Correlación entre la Escala de dependencia de cuidados de pacientes ingresados en UCI y su perfil epidemiológico / Correlation between the care dependence scale of ICU patients and their epidemiological profile

Introducción: La Unidad de Cuidados Intensivos (UCI) es un ambiente donde los pacientes críticos deben ser tratados por un equip multidisciplinario. Es de suma importancia reconocer el perfil clínico epidemiológico para evaluar individualmente los pacientes. Objetivo: Analizar el perfil epidemiológico de los pacientes ingresados en una UCI de un Hospital Universitario y su relación con la escala de Fugulin. Método: Estudio retrospectivo, descriptivo, con enfoque cuantitativo, que realizó un análisis del perfil epidemiológico, desenlaces y variables asociadas a la morbimortalidad, a través de relatos de pacientes hospitalizados de marzo a agosto de 2020. Resultados: Se observó que la mayoría de estos pacientes hospitalizados era del sexo masculino, remitidos por el Servicio de Atención Médica de Urgencias, se les diagnosticó con mayor frecuencia: insuficiencia respiratoria aguda, sepsis e insuficiencia renal aguda, con un desenlace prevalente en muertes, habiéndose observado correlación de la escala de Fugulin con la mortalidad y puntuaciones de gravedad de estos pacientes. Conclusión: Ante la complejidad en el cuidado del paciente crítico, el estudio demuestra que la escala de Fugulin puede ser una alternativa en la práctica clínica, relacionando la necesidad de cuidado con la gravedad y mortalidad de los pacientes en uma UCI. (AU)

Introduction: The Intensive Care Unit (ICU) is an environment where critical patients must be treated by a multidisciplinary team. What becomes extremely important to recognize the clinical epidemiological profile to evaluate individually. Objective: To analyze the epidemiological profile of patients admitted to an ICU of a University Hospital and its relationship with the Fugulin scale. Method: This is a retrospective, descriptive study with a quantitative approach, which carried out an analysis of the epidemiological profile, outcomes and variables associated with morbidity and mortality, through reports of patients hospitalized from March to August 2020. Results: It was observed that most of these hospitalized patients were male, referred by the Emergency Medical Care Service, were diagnosed more frequently: acute respiratory failure, sepsis and acute renal failure, with a prevalent outcome in deaths, having been observed correlation of the Fugulin scale with the mortality and severity scores of these patients. Conclusion: In view of the complexity in the care of critically ill patients, the study demonstrates that the Fugulin scale can be an alternative in clinical practice, relating the need for care with severity and mortality to patients in an ICU. (AU)

Preclinical Trial of Ocotea puberula (Rich.) Nees ("Canela-Guaicá") in Wound Healing: Validation of a Traditional Medicine Practice Used by Indigenous Groups in Southern Brazil.

Background: "Canela-guaicá," "guaicá," or "canela-sebo" [Ocotea puberula (Rich.) Nees] is a native species that is traditionally used by Kaingang indigenous groups for wound healing in southern Brazil. The aim of this study was to extract the mucilage from O. puberula barks, perform its phytochemical and physicochemical characterization, and investigate its healing potential. Methods: A murine wound model was used as a preclinical trial for authentication of the traditional knowledge from Kaingang indigenous communities. Results: Alkaloids and polysaccharides were identified by usual qualitative reactions and Fourier-transform infrared spectroscopy. This natural product showed thermal stability and pseudoplastic properties that were considered suitable for the intended use. A higher initial exacerbation of inflammatory response after 7 days, an improved angiogenesis after 14 days, and an increased wound shrinkage after 21 days were statistically significant for the "canela-guaicá" bark extract in the preclinical trial when compared to the silver calcium alginate dressing (positive control). Conclusion: The healing potential of the "canela-guaicá" bark extract, traditionally used by the Kaingang indigenous community from southern Brazil, was preclinically validated. This study paves the way for designing novel wound dressings containing this natural product in order to treat acute and chronic wounds.

