Demographic and health characteristics associated with hospitalized elderly’s mobility

Authors

DOI:

https://doi.org/10.11606/issn.2317-0190.v29i2a196068

Keywords:

Hospitalization, Mobility Limitation, Risk Factors, Demographic Indicators, Aged

Abstract

Objective: To evaluate the demographic and health characteristics associated to the mobility of hospitalized elderly. Method: Observational, cross-sectional research conducted with 335 elderly people admitted to a teaching hospital. Data collection was performed through a questionnaire and physical examination. Mobility was considered as a dependent variable and demographic and health characteristics were independent. The data were analyzed using the chi-square test. Results: It was found that 63% of the elderly were restricted to bed. Mobility was associated to age (p<0.05), education (p<0.05), presence of chronic disease (p<0.05), multimorbidity (p<0.05), hospitalization sector (p<0.05), length of stay (p<0.05), device use (p<0.05) and number of devices (p<0.05). Conclusion: There was a high prevalence of bed-restricted mobility among hospitalized elderly people. The early recognition of factors associated to mobility favors directive preventive actions.

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References

Tavares RE, Jesus MCP, Machado DR, Braga VAS, Tocantins FR, Merighi MAB, et al. Envelhecimento saudável na perspectiva de idosos: uma revisão integrativa. Rev Bras Geriatr Gerontol. 2017; 20(6):1-12. Doi: https://doi.org/10.1590/1981-22562017020.170091

Lopes PDC, Ledsham CDM, Brandão IMTX, Santos LV, Torres RM. Estilo de vida e intervenções não farmacológicas no tratamento e na prevenção das síndromes geriátricas: uma revisão integrativa. Rev Kairós Gerontol. 2017;20(2):375-98. Doi: https://doi.org/10.23925/2176-901X.2017v20i2p375-398

Silva LGC, Oliveira FS, Martins ÍS, Martins FES, Garcia TFM, Sousa ACPA, et al. Avaliação da funcionalidade e mobilidade de idosos comunitários na atenção primária à saúde. Rev Bras Geriatr Gerontol. 2019;22(5):1-10. Doi: https://dx.doi.org/10.1590/1981-22562019022.190086

Lima AMN, Ferreira MSM, Martins MMFPDS, Fernandes KS. Influência dos cuidados de enfermagem de rabilitação na recuperação da independência funcional do paciente. J Heal NPEPS. 2019;4(2):28-43. Doi: http://dx.doi.org/10.30681/252610104062

Ferreira LMBM, Jerez-Roig J, Andrade FLJP, Oliveira NPD, Araujo JRT, Lima KC.Prevalência de quedas e avaliação da mobilidade em idosos institucionalizados. Rev Bras Geriatr Gerontol. 2016;19(6):995–1003. Doi: https://dx.doi.org/10.1590/1981-22562016019.160034

Souza KC, Bertolini SMMG. Impactos morfofuncionais da imobilidade prolongada na terceira idade. Rev Uningá. 2019;56(9):1689-99.

Joseph B, Jehan FS. The Mobility and Impact of Frailty in the Intensive Care Unit. Surg Clin North Am. 2017;97(6):1199-1213. Doi: https://dx.doi.org/10.1016/j.suc.2017.07.007

Aquim EE, Bernardo WM, Buzzini RF, Azeredo NSG, Cunha LS, Damasceno MCP, et al. Diretrizes Brasileiras de mobilização precoce em Unidade de Terapia Intensiva. Rev Bras Ter Intensiva. 2019;31(4):434-43. Doi: https://doi.org/10.5935/0103-507X.20190084

Aarden JJ, van der Schaaf M, van der Esch M, Reichardt LA, van Seben R, Bosch JA, et al. Muscle strength is longitudinally associated with mobility among older adults after acute hospitalization: The Hospital-ADL study. PLoS One. 2019;14(7):e0219041. Doi: https://doi.org/10.1371/journal.pone.0219041

Soares Menezes KVR, Auger C, Souza Menezes WR, Guerra RO. Instruments to evaluate mobility capacity of older adults during hospitalization: A systematic review. Arch Gerontol Geriatr. 2017;72:67-79. Doi: https://doi.org/10.1016/j.archger.2017.05.009

Pereira EEB, Souza ABF, Carneiro SR, Sarges ESNF. Funcionalidade global de idosos hospitalizados. Rev Bras Geriatr Gerontol. 2014;17(1):165-76. Doi: https://doi.org/10.1590/S1809-98232014000100016

Sakano LM, Yoshitome AY. Diagnosis and nursing interventions on elderly inpatients. Acta Paul Enferm. 2007;20(4):495-8. Doi: https://doi.org/10.1590/S0103-21002007000400018

