (9.9%) were 80 years or older. Among the main comorbidities identified in the period studied, arterial hypertension predots, representing 60.4% of the patients analyzed. Followed by dyslipidemia (48.6%), obesity (24.3%), Type 2 Diabetes Mellitus (19.8%) and Major Depressive Disorder (18%). In this sense, it is concluded that there is a need to promote research on the aforementioned diseases, given their high prevalence in the geriatric population, thus improving public policies aimed at these priority groups.

References

Arquivos Brasileiros de Cardiologia. (2016). 7º Diretriz Brasileira de Hipertensão Arterial. RIo de Janeiro: Sociedade Brasileira de Cardiologia.

Brito, R. S., & Santos, D. L. (2013). Entraves para a implementação de programas assistenciais dirigidos ao público masculino: visão de profissionais de saúde. Revista Enfermagem UERJ, 654-659. Fonte: https://www.e-publicacoes.uerj.br/index.php/enfermagemuerj/article/view/10044

Campos, M. T., Monteiro, J. B., & Ornelas, A. P. (2000). Fatores que afetam o consumo alimentar e a nutrição do idoso. Revista de Nutrição, 157-165. doi:doi.org/10.1590/S1415-52732000000300002

China, D. L., Frank, I. M., Silva, J. B., Almeida, E. B., & Silva, T. B. (2021). Envelhecimento Ativo e Fatores Associados. Revista Kairós, 141-156. doi:doi.org/10.23925/2176-901X.2021v24i0p141-156

Conti, M. B. (2022). Transtornos mentais em idosos brasileiros: revisão da literatura. Trabalho de Conclusão de Curso, Universidade Estudal Paulista, Botucatu. Fonte: https://repositorio.unesp.br/handle/11449/238222

Dantas, E. H., & Santos, C. A. (2017). Aspectos biopsicossociais do envelhecimento e a prevenção de quedas na terceira idade. Joaçaba, Santa Catarina, Brasil: Editora Unoesc.

Freitas, E. V., & Py, L. (2013). Tratado de Geriatria e Gerontologia. Rio de Janeiro: Guanabara Koogan.

Garcia, C., Fischer, M. d., & Poll, F. A. (2016). Estado nutricional e as comorbidades associadas ao diabetes mellitus tipo 2 no idoso ]. Estudos interdisciplinares sobre o envelhecimento, 205-216. doi:doi.org/10.22456/2316-2171.59049

Hess, A. S., & Hess, J. R. (Março de 2017). Understanding tests of the association of categorical variables: the Pearson chi-square test and Fisher's exact test. Clinical Reserach Focus, 57(4), 877-879. doi:doi.org/10.1111/trf.14057

Kim, H.-Y. (Maio de 2017). Statistical notes for clinical researchers: Chi-squared test and Fisher's exact test. Restorative Dentistry & Endodontics, 42(2), 152-155. doi:doi.org/10.5395/rde.2017.42.2.152

Leite, B. C., Oliveira-Figueiredo, D. S., Rocha, F. L., & Nogueira, M. F. (2019). Multimorbidity due to chronic noncommunicable diseases in older adults: a population-based study. Revista Brasileira de Geriatria e Gerontologia. doi:doi.org/10.1590/1981-22562019022.190253

Menezes, T. N., Sousa, N. D., Moreira, A. d., & Pedraza, D. F. (2014). Diabetes mellitus referido e fatores associados em idosos residentes em Campina Grande, Paraíba. Revista Brasileira de Geriatria e Gerontologia, 829-839. doi:doi.org/10.1590/1809-9823.2014.13164

Moraes, R. M. (2021). Quality of life profile of elderly people with hypertension in an ESF in the interior of Mato Grosso. Research, Society and Development. doi:doi.org/10.33448/rsd-v10i15.21326

Putilina, M. V. (2016). Comorbidity in elderly patients. Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova, 106-111. doi:10.17116/jnevro201611651106-111

Rezende, G. R., & Amaral, T. L. (2021). Prevalência e fatores associados à polifarmácia em idosos residentes em Rio Branco, Acre, Brasil: estudo transversal de base populacional, 2014*. Epidemiologia e Serviços de Saúde. doi:doi.org/10.1590/S1679-49742021000200013

Ribeiro, I. A., Lima, L. R., Volpe, C. R., Funghetto, S. S., Rehem, T. C., & Stival, M. M. (2019). Frailty syndrome in the elderly in elderly with chronic diseases in Primary Care. Revista da Escola de Enfermagem da USP. doi:doi.org/10.1590/S1980-220X2018002603449

Rufino, J. P., Monteiro, A. L., Almeida, J. P., Santos, K. M., Andrade, M. d., & Pricinote, S. C. (2020). Cancer mortality trends in Brazilian adults aged 80 and over from 2000 to 2017. Geriatrics, Gerontology and Aging, 274-281. doi:doi.org/10.5327/Z2447-212320202000097

Sánchez, C. (2013). Conociendo y comprendiendo la célula cancerosa: Fisiopatología del cáncer. Revista Médica Clínica Las Condes, 553-562. doi:doi.org/10.1016/S0716-8640(13)70659-X

Secretaria Municipal de Saúde de Cascavel. (2018). Plano Municipal de Saúde 2018-2021. Cascavel.

Silva, S. A., Scazufca, M., & Menezes, P. R. (2013). Population impact of depression on functional disability in elderly: results from "São Paulo Ageing & Health Study" (SPAH). European archives of psychiatry and clinical neuroscience, 153-158. doi:doi.org/10.1007/s00406-012-0345-4

Vasconcelos, A. C., Marques, A. P., Leite, V. M., Carvalho, J. C., & Costa, M. L. (2020). Prevalência de fragilidade e fatores associados em idosos pós-acidente vascular cerebral. Revista Brasileira de Geriatria e Gerontologia. doi.org/10.1590/1981-22562020023.200322

Vitoi, N. C., Fogal, A. S., Nascimento, C. d., Franceschini, S. d., & Ribeiro, A. Q. (2015). Prevalência e fatores associados ao diabetes em idosos no município de Viçosa, Minas Gerais. Revista Brasileira de Epidemiologia, 953-965. doi.org/10.1590/1980-5497201500040022

Published

17/04/2023

How to Cite

SILVA, L. B. da .; BREDA, D. . The prevalence and distribution of comorbidities involved in elderly patients in a health unit of the municipality of Cascavel-PR . Research, Society and Development, [S. l.], v. 12, n. 4, p. e24612441215, 2023. DOI: 10.33448/rsd-v12i4.41215. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/41215. Acesso em: 25 apr. 2024.

Issue

Section

Health Sciences