Periodontal disease and quality of life in patients with circulatory diseases / Doença periodontal e qualidade de vida em pacientes com doenças circulatórias

Introduction: Circulatory system diseases are one of the leading causes of death. Periodontal health is a component of oral and general health that contributes to quality of life. Objective: To analyze periodontal conditions and quality of life in patients with circulatory diseases. Material and method: Cross-sectional study, with patients with circulatory diseases (n=125). The clinical periodontal examination was performed considering: biofilm, bleeding on probing, suppuration, probing depth, gingival recession, and clinical attachment level. Quality of life was assessed with the Medical Outcomes Study 36 - Item Short-Form Health Survey (SF-36) and Oral Health Impact Profile - short form (OHIP-14). Data were analyzed with parametric and nonparametric tests (α=5%). Result: Elderly and men had a greater severity of periodontal disease. The Elderly had lower values in the domains of "Functional capacity" and "Physical aspects" (SF-36). The domain "Pain" had lower values in subjects with health/gingivitis. OHIP-14 did not show differences in the comparisons. There was no correlation between quality of life and the severity of periodontal disease. Conclusion: Among patients with circulatory diseases, the elderly and men had greater severity of periodontal disease. The elderly had a poorer quality of life (functional capacity and physical aspects). There was no correlation between the severity of periodontal disease and quality of life.

Introdução: As doenças do aparelho circulatório representam uma das principais causas de mortes. A saúde periodontal é um componente da saúde bucal e saúde geral que contribui para a qualidade de vida. Objetivo: Analisar as condições periodontais e a qualidade de vida em pacientes com doenças circulatórias. Material e método: Estudo transversal, com pacientes com doenças circulatórias (n=125). O exame clínico periodontal foi realizado considerando: biofilme, sangramento à sondagem, supuração, profundidade de sondagem, recessão gengival e nível de inserção clínica. A qualidade de vida foi avaliada com o Medical Outcomes Study 36 - Item Short-Form Health Survey (SF-36) e Oral Health Impact Profile - short form (OHIP-14). Os dados foram analisados com testes paramétricos e não paramétricos (α=5%). Resultado Idosos e os homens tiveram maior severidade da doença periodontal. Idosos apresentaram menores valores nos domínios "Capacidade funcional" e "Aspectos físicos" (SF-36). O domínio "Dor" teve menor valor nos indivíduos com saúde/gengivite. OHIP-14 não apresentou diferenças nas comparações. Não houve correlação entre qualidade de vida a severidade da doença periodontal. Conclusão Entre os pacientes com doenças circulatórias, os idosos e os homens tiveram maior severidade da doença periodontal. Idosos tiveram pior qualidade de vida (capacidade funcional e aspectos físicos). Não houve correlação entre a severidade da doença periodontal e a qualidade de vida.

Relação entre pneumonia associada à ventilação mecânica e a permanência em unidade de terapia intensiva / Relación entre neumonía asociada a ventilación mecánica y permanencia en una unidad de cuidados intensivos / Relationship between ventilator-associated pneumonia and permanence in an intensive care unit

Objetivo: Analisar a relação de incidência de Pneumonia associada à ventilação mecânica (PAV) com o aumento da média de permanência em pacientes de terapia intensiva. Método: Pesquisa quantitativa, retrospectiva, descritiva e documental. Realizada em duas UTIs de um Hospital Universitário no Estado do Paraná. A amostra foi composta por 2503 pacientes, no período de janeiro de 2017 a junho de 2019. Resultados: A maioria dos pacientes era do sexo masculino 58,7% (n=1471). Verificou-se forte poder estatístico, p valor de 0,0001, evidenciando que a PAV aumentou o tempo de internação, ou seja, o desenvolvimento de PAV gera uma permanência maior na UTI. O desfecho, 74,19% receberam alta e 25,81% evoluíram para óbito. Conclusão: Os dados apontaram para uma relação estatisticamente comprovada entre a PAV e o acréscimo do tempo de internação nas UTIs, o que acarreta o aumento dos riscos de morbimortalidade e altos custos na hospitalização.(AU)

