Acute kidney injury in nonagenarians: clinical characteristics and mortality / Injúria renal aguda em nonagenários: características clínicas e mortalidade

Abstract Introduction: Nonagenarians constitute a rising percentage of inpatients, with acute kidney injury (AKI) being frequent in this population. Thus, it is important to analyze the clinical characteristics of this demographic and their impact on mortality. Methods: Retrospective study of nonagenarian patients with AKI at a tertiary hospital between 2013 and 2022. Only the latest hospital admission was considered, and patients with incomplete data were excluded. A logistic regression analysis was conducted to define risk factors for mortality. A p-value < 0.05 was considered statistically significant. Results: A total of 150 patients were included, with a median age of 93.0 years (91.2-95.0), and males accounting for 42.7% of the sample. Sepsis was the most common cause of AKI (53.3%), followed by dehydration/hypovolemia (17.7%), and heart failure (17.7%). ICU admission occurred in 39.3% of patients, mechanical ventilation in 14.7%, vasopressors use in 22.7% and renal replacement therapy (RRT) in 6.7%. Death occurred in 56.7% of patients. Dehydration/hypovolemia as an etiology of AKI was associated with a lower risk of mortality (OR 0.18; 95% CI 0.04-0.77, p = 0.020). KDIGO stage 3 (OR 3.15; 95% CI 1.17-8.47, p = 0.023), ICU admission (OR 12.27; 95% CI 3.03-49.74, p < 0.001), and oliguria (OR 5.77; 95% CI 1.98-16.85, p = 0.001) were associated with mortality. Conclusion: AKI nonagenarians had a high mortality rate, with AKI KDIGO stage 3, oliguria, and ICU admission being associated with death.

Resumo Introdução: Nonagenários constituem um percentual de pacientes internados em ascensão, sendo a injúria renal aguda (IRA) frequente nesses pacientes. Sendo assim, é importante analisar as características clínicas dessa população e seu impacto na mortalidade. Métodos: Estudo retrospectivo de pacientes nonagenários com IRA entre 2013 e 2022 em um hospital terciário. Apenas o último internamento foi considerado e pacientes com dados incompletos foram excluídos. Uma análise por regressão logística foi realizada para definir fatores de risco para mortalidade. Um valor de p < 0,05 foi considerado significativo. Resultados: Foram incluídos 150 pacientes com mediana de idade 93,0 anos (91,2-95,0) e sexo masculino em 42,7%. Sepse foi a causa mais comum de IRA (53,3%), seguida de desidratação/hipovolemia (17,7%) e insuficiência cardíaca (17,7%). Admissão na UTI ocorreu em 39,3% dos pacientes, ventilação mecânica em 14,7%, uso de vasopressores em 22,7% e realização de terapia renal substitutiva (TRS) em 6,7%. Óbito ocorreu em 56,7% dos pacientes. Desidratação/hipovolemia como etiologia da IRA foi associado a menor risco de mortalidade (OR 0,18; IC 95% 0,04-0,77, p = 0,020). Estágio KDIGO 3 (OR 3,15; IC 95% 1,17-8,47, p = 0,023), admissão na UTI (OR 12,27; IC 95% 3,03-49,74, p < 0,001) e oligúria (OR 5,77; IC 95% 1,98-16,85, p = 0,001) foram associados à mortalidade. Conclusão: Nonagenários com IRA apresentaram alta mortalidade e IRA KDIGO 3, oligúria e admissão na UTI foram associadas ao óbito.

Evaluation of the Surgical Treatment of Patients over 90 Years Old with Hip Fractures and Their Morbidity and Mortality / Avaliação do tratamento cirúrgico de pacientes acima de 90 anos com fraturas de quadril e sua morbimortalidade

