Investigação da fragilidade na atenção primária e secundária à saúde: necessário e viável/ Investigating fragility in primary and secondary health care: necessary and viable

Henrique Novais Mansur, Sergio Ribeiro Barbosa, Dilmerson de Oliveira, Felipe da Silva Garcia

Abstract


O envelhecimento populacional bem como suas características vem ganhando destaque na literatura científica nacional contudo, é notória a necessidade de maior aprofundamento sobre o quadro clínico, as consequências fisiológicas, os eventos negativos associados à senescência e as limitações associadas a este processo além do elevado risco para eventos adversos à saúde característicos da Fragilidade. Assim, o presente estudo tem por característica se tratar de uma revisão narrativa de literatura que busca destacar tais consequências e sugerir meios econômicos e eficazes de diagnóstico e intervenção para tal tanto na atenção primária quanto secundária a saúde.


Keywords


Envelhecimento, Fragilidade, Atenção Primária à Saúde, Atenção Secundária à Saúde.

References


Vidal, Edison Iglesias de Oliveira. "Frailty in older adults: perspectives for research and practice in Public Health." (2014): 1133-1135.

Fried, Linda P., et al. "Frailty in older adults: evidence for a phenotype." The Journals of Gerontology Series A: Biological Sciences and Medical Sciences 56.3 (2001): M146-M157.

Da Mata, Fabiana Araújo Figueiredo, et al. "Prevalence of frailty in Latin America and the Caribbean: a systematic review and meta-analysis." PloS one 11.8 (2016): e0160019.

Freire, Júlio César Guimarães, et al. "Fatores associados à fragilidade em idosos hospitalizados: uma revisão integrativa." Saúde em Debate 41 (2017): 1199-1211.

SBGG, Sociedade Brasileira de Geriatria e Gerontologia. Disponível em: https://www.sbgg-sp.com.br/mais-idosos-poucos-geriatras/ acesso em: 28/04/2021.

Fabrício, Suzele Cristina Coelho, and Rosalina Aparecida Partezani Rodrigues. "Revisão da literatura sobre fragilidade e sua relação com o envelhecimento." Revista da Rede de Enfermagem do Nordeste 9.2 (2008): 113-119.

Freitas, Fabiana Ferraz Queiroga, et al. "Fragilidade em idosos na Atenção Primária à Saúde: uma abordagem a partir do geoprocessamento." Ciência & Saúde Coletiva 25 (2020): 4439-4450.

Rodríguez-Mañas, Leocadio, et al. "Searching for an operational definition of frailty: a Delphi method based consensus statement. The frailty operative definition-consensus conference project." Journals of gerontology series a: biomedical sciences and medical sciences 68.1 (2013): 62-67.

Bouillon, Kim, et al. "Measures of frailty in population-based studies: an overview." BMC geriatrics 13.1 (2013): 1-11.

Buckinx, Fanny, et al. "Burden of frailty in the elderly population: perspectives for a public health challenge." Archives of Public Health 73.1 (2015): 1-7.

Rolfson, Darryl B., et al. "Validity and reliability of the Edmonton Frail Scale." Age and ageing 35.5 (2006): 526-529.

van Kan, Gabor Abellan, et al. "Frailty: toward a clinical definition." Journal of the American Medical Directors Association 9.2 (2008): 71-72.

Rockwood, Kenneth, et al. "A global clinical measure of fitness and frailty in elderly people." Cmaj 173.5 (2005): 489-495.

Gobbens, Robbert JJ, et al. "The Tilburg frailty indicator: psychometric properties." Journal of the American Medical Directors Association 11.5 (2010): 344-355.

Searle, Samuel D., et al. "A standard procedure for creating a frailty index." BMC geriatrics 8.1 (2008): 1-10.

BRASIL. Ministério da Saúde. Secretaria de Atenção à Saúde. Envelhecimento e saúde da pessoa idosa. Departamento de Atenção Básica – Brasília: 2006. 192 p. il. – (Série A. Normas e Manuais Técnicos) (Cadernos de Atenção Básica, n. 19).

Farías-Antúnez, Simone, and Anaclaudia Gastal Fassa. "Prevalência e fatores associados à fragilidade em população idosa do Sul do Brasil, 2014." Epidemiologia e Serviços de Saúde 28 (2019): e2017405.

Fried, L. P., et al. "Frailty and failure to thrive. Principles of Geriatric Medicine and Gerontology." McGraw-Hill (2003): 1487-1502.