Objective: To analyze the relationship between the incidence of Ventilator-associated pneumonia (VAP) and the increase in the average length of stay in intensive care patients. Method: Quantitative, retrospective, descriptive and documentary research. Carried out in two ICUs of a University Hospital in the State of Paraná. The sample consisted of 2503 patients, from January 2017 to June 2019. Results: Most patients were male 58.7% (n=1471). There was a strong statistical power, p value of 0.0001, showing that the VAP increased the length of stay, that is, the development of VAP generates a longer stay in the ICU. The outcome, 74.19% were discharged and 25.81% evolved to death. Conclusion: The data pointed to a statistically proven relationship between VAP and increased length of stay in the ICUs, which leads to increased risks of morbidity and mortality and high hospitalization costs.(AU)

Objetivo: Analizar la relación entre la incidencia de neumonía asociada a ventilador (NAV) y el aumento de la estancia media en pacientes de cuidados intensivos. Método: Investigación cuantitativa, retrospectiva, descriptiva y documental. Realizado en dos UCI de un Hospital Universitario del Estado de Paraná. La muestra estuvo constituida por 2503 pacientes, de enero de 2017 a junio de 2019. Resultados: La mayoría de los pacientes fueron hombres 58,7% (n = 1471). Hubo un fuerte poder estadístico, valor de p de 0,0001, mostrando que la NAV aumentó la estancia, es decir, el desarrollo de NAV genera una estancia más prolongada en la UCI. El resultado, 74,19% fueron dados de alta y 25,81% evolucionaron a muerte. Conclusión: Los datos apuntan a una relación estadísticamente probada entre NAV y mayor tiempo de estancia en UCI, lo que conduce a mayores riesgos de morbilidad y mortalidad y altos costos de hospitalización.(AU)

Analysis of diagnostic criteria for ventilator-associated pneumonia: a cohort study.

OBJECTIVES: to analyze the diagnostic criteria for ventilator-associated pneumonia recommended by the Brazilian Health Regulatory Agency and the National Healthcare Safety Network/Centers for Disease Control and Prevention, as well as its risk factors. METHODS: retrospective cohort study carried out in an intensive care unit throughout 12 months, in 2017. Analyses included chi-square, simple linear regression, and Kappa statistical tests and were conducted using Stata 12 software. RESULTS: the sample was 543 patients who were in the intensive care unit and under mechanical ventilation, of whom 330 (60.9%) were men and 213 (39.1%) were women. Variables such as gender, age, time under mechanical ventilation, and oral hygiene proved to be significant risk factors for the development of ventilator-associated pneumonia. CONCLUSIONS: patients submitted to mechanical ventilation need to be constantly evaluated so the used diagnostic methods can be accurate and applied in an objective and standardized way in Brazilian hospitals.

COVID-19 tents: specialized triage service, a temporal analysis of the patients' profile.

OBJECTIVE: To analyze the change in the clinical-epidemiological profile of patients attended at the specialized triage service for COVID-19 (COVID-19 tent) in the first three months of operation. METHODS: Cross-sectional study, with users attended from March 2020 to May 2020 (n=379) at the COVID-19 tent in the city of Ponta Grossa, Paraná. Data collection was retrieved from an electronic form fed by tent professionals, which included sociodemographic characteristics, symptoms, risk factors of exposure, means of search and clinical conduct. Trend tests and chi-square tests were performed. RESULTS: March showed a greater demand (n=197), motivated by mild symptoms and direct search (p<0.05). In the following months, there was a decrease in demand (n=93; n=89), however the search for referrals, ambulances and conditions that required medical attention, observation and hospitalization increased (p<0.05). The search resulting from exposure to risk factors has not changed (p>0.05). CONCLUSION: the profile has changed over time, reflecting, in the end, severe and critical symptoms, requiring intervention.

