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The objective of this study was to identify the health conditions considered potential risk factors for severe Covid-19 and analyze its association with the BMI of elderly people living in Long-Term Care Facilities (LTCF). This is a descriptive and cross-sectional study, with a quantitative approach, carried out in eight LTCF in the Metropolitan Region of Natal, Rio Grande do Norte, with a population of 267 elderly people, between the months of February and December 2018. The Elderly Health Handbook was used to collect data on sociodemographic, health and risk factors. The Pearson’s Chi-square test and odds ratio were used for the analysis. A higher frequency of low weight was observed in elderly people with cognitive impairment (24.6%), and overweight in those hypertensive (23.3%) and diabetics (12.9%). BMI was associated with the age group of 80 years or over, hypertension and diabetes (p = 0.013; p < 0.001; p = 0.001). Hypertensive elderly people were more likely to have low weight when compared to non-hypertensive individuals (RC = 3.6; 95% CI 1.5–8.6). The institutionalized elderly individuals present health conditions that may contribute to the occurrence of adverse outcomes in case of infection by Covid-19. The importance of protective measures for this population must be reinforced, in view of the devastating action of this disease in these institutions.

This study aimed to analyze the relationship between sociodemographic factors, health, functionality, depression, and frailty with the risk of abuse and violence against younger and older adults individuals. A cross-sectional observational study with a quantitative approach was conducted among Brazilian older adults between April and July 2022. Participants aged 60 years and older were recruited from Brazilian Primary Health Care Units. The Hwalek-Sengstock Elder Abuse Screening Test, Lawton and Brody’s Instrumental Activities of Daily Living Scale, Edmonton Frail Scale, and the Geriatric Depression Scale (GDS-15) were used to assess the variables of interest. Odds Ratios (ORs) was calculated using binary logistic regression models to test the study hypothesis. The sample was divided into two groups: younger elderly individuals (aged 60–70 years) and older elderly individuals (> 70 years). A total of n = 200 individuals’ participants were included in the study (n = 132 younger and n = 68 older). Non-white skin color (n = 15/ 22.1%/ p = 0.016/ OR= 2.0) was identified as a risk factor for the older group, while illiteracy emerged as a risk factor for violence in both groups (OR> 1.0). The absence of depressive symptoms and frailty were protective factors against the risk of abuse and violence in both groups (OR>1.0). Logistic regression analysis indicated that depression was the variable most strongly associated with the risk of abuse and violence, particularly in the younger group (R² = 0.46/ p < 0.001/ ß = 0.56). Among the observed associations, non-white skin color was a risk factor for abuse and violence in the older group, whereas literacy, absence of depression, and absence of frailty were protective factors in both groups.

Our objective was to assess the effect of Venous Leg Ulcer (VLU) healing on Quality of Life (QoL) in patients undergoing compression therapy. This non-randomized, quasi-experimental, and observational study involved patients with VLU. A convenience sample of individuals receiving services was followed for at least one year while undergoing compression therapy. The Medical Outcomes Short-Form Health Survey (SF-36) and the Charing Cross Venous Ulcer Questionnaire (CCVUQ) were employed to measure the variables of interest. Study participants were categorized into the Healed Group (HG) and the Unhealed Group (UG). The final sample comprised 103 individuals. The HG demonstrated improvements in SF-36 scores in the domains of Social Role Functioning (n = 34, p<0.001), Physical Role Functioning (n = 33, p<0.001), and the Physical Health Dimension (n = 38, p<0.001). Additionally, the CCVUQ assessment revealed score enhancements in the domains of Domestic Activities (n = 30, p = 0.001) and Social Interaction (n = 30, p = 0.009). QoL showed significant improvements in functionality, physical performance, and social interaction in the HG after one year of compression therapy treatment. In contrast, the UG was the only group to experience significant deteriorations in QoL.

