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1.
ABCS health sci ; 47: [1-9], 06 abr. 2022.
Article in English | LILACS-Express | LILACS | ID: biblio-1402639

ABSTRACT

There is a lack of studies evaluating frailty and physical activity in people aged 100 years or older. This review aimed to synthesize the evidence on frailty and physical activity in centenarians. A systematic review was conducted according to the PRISMA guidelines. We searched the PubMed, CINAHL, SCOPUS, Web of Science, and Lilacs databases for articles published until 18 June 2020. This review was registered with PROSPERO (CRD42020162913). Five studies were included in this review according to the eligibility and exclusion criteria. In summary, the reviewed studies show that centenarians are fragile and that frailty increases with age; however, women are frailer than men. The most common frailty criteria were low physical activity level (78% to 72.5%), muscle weakness (84.2% to 66%), and slow walking speed (77.6% to 48.4%). Most centenarians perform less exercise than younger older adults, have a low physical activity level, live in nursing homes, and exhibit functional disability. Regarding the methodological quality of the studies, one article was classified as regular and the other four as poor. Frailty and a low physical activity level are common in centenarians. Experimental studies with better methodological quality are necessary to better understand the causal relationship between variables.

2.
Acta sci., Health sci ; 44: e58924, Jan. 14, 2022.
Article in English | LILACS | ID: biblio-1367775

ABSTRACT

This study aimed to understand centenarian caregivers' perception of care burden according to sociodemographic characteristics and physical activity level. This is a descriptive study that used a mixed data (quantitative and qualitative) approach. Sixty-seven caregivers of centenarians from municipalities in Santa Catarina participated in this study. Interviews were held for application of questions about sociodemographic data, transport-related and leisure-time physical activity, caregiver burden, and suggestions for improving care. The data were collected in the centenarian's home where the caregiver worked. Quantitative data were analyzed using descriptive and inferential statistics and qualitative data by content analysis. The results showed that 58.2% of the caregivers were overburdened. Of these, 92.3% were females, 56.4% were 60-75 years old, 48.7% had 7 to 11 years of schooling, 53.8% were married, 66.7% were children of centenarians, the caregiving duration ranged from 1 to 5 years in 35.9%, and 69.2% cared for the older adult 24 hours/day. There was a statistically significant difference (p = 0.01) between the level of leisure-time physical activity and caregiving burden, with 64.9% of insufficiently active caregivers tending to be overburdened with the care demand. The suggestions of caregivers for improving centenarian care included having help from health professionals and relatives for care, infrastructure, and financial resources. Most burdened caregivers are insufficiently active and need assistance in taking care of their own health.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Aged, 80 and over , Young Adult , Exercise , Caregivers , Caregiver Burden , Centenarians , Sociodemographic Factors , Family Relations , Leisure Activities
3.
Arq. bras. cardiol ; 118(1): 68-74, jan. 2022. tab
Article in English, Portuguese | LILACS | ID: biblio-1360106

ABSTRACT

Resumo Fundamento Apesar da grande proporção de octogenários com embolia pulmonar aguda, há pouca informação indicando a estratégia de manejo ideal, especialmente medidas terapêuticas, como a terapia lítica. Objetivos O número de pacientes idosos diagnosticados com embolia pulmonar aguda aumenta constantemente. Porém, o papel do tratamento trombolítico não está claramente definido entre os octogenários. Nosso objetivo é avaliar a efetividade da terapia lítica em pacientes octogenários diagnosticados com embolia pulmonar. Métodos Cento e quarenta e oito indivíduos (70,3% de mulheres, n=104) com mais de 80 anos foram incluídos no estudo. Os pacientes foram divididos em dois grupos: tratamento trombolítico versus não-trombolítico. As taxas de mortalidade hospitalar e episódios de sangramento foram definidos como desfechos do estudo. Valor de p <0,05 foi considerado como estatisticamente significativo. Resultados A mortalidade hospitalar reduziu significativamente no grupo trombolítico em comparação ao não-trombolítico (10,5% vs. 24,2%; p=0,03). Episódios de sangramento menores foram mais comuns no braço que recebeu o tratamento trombolítico, mas grandes hemorragias não diferiram entre os grupos (35,1% vs. 13,2%, p<0,01; 7% vs. 5,5% p=0,71, respectivamente). O escore de PESI alto (OR: 1,03 IC95%; 1,01-1,04 p<0,01), a terapia trombolítica (OR: 0,15 IC95%; 0,01-0,25, p< 0,01) e níveis altos de troponina (OR: 1,20 IC95%; 1,01-1,43, p=0,03) estiveram independentemente associados a taxas de mortalidade hospitalar na análise de regressão multivariada. Conclusão A terapia trombolítica esteve associada à mortalidade hospitalar reduzida em detrimento do aumento geral das complicações de sangramento em octogenários.


Abstract Background Despite the high proportion of octogenarians with acute pulmonary embolism, there is little information indicating the optimal management strategy, mainly therapeutic measures, such as lytic therapy. Objectives The number of elderly patients diagnosed with acute pulmonary embolism increases constantly. However, the role of thrombolytic treatment is not clearly defined among octogenarians. Our objective is to evaluate the effectiveness of lytic therapy in octogenarian patients diagnosed with pulmonary embolism. Methods One hundred and forty eight subjects (70.3% women, n=104) aged more than eighty years were included in the study. The patients were divided in two groups: thrombolytic versus non-thrombolytic treatment. In-hospital mortality rates and bleeding events were defined as study outcomes. P-value <0.05 was considered as statistical significance. Results In-hospital mortality decreased significantly in the thrombolytic group compared to the non-thrombolytic group (10.5% vs. 24.2% p=0.03). Minor bleeding events were more common in the arm that received thrombolytic treatment, but major hemorrhage did not differ between the groups (35.1% vs. 13.2%, p<0.01; 7% vs. 5.5% p=0.71, respectively). High PESI score (OR: 1.03 95%CI; 1.01-1.04 p<0.01), thrombolytic therapy (OR: 0.15 95%CI; 0.01-0.25, p< 0.01) and high troponin levels (OR: 1.20 95%CI; 1.01-1.43, p=0.03) were independently associated with in-hospital mortality rates in the multivariate regression analysis. Conclusion Thrombolytic therapy was associated with reduced in-hospital mortality at the expense of increased overall bleeding complications in octogenarians.


