Social vulnerability index, physical frailty and delirium in hospitalized older adults.
Objective: To analyze the relationship between the social vulnerability index and physical frailty condition and delirium in hospitalized older adults. Methods: Cross-sectional analytical study of older adults developed in a hospital in southern Brazil. The collection instruments used were a sociode...
| Publicado en: | Acta Paulista de Enfermagem Vol. 38; no. 1; pp. 1 - 10 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Universidade Federal de Sao Paulo, Escola Paulista de Enfermagem
2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191276800&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191276800 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01032100 YW2 jtl: Acta Paulista de Enfermagem issn: 01032100 maglogo: N pubinfo: dt: 2025 vid: 38 iid: 1 pid: 84124 pub: Universidade Federal de Sao Paulo, Escola Paulista de Enfermagem artinfo: ui: 191276800 191276800 191276800 10.37689/acta-ape/2025AO0001201i 191276800 ppf: 1 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Social vulnerability index, physical frailty and delirium in hospitalized older adults. aug: au: Lenardt, Maria Helena Cechinel, Clovis Rodrigues, João Alberto Martins Marques, Daiane Maria da Silva Guedez, José Baudilio Belzarez Binotto, Maria Angélica affil: Universidade Federal do Paraná, Curitiba, PR, Brazil. sug: subj: Vulnerability Evaluation Social Determinants of Health Evaluation Frailty Syndrome Psychosocial Factors Delirium Physiopathology Hospitalization of Older Persons Psychosocial Factors Gerontologic Care Biological Markers Human Male Female Middle Age Aged Aged, 80 and Over Brazil Questionnaires Sociodemographic Factors Phenotype Biological Markers Blood Genetic Screening Confusion Descriptive Statistics Inferential Statistics Sex Factors Cross Sectional Studies Secondary Analysis Nonprobability Sample Grip Strength Morbidity Walking Speed Fatigue Weight Loss Physical Activity Psychological Tests Fisher's Exact Test Chi Square Test Confidence Intervals Data Analysis Software Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Objective: To analyze the relationship between the social vulnerability index and physical frailty condition and delirium in hospitalized older adults. Methods: Cross-sectional analytical study of older adults developed in a hospital in southern Brazil. The collection instruments used were a sociodemographic questionnaire, the social vulnerability index, physical frailty phenotype markers and the Confusion Assessment Method. Descriptive and inferential statistics were used. Results: Of the 305 older adults evaluated, 59.4% were female, 40.9% were aged over 80 years and 92.6% had morbidities. There was an association between hospitalization and female sex with low and medium vulnerability (64.8%; 95%CI 55.9-72.7 and 63%; 95%CI 53.2-71.8, respectively, with p=0.0262). Delirium was observed in 29.5% (95%CI 22.3-38.4) of older adults over 60 years of age with low vulnerability, 17% (10.9-25.5) medium, 14.5% (8.6-23.9) high, with p=0.0151. There was no association between delirium and the vulnerability index in older adults aged over 80 years, with p=0.235. Delirium affected 44.3% (32.5-56.7) of older adults with low vulnerability, 35% (22.1-50.5) with medium and 25% (12-44.9) high. There was no association between frailty and social vulnerability, with p=0.927. Among older adults aged 80 years or over, frail people prevailed in the three vulnerability strata (low 59.7%; medium 57.5% and high 56%), p=0.788. Conclusion: Hospitalization and delirium were associated with younger, pre-frail women from low and medium social vulnerability. The condition of frailty did not correlate with social vulnerability. The need to better understand the biopsychosocial factors that can increase delirium in hospitalized older adults with low social vulnerability is highlighted. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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