Our aim was to analyze the association between socioeconomic status and quality of life (QoL) among older people with depressive symptoms treated through the Primary Health Care (PHC) system in Brazil and Portugal. This was a comparative cross-sectional study with a nonprobability sample of older people in the PHC in Brazil and Portugal conducted between 2017 and 2018. To evaluate the variables of interest, the socioeconomic data questionnaire, the Geriatric Depression Scale and the Medical Outcomes Short-Form Health Survey were used. Descriptive and multivariate analyses were performed to test the study hypothesis. The sample consisted of n = 150 participants (Brazil n = 100 and Portugal n = 50). There was a predominance of woman (76.0%, p = 0.224) and individuals between 65 and 80 years (88.0%, p = 0.594). The multivariate association analysis showed that in the presence of depressive symptoms, the QoL mental health domain was most associated with the socioeconomic variables. Among the prominent variables, woman group (p = 0.027), age group 65–80 years (p = 0.042), marital status “without a partner” (p = 0.029), education up to 5 years (p = 0.011) and earning up to 1 minimum wage (p = 0.037) exhibited higher scores among brazilian participants. The portuguese participants showed an association between the general health status domain and woman group (p = 0.042) and education up to 5 years (p = 0.045). The physical functioning domain was associated with income of up to 1 minimum wage (p = 0.037). In these domains, the portuguese participants exhibited higher scores than the brazilian participants. We verified the association between socioeconomic profile and QoL in the presence of depressive symptoms, which occurred mainly among woman, participants with low levels of education and low income, with QoL aspects related to mental, physical and social health and self-perceived health. The group from Brazil had higher QoL scores than the group from Portugal.

Objetivo: Trata-se de um estudo avaliativo, com abordagem quantitativa que objetivou avaliar a satisfação de usuários durante o atendimento ambulatorial, realizado em um hospital referência no tratamento da AIDS em Natal/RN. Métodos: A amostra foi composta por 626 portadores de HIV em acompanhamento. Como instrumento de coleta de dados utilizou-se um formulário estruturado. Os dados foram analisados por meio de estatística descritiva e inferencial. Resultados: Observou-se que o perfil dos portadores de HIV caracterizou-se por serem do sexo masculino, com média de idade de 38 anos, procedentes da capital, com ensino fundamental, renda familiar de até dois salários mínimos, e tipo de exposição heterossexual. A avaliação do serviço foi considerada insatisfatória pela maioria dos usuários com uma diferença significativa (ρ<0,001) entre a variável satisfação e as variáveis preditoras. Conclusão: Conclui-se que a atenção à saúde no serviço, foi apontada como insatisfatória pelos pesquisados sendo esta demonstrada pelos testes estatísticos. Descritores: HIV; Síndrome de Imunodeficiência Adquirida; Avaliação de serviços de saúde; Qualidade da Assistência à Saúde.

Objetivo: Caracterizar os acidentes de trânsito assistidos pelo serviço de atendimento móvel de urgência do Rio Grande do Norte. Métodos: Pesquisa descritiva, exploratória, com abordagem quantitativa, realizada em um Serviço de Atendimento Móvel de Urgência. Resultados: A amostra foi composta por 1.353 fichas de atendimento de janeiro a junho de 2014. Destacou-se o sexo masculino (78,0%), com idade entre 25 e 34 anos (29,9%). O maior número foi no final de semana (53,9%), à noite (25,9%) e o tipo de colisão mais recorrente foi queda de moto (35,8%). As escoriações foram as lesões mais frequentes (28,7%) e o politraumatismo ocorreu em 34,1% das vítimas. Conclusão: Ressalta-se a importância da educação permanente dos profissionais de saúde, pois, quanto mais rápido e qualificado for o primeiro atendimento, maiores serão as chances de um bom prognóstico.

Objetivo: sintetizar o conhecimento produzido sobre as intervenções utilizadas para o manejo da dor em pessoas com úlcera venosa. Métodos: revisão integrativa da literatura realizada em junho de 2013 nas bases de dados PubMed, CINAHL, ISI Web of Knowledge, SCOPUS, The Cochrane Library e LILACS. Para o levantamento das publicações foram utilizados descritores do vocabulário MeSH – Medical Subject Headings: “Venous ulcers”; “Pain Management” e “Nursing”.  Resultados: foram selecionados sete artigos e estes apresentaram intervenções do tipo farmacológicas - curativos contendo ibuprofeno, técnicas como musicoterapia, aromoterapia e laserterapia e participação em grupos de apoio. Conclusão: concluiu-se que existe um déficit de estudos sobre o manejo da dor, contudo sugere-se a implementação das atividades de intervenção encontradas para realização de uma assistência eficaz e holística.