Subject(s)
Humans , Child , Adolescent , Cardiovascular Diseases/etiology , Cardiovascular Diseases/prevention & control , Metabolic Syndrome/epidemiology , Pediatric Obesity/therapy , Body Composition , Weight Loss/physiology , Body Mass Index , Atrial Natriuretic Factor/metabolism
5.
Rev. bras. geriatr. gerontol. (Online) ; 25(6): e220077, 2022. tab, graf
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1407565

ABSTRACT

Resumo Objetivo Avaliar a incidência de fragilidade na pessoa idosa longeva, durante a pandemia da covid-19 e identificar as associações entre os domínios do Índice de Vulnerabilidade Clínico Funcional (IVCF -20) e a fragilização. Métodos Estudo de coorte com 64 pessoas idosas longevas previamente não frágeis, avaliados em dois momentos: na linha de base, até um ano antes do início da pandemia e no seguimento, com uma média de intervalo entre os dois momentos de 15 meses. A fragilidade foi avaliada por meio do VS - Frailty (linha de base) e aplicação remota do IVCF-20 (seguimento). Resultados A idade média foi de 88,7±5 anos e a incidência de fragilidade de 20,6%. As pessoas idosas que fragilizaram apresentaram maior dependência em: deixar de fazer compras (p<0,001), deixar de controlar o próprio dinheiro (p<0,001) e deixar de fazer trabalhos domésticos (p=0,010), assim como em: deixar de tomar banho sozinho (p=0,041). A piora da cognição foi mais presente nos idosos que fragilizaram. A presença de desânimo, tristeza ou desesperança foi elevada (92,3%) e teve associação com a fragilização (p<0,001). Na análise multivariada, a fragilização esteve associada com piora do esquecimento (RR=2,39; IC95% 1,27-4,46), perda de interesse e prazer na realização de atividades (RR=4,94; IC95% 1,98-12,35) e incontinência esfincteriana (RR=2,40; IC95% 2.91-1,53). Conclusões A incidência de fragilização entre as pessoas idosas longevas durante a pandemia foi alta. Identificou-se que mais de um domínio foi afetado o que reforça a necessidade de avaliação da pessoa idosa em sua integralidade, sobretudo em períodos atípicos como o vivenciado.


Abstract Objective To assess the incidence of frailty in oldest old during the covid-19 pandemic and to evaluate the associations between the domains of the Clinical-Functional Vulnerability Index (IVCF -20) and frailty. Methods A cohort study of 64 non-frail oldest old was conducted. Participants were evaluated at two timepoints: at baseline up to one year before the onset of the pandemic; and at follow-up, with an average interval between the two timepoints of 15 months. Frailty was assessed using the VS - Frailty (baseline) and remote application of the IVCF-20 (follow-up). Results Mean participant age was 88.7±5 years and the incidence of frailty was 20.6%. Frail participants exhibited greater dependence shopping (p<0.001), controlling their own money (p<0.001) and doing housework (p=0.010), as well as bathing alone (p=0.041). Cognitive decline was more prevalent in the frail individuals. The presence of despondency sadness or hopelessness proved high (92.3%) and was associated with frailty (p<0.001). On the multivariate analysis, frailty was associated with worsening forgetfulness (RR=2.39; 95%CI 1.27-4.46), loss of interest and pleasure in performing activities (RR=4.94; 95%CI 1.98-12.35) and fecal/urinary incontinence (RR=2.40; 95%CI 2.91-1.53). Conclusions

6.
Rev. bras. geriatr. gerontol. (Online) ; 25(5): e210224, 2022. tab
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1387864

ABSTRACT

Resumo Objetivo Investigar e comparar o perfil sociodemográfico, cognitivo e de fragilidade dos participantes do Estudo Fragilidade em Idosos Brasileiros em medidas de seguimento (SG) e linha de base (LB) realizadas em 2016-2017 e 2008-2009, respectivamente. Métodos Participaram da LB 1.284 idosos residentes em Campinas e Ermelino Matarazzo (SP), Brasil, que compuseram amostra única. No SG foram novamente entrevistados 549 participantes (42,5%); 192 tinham falecido (14,9%) e 543 foram perdidos (42,4%). Em ambos os momentos, foram avaliadas as variáveis sexo, idade, escolaridade, estado conjugal, renda familiar, arranjo de moradia, status cognitivo (Mini-Exame do Estado Mental) e fenótipo de fragilidade (três ou mais de cinco critérios). As diferenças intergrupos e intragrupos foram verificadas pelos testes qui-quadrado de Pearson e de McNemar, respectivamente. O nível de significância foi estabelecido em p<0,05. Resultados Entre os sobreviventes, os participantes eram mais jovens (72,2±5,3 anos) do que entre os falecidos (75,5±6,8 anos) e havia mais idosos casados, com nível educacional mais elevado, sem deficit cognitivo e pré-frágeis. Da LB para o SG, houve aumento estatisticamente significativo do número de idosos que moravam sozinhos (17,1% vs. 22,0%), não tinham companheiro(a) (46,4% vs. 55,4%), tinham renda familiar menor que três salários-mínimos (52,2% vs. 62,2%), apresentavam deficit cognitivo (17,7% vs. 23,5%) e eram frágeis (9,8% vs. 24,5%) Conclusão Da LB para o SG, ocorreu aumento da vulnerabilidade física, cognitiva e social dos idosos. Estes resultados reforçam a importância de políticas públicas que favoreçam a qualidade de vida dos idosos e a redução das iniquidades de saúde ao longo da vida.


Abstract Objective To investigate and compare the sociodemographic, cognitive and frailty profile of participants from the Frailty in Brazilian Older Adults (Fibra) study regarding follow-up (FW) and baseline (BL) measurements carried out in 2016-2017 and 2008-2009, respectively. Methods A total of 1,284 older adults living in Campinas and Ermelino Matarazzo (SP), Brazil, participated in the BL, comprising a pooled sample. At FW, 549 older adults (42.7%) were interviewed again; 192 had died (14.9%) and 543 were lost to follow-up (42.4%). Sex, age, education, marital status, family income, housing arrangement, cognitive status (Mini-Mental State Examination) and frailty phenotype (score ≥3 out of 5) were evaluated at both timepoints. Intergroup and intragroup differences were verified by Pearson's chi-square and McNemar's tests. Statistical significant level was set at p<0.05 Results The survivors were younger (72.2±5.3 years) than the deceased (75.5±6.8 years) and individuals included in the FW were mostly married, higher educated, cognitively unimpaired and pre-frail. Between BL and FW there was an increase in the number of participants who lived alone (17.1% vs. 22.0%), had no partner (46.4% vs. 55.4%), a family income <3 minimum wages (52.2% vs. 62.2%), cognitive impairment (17.7% vs. 23.5%) and frailty (9.8% vs. 24.5%). Conclusion Between BL and FW there was an increase in the physical, cognitive and social vulnerability of the older adults. These results reinforce the importance of public policies that favor the quality of life of older people and a reduction in health inequities throughout life.