Abstract Objective: Hip fractures in older adults have the highest impact on the patient's health. These injuries result in many complications, reducing functional capability, quality of life, and life expectancy. This study aimed to provide more epidemiological data on the outcomes of these fractures in nonagenarians from a large city treated at a tertiary hospital. Methods: This study consisted of medical record reviews and interviews. Results: In this study, 76 patients underwent 82 surgeries. The mean age of the patients was 92.5 years. Ninety percent of the subjects were female. The patients spent 10.4 days in hospital. Surgery occurred on average 2.3 days after hospitalization. Regarding fractures, 46 were trochanteric (56%), and 34 affected the femoral neck (41.5%). Forty-one surgeries used the short proximal femoral nail (50%), and 18 were partial hip replacements (22%). During hospitalization, 46 patients (55%) had no complications, excluding episodes of delirium, and seven patients (9%) died. Forty-two subjects completed the one-year postoperative follow-up period, with 56% alive and 44% dead. Conclusions: Treating hip fractures in older patients is challenging. Our goal must focus on helping these subjects receive the quickest and least aggressive treatment possible and start mobilization early. We hope the data presented in this study can lead to a better understanding of the characteristics of our nonagenarian population with hip fractures and seek the best possible treatment for them.

Resumo Objetivo: As fraturas de quadril em idosos são as que mais impactam na saúde do paciente e estão associadas a muitas complicações, levando a redução da capacidade funcional, da qualidade de vida e da expectativa de vida. O nosso trabalho visa trazer mais dados epidemiológicos sobre os desfechos dessas fraturas em nonagenários em uma grande cidade atendidos em um hospital terciário. Métodos: O trabalho foi realizado através de revisão de prontuários e entrevistas. Resultados: Foram realizadas 82 cirurgias em 76 pacientes nesse período. A média de idade foi de 92,5 anos, 90% eram mulheres e ficaram 10,4 dias internados. A cirurgia foi realizada em média 2,3 dias após a internação. Do total, 46 fraturas foram trocantéricas (56%) e 34 do colo do fêmur (41,5%). Foram realizadas 41 cirurgias com a técnica da haste cefalomedular curta (50%) e 18 artroplastias parcial de quadril (22%). Durante a internação, 46 pacientes (55%) não apresentaram complicações, excluindo episódios de delirium, e 7 pacientes (9% dos casos) evoluíram para óbito. 42 pacientes já fecharam 1 ano após cirurgia: 56% estão vivos e 44% evoluíram para óbito. Conclusões: O tratamento de fraturas de quadril em pacientes idosos é desafiador. O nosso objetivo deve estar focado em ajudar esses idosos a receber um tratamento rápido e menos agressivo possível e a mobilizar precocemente. Esperamos que, com os dados apresentados nesse trabalho, possamos entender melhor acerca das características da nossa população nonagenária vítimas de fratura de quadril e buscar o melhor tratamento possível para esses pacientes.

Características Epidemiológicas y Clínicas de los Pacientes Nonagenarios Hospitalizados en un Servicio de Medicina Interna de un Hospital Terciario / Epidemiological and Clinical Characteristics of nonagenary patients hospitalized in an Internal Medicine Departament og A tertiary Hospital

Se presenta un estudio observacional retrospectivo de todos los pacientes mayores 90 ingresados en un Servicio de Medicina Interna durante el año 2017, siendo seguidos durante un año para recabar los datos de mortalidad. Se incluyeron 932 pacientes, con una media de edad de 93,1 años (67,6% mujeres). La mediana de la estancia resultó de 7 días. Un 21,7% fallecieron durante el ingreso hospitalario. El porcentaje de reingresos en los primeros 30 días tras el alta fue del 8,4% y la mortalidad al año fue del 55,3%. Los pacientes nonagenarios representan un alto porcentaje de los ingresos en un Servicio de Medicina Interna; sin embargo, su estancia hospitalaria fue similar a la del resto de los pacientes ingresados y el número de reingresos precoces fue bajo. Sin embargo, su mortalidad al año fue elevada, especialmente durante el primer mes tras el alta. (AU)

Retrospective observational study of 90 years patients or older who were admitted to an Internal Medicine Service during 2017. Also followed up for one year after going home to collect mortality data. 932 patients were included, with a mean age of 93.1 years (67.6% women). The median stay was 7 days. In-hospital mortality was 21.7%. Readmissions in the first 30 days after discharge was 8.4% and mortality at one year was 55.3%. Nonagenarian represent a high percentage of patients in an Internal Medicine Service. The hospital stay was similar to other patients and the number of early readmissions was low. However, the mortality at first year was high, especially during the first month after discharge. (AU)