Resumo Objetivo Relacionar variáveis sociodemográficas, econômicas, clínicas e ter ou não cuidador, risco de queda e percepção do risco de quedas com a capacidade funcional em pessoas idosas em um Serviço de Emergência. Métodos Estudo transversal e analítico, realizado entre setembro de 2019 e março de 2020, no Serviço de Emergência, com 197 pessoas idosas. Foi aplicado questionário com informações sociodemográficas, econômicas e clínicas; e os instrumentos: Falls Risk Awareness Questionnaire, Morse Falls Scale, Índice de Katz e Escala de Lawton. Para comparar o Índice de Katz e a Escala de Lawton; e associar a Morse Falls Scale com as variáveis contínuas foram utilizados, respectivamente, o teste de Kruskal Wallis e o coeficiente de correlação de Spearman. Para associar Falls Risk Awareness Questionnaire com as variáveis categóricas utilizou-se o teste de Mann-Whitney e o teste de Kruskal Wallis. Resultados Os nãos letrados (p<0,0001) e com menor renda (p=0,0446) tiveram menor escore no Índice de Katz, isto é, apresentaram maior percentual de totalmente dependentes. Os divorciados (p=0,0004) e sem cuidador (p<0,0001) apresentaram maior escore na Escala de Lawton, ou seja, maior grau de independência. A maior percepção dos riscos de queda (p=0,0403) associou-se à menor independência para as atividades instrumentais de vida diária. O risco baixo de quedas (p<0,0001) associou-se à maior independência para as atividades instrumentais de vida diária. Não houve associação entre percepção do risco de queda (p=0,2693) e risco de queda (p=0,4984) com o Índice de Katz. Conclusão A menor escolaridade e renda associaram-se com a dependência para atividades de vida diária. Ser divorciado e não ter cuidador associaram-se com a independência para atividades instrumentais de vida diária. Não houve associação entre a percepção do risco de queda e o risco de queda com as atividades de vida diária. A maior percepção dos riscos de queda associou-se à menor independência e o risco baixo de quedas associou-se à maior independência para as atividades instrumentais de vida diária. Resumen Objetivo Relacionar variables sociodemográficas, económicas, clínicas y tener o no tener cuidador, riesgo de caída y percepción del riesgo de caída con la capacidad funcional de personas mayores en un servicio de emergencia. Métodos Estudio transversal y analítico, realizado entre septiembre de 2019 y marzo de 2020 en un servicio de emergencia con 197 personas mayores. Se aplicó un cuestionario con información sociodemográfica, económica y clínica; y se aplicaron los siguientes instrumentos: Falls Risk Awareness Questionnaire, Morse Falls Scale, Índice de Katz y Escala de Lawton. Para comparar el Índice de Katz y la Escala de Lawton se utilizó la prueba de Kruskal Wallis, y para asociar la Morse Falls Scale con las variables continuas se utilizó el coeficiente de correlación de Spearman. Para asociar el Falls Risk Awareness Questionnaire con las variables categóricas se utilizó la prueba de Mann-Whitney y la prueba de Kruskal Wallis. Resultados Las personas no letradas (p<0,0001) y con menores ingresos (p=0,0446) tuvieron un puntaje menor en el Índice de Katz, es decir, presentaron un mayor porcentaje de totalmente dependientes. Los divorciados (p=0,0004) y sin cuidador (p<0,0001) presentaron mayor puntaje en la Escala de Lawton, es decir, mayor nivel de independencia. Una mayor percepción de los riesgos de caída (p=0,0403) se asoció a una menor independencia para las actividades instrumentales de la vida diaria. El bajo riesgo de caída (p<0,0001) se asoció a una mayor independencia para las actividades instrumentales de la vida diaria. No hubo asociación entre percepción del riesgo de caída (p=0,2693) y riesgo de caída (p=0,4984) con el Índice de Katz. Conclusión Una menor escolaridad y menores ingresos se asociaron con la dependencia para actividades de la vida diaria. Ser divorciado y no tener cuidador se asoció con la independencia para actividades instrumentales de la vida diaria. No hubo asociación entre la percepción del riesgo de caída y el riesgo de caída con las actividades de la vida diaria. Una mayor percepción de los riesgos de caída se asoció a una menor independencia y el bajo riesgo de caída se asoció a una mayor independencia para las actividades instrumentales de la vida diaria. Abstract Objective To relate sociodemographic, economic and clinical variables and having or not having a caregiver, risk for falls and perception of the risk for falls with the functional capacity of older adults in an Emergency Department. Methods Analytical cross-sectional study of 197 older adults conducted in the Emergency Department between September 2019 and March 2020. A questionnaire with sociodemographic, economic and clinical information was applied, as well as the instruments: Falls Risk Awareness Questionnaire, Morse Falls Scale, Katz Index and Lawton Scale. The Kruskal Wallis test was used to compare the Katz Index and the Lawton Scale, and the Spearman correlation coefficient was used to associate the Morse Falls Scale with continuous variables. The Mann-Whitney test and the Kruskal Wallis test were used to associate the Falls Risk Awareness Questionnaire with the categorical variables. Results Illiterate patients (p<0.0001) with lower income (p=0.0446) had a lower score on the Katz Index, that is, they presented a higher percentage of totally dependent people. Divorced older adults (p=0.0004) without a caregiver (p<0.0001) had a higher score on the Lawton Scale, that is, a greater degree of independence. The greater perception of risk for falls (p=0.0403) was associated with less independence for instrumental activities of daily living. The low risk for falls (p<0.0001) was associated with greater independence for instrumental activities of daily living. There was no association between perceived risk for falls (p=0.2693) and risk for falls (p=0.4984) with the Katz Index. Conclusion Lower education and income were associated with dependence for activities of daily living. Being divorced and not having a caregiver were associated with independence in instrumental activities of daily living. There was no association between the perception of risk for falls and the risk for falls with activities of daily living. The greater perception of risk for falls was associated with less independence, and the low risk for falls was associated with greater independence for instrumental activities of daily living.