7.
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1358313

ABSTRACT

Objetivo: avaliar a qualidade de vida segundo as comorbidades mais prevalentes em idosos com HIV. Método: estudo transversal realizado com 241 idosos de ambos os sexos usuários dos serviços de referência para acompanhamento do paciente com HIV. Os dados foram obtidos por meio da entrevista face a face com o preenchimento de um questionário sociodemográfico e clínico além do HIV/AIDS Target-Quality of life. Resultados: as três comorbidades mais prevalentes foram hipertensão, diabetes e osteoporose e dentre todas as comorbidades encontradas, apenas a hipertensão e o diabetes não apresentaram diferença estatisticamente significante com nenhuma das dimensões do HIV/AIDS Target-Quality of life. Conclusão: osteoporose e osteoartrose são as comorbidades que tem impacto em mais dimensões da qualidade de vida


Objective: to assess quality of life according to the most prevalent comorbidities in elderly people with HIV. Method: cross-sectional study carried out with 241 elderly people of both sexes, users of reference services for monitoring HIV patients. The data were obtained through a face-to-face interview by completing a sociodemographic and clinical questionnaire in addition to the HIV / AIDS Target-Quality of life. Results: the three most prevalent comorbidities were hypertension, diabetes and osteoporosis and among all the comorbidities found, only hypertension and diabetes did not show a statistically significant difference with any of the dimensions of HIV / AIDS Target-Quality of life. Conclusion: osteoporosis and osteoarthritis are comorbidities that have an impact on more dimensions of quality of life


Objetivo: evaluar la calidad de vida según las comorbilidades más prevalentes en ancianos con VIH. Método: estudio transversal realizado con 241 ancianos de ambos sexos, usuarios de servicios de referencia para el seguimiento de pacientes con VIH. Los datos se obtuvieron a través de una entrevista presencial mediante la cumplimentación de un cuestionario sociodemográfico y clínico además de la HIV/AIDS Target-Quality of life. Resultados: las tres comorbilidades más prevalentes fueron hipertensión, diabetes y osteoporosis y entre todas las comorbilidades encontradas, solo la hipertensión y la diabetes no mostraron diferencia estadísticamente significativa con ninguna de las dimensiones de HIV/AIDS Target-Quality of life. Conclusión: la osteoporosis y la osteoartritis son comorbilidades que repercuten en más dimensiones de la calidad de vida


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Quality of Life , Comorbidity , HIV , Osteoarthritis , Osteoporosis , Cross-Sectional Studies , Acquired Immunodeficiency Syndrome , Diabetes Mellitus , Hypertension
8.
Rev. Nutr. (Online) ; 35: e210251, 2022. tab
Article in English | LILACS | ID: biblio-1406920

ABSTRACT

ABSTRACT Objective To compare the availability of healthy and unhealthy foods in families with and without elderly and oldest-old people. Methods This is an observational, cross-sectional study with secondary data from the Household Budget Survey, conducted by the Brazilian Institute of Geography and Statistics between 2017 and 2018. Families were characterized based on the oldest member: Control (without elderly and oldest-old) or with elderly and oldest-old. The sociodemographic characteristics of the families and the foods purchased by the families were obtained, according to the Nova classification (in natura, processed and ultra-processed foods, in addition to culinary ingredients). Results Families with elderly and oldest-old people had greater availability of fresh foods and fewer ultra-processed foods. In contrast, young families showed greater acquisition of all ultra-processed food items. Conclusion The unfavorable nutritional transition process with fewer in natura foods seemed to be less evident in families with higher age groups. It is concluded that the presence of the elderly and oldest-old in the family could be related to a better quality of the family diet, with a greater presence of fresh foods and a lower acquisition of ultra-processed foods.


RESUMO Objetivo Comparar a disponibilidade de alimentos saudáveis e não saudáveis nas famílias com e sem idosos e longevos. Métodos É um estudo observacional, transversal com dados secundários da Pesquisa de Orçamento Familiar, realizada pelo Instituto Brasileiro de Geografia e Estatística entre 2017-2018. As famílias foram caracterizadas pelo integrante com maior idade: controle (sem idosos e longevos), com idosos e longevos. Foram obtidas características sociodemográficas das famílias e itens alimentares adquiridos pelas famílias, segundo a classificação Nova (alimentos in natura, processados e ultraprocessados, além de ingredientes culinários). Resultados As famílias com idosos e longevos apresentaram maior disponibilidade de alimentos in natura e menor em ultraprocessados. Enquanto que as famílias jovens apresentaram maior aquisição em todos os itens alimentares ultraprocessados. Conclusão O processo de transição nutricional desfavorável com menos alimentos in natura pareceu ser menos evidente em famílias com maiores faixas-etárias. Conclui-se que a presença de idosos e longevos na família pode estar relacionada à melhor qualidade alimentar familiar, com maior presença de alimentos in natura e menor aquisição de ultraprocessados.


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Family , in natura Foods , Processed Food , Ultra-Processed Foods , Aged, 80 and over , Cross-Sectional Studies , Surveys and Questionnaires , Sociodemographic Factors
9.
Chinese Journal of Geriatrics ; (12): 451-455, 2022.
Article in Chinese | WPRIM | ID: wpr-933104

