Prevalência de internação para tratamento cirúrgico de fratura do fêmur em idosos e fatores associados

Abstract

Longevity and population aging are not merely an achievement, but also a challenge, since they cause a series of social problems, especially for the healthcare system. The more age advances, the greater the tendency of health impairments for long-lived people. The femoral fracture is an important example of this reality since it involves other factors that affect negatively on the lives of older people, such as morbidity, reduced functional capacity, psychic disorders, institutionalization and death. The objective of this study was to determine the prevalence of hospital admissions of older people requiring surgery for femoral fracture in the public and private hospital networks in the city of Uberlândia, Minas Gerais. The study included people aged over 60 years living in that city in the fracture date. After a year of hospitalization, by means of sociodemographic and clinical data from medical records, we proceeded to the home visits for applying Questionnaire, the Katz ADL Scale and the Geriatric Depression Scale in participants who agreed to participate. It was found that the most impairments of hip fractures in older people occurs at more advanced ages (80 and over) and in women, and it was also found a higher frequency of ADL dependence in these groups. By multivariate analysis, it was observed significant and positive correlation between disability in basic activities of daily life and variables like age, admission by the the publicly funded health system (SUS); with regard to ADL dependence, it was also found significant correlation with domicile as the place of the traumatic event. The study complied with the objectives proposed in the sense of unraveling the panorama of functional capacity and mortality of the elderly after a year of hospitalization for surgical treatment of hip fractures. The results showed the importance of prevention in minimizing this grave health problem.