Social isolation and hospitalizations of older adults due to falls in an emergency hospital: a cross-sectional study
DOI:
https://doi.org/10.21527/2176-7114.2026.51.15795Keywords:
Geriatria, Saúde do Idoso, Acidentes por Quedas, Isolamento Social, Internação hospitalarAbstract
Objective: The aim of this study was to describe the profile of older adults hospitalized due to falls and to compare the prevalence of accidents during the period from January 2019 to December 2020. Method: This retrospective observational study was conducted through data collection from electronic medical records at the Emergency Hospital of Porto Alegre, Rio Grande do Sul, Brazil. Results: A total of 514 hospitalizations due to falls were recorded, 71.4% of which occurred in women. Of these cases, 75.3% were same-level falls, and 92% occurred within the patients’ own homes. Among them, 93.3% were associated with fractures, with proximal femur fractures being the most prevalent (57.6%). The months with the highest prevalence of falls in 2019 were May, June, July, and September, showing a significant difference compared to the other months (p = 0.004). In contrast, during the pandemic year of 2020, the distribution of falls was homogeneous throughout the year (p = 0.249). Conclusion: The present study showed a relatively homogeneous distribution of falls during the COVID-19 pandemic; however, the frequency increased compared to previous years. It is likely that restrictions related to cold weather, home confinement, and reduced sun exposure influenced the occurrence of falls.
References
1. Lana, LD; Ziani, JS; Aguirre, TF; Tier, CG; Abreu, DPG. Fatores de risco para quedas em idosos: revisão integrativa. Revista Kairós-Gerontologia, 24(2), 309-327, 2021. ISSNprint 1516-2567. ISSNe 2176-901X. São Paulo (SP), Brasil: FACHS/NEPE/PUC-SP. DOI: https://doi.org/10.23925/2176-901X.2021v24i2p309-327.
2. Oliveira, S. R. N., Messias, F. M. de L., Cândido, J. A. B., Torres, G. M. C., Figueiredo, I. D. T., Pinto, A. G. A., Moreira, M. R. C., & de Almeida, M. I. (2021). Fatores associados a quedas em idosos: inquérito domiciliar. Revista Brasileira Em Promoção Da Saúde, 34. https://doi.org/10.5020/18061230.2021.10998.
3. Elias Filho J, Borel WP, Diz JBM, Barbosa AWC, Britto RR, Felício DC. Prevalence of falls and associated factors in community-dwelling older Brazilians: a systematic review and meta-analysis. Cad Saude Publica. 2019; 35(8):e00115718. DOI: https://doi.org/10.1590/0102-311X00115718. Acesso em: 20 fev. 2024.
4. Rosa VPP, Cappellari FCBD, Urbanetto JS. Análise dos fatores de risco para queda em idosos institucionalizados. Rev Bras Geriatr Gerontol. 2019;22(1):1-13. DOI: https://doi.org/10.1590/1981-22562019022.180138.
5. Coimbra, VLMM; Marques, EMBG; Chaves, CMCB; Saraiva, R Jr. Risco de quedas e determinantes sociais em idosos residentes em uma comunidade rural. Glob Acad Nurs. 2020;1(2):e15. DOI: https://dx.doi.org/10.5935/2675-5602.20200015.
6. Aquino, EM. L., et al. Medidas de distanciamento social no controle da pandemia de COVID-19: potenciais impactos e desafios no Brasil. Ciência & Saúde Coletiva, 25(Supl.1):2423-2446, 2020. DOI: 10.1590/1413-81232020256.1.10502020.
7. Bezerra, PA; Nunes, JW; Moura, LBA. Envelhecimento e isolamento social: uma revisão integrativa. Acta Paul Enferm. 2021; 34:eAPE02661. DOI: https://doi.org/10.37689/acta-ape/2021AR02661.
8. Teixeira DKS, Andrade LM, Santos JLP, Caires ES. Quedas em pessoas idosas: restrições do ambiente doméstico e perdas funcionais. Rev Bras Geriatr Gerontol 2019; 22(3):e180229. DOI: https://doi.org/10.1590/1981-22562019022.180229.
9. Hochman B, Nahas FX, Oliveira Filho RS de, Ferreira LM. Desenhos de pesquisa. Acta Cir Bras [Internet]. 2005; 20:2–9. DOI: https://doi.org/10.1590/S0102-86502005000800002.
10. WHO. World Health Organization. ICD-11 for mortality and morbidity statistics. Version: 2019 April. Geneva: WHO; 2019 [citado 20 ago 2019].
11. Franck DB, Costa YC, Alves KR, Moreira TR, Sanhudo NF, Almeida GB, et al. Trauma em idosos socorridos pelo serviço de atendimento móvel de urgência. Acta Paul Enferm. 2021; 34:eAPE03081. DOI: http://dx.doi.org/10.37689/acta ape/2021AO03081.
12. Filho JE, Borel WP, Diz JBM, Barbosa AWC, Felicio DC. Prevalence of falls and associated factors in community-dwelling older Brazilians: a systematic review and meta-analysis. Cad Saúde Pública 2019; 35(8):e00115718. DOI: 10.1590/0102-311X00115718.