ABSTRACT

Objective:To analyze the treatment and prognosis of advanced age inpatients in Medical Department with lower limbs deep venous thrombosis(DVT).Methods:This was a retrospective study of elderly medical inpatients with DVT, including 58 males(54.7%)and 48 females(45.3%), aged from 80 to 99 years old, in Geriatric Medicine of Peking University Third Hospital from March 2016 to March 2019.There were 91 patients(85.9%)with DVT alone and 15 patients(15.2%)with pulmonary embolism.The clinical data of patients were analyzed, and treatment and prognosis within half a year after discharge were followed-up.Results:A total of 106 elderly medical patients were included, the ratio of male to female was 1.2∶1.0, the age range was 80-99 years old, the median age was 86 years old.Of a total of 106 DVT patients, forty-five cases(42.5%)developed symptoms, sixty-one cases(57.6%)were asymptomatic.Twenty-eight cases(26.4%)involved the proximal lower limb deep veins(popliteal veins and above), seventy-eight cases(73.6%)only involved distal deep veins.Except for advanced age, other DVT risk factors included sixty cases(56.6%)of lung infection, 58 cases(54.7%)being bedridden(>3 d), 50 cases(47.2%)of type 2 diabetes, 46 cases(43.4%)of cerebral infarction, 37 cases(34.9%)of heart failure, and 28 cases(26.4%)of active malignancies, etc.Of a total of 106 DVT patients, 80 cases(75.5%)had high risk of venous thrombosis score, and 68 cases(64.2%)had high risk of bleeding.74 cases received anticoagulant treatment, the rate of anticoagulant treatment was 69.8%.Compared with anticoagulant patients, non-anticoagulant group showed that renal insufficiency, being bedridden, heart failure, cerebral infarction prevalence, and all-cause mortality were increased( P<0.05 or P<0.01).The rate of high risk of bleeding was significantly higher in the non-anticoagulation group than in the anticoagulation group( P<0.01).The pulmonary embolism rate, proximal deep vein involvement rate and their improvement rate when timely rechecking were significantly higher in anticoagulation group than in non-anticoagulation group( P<0.05 or P<0.01, respectively).In the anticoagulation group, 26 patients received short term low-molecular heparin(LMH)treatment during hospitalization, 48 patients(45.3%)were prescribed oral anticoagulants at the time of discharge.Anticoagulation treatment rate is 31.1%(33 cases)at 3 months and 24.5%(26 cases)at 6 months.Non-fatal bleeding occurred in 4 patients in anticoagulation group, but there was no significant difference between the two groups( P>0.05). Conclusions:Great attention should be paid to the risk factors such as lung infection, being bedridden, cerebral infarction, and malignant tumor in the elderly medical inpatients.The rate of high risk of bleeding was high in elderly inpatients, and the rate of regular anticoagulant treatment is low.The risk versus benefit of anticoagulant therapy should be comprehensively evaluated, and individualized therapy should be given.

10.
Article in English | LILACS-Express | LILACS | ID: biblio-1391535

ABSTRACT

Objective: To describe the characteristics of older adult deaths reported in Brazil between 1998 and 2018. Methods: This is a retrospective, descriptive study performed using secondary data from the Brazilian Ministry of Health. Results: During the analyzed period, 14 145 686 older adults died in the country, of which 40.42% were over 80 years old. The main cause of death was circulatory system disease (21.50%), and the most frequent place of death was a hospital environment (68%). The Southeast region accounted for 52.83% of the country's hospital deaths and 73.33% of those occurring in other health facilities, whereas 38.56% of the deaths that happened at home took place in the Northeast region. Conclusions: The hospital environment was the predominant place of death in all regions of the country, and the main causes of death were chronic noncommunicable diseases. Alternative care modalities emerge as a possibility of establishing accessible end-of-life care in scenarios other than the hospital.


Objetivo: Descrever as características dos óbitos de idosos no Brasil notificados entre os anos de 1998 e 2018. Metodologia: Estudo descritivo retrospectivo realizado por meio de dados secundários do Ministério da Saúde. Resultados: Durante o período analisado, morreram 14.145.686 idosos no país, destes, 40,42% tinham mais de 80 anos. A principal causa de morte foram as doenças do aparelho circulatório (21,50%), e o local de morte mais frequente foi o ambiente hospitalar (68%). Na Região Sudeste ocorreram 52,83% dos óbitos em hospitais do Brasil e 73,33% dos ocorridos em outros estabelecimentos de saúde, enquanto 38,56% das mortes em domicílio ocorreram na Região Nordeste (38,56%). Conclusões: O ambiente hospitalar foi o local de óbito predominante em todas as regiões do país, e as principais causas de óbito foram as doenças crônicas não transmissíveis. Modalidades alternativas de cuidado emergem como possibilidade de estabelecer cuidados de fim de vida acessíveis em outros cenários que não o hospitalar.

11.
Esc. Anna Nery Rev. Enferm ; 26: e20210232, 2022. tab
Article in Portuguese | LILACS, BDENF | ID: biblio-1350742

ABSTRACT

Resumo Objetivo identificar respostas comportamentais apresentadas por longevos no domicílio, após internação na Unidade de Terapia Intensiva e alta hospitalar. Método estudo qualitativo, realizado com pessoas de 80 anos ou mais. O cenário da coleta de dados foi a Unidade de Terapia Intensiva e o domicílio de longevos que estiveram internados na unidade, por meio de entrevista aberta. Para análise dos dados, utilizou-se o método de análise de conteúdo de Bardin, pautada na teoria de Adaptação de Callista Roy. Todos os cuidados éticos foram respeitados. Resultados emergiram-se duas categorias: Alterações do padrão de resposta às necessidades fisiológicas e perda de autonomia e Alterações psicossociais e comprometimento na realização de atividades cotidianas de lazer e laborais. Conclusão e implicações para a prática as respostas comportamentais foram relacionadas aos modos fisiológicos e psicossociais, que culminaram em dependência e perda de autonomia para realização das atividades básicas de vida. Perceberam-se dificuldades vivenciadas no retorno ao domicílio, que provocaram alterações significativas na realização de atividades cotidianas, evidenciando a necessidade de se iniciar o preparo para o retorno domiciliar, pela equipe multiprofissional, ainda durante a hospitalização. Espera-se que estratégias visando melhorias dos resultados de cuidados críticos sejam implementadas nessa população.


RESUMEN Objetivo identificar respuestas comportamentales presentadas por longevos en el domicilio después de internación en la Unidad de Cuidados Intensivos y alta hospitalaria. Método estudio cualitativo, realizado con personas de 80 años o más. El escenario de la recolección de datos fue la Unidad de Cuidados Intensivos y el domicilio de longevos que estuvieron internados en la unidad, por medio de entrevista abierta. Para el análisis de los datos se utilizó el método de análisis de contenido de Bardin, pautado en la teoría de Adaptación de Callista Roy. Todos los cuidados éticos fueron respetados. Resultados surgieron dos categorías: Alteraciones del patrón de respuesta a las necesidades fisiológicas y pérdida de autonomía y Alteraciones psicosociales y compromiso en la realización de actividades cotidianas de ocio y laborales. Conclusión e implicaciones para la práctica las respuestas comportamentales fueron relacionadas a los modos fisiológicos y psicosociales, que culminaron en dependencia y pérdida de autonomía en la realización de las actividades básicas de la vida. Se percibieron dificultades vividas en el retorno al domicilio, que provocaron alteraciones significativas en la realización de actividades cotidianas, revelando la necesidad de iniciar la preparación para el retorno domiciliar por el equipo multiprofesional aún durante la hospitalización. Se espera que estrategias que busquen mejoras de los resultados de cuidados críticos sean implementadas en esa población.


