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One-Year Follow-up of Non-institutionalized Dependent Older Adults: Mortality, Hospitalization, and Mobility

Published online by Cambridge University Press:  18 July 2012

Marcos Aparecido Sarria Cabrera ,
Mara Solange Gomes Dellaroza ,
Celita Salmaso Trelha ,
Celso Henrique Cecilio  and
Sara Ellias de Souza
Marcos Aparecido Sarria Cabrera*
Affiliation:
Universidade Estadual de Londrina – Brazil
Mara Solange Gomes Dellaroza
Affiliation:
Universidade Estadual de Londrina – Brazil
Celita Salmaso Trelha
Affiliation:
Universidade Estadual de Londrina – Brazil
Celso Henrique Cecilio
Affiliation:
Universidade Estadual de Londrina – Brazil
Sara Ellias de Souza
Affiliation:
Universidade Estadual de Londrina – Brazil
*
*Correspondence and requests for offprints should be sent to / La correspondance et les demandes de tirés-à-part doivent être adressées à: Marcos Aparecido Sarria Cabrera, M.D., Ph.D. Universidade Estadual de Londrina – Brazil rua Montese 65 – A Londrina, Paraná Brazil, CEP 86015020 (marcoscabrera@uol.com.br)
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Abstract

Non-institutionalized dependent older adults present high morbidity and mortality, demand care from their families, and consume primary health care resources. To expand knowledge about this group, we conducted a population-based one-year prospective cohort study of 130 non-institutionalized dependent older persons (age 60 and older), stratified according to baseline mobility: independent walking (group A), use of walking aids (group B), and bedridden or confined to a wheelchair (group C). The outcomes analysed were death, hospitalization, and mobility disability. Total mortality was 8.5 per cent (p = .05). Overall hospitalization rate was 34.6 per cent; the main causes were stroke and pneumonia. After one year, there was a decline in the proportion of subjects classified as independent walking (57% vs. 43%; p = .03). We conclude that there was a high rate of mortality and hospitalization in this group of dependent older people, and an increase in disability after a one-year follow-up.

Résumé

Les aînés dépendants qui ne sont pas institutionnalisées présentent une forte morbidité et mortalité, exigent des soins de leurs familles et consomment de ressources primaires de soins de santé. Pour élargir les connaissances en ce qui concerne ce groupe, nous avons effectué une étude prospective d’un an, basée sur la population de cohorte de 130 personnes âgées dépendantes et non-institutionnalisées (60 ans et plus). Cette étude a été stratifiée en fonction du degré de la mobilité: la marche indépendante (groupe A), l’utilisation des aides pour la marche (groupe B), et alité ou confiné au fauteuil roulant (groupe C). Les résultats analysés étaient les suivants: la mort, l’hospitalisation, et l’incapacité de se déplacer. La mortalité totale était au pourcentage de 8.5 (p = 0,05). Le taux global d’hospitalisation était au pourcentage de 34,6, les principales causes étant l’AVC et la pneumonie. La mortalité totale était de 8,5 pour cent (p = 0,05). Le taux global d’hospitalisation était de 34,6 pour cent, les principales causes étant l’AVC et la pneumonie. À la fin d’un an, la proportion de sujets classés comme capables de marcher d’une façon indépendante a baissé (57% contre 43%, p = 0,03). Nous pourrions déduire qu’il y avait un taux élevé de mortalité et d’hospitalisation dans ce groupe de personnes âgées dépendantes, et une proportion croissante de gens handicapés après un an.

Keywords

vieillissementmortalitéhospitalisationmobilitépersonne âgée fragileagingmortalityhospitalizationmobilityfrail elderly
Type
Research Notes
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 31 , Issue 3 , September 2012 , pp. 357 - 361
Copyright
Copyright © Canadian Association on Gerontology 2012

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