Pronóstico de pacientes nonagenarios ingresados por fracaso renal agudo / Prognosis of in hospital nonagenarians with acute kidney injury

Fundamento: El desarrollo de un fracaso renal agudo(FRA, definido siguiendo las guías KDIGO) durante unahospitalización en pacientes nonagenarios ha sido pocoestudiado. El objetivo del presente estudio es analizar lamortalidad en pacientes nonagenarios hospitalizados quedesarrollan un FRA. Métodos: Se recogieron todos los pacientes nonagenariosque desarrollaron FRA durante el ingreso hospitalarioentre 2013 y 2014. Basalmente, se recogieron variablesepidemiológicas, comorbilidades y, durante el ingreso, variables analíticas y mortalidad. Se analizaron las variablesasociadas a mortalidad durante el episodio de FRA y lospredictores independientes mediante regresión logística. Resultados: Se incluyeron 264 pacientes nonagenarioscon FRA. La edad media fue 93±3 años, siendo 73 (27,7 %)varones. Durante la hospitalización fallecieron 79 pacientes (29,9 %). Las comorbilidades asociadas a mortalidadfueron la insuficiencia cardiaca (p = 0,018), la disfuncióndiastólica (p = 0,042) y un mayor nivel o grado de dependencia (p = 0,003). Las variables clínicas en el momentodel ingreso que se asociaron a mortalidad fueron presiónarterial sistólica y diastólica más baja (p = 0,016 y 0,013,respectivamente), leucocitosis (p = 0,003), mayor severidad del FRA valorado por AKIN (p = 0,003) y valor deácido L- láctico más alto (p = 0,005). Los predictores independientes de mortalidad fueron la insuficiencia cardiaca(OR = 2,31; IC95%: 1,07-5,00; p = 0,036), la dependencia valorada por el índice de Barthel modificado (OR = 0,80; IC95%:0,67-0,97; p < 0,016) y el L- láctico al ingreso (OR = 1,31;IC95%: 1,06-1,61; p = 0,005). Conclusión: La insuficiencia cardiaca, el nivel de dependencia y el ácido L- láctico al ingreso son predictores independientes de mortalidad en pacientes nonagenarioshospitalizados con FRA.(AU)

Background:Ñ There has been little in the way of studyof nonagenarians with acute kidney injury (AKI, definedin lines with KDIGO guidelines), but the rise in their lifeexpectancy makes further study of this population necessary. The aim of this study is to assess mortality in nonagenarians with AKI during hospitalization. Methods: In this retrospective study, patients with AKIduring hospitalization between 2013-2014 were included.At baseline, epidemiological variables, comorbidities andtreatments were collected. Analytics and mortality werestudied during hospitalisation. Univariate analysis wascarried out to evaluate mortalityssociated variables.A logistic regression analysis was carried out to demonstrate independent predictors for mortality. Results: Two hundred and sixty four nonagenarian patients were included. Mean age was 93±3 years, 73 (27.7 %)of whom were men. During hospitalization, 79 patients(29.9 %) died. Comorbidities related to mortality werehistory of heart failure (p = 0.018), diastolic dysfunction(p < 0.042) and higher dependence according to the modified Barthel index (p = 0.003). The clinical variables related to mortality at hospital admission were lower systolic(p = 0.016) and diastolic blood pressure (p = 0.013), higherwhite blood cell count (p = 0.003), greater severity of AKI(p = 0.003) and L- lactic (p = 0.005). In an adjusted multivariate analysis, history of heart failure (OR = 2.31, 95%CI:1.07-5.00, p = 0.036), dependence according to the Barthelindex (OR = 0.80, 95%CI: 0.67-0.97, p = 0.016) and L- lacticacid (OR = 1.31, 95%IC: 1.06-1.61, p = 0.005) were independent predictors of mortality. Conclusion: Heart failure, dependence according to theBarthel index and L- lactic acid at admission are independent predictors of mortality in nonagenarians hospitalizedwith AKI.