Abstract Objective to identify the behavioral responses presented by elderly people at home after hospitalization at the intensive care unit and hospital discharge. Method a qualitative study was conducted with people aged 80 years or older. The data collection setting was the intensive care unit and the homes of the elderly people hospitalized in the unit using open interviews. Data analysis consisted of Bardin's method of content analysis based on the Callista Roy adaptation model. All ethical aspects were respected. Results two categories emerged: changes in the pattern of response to physiological needs and loss of autonomy and psychosocial changes and impairment in performing daily leisure and work activities. Conclusion and implications for practice behavioral responses were related to physiological and psychosocial factors, culminating in dependence and loss of autonomy to perform basic life activities. Difficulties experienced in returning home were also noticed, which caused significant changes in daily activities, thereby evidencing the need for multidisciplinary teams to begin preparing for the return home during hospitalization. Strategies seeking to improve critical care outcomes are highly suggested to be implemented in this population.


Subject(s)
Humans , Male , Female , Aged, 80 and over , Patient Discharge , Health of the Elderly , Critical Care Outcomes , Personal Autonomy , Qualitative Research , Functional Status , Intensive Care Units , Length of Stay
12.
Rev. enferm. UERJ ; 29: e57581, jan.-dez. 2021.
Article in English, Portuguese | LILACS | ID: biblio-1224578

ABSTRACT

Objetivo: descrever as características sociodemográficas e de saúde de mulheres e homens com 75 anos ou mais de idade, no baseline e follow-up de quatro anos e verificar para mulheres e homens as mudanças nas condições de saúde. Métodos: estudo longitudinal com 109 idosos de 75 anos ou mais de idade de um município no Triângulo Mineiro. A coleta dos dados, realizada em dois momentos (2014-2018), ocorreu no domicílio com a aplicação de instrumentos validados no Brasil. Procederam-se às análises descritiva e teste t pareado (p<0,05). Os projetos foram aprovados pelo Comitê de Ética e Pesquisa com Seres Humanos. Resultados: verificaram-se, em ambos os sexos, aumento do número de morbidades e diminuição do escore total das atividades instrumentais da vida diária. Entre as mulheres observou-se, ainda, aumento do número de quedas e do escore de fragilidade. Conclusão: ao longo do seguimento houve piora nas condições de saúde dos idosos, sendo mais expressiva entre as mulheres.


Objective: to describe the sociodemographic and health characteristics of women and men aged 75 or over, at baseline and after four years of follow-up, and to ascertain changes in their health status. Methods: in this longitudinal study of 109 elderly people aged 75 or over from a city in the Triângulo Mineiro, data were collected at two points (2014 and 2018), at home, by applying instruments validated for use in Brazil. Descriptive analysis and paired t-tests were performed (p < 0.05). The projects were approved by the human research ethics committee. Results: in both genders, the number of morbidities increased and the total score for instrumental activities of daily living decreased. Among women, the number of falls and frailty score also increased. Conclusion: the older people's health status worsened over the course of follow-up, more so among the women.


Objetivo: describir las características sociodemográficas y de salud de mujeres y hombres de 75 años o más, en la base de referencia y el seguimiento durante cuatro años, y verificar los cambios en las condiciones de salud de mujeres y hombres. Métodos: estudio longitudinal con 109 personas mayores, de 75 años o más, de un municipio del Triângulo Mineiro. La recolección de datos, realizada en dos momentos (2014-2018), se realizó en sus domicilios aplicando instrumentos validados en Brasil. Se realizaron análisis descriptivos y prueba t pareada (p <0.05). Los proyectos fueron aprobados por el Comité de Ética en Investigación con Humanos. Resultados: en ambos os sexos, hubo un aumento en el número de morbilidades y una disminución en la puntuación total de las actividades instrumentales de la vida diaria. Entre las mujeres, se observó asimismo un aumento en el número de caídas y la puntuación de fragilidad. Conclusión: a lo largo del seguimiento, las condiciones de salud de las personas mayores empeoraron, más expresivamente entre las mujeres.


Subject(s)
Humans , Male , Female , Aged , Aged, 80 and over , Health Status , Health of the Elderly , Follow-Up Studies , Longitudinal Studies , Social Determinants of Health
13.
Saude e pesqui. (Impr.) ; 14(Supl. 1): e9298, Dez. 2021.
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1359281

ABSTRACT

O objetivo deste estudo transversal com 6.974 idosos foi caracterizar o comportamento alimentar de idosos jovens e longevos determinado pela dificuldade funcional de se alimentar sozinho, autopercepção do apetite e número de refeições diárias, analisados pelo modelo de regressão de Poisson. Os idosos jovens alimentavam-se com mais facilidade e apresentavam melhor autopercepção do apetite enquanto os longevos realizavam maior número de refeições diárias. Na análise ajustada, a pior autopercepção do apetite foi relacionada com pior autopercepção de saúde geral entre os idosos jovens, e sexo feminino entre os longevos. Idosos jovens apresentaram como fator preditivo positivo do número de refeições o fato de saírem de casa e apresentarem peso adequado e nenhuma doença crônica. Entre os longevos sair de casa foi um preditor negativo do número de refeições. Assim, os fatores determinantes de pior comportamento alimentar foram ser longevo, viver sem companheiro, pior autopercepção de saúde e de saúde oral.


The objective of this cross-sectional study with 6974 old people was to characterize the eating behavior of the young-old and oldest-old determined by the functional difficulty of eating by oneself, self-perception of appetite and number of daily meals, analyzed by the Poisson regression model. Young-old people feed more easily by themselves and had better self-perception of appetite; the oldest-old ones had more daily meals. In the adjusted analysis, poor self-perception of appetite was related with poor self-perception of general health among younger elderly, and being a woman among the oldest-old ones. Younger elderly presented, as a positive predictive factor the number of meals, leaving home and having adequate weight and no chronic disease. Among the oldest-old ones, leaving home was a negative predictor of the number of meals. Thus, the determining factors for worse eating behavior were being oldest-old, living without a partner, poor self-rated health and oral health.

