Uso do instrumento Elders Risk Assessment (ERA) para a predição de desfechos desfavoraveis em saúde de idosos
Ano de defesa: | 2016 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Federal de Santa Maria
Centro de Educação Física e Desportos |
Programa de Pós-Graduação: |
Programa de Pós-Graduação em Gerontologia
|
Departamento: |
Educação Física
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://repositorio.ufsm.br/handle/1/13049 |
Resumo: | The study of predictors of health risk is important to assist professionals in the area in making clinical decisions at the individual or collective level. With focus on the elderly population, in 2005, the Elders Risk Assessment (ERA) was developed in Rochester, MN, USA. Its main advantage over other predictors is the practicality of use, since the data are obtained in an administrative way through the medical record review. Until now, this instrument has not been studied in Brazil. In this sense, this work was developed to use the ERA instrument as a predictor of risk of health problems in the elderly attended at the Hospital Universitário de Santa Maria, RS. The outcomes (events) considered for risk prediction were hospital admissions and urgent/emergency care. From the review of medical records, the ERA scores were obtained from a sample of 135 older adults seen outpatient in the year 2010 and the outcomes were surveyed between 2010 and 2012. Like the original study, the results showed a positive correlation between higher ERA scores and greater number of events. It is concluded that the ERA instrument can be used in our environment as a tool for risk screening for unfavorable events in the health of the elderly. It is also possible to characterize strategies of clinical approach in order to modify the tendency towards unfavorable outcomes. Considering the population cut and the study design chosen, other works are needed to prove the reproducibility of the instrument under different conditions, both in the public health system (SUS) and in the supplementary health. |
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2018-04-24T13:02:12Z2018-04-24T13:02:12Z2016-09-30http://repositorio.ufsm.br/handle/1/13049The study of predictors of health risk is important to assist professionals in the area in making clinical decisions at the individual or collective level. With focus on the elderly population, in 2005, the Elders Risk Assessment (ERA) was developed in Rochester, MN, USA. Its main advantage over other predictors is the practicality of use, since the data are obtained in an administrative way through the medical record review. Until now, this instrument has not been studied in Brazil. In this sense, this work was developed to use the ERA instrument as a predictor of risk of health problems in the elderly attended at the Hospital Universitário de Santa Maria, RS. The outcomes (events) considered for risk prediction were hospital admissions and urgent/emergency care. From the review of medical records, the ERA scores were obtained from a sample of 135 older adults seen outpatient in the year 2010 and the outcomes were surveyed between 2010 and 2012. Like the original study, the results showed a positive correlation between higher ERA scores and greater number of events. It is concluded that the ERA instrument can be used in our environment as a tool for risk screening for unfavorable events in the health of the elderly. It is also possible to characterize strategies of clinical approach in order to modify the tendency towards unfavorable outcomes. Considering the population cut and the study design chosen, other works are needed to prove the reproducibility of the instrument under different conditions, both in the public health system (SUS) and in the supplementary health.O estudo de preditores de risco em saúde é importante para auxiliar os profissionais da área na tomada de decisões clínicas no âmbito individual ou coletivo. Com foco na população de idosos, em 2005, foi desenvolvido em Rochester, MN, USA, o instrumento Elders Risk Assessment (ERA). Sua principal vantagem em relação a outros preditores é a praticidade de uso, visto que os dados são obtidos de maneira administrativa através da revisão de prontuário médico. O referido instrumento, até o presente momento, não foi estudado no Brasil. Nesse sentido, esse trabalho foi desenvolvido com o objetivo de utilizar o instrumento ERA como preditor de risco de agravos na saúde de idosos atendidos no Hospital Universitário de Santa Maria, RS. Os desfechos (eventos) considerados para a predição de risco foram internações hospitalares e atendimento em situação de urgência/emergência. A partir da revisão de prontuários médicos, foram obtidos os escores ERA de uma amostra de 135 idosos atendidos ambulatorialmente no ano 2010 e os desfechos foram pesquisados entre os anos 2010 e 2012. À semelhança do estudo original, os resultados demonstraram uma correlação positiva entre escores ERA mais elevados e maior número de eventos. Conclui-se que o instrumento ERA pode ser utilizado em nosso meio como ferramenta de rastreio de risco para eventos desfavoráveis em saúde de idosos. Pode, ainda, balizar estratégias de abordagem clínica com o objetivo de modificar a tendência para desfechos desfavoráveis. Considerando-se o recorte populacional e o desenho de estudo escolhido, novos trabalhos são necessários para comprovar a reprodutibilidade do instrumento em condições distintas, tanto no sistema público de saúde (SUS) quanto na saúde suplementar.porUniversidade Federal de Santa MariaCentro de Educação Física e DesportosPrograma de Pós-Graduação em GerontologiaUFSMBrasilEducação FísicaAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessIdososPredição de riscoDesfechos desfavoráveisOlders adultsRisk predictionUnfavorable outcomesCNPQ::CIENCIAS DA SAUDE::EDUCACAO FISICAUso do instrumento Elders Risk Assessment (ERA) para a predição de desfechos desfavoraveis em saúde de idososUse of the Elders Risk Assessment (ERA) instrument for the prediction of unfavorable outcomes in health of elderlyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisLampert, Melissa Agostinihttp://lattes.cnpq.br/0851929722857258Moraes, Anaelena Bragança dehttp://lattes.cnpq.br/4262448037922838Filippin, Nadiesca Taisahttp://lattes.cnpq.br/4917528501000675http://lattes.cnpq.br/9779858409895880Barbosa, Cristian Dias4009000000026009e116d7c-bfb1-4c55-b75c-ac197bee87f4c9b3162a-2112-4525-9914-b18a966e75b9c2bfa251-f91a-4f33-97ff-fe3862c2e73593ad75d8-9ac8-40b6-bb5c-fab26705a2ecreponame:Manancial - Repositório Digital da UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMORIGINALDIS_PPGGERONTOLOGIA_2016_BARBOSA_CRISTIAN.pdfDIS_PPGGERONTOLOGIA_2016_BARBOSA_CRISTIAN.pdfDissertação de Mestradoapplication/pdf260280http://repositorio.ufsm.br/bitstream/1/13049/1/DIS_PPGGERONTOLOGIA_2016_BARBOSA_CRISTIAN.pdf90adf4c0f86b220df11108ceb025a707MD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; 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dc.title.por.fl_str_mv |