13. Liu-Ambrose T, Davis JC, Best JR, et al. Effect of a home-based exercise program on subsequent falls among community-dwelling high-risk older adults after a fall: a randomized clinical trial. JAMA. 2019; 321(21):2092-2100. DOI: 10.1001/jama.2019.5795.
14. Santos JC, Arreguy-Senna C, Pinto PF, Paiva EP, Parreira PMSD, Brandão MAG. Queda domiciliar de idosos: implicações de estressores e representações no contexto da Covid-19. Rev Gaúcha Enferm. 2021; 42. DOI: https://doi.org/10.1590/1983-1447.2021.20200221.
15. Xavier PF, Trindade AP. Avaliação do risco de queda e equilíbrio em mulheres no climatério. Rev Kairós Gerontol. 2018; 21(2):155–70. DOI: http://dx.doi.org/10.23925/2176-901X.2018v21i2p155-170.
16. Parreira JG, Vianna AMF, Cardoso GS, Karakhanian WZ, Calil D, Giannini JA, et al. Lesões graves em vítimas de queda da própria altura. Rev Assoc Med Bras 2010; 56(6): 660-4. DOI: https://doi.org/10.1590/1809-9823.2014.13064.
17. Pimentel WRT, Pagotto V, Stopa SR, Hoffmann MCCL, Bof de Andrade F, Souza Junior PRB, et al. Falls among Brazilian older adults living in urban areas: ELSI-Brazil. Rev Saude Publica. 2018; 52 Suppl 2:12s. DOI: 10.11606/S1518-8787.2018052000635.
18. Antunes Filho J, DE Castro e Silva AD, Junior AFM, Pereira FJC, Oppe IG, Loures EA. Predictive Factors of Death after Surgery for Treatment of Proximal Femoral Fracture. Rev Bras Ortop 2019; 54:402–407. DOI: 10.1055/s-0039-1692179.
19. Rezende LCB, Arcanjo RC, Leão GT, Vasconcelos PMF, Oliveira ACM, Teixeira LS et al. Epidemiological profile of elderly with proximal femur fracture undergoing surgical treatment. Brazilian Journal of Health Review, Curitiba, v.4, n.6, p.28421-28429 nov./dec. 2021. DOI: http://www.dx.doi.org/10.5935/2177-1235.2022RBCP.711-pt.
20. Carvalho, MS et al. Associação entre Polimedicação e Quedas em Idosos Comunitários Atendidos por uma Equipe de Saúde da Família. Rev. Eletr. Interdisciplinar, 2024, 216-230, 16 (1). DOI: https://dx.doi.org/10.22533/at.ed.6102000000
21. Wilczynski J, Scipniak M, Scioniak K, Margiel K, Wilczynski I, Zielinski R et al. Assessment of Risk Factors for Falls among Patients with Parkinson’s Disease. BioMed Research International, 8 pg, ID 5531331, vol 2021. DOI: 10.1155/2021/5531331.
22. Sherrington C, Michaleff ZA, Fairhall N, et al. Exercise to prevent falls in older adults: an updated systematic review and meta-analysis. Br J Sports Med 2017; 51:1749–1757. DOI: 10.1136/bjsports-2016-096547.
23. Caberlon IC, Bós AJG. Seasonal differences in falls and fractures among the elderly in the southern Brazilian state of Rio Grande do Sul. Ciência & Saúde Coletiva, 20(12):3743-3752, 2015. DOI: https://doi.org/10.1590/1413-812320152012.20602014.
24. Magota C, Sawatari H, Ando SI, Nishizaka MK, Tanaka K, Horikoshi K, et al. Seasonal ambient changes influence inpatient falls. Age Ageing, 2017 May 1;46(3):513-517. DOI: https://doi.org/10.1093/ageing/afw254.
25. Thanapluetiwong S, Chewcharat A, Takkavatakarn K, Praditpornsilpa K, Eiam-Ong S, Susantitaphong P. Vitamin D Supplement on Prevention of Fall and Fracture: A Meta-analysis of Randomized Controlled Trials. Medicine 2020; 99:34(e21506). 10.1097/MD.0000000000021506.
26. Lima-Costa MF, Mambrini JVM, Andrade FB, Peixoto SWV, Macinko J. Distanciamento social, uso de máscaras e higienização das mãos entre participantes do Estudo Longitudinal da Saúde dos Idosos Brasileiros: iniciativa ELSI-COVID-19. Cad Saúde Pública 2020; 36 Sup 3:e00193920. DOI: https://doi.org/10.1590/0102-311X00193920.
27. Romero DE, muzy J, Damacena GN, DE souza NA, DE Almeida WS, Szwarcwald CL, et al. Idosos no contexto da pandemia da COVID-19 no Brasil: efeitos nas condições de saúde, renda e trabalho. Cad Saúde Pública 2021; 37(3):e00216620. DOI: https://doi.org/10.1590/0102-311x00216620.
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