14.
Rev. enferm. UERJ ; 29: e59737, jan.-dez. 2021.
Article in English, Portuguese | LILACS-Express | LILACS | ID: biblio-1353340

ABSTRACT

Objetivo: descrever o perfil e a capacidade funcional de pessoas longevas encontradas na literatura científica. Método: revisão integrativa realizada em março de 2021, nas bases de dados CINAHL, MEDLINE, LILACS, BDENF, SCOPUS e WEB OF SCIENCE, incluindo estudos realizados com idosos de 80 anos ou mais, institucionalizados ou da comunidade, que utilizassem as escalas Barthel, Lawton e Brody ou Katz, sem delimitação de período ou idioma. A análise ocorreu de maneira descritiva. Resultados: selecionaram-se 16 artigos, a maioria publicada em 2020, no idioma inglês, desenvolvidos por médicos e em países europeus. Predominaram longevos da comunidade, do sexo feminino e com comorbidades. A escala de Katz foi a mais utilizada para avaliar a capacidade funcional dos longevos e estes possuíam algum grau de dependência nas atividades diárias e instrumentais. Conclusão: os longevos são, em sua maioria, da comunidade, mulheres, com comorbidades, principalmente hipertensão arterial, e apresentam maior grau de dependência nas atividades instrumentais.


Objective: to describe the profile and functional capacity of long-lived persons found in the scientific literature. Method: this integrative review was carried out in March 2021 in the CINAHL, MEDLINE, LILACS, BDENF, SCOPUS and WEB OF SCIENCE databases, including studies conducted with people aged 80 years or more, institutionalized or in the community, using the Barthel, Lawton & Brody or Katz scales, with no time or language limits. The analysis was descriptive. Results: 16 articles were selected, most of them published in 2020, in English, by doctors, and in European countries. The long-lived persons were predominantly in the community, female and had comorbidities. The Katz scale was the most used to assess functional capacity in the long-lived persons, who displayed some degree of dependence in daily and instrumental activities. Conclusion: the longlived persons were mostly in the community, women, with comorbidities, especially arterial hypertension, and were more dependent in instrumental activities.


Objetivo: describir el perfil y capacidad funcional de personas longevas que se encuentran en la literatura científica. Métodos: revisión integradora realizada en marzo de 2021, en las bases de datos CINAHL, MEDLINE, LILACS, BDENF, SCOPUS y WEB OF SCIENCE, incluyendo estudios realizados junto a personas mayores de 80 años internados o en la comunidad, utilizando las escalas Barthel, Lawton y Brody o Katz, sin límites de tiempo ni de idioma. El análisis se realizó de forma descriptiva. Resultados: Se seleccionaron 16 artículos, la mayoría publicados en 2020, en inglés, desarrollados por médicos y en países europeos. Predominaron longevos de la comunidad, del sexo femenino y con comorbilidades. La escala de Katz fue la más utilizada para evaluar la capacidad funcional de esos longevos y se vio que estos tenían cierto grado de dependencia en las actividades cotidianas e instrumentales. Conclusión: los longevos son, en su mayoría, de la comunidad, mujeres, con comorbilidades, especialmente hipertensión arterial y tienen un mayor grado de dependencia en las actividades instrumentales.

15.
Salud UNINORTE ; 37(2): 488-505, mayo-ago. 2021.
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1377262

ABSTRACT

RESUMEN Objetivo: Describir el proceso y modelos de envejecimiento, discapacidad, cuidado y centros día para atención de población adulta mayor. Metodología: Revisión narrativa de tema utilizando bases de datos como PubMed, información de la Organización Mundial de la Salud, guías de geriatría, revistas, artículos científicos y trabajos de grado acerca de los temas de vejez, aumento de la población y centros día. Resultados: El envejecimiento como proceso natural hace parte del ciclo de vida y comprende un amplio conjunto de procesos biológicos, psicológicos y sociales. Los centros día son una opción para no institucionalizar al adulto mayor dependiente, y en el adulto mayor sano, una opción de actividad, recreación y dignificación. Además, tienen objetivos dirigidos al cuidador. Actualmente el envejecimiento poblacional es una realidad mundial en la que los centros día pueden ser parte de la respuesta a la hora de cubrir las necesidades de cuidado, dignificación e integración de la población adulta mayor. Conclusión: Una opción para brindar cuidado integral de los adultos mayores son los centros día, los cuales son una alternativa intermedia entre conservar su ambiente habitual/ familiar y casos de institucionalización. El tema de los centros día para adultos mayores es un tópico que continúa en desarrollo, respecto a los cuales existen varias definiciones, formas de trabajo y procesos terapéuticos que se pueden llevar a cabo en estos. Es necesario conservar y fortalecer la salud y bienestar de los adultos mayores, y promover procesos de envejecimiento exitoso, saludable y/o activo.


ABSTRACT Objective: Describe the process and models of aging, disability, care and day-care centers for the elderly population. Methodology: A narrative review of the topic using databases such as PubMed, information from the World Health Organization, geriatric guides, journals, scientific articles, and graduate projects on the issues of old age, population growth, and daycare centers. Results: Aging as a natural process is part of the life cycle and includes a broad set of biological, psychological, and social processes. Daycare centers are an option not to institutionalize the dependent older adult, and, for the healthy older adult, an option for activity, recreation, and dignity. In addition, they have goals directed at the caregiver. Currently, population aging is a global reality where daycare centers can be part of the answer to meeting the needs of care, dignity, and integration of older adults. Conclusion: Care goes beyond medical care. One option to provide comprehensive care for older adults is daycare centers, which are an intermediate alternative between preserving their usual/family environment and cases of institutionalization. The topic of daycare centers for older adults is a topic that continues to develop. There are various definitions, ways of working, and therapeutic processes that can be carried out. It is necessary to preserve and strengthen the health and well-being of older adults, and to promote successful, healthy, and active aging processes.