[Baseline characteristics of nonagenarians hospitalised due to acute kidney injury compared to other age groups]. / Características basales de los pacientes nonagenarios ingresados por fracaso renal agudo en comparación con otros grupos etarios.

BACKGROUND: The increase in life expectancy leads to higher hospitalisation rates in elderly patients. The aim of this work is to study the characteristics of the population over 90 years of age that are admitted due to acute kidney injury (AKI). MATERIAL AND METHODS: A cross-sectional study was conducted that included all patients admitted to hospital with AKI in the years 2013 and 2014. Epidemiological characteristics, comorbidity, medication and baseline analytical data were collected, and a comparison was made between patients with age over 90 years-old and the others. RESULTS: A total of 1733 patients were included, of whom 264 (15%) were over 90 years-old. A significantly higher proportion of these patients were women. The most frequent cause of AKI in patients older than 90 years was functional (81%) (p < 0.001 compared to other age groups). The main cause of hospital admission was infection. In the group of over 90 years of age, a higher prevalence was found for arterial hypertension (p = 0.005), chronic kidney disease (p = 0.014), congestive heart failure (p = 0.006), and cognitive impairment (p < 0.0001). The baseline glomerular filtration rate by CKD-EPI was lower in the group of patients older than 90 years (p < 0.0001). Patients under 90 years admitted to hospital due to AKI, had a higher prevalence of diabetes mellitus (p < 0.001), dyslipidaemia (p < 0.001), history of neoplasia (p < 0.001), and a higher Barthel index (p < 0.0001). CONCLUSIONS: Nonagenarians admitted due to AKI have functional aetiology as the most common factor. These patients have a higher prevalence of hypertension, heart failure, chronic kidney disease, low functional status, and more cognitive impairment.

Comportamiento de la fragilidad, polifarmacia y autovalidismo en la calidad de vida del longevo / Behavior of fragility, polypharmacy and self-validism in the elderly-quality of life

RESUMEN Introducción: el envejecimiento de la población, uno de los mayores triunfos de la humanidad también uno de los mayores desafíos al que no es ajena la provincia pinareña. Objetivo: evaluar el comportamiento de la fragilidad, polifarmacia, y autovalidismo en la calidad de vida del longevo que ingresó en el Hospital Clínico Quirúrgico Docente Dr. León Cuervo Rubio de Pinar del Rio durante los años 2016 y 2017. Métodos: se trató de un estudio descriptivo, analítico de corte transversal en un grupo de longevos ingresados en el hospital provincial seleccionado, siendo el universo 673 pacientes y la muestra 642 ingresados en el período comprendido que cumplieron los criterios de inclusión. Se aplicó la estadística descriptiva y las frecuencias absolutas y relativas porcentuales. Resultados: predominó el sexo masculino, el grupo etario que sobresalió fue 90-94 años. El mayor porciento de los nonagenarios fueron frágiles, y una pequeña parte independientes para la realización de las actividades de la vida diaria, requiriendo en su mayoría asistencia. La polifarmacia demostró ser una real problemática en los longevos. Todos los criterios evaluados repercutieron negativamente en la calidad de vida de los longevos predominando la categoría de media sobre la alta. Conclusiones: demostrada que la relación existente entre fragilidad, polifarmacia y autovalidismo como determinantes, repercutieron directamente en la evaluación de la calidad de vida de los longevos.

ABSTRACT Introduction: the ageing of the population, one of the greatest triumphs of humanity and also one of the greatest challenges to which the province of Pinar del Río is not unaware. Objective: to evaluate the behavior of fragility, polypharmacy, and self-validism in the elderly-quality of life admitted to Dr. Leon Cuervo Rubio de Pinar del Rio Clinical Surgical Teaching Hospital during the years 2016 and 2017. Methods: it was a descriptive, analytical and cross-sectional study in a group of older people admitted to the chosen provincial hospital, the target group comprised 673 patients and the sample 642 admitted during the period covered, who met the inclusion criteria. Descriptive statistics and absolute and relative percentage frequencies were applied. Results: male gender predominated; the age group that stood out was 90-94 years. The highest percentage of nonagenarians were fragile, and a small part independent for the performance of activities of daily living, most of them requiring frequently assistance. Polypharmacy proved to be a real problem in longevity. All the criteria evaluated had a negative impact on the quality of life of the longevos, medium rate over the high category predominated. Conclusions: it was demonstrated that the existing relationship among fragility, polypharmacy and self-validism as determinants had a direct impact on the assessment of the quality of life of longevos.