Venous ulcers constitute an important public health problem as they can cause disability with consequences for multiple dimensions of quality of life. To describe the quality of life in patients with venous leg ulcer treated in primary care in two cities from Brazil and Portugal. This was a cross-sectional comparative study with a non-probabilistic sample of 171 patients with venous leg ulcers who were treated in primary care in two cities from Brazil and Portugal, namely, Natal and Évora. A form covering sociodemographic and health data and the Medical Outcomes Study 36-Item Short-Form Health Survey were used, and descriptive and inferential analyses were performed. Significant differences in age and income were observed between the two samples. Patients with venous leg ulcer from Brazil had lower income and were younger than those from Portugal. Quality of life scores were significantly higher in Portugal for the physical aspects, pain, and social functioning, among domains, and for the physical health dimension and total score of QOL. The quality of life was better in Portugal than in Brazil and the differences between the countries need further investigation.

Introduction/Objective: Falls affect approximately 30% of the older adult population. We aimed to compare the associations between fall risk and different multidimensional health aspects among older adults receiving care in the Brazilian Primary Health Care (PHC) system. Method: Cross-sectional, quantitative study involving older adults from PHC. The Fall Risk Score, Mini Nutritional Assessment, Mini-Mental State Examination, Edmonton Frail Scale, Barthel Index, Lawton & Brody Scale, and Medical Outcomes Study Questionnaire Short Form was used to measure the variables of interest. Correlation analyses and binary logistic regression were also employed. Results: A total of n = 257 individuals participated, of whom n = 102 (39.7%) were with risk for falls. Preserved cognition, absence of frailty, and better functionality levels were identified as protective factors against fall risk through association and correlation analyses. The binary logistic regression analysis found that the factors contributing most to the reduction of fall risk were higher nutritional scores, better cognitive function, preserved functionality (BADL and IADL), and the functional domain of quality of life (QoL). Conclusion: Better nutritional status, cognition, functionality, and QoL were associated with a lower risk of falls. Although frailty exhibited similar results, it did not stand out equally as a contributing factor to fall risk.