Factors associated with hospitalizations due to non-communicable chronic diseases in older adults
DOI:
https://doi.org/10.33448/rsd-v14i11.50181Keywords:
Elderly Person, Chronic Disease, Disease Impact Profile, Hospitalization, Unified Health System.Abstract
Objective: To analyze associated factors with hospitalizations of elderly people due chronic non-communicable diseases (NCDs), evaluate the interference of the number of NCDs and the impact of a sedentary lifestyle on admissions to a public hospital in the city of Guarulhos, Brazil. Method: Cross-sectional, observational study, convenience sample composed by patients hospitalized in the clinical wards of Complexo Hospitalar Padre Bento de Guarulhos (CHPBG- Padre Bento Hospital). A questionnaire developed by the authors based on similar studies was applied to people aged 60 years or over diagnosed with NCDs hospitalized due to their complications. All patients were residents on the city of Guarulhos and exclusively users of the Public Health System. The results were classified on a parity basis and the Odds Ratio (OR) was used for the main analyses. Results: Between 90 patients, all of them were sedentary and with average of 3 NCDs. We observed an association between the number of NCDs and more chances of hospitalizations (OR=3.48, p<0.01), as well as greater use of public health services (OR= 4.57, p<0.01). Besides that, we detected an increased difficulty in carrying out routine activities (OR=6.27, p<0.01). Conclusion: Part of the challenges encountered were related to the population's behavior and we highlight sedentary lifestyle and the number of NCDs as a predictor of hospitalizations.
References
Anwar, A., Malik, M., Raees, V., & Anwar, A. (2020). Role of mass media and public health communications in the COVID-19 pandemic. Cureus, 12(9), e10415. https://doi.org/10.7759/cureus.10415
Baradaran Mahdavi, S., Riahi, R., Vahdatpour, B., & Kelishadi, R. (2021). Association between sedentary behavior and low back pain: A systematic review and meta-analysis. Health Promotion Perspectives, 11(4), 393–410. https://doi.org/10.34172/hpp.2021.50
Bauder, L., Giangobbe, K., & Asgary, R. (2023). Barriers and gaps in effective health communication at both public health and healthcare delivery levels during epidemics and pandemics: Systematic review. Disaster Medicine and Public Health Preparedness, 17, e395. https://doi.org/10.1017/dmp.2023.61
Bilotta, C., Nicolini, P., Casè, A., Pina, G., Rossi, S., & Vergani, C. (2012). Frailty syndrome diagnosed according to the Study of Osteoporotic Fractures (SOF) criteria and adverse health outcomes among community-dwelling older outpatients in Italy: A one-year prospective cohort study. Archives of Gerontology and Geriatrics, 54(2), e23–e28. https://doi.org/10.1016/j.archger.2011.06.037
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. (2008). Portaria nº 221, de 17 de abril de 2008. Diário Oficial da União, Brasília, DF, Seção 1, p. 50.
Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Análise em Saúde e Vigilância de Doenças Não Transmissíveis. (2022). Vigitel Brasil 2021: Vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. Ministério da Saúde.
Dantas, I., Santana, R., Sarmento, J., & Aguiar, P. (2016). The impact of multiple chronic diseases on hospitalizations for ambulatory care sensitive conditions. BMC Health Services Research, 16, 348. https://doi.org/10.1186/s12913-016-1580-2
DiPietro, L., Al-Ansari, S. S., Biddle, S. J. H., Borodulin, K., Bull, F. C., Buman, M. P., ... Willumsen, J. F. (2020). Advancing the global physical activity agenda: Recommendations for future research by the 2020 WHO physical activity and sedentary behavior guidelines development group. International Journal of Behavioral Nutrition and Physical Activity, 17(1), 143. https://doi.org/10.1186/s12966-020-01042-2
Fundação Sistema Estadual de Análise de Dados (SEADE). (2023). Banco de Dados de Informações dos Municípios Paulistas. http://produtos.seade.gov.br/produtos/projpop/index.php
Haque, M., Islam, T., Rahman, N. A. A., McKimm, J., Abdullah, A., & Dhingra, S. (2020). Strengthening primary health-care services to help prevent and control long-term (chronic) non-communicable diseases in low- and middle-income countries. Risk Management and Healthcare Policy, 13, 409–426. https://doi.org/10.2147/RMHP.S239074
Humphries, C., Jaganathan, S., Panniyammakal, J., Singh, S., Dorairaj, P., Price, M., ... Manaseki-Holland, S. (2020). Investigating discharge communication for chronically ill patients in three hospitals in India. PLoS One, 15(4), e0230438. https://doi.org/10.1371/journal.pone.0230438
Instituto Brasileiro de Geografia e Estatística (IBGE). (2023). Censo Brasileiro de 2010. São Paulo: IBGE. https://cidades.ibge.gov.br/brasil/sp/guarulhos/pesquisa/23/24304
Instituto Brasileiro de Geografia e Estatística (IBGE). (2023). PNAD Contínua 2016: 51% da população com 25 anos ou mais do Brasil possuíam no máximo o ensino fundamental completo. https://agenciadenoticias.ibge.gov.br/agencia-sala-de-imprensa/2013-agencia-de-noticias/releases/18992-pnad-continua-2016-51-da-populacao-com-25-anos-ou-mais-do-brasil-possuiam-no-maximo-o-ensino-fundamental-completo
Larson, H. J. (2018). The biggest pandemic risk? Viral misinformation. Nature, 562(7727), 309. https://doi.org/10.1038/d41586-018-07034-4
Malta, D. C., Bernal, R. T., Lima, M. G., Araújo, S. S., Silva, M. M., Freitas, M. I., & Barros, M. B. (2017). Doenças crônicas não transmissíveis e a utilização de serviços de saúde: Análise da Pesquisa Nacional de Saúde no Brasil. Revista de Saúde Pública, 51(Supl. 1), 4s.