Analysis of diagnostic criteria for ventilator-associated pneumonia: a cohort study / Análisis de criterios diagnósticos de neumonía asociada a la ventilación mecánica: estudio de cohorte / Análise dos critérios diagnósticos de pneumonia associada à ventilação mecânica: estudo de coorte

ABSTRACT Objectives: to analyze the diagnostic criteria for ventilator-associated pneumonia recommended by the Brazilian Health Regulatory Agency and the National Healthcare Safety Network/Centers for Disease Control and Prevention, as well as its risk factors. Methods: retrospective cohort study carried out in an intensive care unit throughout 12 months, in 2017. Analyses included chi-square, simple linear regression, and Kappa statistical tests and were conducted using Stata 12 software. Results: the sample was 543 patients who were in the intensive care unit and under mechanical ventilation, of whom 330 (60.9%) were men and 213 (39.1%) were women. Variables such as gender, age, time under mechanical ventilation, and oral hygiene proved to be significant risk factors for the development of ventilator-associated pneumonia. Conclusions: patients submitted to mechanical ventilation need to be constantly evaluated so the used diagnostic methods can be accurate and applied in an objective and standardized way in Brazilian hospitals.

RESUMEN Objetivos: analizar los criterios diagnósticos de neumonía asociada la ventilación mecánica recomendados por la Agencia Nacional de Vigilancia Sanitaria y la National Health Care Safety Network/CDC, así como los factores de riesgo. Métodos: estudio de cohorte retrospectivo realizado en una unidad de terapia intensiva durante 12 meses, en 2017. El análisis se realizó mediante pruebas estadísticas de Chi-cuadrado, regresión lineal simple y test de Kappa, utilizando el programa STATA 12. Resultados: muestra constituida por 543 pacientes hospitalizados en UTI con ventilación mecánica, de ellos 330 (60,9%) eran de sexo masculino, y 213 (39,1%) de sexo femenino. Las variables como sexo, edad, tiempo de ventilación e higiene oral fueron significativas como factores de riesgo para el desarrollo de la NAV. Conclusiones: los pacientes en uso de ventilación mecánica requieren evaluación constante de precisión en los métodos de diagnóstico de manera objetiva y estandarizada en las instituciones hospitalarias brasileñas.

RESUMO Objetivos: analisar os critérios diagnósticos da Pneumonia Associada à Ventilação Mecânica recomendados pela Agência Nacional de Vigilância Sanitária e pela National Healthcare Safety Network/CDC, bem como os fatores de risco. Métodos: estudo de coorte retrospectivo realizado em uma Unidade de Terapia Intensiva, no período de 12 meses, no ano de 2017. A análise foi realizada por meio de testes estatísticos Qui-Quadrado, regressão linear simples e teste de Kappa, pelo programa STATA 12. Resultados: a amostra constitui-se de 543 pacientes hospitalizados na UTI em ventilação mecânica, destes, 330 (60,9%) eram do sexo masculino e 213 (39,1%) eram do sexo feminino. As variáveis, como sexo, idade, tempo de ventilação e higiene oral, foram significativas como fatores de risco para o desenvolvimento da Pneumonia Associada à Ventilação Mecânica (PAV). Conclusões: os pacientes em uso da ventilação mecânica necessitam de constante avaliação para acurácia dos métodos de diagnósticos, de forma objetiva e padronizada, nas instituições hospitalares brasileiras.

COVID-19 tents: specialized triage service, a temporal analysis of the patients' profile / Tienda COVID-19: servicio de triaje especializado, un análisis temporal del perfil de pacientes atendidos / Tenda COVID-19: serviço de triagem especializado, uma análise temporal do perfil de pacientes atendidos