Bodilsen AC, Klausen HH, Petersen J, Beyer N, Andersen O, Jørgensen LM, et al. Prediction of Mobility Limitations after Hospitalization in Older Medical Patients by Simple Measures of Physical Performance Obtained at Admission to the Emergency Department. PLoS One. 2016;11(5):e0154350. Doi: https://doi.org/10.1371/journal.pone.0154350

Chase JD, Lozano A, Hanlon A, Bowles KH. Identifying Factors Associated With Mobility Decline Among Hospitalized Older Adults. Clin Nurs Res. 2018;27(1):81-104. Doi: https://doi.org/10.1177/1054773816677063

Carvalho TC, Valle AP, Jacinto AF, Mayoral VFS, Villas Boas PJF. Impacto da hospitalização na funcionalidade de idosos: estudo de coorte. Rev Bras Geriatr Gerontol. 2018;21(2):1-9. Doi: https://doi.org/10.1590/1981-22562018021.170143

Nunes JD, Saes MO, Nunes BP, Siqueira FCV, Soares DC, Fassa MEG, et al. Indicadores de incapacidade funcional e fatores associados em idosos: estudo de base populacional em Bagé, Rio Grande do Sul. Epidemiol Serv Saude. 2017;26(2):295-304. Doi: https://doi.org/10.5123/S1679-49742017000200007

Simmons RA, Cosgrove SC, Romney MC, Plumb JD, Brawer RO, Gonzalez ET, Fleisher LG, Moore BS. Health Literacy: Cancer Prevention Strategies for Early Adults. Am J Prev Med. 2017;53(3S1):S73-S77. Doi: https://doi.org/10.1016/j.amepre.2017.03.016

Llano PMP, Lange C, Sequeira CADC, Jardim VMDR, Castro DSP, Santos F. Fatores associados à síndrome da fragilidade em idosos rurais. Rev Bras Enferm. 2019;72(suppl 2):14-21. Doi: https://doi.org/10.1590/0034-7167-2017-0079

Ensrud KE, Lui LY, Langsetmo L, Vo TN, Taylor BC, Cawthon PM, et al. Effects of Mobility and Multimorbidity on Inpatient and Postacute Health Care Utilization. J Gerontol A Biol Sci Med Sci. 2018;73(10):1343-9. Doi: https://doi.org/10.1093/gerona/glx128

Jesus FS, Paim DM, Brito JO, Barros IA, Nogueira TB, Martinez BP, Pires TQ. Declínio da mobilidade dos pacientes internados em unidade de terapia intensiva. Rev Bras Ter Intensiva. 2016;28(2):114-9. Doi: https://doi.org/10.5935/0103-507X.20160025

Reidy PT, Lindsay CC, McKenzie AI, Fry CS, Supiano MA, Marcus RL, et al. Aging-related effects of bed rest followed by eccentric exercise rehabilitation on skeletal muscle macrophages and insulin sensitivity. Exp Gerontol. 2018;107:37-49. Doi: https://doi.org/10.1016/j.exger.2017.07.001

Guedes LPCM, Oliveira MLC, Carvalho GA. Efeitos deletérios do tempo prolongado no leito nos sistemas corporais dos idosos – uma revisão. Rev Bras Geriatr Gerontol. 2018;21(4):516-23. Doi: https://doi.org/10.1590/1981-22562018021.170167

Latimer S, Chaboyer W, Thalib L, McInnes E, Bucknall T, Gillespie BM. Pressure injury prevalence and predictors among older adults in the first 36 hours of hospitalisation. J Clin Nurs. 2019;28(21-22):4119-27. Doi: https://doi.org/10.1111/jocn.14967

Pereira HCB, Duarte PHM, Mélo TM, Silva RMC, Santos WV, Barbosa DS, et al. Intervenção fisioterapêutica na Síndrome da Imobilidade em pessoas idosas: revisão sistematizada. Arch Health Invest. 2017;6(11):505-8. Doi: https://doi.org/10.21270/archi.v6i11.2242

Licoviski PT, Bordin D, Mazzo DM. Relação entre dependência para realização de atividades básicas de vida diária e risco de sarcopenia em idosos internados. Acta Fisiátr. 2021;28(4):245-50. Doi: https://doi.org/10.11606/issn.2317-0190.v28i4a190859

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Published

2022-06-28

Issue

Vol. 29 No. 2 (2022)

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Original Article

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How to Cite

1.
Bordin D, Someya RLN de C, Cabral LPA, Krum EA, Trupel LLL, Taques TI, et al. Demographic and health characteristics associated with hospitalized elderly’s mobility. Acta Fisiátr. [Internet]. 2022 Jun. 28 [cited 2025 Apr. 6];29(2):92-7. Available from: https://periodicos.usp.br/actafisiatrica/article/view/196068