Organização Pan-Americana da Saúde (OPAS). (2022). Perfil de indicadores de acesso e cobertura em saúde – Brasil. https://hia.paho.org/es/paises-22/perfil-brasil-pt
Organização Pan-Americana da Saúde (OPAS). (2023). OMS revela principais causas de morte e incapacidade em todo o mundo entre 2000 e 2019. https://www.paho.org/pt/noticias/9-12-2020-oms-revela-principais-causas-morte-e-incapacidade-em-todo-mundo-entre-20
Organização Pan-Americana da Saúde (OPAS). (2024). A integração da prevenção e controle das doenças crônicas não transmissíveis aos programas de HIV/Aids, tuberculose e saúde sexual e reprodutiva: Orientações de implementação. Washington, D.C.: OPAS. https://doi.org/10.37774/9789275728215
Pandics, T., Major, D., Fazekas-Pongor, V., Szarvas, Z., Peterfi, A., Mukli, P., ... Ungvari, Z. (2023). Exposome and unhealthy aging: Environmental drivers from air pollution to occupational exposures. GeroScience, 45(6), 3381–3408. https://doi.org/10.1007/s11357-023-00913-3
Pereira, A. S. et al. (2018). Metodologia da pesquisa científica. [free ebook]. Santa Maria. Editora da UFSM.
Prefeitura de Guarulhos. Secretaria da Saúde. (2021). Relatório Anual de Gestão (RAG) 2021. Guarulhos, SP: Prefeitura de Guarulhos.
Safiri, S., Carson-Chahhoud, K., Noori, M., Nejadghaderi, S. A., Sullman, M. J. M., Heris, J. A., ... Kaufman, J. S. (2022). Burden of chronic obstructive pulmonary disease and its attributable risk factors in 204 countries and territories, 1990–2019: Results from the Global Burden of Disease Study 2019. BMJ, 378, e069679. https://doi.org/10.1136/bmj-2021-069679
Silva, D. S. M., Assumpção, D., Francisco, P. M. S. B., Yassuda, M. S., Neri, A. L., & Borim, F. S. A. (2022). Doenças crônicas não transmissíveis considerando determinantes sociodemográficos em coorte de idosos. Revista Brasileira de Geriatria e Gerontologia, 25(5), e210204. https://doi.org/10.1590/1981-22562022025.210204
Shitsuka, R. et al. (2014). Matemática fundamental para tecnologia. (2ed). Editora Érica.
Taran, S. (2011). An examination of the factors contributing to poor communication outside the physician-patient sphere. McGill Journal of Medicine, 13(1), 86. https://pmc.ncbi.nlm.nih.gov/articles/PMC3277343/
Trindade, A. C., Araujo, M. Y., Rocha, A. P., Gobbo, L. A., & Codogno, J. S. (2016). Nível de atividade física e ocorrência de doenças crônicas em pacientes atendidos pelo Sistema Único de Saúde de Presidente Prudente – SP. Journal of Physical Education, 27(1), e-2724.
Ungvari, Z., Tarantini, S., Sorond, F., Merkely, B., & Csiszar, A. (2020). Mechanisms of vascular aging, a geroscience perspective: JACC Focus Seminar. Journal of the American College of Cardiology, 75(8), 931–941. https://doi.org/10.1016/j.jacc.2019.11.061
Van der Pol, M., Olajide, D., Dusheiko, M., Elliott, R., Guthrie, B., Jorm, L., & Leyland, A. H. (2019). The impact of primary care quality and accessibility on emergency admissions for a range of primary care sensitive chronic conditions (CSAP) in Scotland: A longitudinal analysis. BMC Family Practice, 20(1), 32. https://doi.org/10.1186/s12875-019-0921-z
Vancampfort, D., Stubbs, B., & Koyanagi, A. (2017). Physical chronic conditions, multimorbidity and sedentary behavior amongst middle-aged and older adults in six low- and middle-income countries. International Journal of Behavioral Nutrition and Physical Activity, 14(1), 147. https://doi.org/10.1186/s12966-017-0594-0
Vieira, S. (2021). Introdução à bioestatística. Editora GEN/Guanabara Koogan.
Wang, X., Huang, X. L., Wang, W. J., & Liao, L. (2023). Advance care planning for frail elderly: Are we missing a golden opportunity? A mixed-method systematic review and meta-analysis. BMJ Open, 13(5), e068130. https://doi.org/10.1136/bmjopen-2022-068130
World Health Organization. (2011). Global recommendations on physical activity for health. https://www.who.int/dietphysicalactivity/pa/en/index.html
World Health Organization. (2021). Decade of healthy ageing: Baseline report. World Health Organization.
Zazzara, M. B., Vetrano, D. L., Carfì, A., & Onder, G. (2019). Frailty and chronic disease. Panminerva Medica, 61(4), 486–492. https://doi.org/10.23736/S0031-0808.19.03731-5
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Joel Malaquias Junior, Mario Cezar Pires
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