ABSTRACT Objective: To analyze the change in the clinical-epidemiological profile of patients attended at the specialized triage service for COVID-19 (COVID-19 tent) in the first three months of operation. Methods: Cross-sectional study, with users attended from March 2020 to May 2020 (n=379) at the COVID-19 tent in the city of Ponta Grossa, Paraná. Data collection was retrieved from an electronic form fed by tent professionals, which included sociodemographic characteristics, symptoms, risk factors of exposure, means of search and clinical conduct. Trend tests and chi-square tests were performed. Results: March showed a greater demand (n=197), motivated by mild symptoms and direct search (p<0.05). In the following months, there was a decrease in demand (n=93; n=89), however the search for referrals, ambulances and conditions that required medical attention, observation and hospitalization increased (p<0.05). The search resulting from exposure to risk factors has not changed (p>0.05). Conclusion: the profile has changed over time, reflecting, in the end, severe and critical symptoms, requiring intervention.

RESUMEN Objetivo: Analizar el cambio del perfil clínico-epidemiológico de pacientes atendidos en el servicio de triaje especializado para COVID-19 (Tienda COVID-19) en sus primeros tres meses de funcionamiento. Métodos: Estudio transversal, con usuarios atendidos de marzo a mayo de 2020 (n=379) en la Tienda COVID-19 de Ponta Grossa, Paraná. Datos recolectados de formulario electrónico completado por profesionales de la Tienda, contemplando características sociodemográficas, sintomatología, factores de riesgo de exposición, medio de búsqueda y conducta clínica. Se aplicaron tests de tendencia y Chi-cuadrado. Resultados: Hubo mayor concurrencia en marzo (n=197), con sintomatología leve y búsqueda directa (p<0,05). En los meses siguientes se redujo la concurrencia (n=93; n=89) aumentando igualmente la búsqueda referenciada, ambulancia y cuadros requiriendo atención médica, observación e internación (p<0,05). La búsqueda derivada de exposición a factores de riesgo no cambió (p>0,05). Conclusión: El perfil cambió con el tiempo, reflejando finalmente cuadros sintomatológicos graves y críticos, demandando intervención.

RESUMO Objetivo: Analisar a mudança no perfil clínico-epidemiológico de pacientes atendidos no serviço de triagem especializado para COVID-19 (Tenda COVID-19) nos três primeiros meses de funcionamento. Métodos: Estudo transversal, com usuários atendidos de março a maio de 2020 (n=379) na Tenda COVID-19 de Ponta Grossa, Paraná. Foram coletados dados de formulário eletrônico alimentado por profissionais da Tenda, contemplando características sociodemográficas, sintomatologia, fatores de risco de exposição, meio de busca e conduta clínica, e realizados teste de tendência e qui-quadrado. Resultados: Houve maior procura em março (n=197), motivada por sintomatologia leve e busca direta (p<0,05). Nos meses subsequentes, a procura diminuiu (n=93; n=89), mas aumentou a busca de forma referenciada, ambulância e quadros que requereram atendimento médico, observação e internação (p<0,05). A busca decorrente de exposição a fatores de riscos não sofreu mudanças (p>0,05). Conclusão: o perfil mudou ao longo do tempo, refletindo, ao final, quadros sintomatológicos graves e críticos, demandando intervenção.

Incontinence associated dermatitis in elderly people admitted to a university hospital.

OBJECTIVE: To identify the frequency and factors associated to incontinence associated dermatitis in elderly people. METHODS: Cross-sectional study with 202 elderly patients admitted to a university hospital between September 2017 and January 2018. Data collection included: cognitive screening, sociodemographic and clinical questionnaire. It was performed exploratory and descriptive analysis, where prevalence and ratios (PR) were calculated. RESULTS: Prevalence of injury was 9.4%, age range 70-79 years (13.5%), African American (21.4%), hospitalization period ≥ 21 days (44.4%), in use of nasogastric tube (33.3%), medical device (11.3%), restricted mobility (18.5%). It was associated with hospitalization period, use of nasogastric tube, restricted mobility, medical devices, and cognition. CONCLUSION: It was confirmed an average frequency of incontinence associated dermatitis in elderly patients and association to factors such as hospitalization period, immobility, cognition, use of nasogastric tube and devices. It must be highlighted the importance of prevention measures, early detection, assessment and monitoring of this type of injury.