Relato de endomiocardiofibrose de ventrículo direito em paciente nonagenária / Case history of right ventricular endomyocardial fibrosis in a nonagenarian patient

A endomiocardiofibrose é uma cardiopatia restritiva, pouco comum, com descrição recente. Foi descrita pela primeira vez em 1938, por Williams e estudada do ponto de vista anatomopatológico pelo patologista Davies, na África do Sul, recebendo o epônimo Doença de Davies em 1948. Considerando a história natural dessa doença, há maior incidência de diagnósticos nas terceiras e quartas décadas da vida, com média de 32 anos. Queremos chamar a atenção da comunidade científica, relatando o caso de uma senhora com diagnóstico inicial de endomiocardiofibrose aos 90 anos e indagar sobre a incidência e o subdiagnóstico dessa doença, bem como sua evolução

Endomyocardial fibrosis is a rare, recently-described, restrictive cardiopathy. It was first described in 1938 by Williams and studied from an anatomopathological perspective by pathologist Davies in South Africa, receiving the eponym Davies Disease in 1948. In terms of the natural history of this disease, there is a higher incidence of diagnoses in the third and fourth decades of life, at a mean age of 32 years. We want to raise the awareness of the scientific community by reporting the case of a woman who was first diagnosed with endomyocardial fibrosis at 90 years of age and pose questions about the incidence and subdiagnosis of this disease, as well as about its evolution

Impacto da autopercepção de saúde em longevos com incontinência urinária / Impact of self-perceived health on long-lived subjects with urinary incontinence

OBJETIVOS: Verificar o impacto da autopercepção de saúde sobre a chance de desenvolver incontinência urinária em longevos. MÉTODOS: Trata-se de um estudo transversal e analítico com idosos de 90 anos ou mais. Foi realizada análise estatística analítica e descritiva (frequências, média e desvio padrão, análise de regressão logística univariada e ajustada pela autopercepção de saúde) das variáveis sociodemográficas e clínicas (sexo, estado conjugal, continência, idade, sintomas depressivos, cognição, comorbidades e facilidade de realizar atividades básicas e funcionais). RESULTADOS: Participaram 182 longevos, 71% mulheres. O diagnóstico prévio de depressão, o escore de sintomas depressivos e o percentual de facilidade para atividades funcionais e básicas foram relacionados com a autopercepção de saúde (p<0,05). A perda de urina, contudo, não foi relacionada à autopercepção de saúde. A autopercepção de saúde influenciou o efeito das variáveis diagnóstico prévio de depressão, número de sintomas depressivos, pontuação do Mini Exame do Estado Mental e número de comorbidades sobre a chance de incontinência urinária na presença das mesmas. O sexo masculino, a viuvez e a facilidade no desempenho de atividades básicas e funcionais foram variáveis significativamente relacionadas com a incontinência urinária independentemente do ajuste da autopercepção de saúde. CONCLUSÕES: Não houve relação entre incontinência urinária e autopercepção de saúde, contudo, a autopercepção de saúde influenciou no efeito das variáveis sociodemográficas e clínicas sobre a chance de ter incontinência urinária.

AIMS: To verify the impact of self-perceived health on the chance of developing urinary incontinence in very-old. METHODS: This is a cross-sectional and analytical study with elderly individuals aged 90 years and over. The statistical and analytical variables (sex, marital status, continence, age, depressive symptoms, cognition, comorbidities and ability to perform activities) were analyzed analytical and descriptive statistics (frequencies, mean and standard deviation, univariate and health self-perception adjusted logistic regression analysis). RESULTS: There were 182 participants, 71% women. The previous diagnosis of depression, the score of depressive symptoms and the percentage of ease for functional and basic activities were related to self-perception of health (p<0.05). The loss of urine, however, was not related to self-perceived health. The self-perception of health influenced the effect of the variables previous diagnosis of depression, number of depressive symptoms, Mini-Mental State Examination score and number of comorbidities on the chance of urinary incontinence in the presence of these variables. Males, widowhood and ease of performance of basic and functional activities were significantly related to urinary incontinence regardless of the adjustment of health self-perception. CONCLUSIONS: There was no relationship between urinary incontinence and health self-perception. However, health self-perception influenced the effect of sociodemographic and clinical variables on the chance of having urinary incontinence.