16.
Arq. bras. cardiol ; 116(6): 1027-1036, Jun. 2021. tab, graf
Article in English, Portuguese | LILACS | ID: biblio-1278332

ABSTRACT

Resumo Fundamento Apesar das evidências crescentes de que o peptídeo natriurético N-terminal pró-cérebro (NT-proBNP) tem um valor prognóstico importante em adultos mais velhos, há dados limitados sobre seu valor preditivo prognóstico. Objetivos O objetivo deste estudo é avaliar o significado clínico do NT-proBNP em pacientes hospitalizados com mais de 80 anos de idade em Pequim, China. Métodos Este estudo prospectivo e observacional foi conduzido em 724 pacientes muito idosos em uma enfermaria geriátrica (idade ≥80 anos, variação, 80-100 anos, média, 86,6±3,0 anos). A análise de regressão linear multivariada foi utilizada para rastrear os fatores independentemente associados ao NT-proBNP, e o modelo de regressão de risco proporcional de Cox foi utilizado para rastrear as associações entre os níveis de NT-proBNP e os principais endpoints . Os principais endpoints avaliados foram mortes por todas as causas e ECAM. Valores de p <0,05 foram considerados estatisticamente significativos. Resultados As taxas de prevalência de doença cardíaca coronariana, hipertensão e diabetes mellitus foram 81,4%, 75,1% e 41,2%, respectivamente. O nível médio de NT-proBNP foi 770±818 pg/mL. Utilizando análises de regressão linear multivariada, foram encontradas correlações entre o NT-proBNP plasmático e índice de massa corporal, fibrilação atrial, taxa de filtração glomerular estimada, diâmetro do átrio esquerdo, fração de ejeção do ventrículo esquerdo, uso de betabloqueador, níveis de hemoglobina, albumina plasmática, triglicérides, creatinina sérica, e nitrogênio uréico no sangue. O risco de morte por todas as causas (HR, 1,63; IC 95%, 1,005-2,642; p = 0,04) e eventos cardiovasculares adversos maiores (ECAM; HR, 1,77; IC 95%, 1,289-3,531; p = 0,04) no grupo com o nível mais alto NT-proBNP foi significativamente maior do que no grupo com NT-proBNP mais baixo, de acordo com os modelos de regressão de Cox após o ajuste para vários fatores. Como esperado, os parâmetros da ecocardiografia ajustaram o valor prognóstico do NT-proBNP no modelo. Conclusões O NT-proBNP foi identificado como um preditor independente de morte por todas as causas e ECAM em pacientes hospitalizados com mais de 80 anos de idade.


Abstract Background Despite growing evidence that N-terminal pro-brain natriuretic peptide (NT-proBNP) has an important prognostic value in older adults, there is limited data on its prognostic predictive value. Objectives The aim of this study is to evaluate the clinical significance of NT-proBNP in hospitalized patients older than 80 years of age in Beijing, China. Methods This prospective, observational study was conducted in 724 very elderly patients in a geriatric ward (age ≥80 years, range, 80100 years, mean, 86.6 3.0 years). Multivariate linear regression analysis was used to screen for factors independently associated with NT-proBNP, and the Cox proportional hazard regression model was used to screen for relationships between NT-proBNP levels and major endpoints. The major endpoints assessed were all-cause death and MACEs. P values < 0.05 were considered statistically significant. Results The prevalence rates of coronary heart disease, hypertension, and diabetes mellitus were 81.4%, 75.1%, and 41.2%, respectively. The mean NT-proBNP level was 770 ± 818 pg/mL. Using multivariate linear regression analyses, correlations were found between plasma NT-proBNP and body mass index, atrial fibrillation, estimated glomerular filtration rate, left atrial diameter, left ventricular ejection fraction, use of betablocker, levels of hemoglobin, plasma albumin, triglycerides, serum creatinine, and blood urea nitrogen. The risk of all-cause death (HR, 1.63; 95% CI, 1.0052.642; P = 0.04) and major adverse cardiovascular events (MACE; HR, 1.77; 95% CI, 1.2893.531; P = 0.04) in the group with the highest NT-proBNP level was significantly higher than that in the group with the lowest level, according to Cox regression models after adjusting for multiple factors. As expected, echocardiography parameters adjusted the prognostic value of NT-proBNP in the model. Conclusions NT-proBNP was identified as an independent predictor of all-cause death and MACE in hospitalized patients older than 80 years of age.


Subject(s)
Humans , Aged , Ventricular Function, Left , Natriuretic Peptide, Brain , Peptide Fragments , Prognosis , Stroke Volume , Biomarkers , China , Prospective Studies , Risk Factors , Beijing , Hospitals
17.
Ciênc. Saúde Colet. (Impr.) ; 26(5): 1899-1910, maio 2021. tab
Article in English | LILACS | ID: biblio-1249503

ABSTRACT

Abstract The scope was to verify the impact of oral and sociodemographic conditions, the dental treatment needs and dental pain, on the quality of life of the elderly. This cross-sectional study was conducted in 15 primary health care areas. A backward multivariate linear regression model was used (p<0.05) with oral health related-quality of life as dependent variable. There were 335 elderly people with predominance of women (56.72%) and aged up to 74 years (59.40%). Those who had up to 8 years of education predominated (87.46%), and those who were still working were the minority (13.43%). Multivariate linear regression (p<0.05) showed association with missing teeth (β=0,12; IC 0,00:0,04; p<0,04) and dental prosthesis needs (β=0,14; IC 0,13:0,81; p<0,01), women (β=0,18; IC 0,23:0,85; p<0,01), less aged (β=-0,12; IC -0,05:0,00; p<0,02), not working (β=-0,15; IC -1,09:-0,20; p<0,01), with dental care need (β=0,24; IC 0,25:0,63; p<0,01) and dental pain (β=0,14; IC 0,10:0,64; p<0,01). Missing teeth, sociodemographic conditions, dental treatment needs and dental pain might impact oral health-related quality of life of elders.


Resumo O objetivo foi verificar o impacto da condição bucal e sociodemográfica, necessidade de tratamento odontológico e dor dentária na qualidade de vida de idosos. Este estudo transversal realizou-se em 15 áreas de cuidados primários de saúde. O modelo de regressão linear multivariado foi utilizado (p <0,05) considerando qualidade de vida como variável dependente. Participaram 335 idosos, predomínio de mulheres (56,72%) com idade até 74 anos (59,40%). Ter até 8 anos de estudo predominou (87,46%) e os que trabalhavam eram minoria (13,43%). A regressão linear multivariada (p <0,05) apresentou associação da qualidade de vida com dentes perdidos (β=0,12; IC 0,00:0,04; p<0,04) e necessidade de próteses (β =0,14; IC 0,13:0,81; p<0,01), com mulheres (β=0,18; IC 0,23:0,85; p<0,01), idosos mais jovens (β=-0,12; IC -0,05:0,00; p<0,02), que não trabalham (β=-0,15; IC -1,09:-0,20; p<0,01), com necessidades de tratamento odontológico (β=0,24; IC 0,25:0,63; p<0,01) e dor dentária (β=0,14; IC 0,10:0,64; p<0,01). Dentes perdidos, aspectos sociodemográficos, necessidade de tratamento odontológico e dor dentária podem impactar a qualidade de vida relacionada à saúde bucal de idosos.