BRASIL. Ministério da Saúde. Portaria GM n. 648, de 28 de Março de 2006. Aprova a Política Nacional de Atenção Básica, estabelecendo a revisão de diretrizes e normas para a organização da Atenção Básica para o Programa Saúde da Família (PSF) e o Programa Agentes Comunitários de Saúde (PACS). Brasília: Ministério da Saúde, 2006a.

Cesari, Matteo, et al. "How the frailty index may support the allocation of health care resources: an example from the INCUR study." Journal of the American Medical Directors Association 17.5 (2016): 448-450.

Roman Romero-Ortuno. The SHARE Frailty Instrument for primary care predicts mortality similarly to a frailty index based on comprehensive geriatric assessment Geriatr Gerontol Int. 2013; 13(2): 497–504.

Ricour, C., et al. "Screening for frailty: a benefit for both patients and physicians." Revue medicale de Liege 69.5-6 (2014): 239-243.

Bugat, Marie-Eve Rougé, et al. "Detecting frailty in primary care: A major challenge for primary care physicians." Journal of the American Medical Directors Association 13.8 (2012): 669-672.

Cesari, Matteo, et al. "A self-reported screening tool for detecting community-dwelling older persons with frailty syndrome in the absence of mobility disability: the FiND questionnaire." PloS one 9.7 (2014): e101745.

Subra, J., et al. "The integration of frailty into clinical practice: preliminary results from the Gerontopole." The journal of nutrition, health & aging 16.8 (2012): 714-720.

Morley, John E., T. K. Malmstrom, and D. K. Miller. "A simple frailty questionnaire (FRAIL) predicts outcomes in middle aged African Americans." The journal of nutrition, health & aging16.7 (2012): 601-608.

Baitar, Abdelbari, et al. "Evaluation of the Groningen Frailty Indicator and the G8 questionnaire as screening tools for frailty in older patients with cancer." Journal of geriatric oncology 4.1 (2013): 32-38.

Romero-Ortuno, Roman, et al. "A frailty instrument for primary care: findings from the Survey of Health, Ageing and Retirement in Europe (SHARE)." BMC geriatrics 10.1 (2010): 1-12.

Santos-Eggimann, Brigitte, et al. "Prevalence of frailty in middle-aged and older community-dwelling Europeans living in 10 countries." The Journals of Gerontology: Series A 64.6 (2009): 675-681.

Gill, Thomas M., et al. "The relationship between intervening hospitalizations and transitions between frailty states." Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences 66.11 (2011): 1238-1243.

Liberalesso, Taís Elizabete Manfio, et al. "Prevalência de fragilidade em uma população de longevos na região Sul do Brasil." Saúde em Debate 41 (2017): 553-562.

Fairhall, Nicola, et al. "Economic evaluation of a multifactorial, interdisciplinary intervention versus usual care to reduce frailty in frail older people." Journal of the American Medical Directors Association 16.1 (2015): 41-48.

Deschenes, Michael R., and William J. Kraemer. "Performance and physiologic adaptations to resistance training." American Journal of Physical Medicine & Rehabilitation 81.11 (2002): S3-S16.

Liu, Christine K., and Roger A. Fielding. "Exercise as an intervention for frailty." Clinics in geriatric medicine 27.1 (2011): 101-110.

Paw, Marijke JM Chin A., et al. "The functional effects of physical exercise training in frail older people." Sports Medicine 38.9 (2008): 781-793.

Daniels, Ramon, et al. "Interventions to prevent disability in frail community-dwelling elderly: a systematic review." BMC health services research 8.1 (2008): 1-8.

Theou, Olga, et al. "The effectiveness of exercise interventions for the management of frailty: a systematic review." Journal of aging research 2011 (2011).

Clegg, Andrew, et al. "The Home-based Older People's Exercise (HOPE) trial: a pilot randomised controlled trial of a home-based exercise intervention for older people with frailty." Age and Ageing 43.5 (2014): 687-695.

Casas Herrero, A., and Mikel Izquierdo. "Ejercicio físico como intervención eficaz en el anciano frágil." Anales del sistema sanitario de Navarra. Vol. 35. No. 1. Gobierno de Navarra. Departamento de Salud, 2012.

Landi, Francesco, et al. "Moving against frailty: does physical activity matter?." Biogerontology 11.5 (2010): 537-545.




DOI: https://doi.org/10.34119/bjhrv4n3-362

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