Mental health of nursing in coping with COVID-19 at a regional university hospital.

OBJECTIVE: to identify prevalence and factors associated with anxiety and depression in nursing professionals who work to cope with COVID-19 at a university hospital. METHODS: a cross-sectional observational study using a sociodemographic questionnaire and Hospital Anxiety and Depression Scale, with 88 nursing professionals. Data were analyzed using absolute and relative frequency and Statistical Package for the Social Sciences. RESULTS: there was prevalence of anxiety (48.9%) and depression (25%). The majority of the sample consisted of women over 40 years old, married or in a common-law marriage, white, with higher education or graduate degree, with an income above 3,000.00 reais, public servants, working 40 hours a week and working in the hospital from 1 to 5 years. CONCLUSION: we must consider the impact on mental health nursing caused by COVID-19 and intervene with coping strategies to minimize the suffering of professionals.

Mental health of nursing in coping with COVID-19 at a regional university hospital / La salud mental de enfermería en el enfrentamiento de la COVID-19 en un hospital regional universitario / A saúde mental da enfermagem no enfrentamento da COVID-19 em um hospital universitário regional

ABSTRACT Objective: to identify prevalence and factors associated with anxiety and depression in nursing professionals who work to cope with COVID-19 at a university hospital. Methods: a cross-sectional observational study using a sociodemographic questionnaire and Hospital Anxiety and Depression Scale, with 88 nursing professionals. Data were analyzed using absolute and relative frequency and Statistical Package for the Social Sciences. Results: there was prevalence of anxiety (48.9%) and depression (25%). The majority of the sample consisted of women over 40 years old, married or in a common-law marriage, white, with higher education or graduate degree, with an income above 3,000.00 reais, public servants, working 40 hours a week and working in the hospital from 1 to 5 years. Conclusion: we must consider the impact on mental health nursing caused by COVID-19 and intervene with coping strategies to minimize the suffering of professionals.

RESUMEN Objetivo: identificar la prevalencia y los factores asociados con la ansiedad y la depresión en profesionales de enfermería que trabajan para hacer frente a COVID-19 en un hospital universitario. Métodos: estudio observacional transversal, con cuestionario sociodemográfico y el software Statistical Package for the Social Sciences, con 88 profesionales de enfermería. Los datos se analizaron utilizando la frecuencia absoluta y relativa, utilizando el paquete estadístico para el software de ciencias sociales. Resultados: hubo prevalencia de ansiedad (48,9%) y depresión (25%). La mayoría de la muestra estaba compuesta por mujeres, mayores de 40 años, casadas o en una relación estable, blancas, con educación superior o educación de posgrado, con ingresos superiores a 3.000,00 reais, licitadas, con un régimen laboral de 40 Horas semanales y tiempo en el hospital de 1 a 5 años. Conclusión: se debe considerar el impacto en la salud mental de la enfermería causado por COVID-19 e intervenir con estrategias de afrontamiento para minimizar el sufrimiento de los profesionales.

RESUMO Objetivo: identificar a prevalência e fatores associados à ansiedade e depressão em profissionais de enfermagem que atuam no enfrentamento da COVID-19 em hospital universitário. Métodos: estudo observacional transversal, com questionário sociodemográfico e Escala de Medida de Ansiedade e Depressão, com 88 profissionais de enfermagem. Os dados foram analisados por meio de frequência absoluta e relativa, utilizando o software Statistical Package for the Social Sciences. Resultados: houve prevalência de ansiedade (48,9%) e de depressão (25%). A maioria da amostra foi composta por mulheres, com mais de 40 anos, casadas ou em união estável, de cor branca, com ensino superior ou pós-graduação, com renda superior a R$3.000,00, concursadas, com regime de trabalho de 40 horas semanais e tempo de atuação no hospital de 1 a 5 anos. Conclusão: deve-se considerar o impacto na saúde mental da enfermagem acarretado pela COVID-19 e intervir com estratégias de enfrentamento para minimizar o sofrimento dos profissionais.

