Hospitalizacao e fatores associados entre residentes de instituicoes de longa permanencia para idosos / Hospitalization and risk factors among elderly individuals living in nursing homes

RESUMO

O estudo avaliou a prevalencia de internacao hospitalar no periodo de um ano e os fatores associados com base em um censo entre residentes de instituicoes de longa permanencia para idosos em Pelotas, Rio Grande do Sul, Brasil. A internacao hospitalar foi avaliada com a pergunta: "Desde do ano passado, o(a) Sr.(a) baixou em algum hospital?". Dos 521 individuos elegiveis, coletou-se informacao de 466 (89,4 por cento). A prevalencia de hospitalizacao no ultimo ano foi de 23,9 por cento (IC95 por cento: 19,9-27,8) e associou-se com: incapacidade para atividades basicas vida diaria, ocorrencia de queda no ultimo ano e o fato de ser ex-fumante. Individuos solteiros e separados tiveram protecao para internacao hospitalar. Houve tambem associacao inversa do desfecho com autopercepcao de saude. A alta prevalencia de internacao hospitalar encontrada em individuos residentes em instituicoes de longa permanencia para idosos e um importante indicador para o planejamento dos servicos de saude, de forma a bem atender as demandas de uma populacao em transicao demografica e epidemiologica.

ABSTRACT

The aim of the present study was to evaluate the prevalence of hospital admissions over a one-year period and associated factors through a survey of elderly subjects living in nursing homes in Pelotas, Rio Grande do Sul State, Brazil. Hospital admissions were assessed using the question: "From last year to today, were you admitted to a hospital?" Out of 521 eligible individuals, information was collected for 466 (89.4 percent). Prevalence of hospital admissions in the previous 12 months was 23.9 percent (95 percentCI: 19.9-27.8). Admissions were directly associated with: inability to perform basic activities of daily living, falls, and history of smoking. Single and divorced individuals were less likely to be hospitalized. There was an inverse association between hospitalization and self-rated health. The high prevalence of hospitalization among elderly subjects living in nursing homes is an important indicator for the organization of health services, in order to ensure high-quality services for a population group experiencing a demographic and epidemiological transition.