Mortality hospital of nonagenarian patients in Internal Medicine. / Mortalidad hospitalaria de pacientes nonagenarios en Medicina Interna.

OBJECTIVES: To describe the predictors of hospital mortality in nonagenarian patients. PATIENTS AND METHOD: We retrospectively studied 421 patients aged 90 years or older hospitalised in a department of internal medicine. Using logistic regression, we analysed the association between demographic, clinical and functional parameters and hospital mortality. RESULTS: The mean age was 92.5 years (SD±2.5), and 265 (62.9%) of the patients were women. The main diagnoses were infectious diseases (257 patients, 61%) and heart failure (183, 43.5%), and the mean stay was 11.9 days (SD±8.6). During the hospitalisation, 96 patients died (22.8%). The predictors of mortality were age (P=.002), functional state (P=.006), comorbidity (P=.018) and diagnoses of pneumonia (P=.001), sepsis (P=.012) and respiratory failure (P<.001). CONCLUSION: The hospital mortality of nonagenarian patients treated in internal medicine exceeds 20% and is associated with pneumonia, comorbidity burden and functional impairment.

[Acute coronary syndrome in nonagenarians: clinical evolution and validation of the main risk scores]. / Síndrome coronario agudo en nonagenarios: evolución clínica y validación de las principales escalas de riesgo.

INTRODUCTION: Several risk scores regarding the probability of death/complications in the acute setting and during the follow-up of patients admitted with acute coronary syndromes (ACS) have been published, such as the GRACE, TIMI and ZWOLLE risk score. Our objective was to assess the prognosis of nonagenarians admitted to a coronary care unit with an ACS, as well as the usefulness of each of these scores. MATERIAL AND METHODS: A retrospective analysis was performed on nonagenarians with an ACS admitted between 2003 and 2011. Vital status was determined at 14, 30 days, and 6 months after the ACS, and later during the follow-up. The risk scores were evaluated by area under the curve ROC (AUC). RESULTS: A total of 45 patients with an ACS, 26 (57.8%) with ST-segment elevation and 19 (42.2%) with non-ST elevation. The GRACE- AUC for in-hospital mortality was excellent, 0.91, (95% CI: 0.82-1; P<.001), and for the combined event (in-hospital mortality and re-infarction) was 0.83 (95% CI: 0.66-1.0; P<.01). However, the GRACE-AUC at 6 months for mortality was 0.34 (95% CI: 0.09-0.58; P=.45), and for the combined event it was 0.51 (95% CI: 0.26-0.77; P=.95). The TIMI-AUC and ZWOLLE-AUC did not reach statistical significance. CONCLUSIONS: It is useful calculate the GRACE risk score in order to estimate risk and survival in the acute phase of ACS in nonagenarians. This can help appropriate in making invasive or conservative treatment decisions.

Nonagenários Criadores / The creative artistry of artists in their 90s

O tema do presente estudo aborda a criação artística praticada por idosos não profissionais que alcançaram e ultrapassaram os noventa anos de vida. Idosos nonagenários, em virtude apenas da idade avançada que possuem, de forma geral, são questionados em relação a sua lucidez e capacidade produtiva. Este estudo pretende mostrar os benefícios obtidos através da prática de atividades artísticas e como elas proporcionam aos idosos a possibilidade de atuarem mais ativamente no próprio ambiente social, além de ser um elemento que os auxilia a lidar com questões reflexivas que povoam o imaginário e a realidade daqueles que vivenciam o período da velhice. Os sujeitos entrevistados resistiram à visão social delegada ao idoso, especialmente aqueles que atingiram a quarta idade, que se inicia a partir dos oitenta anos. Para a reflexão destes sujeitos e o significado de suas produções foi necessário investigar o que representa ser idoso na sociedade atual, a natureza da produção artística, e o exercício da criação. O contato direto com os entrevistados e suas obras proporcionaram um ingresso parcial no universo desses indivíduos, de suas subjetividades e da forma particular que encontraram para lidar com as realidades da vivência cotidiana, suas visões de mundo e perspectivas de vida.(AU)