Incontinence associated dermatitis in elderly people admitted to a university hospital / Dermatitis relacionada a la incontinencia en ancianos internados en un hospital universitário / Dermatite associada à incontinência em idosos internados em um hospital universitário

ABSTRACT Objective: To identify the frequency and factors associated to incontinence associated dermatitis in elderly people. Methods: Cross-sectional study with 202 elderly patients admitted to a university hospital between September 2017 and January 2018. Data collection included: cognitive screening, sociodemographic and clinical questionnaire. It was performed exploratory and descriptive analysis, where prevalence and ratios (PR) were calculated. Results: Prevalence of injury was 9.4%, age range 70-79 years (13.5%), African American (21.4%), hospitalization period ≥ 21 days (44.4%), in use of nasogastric tube (33.3%), medical device (11.3%), restricted mobility (18.5%). It was associated with hospitalization period, use of nasogastric tube, restricted mobility, medical devices, and cognition. Conclusion: It was confirmed an average frequency of incontinence associated dermatitis in elderly patients and association to factors such as hospitalization period, immobility, cognition, use of nasogastric tube and devices. It must be highlighted the importance of prevention measures, early detection, assessment and monitoring of this type of injury.

RESUMEN Objetivo: Identificar la prevalencia y los factores relacionados a la dermatitis relacionada a la incontinencia en ancianos. Métodos: Estudio transversal, con 202 ancianos internados en un hospital universitario, entre septiembre de 2017 a enero de 2018. La recogida de datos contempló: rastreo cognitivo, cuestionario sociodemográfico y clínico. Se realizó análisis exploratorio y descriptivo, siendo calculadas las prevalencias y razones de prevalencia (RP). Resultados: Prevalencia de la lesión ha sido de 9,4%, franja etaria 70-79 años (13,5%), raza negra (21,4%), tiempo de internación de ≥ 21 días (44,4%), en uso de sonda nasoenteral (33,3%), dispositivo médico (11,3%), movilidad restricta (18,5%). Se presentó relacionada con el tiempo de internación, sonda nasoenteral, movilidad restricta, dispositivos médicos y cognición. Conclusión: Se verificó la media prevalencia de dermatitis relacionada a la incontinencia en ancianos internados y relación a los factores: tiempo de internación, inmovilidad, cognición, uso de sonda nasoenteral y dispositivos. Se destaca la importancia de acciones de prevención, identificación precoz, evaluación y monitoreo de ese tipo de lesión.

RESUMO Objetivo: Identificar a prevalência e os fatores associados à dermatite associada à incontinência em idosos. Métodos: Estudo transversal, com 202 idosos internados em um hospital universitário, entre setembro de 2017 a janeiro de 2018. A coleta de dados contemplou: rastreio cognitivo, questionário sociodemográfico e clínico. Realizou-se análise exploratória e descritiva, sendo calculadas as prevalências e razões de prevalência (RP). Resultados: Prevalência da lesão foi de 9,4%, faixa etária 70-79 anos (13,5%), raça negra (21,4%), tempo de internação de ≥ 21 dias (44,4%), em uso de sonda nasoenteral (33,3%), dispositivo médico (11,3%), mobilidade restrita (18,5%). Apresentou-se associada com o tempo de internação, sonda nasoenteral, mobilidade restrita, dispositivos médicos e cognição. Conclusão: Verificou-se a média prevalência de dermatite associada à incontinência em idosos internados e associação aos fatores: tempo de internação, imobilidade, cognição, uso de sonda nasoenteral e dispositivos. Destaca-se a importância de ações de prevenção, identificação precoce, avaliação e monitoramento desse tipo de lesão.