Uso do instrumento Elders Risk Assessment (ERA) para a predição de desfechos desfavoraveis em saúde de idosos |
dc.title.alternative.eng.fl_str_mv |
Use of the Elders Risk Assessment (ERA) instrument for the prediction of unfavorable outcomes in health of elderly |
title |
Uso do instrumento Elders Risk Assessment (ERA) para a predição de desfechos desfavoraveis em saúde de idosos |
spellingShingle |
Uso do instrumento Elders Risk Assessment (ERA) para a predição de desfechos desfavoraveis em saúde de idosos Barbosa, Cristian Dias Idosos Predição de risco Desfechos desfavoráveis Olders adults Risk prediction Unfavorable outcomes CNPQ::CIENCIAS DA SAUDE::EDUCACAO FISICA |
title_short |
Uso do instrumento Elders Risk Assessment (ERA) para a predição de desfechos desfavoraveis em saúde de idosos |
title_full |
Uso do instrumento Elders Risk Assessment (ERA) para a predição de desfechos desfavoraveis em saúde de idosos |
title_fullStr |
Uso do instrumento Elders Risk Assessment (ERA) para a predição de desfechos desfavoraveis em saúde de idosos |
title_full_unstemmed |
Uso do instrumento Elders Risk Assessment (ERA) para a predição de desfechos desfavoraveis em saúde de idosos |
title_sort |
Uso do instrumento Elders Risk Assessment (ERA) para a predição de desfechos desfavoraveis em saúde de idosos |
author |
Barbosa, Cristian Dias |
author_facet |
Barbosa, Cristian Dias |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Lampert, Melissa Agostini |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/0851929722857258 |
dc.contributor.referee1.fl_str_mv |
Moraes, Anaelena Bragança de |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/4262448037922838 |
dc.contributor.referee2.fl_str_mv |
Filippin, Nadiesca Taisa |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/4917528501000675 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/9779858409895880 |
dc.contributor.author.fl_str_mv |
Barbosa, Cristian Dias |
contributor_str_mv |
Lampert, Melissa Agostini Moraes, Anaelena Bragança de Filippin, Nadiesca Taisa |
dc.subject.por.fl_str_mv |
Idosos Predição de risco Desfechos desfavoráveis |
topic |
Idosos Predição de risco Desfechos desfavoráveis Olders adults Risk prediction Unfavorable outcomes CNPQ::CIENCIAS DA SAUDE::EDUCACAO FISICA |
dc.subject.eng.fl_str_mv |
Olders adults Risk prediction Unfavorable outcomes |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::EDUCACAO FISICA |
description |
The study of predictors of health risk is important to assist professionals in the area in making clinical decisions at the individual or collective level. With focus on the elderly population, in 2005, the Elders Risk Assessment (ERA) was developed in Rochester, MN, USA. Its main advantage over other predictors is the practicality of use, since the data are obtained in an administrative way through the medical record review. Until now, this instrument has not been studied in Brazil. In this sense, this work was developed to use the ERA instrument as a predictor of risk of health problems in the elderly attended at the Hospital Universitário de Santa Maria, RS. The outcomes (events) considered for risk prediction were hospital admissions and urgent/emergency care. From the review of medical records, the ERA scores were obtained from a sample of 135 older adults seen outpatient in the year 2010 and the outcomes were surveyed between 2010 and 2012. Like the original study, the results showed a positive correlation between higher ERA scores and greater number of events. It is concluded that the ERA instrument can be used in our environment as a tool for risk screening for unfavorable events in the health of the elderly. It is also possible to characterize strategies of clinical approach in order to modify the tendency towards unfavorable outcomes. Considering the population cut and the study design chosen, other works are needed to prove the reproducibility of the instrument under different conditions, both in the public health system (SUS) and in the supplementary health. |
publishDate |
2016 |
dc.date.issued.fl_str_mv |
2016-09-30 |
dc.date.accessioned.fl_str_mv |
2018-04-24T13:02:12Z |
dc.date.available.fl_str_mv |
2018-04-24T13:02:12Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/masterThesis |
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masterThesis |
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http://repositorio.ufsm.br/handle/1/13049 |
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http://repositorio.ufsm.br/handle/1/13049 |
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por |
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por |
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400900000002 |
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600 |
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Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
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Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ |
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openAccess |
dc.publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Centro de Educação Física e Desportos |
dc.publisher.program.fl_str_mv |
Programa de Pós-Graduação em Gerontologia |
dc.publisher.initials.fl_str_mv |
UFSM |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Educação Física |
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Universidade Federal de Santa Maria Centro de Educação Física e Desportos |
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