This study talks about the creative artistic creation by non professional elder artists who reached 90 years old. This article examines the artistic production of amateur older citizens who have reached and gone beyond their 90th year. Those elders, only due to their advanced age, are generally put aside in reason of doubts about their lucidity and capacity of production. Due to advanced age, this group is often put aside, as less sound of mind and less productive than their younger peers. Thus, it is possible to affirm that the interviewed persons of this job resisted to the social conception of oldness, especially those who are years old. This article thus concludes that the interviewed subjects were resilient to being labeled “too old”. For the reflection of these persons and their work it was necessary to investigate the meaning of being old in the society of nowadays, the nature of the artistic production and the exercise of creation. As a reflective tool for the subjects and their artistic production, it was necessary to investigate the meaning of being old in today’s society, the nature of artistic production, and the process of artistic creation. The direct contact with the interviewed elderly and their work afforded to enter in their universe, their subjectiviness and the particular way they find to deal with the reality of oldness. The direct contact with these people and their work allowed the author to enter their subjective universe and the particular way they deal with the concept of old age. This study proposes to show the individuality of well successful oldness based on creative activities. This article’s proposition is to demonstrate the individualization of successful older people based on their artistic production.

Nonagenários Criadores / The creative artistry of artists in their 90s

O tema do presente estudo aborda a criação artística praticada por idosos não profissionais que alcançaram e ultrapassaram os noventa anos de vida. Idosos nonagenários, em virtude apenas da idade avançada que possuem, de forma geral, são questionados em relação a sua lucidez e capacidade produtiva. Este estudo pretende mostrar os benefícios obtidos através da prática de atividades artísticas e como elas proporcionam aos idosos a possibilidade de atuarem mais ativamente no próprio ambiente social, além de ser um elemento que os auxilia a lidar com questões reflexivas que povoam o imaginário e a realidade daqueles que vivenciam o período da velhice. Os sujeitos entrevistados resistiram à visão social delegada ao idoso, especialmente aqueles que atingiram a quarta idade, que se inicia a partir dos oitenta anos. Para a reflexão destes sujeitos e o significado de suas produções foi necessário investigar o que representa ser idoso na sociedade atual, a natureza da produção artística, e o exercício da criação. O contato direto com os entrevistados e suas obras proporcionaram um ingresso parcial no universo desses indivíduos, de suas subjetividades e da forma particular que encontraram para lidar com as realidades da vivência cotidiana, suas visões de mundo e perspectivas de vida...

This study talks about the creative artistic creation by non professional elder artists who reached 90 years old. This article examines the artistic production of amateur older citizens who have reached and gone beyond their 90th year. Those elders, only due to their advanced age, are generally put aside in reason of doubts about their lucidity and capacity of production. Due to advanced age, this group is often put aside, as less sound of mind and less productive than their younger peers. Thus, it is possible to affirm that the interviewed persons of this job resisted to the social conception of oldness, especially those who are years old. This article thus concludes that the interviewed subjects were resilient to being labeled “too old”. For the reflection of these persons and their work it was necessary to investigate the meaning of being old in the society of nowadays, the nature of the artistic production and the exercise of creation. As a reflective tool for the subjects and their artistic production, it was necessary to investigate the meaning of being old in today’s society, the nature of artistic production, and the process of artistic creation. The direct contact with the interviewed elderly and their work afforded to enter in their universe, their subjectiviness and the particular way they find to deal with the reality of oldness. The direct contact with these people and their work allowed the author to enter their subjective universe and the particular way they deal with the concept of old age. This study proposes to show the individuality of well successful oldness based on creative activities. This article’s proposition is to demonstrate the individualization of successful older people based on their artistic production...