Risk Factors of the Elderly Falling in Public Hospitals: A Systematic Review Study

2020 ◽  
Vol 73 (suppl 3) ◽  
Author(s):  
Mariana Ferreira ◽  
Luciana Abbade ◽  
Silvia Cristina Mangini Bocchi ◽  
Hélio Amante Miot ◽  
Paulo Villas Boas ◽  
...  

ABSTRACT Objective: To determine the prevalence and risk factors for incontinence-associated dermatitis in the elderly. Method: Cross-sectional exploratory study carried out in public hospitals. The dermatitis prevalence and associations were obtained by calculating the ratio. The effect dimension was estimated by the odds ratio with a 95% confidence interval and statistical significance p <0.05. Results: 138 elderly people were included, with an average age of 77.2 years old (± 9.3); 69 (50%) had combined fecal and urinary incontinence. The dermatitis prevalence was 36.2% (50); 28% (14) had pressure injuries; 14% (7), candidiasis. Risk factors were: longer hospital stay (Odds Ratio = 5.8 [2.6-12.9]), obesity (Odds Ratio = 3.6 [1.2-10.4]), high level of dependence (Odds Ratio = 2.4 [1,1-5,0]) and high risk for pressure injury (Odds Ratio = 6.1 [1,4-26,9]). Conclusion: The study found a high prevalence of dermatitis associated with incontinence. The early recognition of risk factors favors effective preventive actions.


2017 ◽  
Vol 2 (1) ◽  
pp. 76-89
Author(s):  
A.A Norasteh ◽  
H Zarei ◽  
P Pour Mahmoodian ◽  
◽  
◽  
...  

2015 ◽  
Vol 71 (9) ◽  
pp. 1037-1050 ◽  
Author(s):  
Ana Patrícia A. L. Santos ◽  
Daniel Tenório da Silva ◽  
Genival Araujo dos Santos Júnior ◽  
Carina Carvalho Silvestre ◽  
Marco Antônio Prado Nunes ◽  
...  

2016 ◽  
Vol 1 (2) ◽  
pp. 54-65 ◽  
Author(s):  
F Bastami ◽  
A Salahshoori ◽  
F Shirani ◽  
A Mohtashami ◽  
N Sharafkhani ◽  
...  

2021 ◽  
Author(s):  
Shirley Crankson ◽  
Subhash Pokhrel ◽  
Nana Kwame Anokye

Background: The current pandemic, COVID-19, caused by a novel coronavirus SARS-CoV-2 has claimed over a million lives worldwide in a year, warranting the need for more research into the wider determinants of COVID-19 outcomes to support evidence-based policies. Objective: This study aimed to investigate what factors determined the mortality and length of hospitalisation in individuals with COVID-19. Data Source: This is a systematic review with data from four electronic databases: Scopus, Google Scholar, CINAHL and Web of Science. Eligibility Criteria: Studies were included in this review if they explored determinants of COVID-19 mortality or length of hospitalisation, were written in the English Language, and had available full-text. Study appraisal and data synthesis: The authors assessed the quality of the included studies with the Newcastle Ottawa Scale and the Agency for Healthcare Research and Quality checklist, depending on their study design. Risk of bias in the included studies was assessed with risk of bias assessment tool for non-randomised studies. A narrative synthesis of the evidence was carried out. Results: The review included 22 studies from nine countries, with participants totalling 239,830. The included studies quality was moderate to high. The identified determinants were categorised into demographic, biological, socioeconomic and lifestyle risk factors, based on the Dahlgren and Whitehead determinant of health model. Increasing age (ORs 1.04-20.6, 95%CIs 1.01-22.68) was the common demographic determinant of COVID-19 mortality while living with diabetes (ORs 0.50-3.2, 95%CIs -0.2-0.74) was one of the most common biological determinants of COVID-19 length of hospitalisation. Review limitation: Meta-analysis was not conducted because of included studies heterogeneity. Conclusion: COVID-19 outcomes are predicted by multiple determinants, with increasing age and living with diabetes being the most common risk factors. Population-level policies that prioritise interventions for the elderly population and the people living with diabetes may help mitigate the outbreak's impact.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Eduardo Martínez-Carbonell Guillamón ◽  
Louise Burgess ◽  
Tikki Immins ◽  
Andrés Martínez-Almagro Andreo ◽  
Thomas W. Wainwright

2009 ◽  
Vol 25 (suppl 3) ◽  
pp. S464-S476 ◽  
Author(s):  
Maria Aparecida Pinheiro Rodrigues ◽  
Luiz Augusto Facchini ◽  
Elaine Thumé ◽  
Fátima Maia

This systematic review aimed to assess the effect of gender on the incidence of functional disability in the elderly. The search for publications in the MEDLINE, EMBASE, and ProQuest electronic databases from January 1990 to March 2008 identified 879 publications, from which 21 cohort studies were selected that evaluated gender as an independent variable and incidence of functional disability in elderly as the outcome. Review of the studies found that after adjusting for socioeconomic, health, and social relations indicators, incidence of functional disability was similar between genders. The main risk factors for functional disability in the elderly, regardless of gender, were: lack of schooling, living in rental housing, chronic diseases, arthritis, diabetes, visual impairment, body mass index above 25, poor self-perceived health, cognitive impairment, depression, slow gait, sedentary lifestyle, tiredness while performing daily activities, and limited diversity in social relations.


2016 ◽  
Vol 9 (5) ◽  
pp. 253
Author(s):  
Samiramiss Qavam ◽  
Masoumeh Shohani ◽  
Firoz Balavandi ◽  
Ramak Qavam ◽  
Hamed Tavan

<p><strong>BACKGROUND </strong><strong>&amp; GOAL: </strong>LDL is one of the important risk factors that cause cardiovascular diseases. Improving one's lifestyle accompanied by taking medicine can be effective in reducing the amount of LDL. This study aims at comparing the effects of Atorvastatin on reducing LDL using systematic review method and meta-analysis.</p><p><strong>MATERIALS </strong><strong>&amp; METHODS: </strong>In this systematic review, Pub Med, Scopus, Elsevier and Google Scholar search engine were applied to do a search within the time span of 2003-2014 using standard key words. Articles which met the entrance criteria were studied. Random effects model was used to integrate the results through meta-analysis. Data were analyzed using Stata software (version 11.1).</p><p><strong>FINDINGS: </strong>In a systematic review, 11 articles were passed through the process of meta-analysis with a sample size of 3662 individuals and a mean of 333 subjects per study. The rate of LDL reduction was 33.32 milligrams per Deciliter by Atorvastatin. The meta-regression graph based on age showed that in the studies where the age of the sample has been younger, the amount of LDL has been higher and in studies with older sample age, the LDL rate has been lower. The meta-regression graph to BMI showed that people with higher BMI, showed more reduction in LDL and individuals with lower BMI, indicated less LDL reduction.</p><p><strong>CONCLUSION: </strong>According to the results of the study, LDL reduction takes place better and more quickly in the elderly and fat individuals. Atorvastatin was more effective in reducing the rate of LDL.</p>


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