Fatores associados à condição de acamado em idosos brasileiros: resultado da Pesquisa Nacional de Saúde, 2013 / Factors associated to the condition of bedridden in Brazilian old people, results from the National Health Survey, 2013

Resumo Objetivo Identificar os fatores associados à condição de acamado entre idosos brasileiros, analisando-se condições socioeconômicas e de saúde e utilização de serviços de saúde. Método Estudo transversal com dados secundários provenientes da Pesquisa Nacional de Saúde (2013). Contou com a população de indivíduos com ≥60 anos (n=11.177). A condição de acamado foi considerada variável dependente e as características sociodemográficas, condições de saúde e utilização de serviços médicos como independentes. Foram realizadas análises de regressão logística, e reportada a razão de chance bruta (RCbruta) e ajustada (RCajustada) com o intervalo de confiança de 95% (IC95%). Resultados Verificou-se que 4,9% dos idosos eram acamados. Essa condição mostrou-se associada ao sexo masculino (RCajustada=1,45; IC95%=1,13-1,84), analfabetismo (RCajustada=1,37; IC95%=1,11-1,70) e quantidade de doenças crônicas, sendo idoso com cinco ou mais doenças crônicas apresentava 4,96 (IC95%=2,78-8,85) mais chances do que os sem doença. As doenças associadas à condição acamado foram: episódio de acidente vascular cerebral (RCajustada=3,03; IC95%=1,29-8,43), diagnóstico de hipertensão arterial sistêmica (RCajustada=1,71; IC95%=1,31-2,24), alterações nos níveis de colesterol (RCajustada=2,08; IC95%=1,37-3,17) e depressão (RCajustada=5,64; IC95%=2,42-13,14). Ainda, idosos que precisaram de atendimento relacionado à própria saúde (RCajustada=16,94; IC95%=7,15-40,16), internamento (RCajustada=8,10; IC95%=4,20-15,54) e atendimento emergencial no domicílio nos últimos 12 meses (RCajustada=1,78; IC95%=4,20-15,54) e que consideraram a condição de saúde geral ruim (RCajustada=2,68; IC95%=2,05-3,51) apresentaram mais chances de ser acamado. Conclusão o estudo permitiu identificar importantes fatores associados à condição acamado de idosos brasileiros com destaque para sexo e escolaridade, as variáveis clínicas de doenças crônicas, e utilização mais frequente de serviços de saúde.

Abstract Objective to identify the factors associated to bedridden condition among Brazilian old people, analyzing socioeconomic and health conditions and the use of health services. Method cross-sectional study, with secondary data from National Health Survey (2013). It counted on the population of individuals ≥60 aged (n=11.177). The bedridden condition was considered a dependent variable and the sociodemographic characteristics, health conditions and use of medical services as independent. Crude and adjusted logistic regression analyses were performed and reported crude and Adjusted Odds Ratio (ORadjusted), with 95% confidence interval (95%CI). Results It was found that 4.9% of the old people were bedridden. This condition was shown to be associated to male gender (ORadjusted=1.45; 95%CI= 1.13-1.84), illiteracy (ORadjusted=1.37 95%CI= 1.11-1.70) and number of chronic diseases, old people who had five chronic diseases were 4.96 (95%CI=2.78-8.85) times more likely than those without disease. The diseases associated to bedridden condition were stroke episode (ORadjusted=3.03; 95%CI=1.29-8.43), diagnosis of systemic arterial hypertension (ORadjusted=1.71; 95%CI=1.31-2.24), changes in cholesterol levels (ORadjusted=2.08; CI95%= 1.37-3.17) and depression (ORadjusted=5.64; 95%CI=2.42-13.14). Still, old people who needed care related to their own health (OR=16.94; 95%CI=7.15-40.16), hospitalization (ORadjusted=8.10; 95%CI=4.20-15.54) and emergency home care in the last 12 months (ORadjusted=1.78; 95%CI=1.25-2.55) and who considered the condition of poor general health (ORadjusted=2.68; 95%CI=2.05-3.51) were more likely to be bedridden. Conclusion This study allowed the identification of important factors associated with the bedridden condition of Brazilian old people, with emphasis on gender and education, the clinical variables of chronic diseases, and the more frequent use of health services.