Subject(s)
Humans , Female , Aged , Quality of Life , Tooth Loss , Oral Health , Cross-Sectional Studies , Educational Status
18.
Saude e pesqui. (Impr.) ; 14(1): 65-72, jan-mar 2021.
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1254285

ABSTRACT

O objetivo foi verificar os fatores associados à percepção de saúde de idosos nonagenários e centenários cadastrados em quatro Estratégias de Saúde da Família do município de Santa Rosa (RS). Trata-se de um estudo quantitativo, descritivo e transversal com 41 idosos com 90 anos e mais, de ambos os sexos. Foi aplicado um questionário de características sociodemográficas/socioeconômicas e de saúde e também se avaliaram a capacidade funcional e a autopercepção de saúde. Para análise dos dados, utilizaram-se estatísticas descritivas e o teste de Qui-quadrado e o Exato de Fisher (p ≤ 0,05). Os idosos perceberam sua saúde como boa (51,2%) condição que se associou com a renda (p= 0,015) e a escolaridade (p = 0,038). Os resultados apontaram para uma boa autopercepção de saúde dos idosos pesquisados, além de revelar que os quem possuíam renda e escolaridade mais altas tinham melhor percepção do estado de saúde.


The objective was to verify the factors associated with the health perception of nonagenarian and centenary elderly registered in four Family Health Strategies in the city of Santa Rosa (RS). Quantitative, descriptive and cross-sectional study with 41 elderly people aged ninety years and over of both genders, registered in four Family Health Strategies in Santa Rosa (RS). A questionnaire on socio-demographic / socioeconomic and health characteristics was applied, in addition to the assessment of functional capacity and self-perceived health. For data analysis, descriptive statistics and the chi-square test and Fisher's Exact test (p ≤ 0.05) were used. The elderly perceived their health as good (51.2%) and was associated with income (p = 0.015) and education (p = 0.038). The results point to a good self-perceived health of the elderly surveyed and that those who had higher income and education had a better perception of their health status.

19.
Rev. bras. cir. cardiovasc ; 36(1): 64-70, Jan.-Feb. 2021. tab, graf
Article in English | LILACS | ID: biblio-1155785

ABSTRACT

Abstract Objective: We aimed to analyze the early and long-term results of open-heart surgery in Turkish patients aged 80 years or older who were operated on at our center. Methods: All patients aged 80 years or older who underwent surgery between January 2000 and December 2013 at a high-level heart center were included in the study. The in-hospital data of study patients were obtained from the electronic database and from the hospital files. Survival data were analyzed as a long-term outcome. Results: A total of 245 patients aged 80-93 years were evaluated in the study. The patients were followed up 5.4±3.7 years after open-heart surgery. In-hospital mortality rates were 10% in elective cases and 15.1% overall. Age ≥85 years, chronic kidney disease, chronic obstructive pulmonary disease, and emergency surgery were independent predictors of in-hospital mortality. The median survival time was found to be 4.4±0.3 years for all participants. The long-term survival of patients who underwent emergency cardiac surgery was significantly lower than that of elective patients (log-rank <0.001). Conclusion: Octogenarians have satisfactory long-term outcomes after open-heart surgery when operated electively. On the other hand, patients operated under emergency conditions have worse in-hospital outcomes and long-term follow-up results.


Subject(s)
Humans , Aged, 80 and over , Pulmonary Disease, Chronic Obstructive , Cardiac Surgical Procedures , Retrospective Studies , Risk Factors , Age Factors , Treatment Outcome , Hospital Mortality , Elective Surgical Procedures
20.
Article in Chinese | WPRIM | ID: wpr-907380

ABSTRACT

Objective:To analyze the characteristics of total cerebral small vessel disease (CSVD) burden in octogenarians with CSVD and to investigate its correlation with serum uric acid.Methods:From January 2019 to December 2020, patients with CSVD diagnosed by 3.0 T magnetic resonance imaging (MRI) in Departments of Neurology and Departments of Geriatrics, Liaoning Jinqiu Hospital were enrolled retrospectively. The patients were scored and grouped according to the total CSVD burden assessment standard. Ordered logistic regression analysis was used to investigate the independent influencing factors of the total CSVD burden score, and the Spearman rank correlation method was used to conduct the correlation analysis between serum uric acid and the total CSVD burden score. Results:A total of 217 octogenarians with CSVD were enrolled in the study. Their age was 87.3±4.5 years, 150 were males (69.1%), and their median serum uric acid was 313.0 μmol/L. The total CSVD burden score: 50 patients (23.1%) in 1-point group, 79 (36.4%) in 2-point group, 68 (31.3%) in 3-point group, and 20 (9.2%) in 4-point group. The imaging subtypes of CSVD were mainly asymptomatic lacunar infarcts (ALIs; 98.2%) and white matter hyperintensities (WMHs; 77.0%). The CSVD subtype combination was different between different total CSVD burden score groups. There were only two subtypes in the 1-point group, mainly ALIs (92.0%), and WMHs accounted for only 8.0%. Four subtypes could be observed in other groups, among which ALIS+ WMHs mixed subtype (100% in the 3-point group and the 4-point group) accounts for the highest proportion. The detection rates of cerebral microbleeds (CMBs) and enlarged perivascular spaces (EPVS) increased significantly with the increase of the total CSVD burden score. The 3-point group was 44.1% and 55.9% respectively. Univariate analysis showed that there were significant differences in age, male, hypertension, coronary heart disease, serum uric acid level, high-density lipoprotein cholesterol and the highest quartile of serum uric acid between total CSVD burden score groups ( P<0.05). Multinomial ordinal logistic regression analysis showed that there was significant independent correlation between age (odds ratio 1.074, 95% confidence interval 1.013-1.140; P=0.017), serum uric acid (odds ratio 1.005, 95% confidence interval 1.000-1.009; P=0.032) and the total CSVD burden score. Spearman rank correlation analysis showed that there was a positive correlation between serum uric acid and the total CSVD burden score ( r=0.153, P=0.024). Conclusions:ALIs and WMHs are most common in octogenarians with CSVD. Four subtypes were observed in each group ≥2, and the proportion of EPVS and CMBs also increases with the increase of the total CSVD burden score. There is an independent correlation between serum uric acid and the total CSVD burden in the octogenarians.

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