| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 473.33 KB | Adobe PDF |
Authors
Abstract(s)
Introdução: Uma maior esperança média de vida é acompanhada pelo aumento do
nĂșmero de pessoas idosas. Dado o aumento da prevalĂȘncia de demĂȘncia com o
envelhecimento, pode associar-se um acrĂ©scimo no nĂșmero de pessoas com esta patologia.
A nĂvel global, surgem cerca de 10 milhĂ”es de novos casos de demĂȘncia por ano, na
proporção de um caso a cada 3 segundos. As pessoas idosas com demĂȘncia tĂȘm maior
probabilidade de serem internadas por quedas e infeçÔes, quando comparadas com
indivĂduos da mesma idade e para a mesma patologia. Contudo, os serviços de
internamento nem sempre estĂŁo preparados para responder adequadamente Ă s
necessidades destes pacientes. O presente estudo pretende realizar uma revisĂŁo integrada
da literatura sobre a hospitalização de pessoas com demĂȘncia, sistematizando os
principais problemas, conteĂșdos e resultados sobre a temĂĄtica.
Metodologia: RevisĂŁo integrada da literatura sobre o internamento hospitalar de
pessoas com demĂȘncia. A pesquisa foi efetuada nas seguintes bases de dados eletrĂłnicas:
PubMed, Scopus e Web of Science entre 28 de novembro de 2019 e 24 de janeiro de 2020.
Não foram empregues quaisquer filtros ou restriçÔes no processo.
Resultados: Foram encontrados 12 artigos sobre a hospitalização de idosos com
demĂȘncia. Estes estudos sugeriram maiores taxas de admissĂŁo hospitalar em idosos com
demĂȘncia comparativamente com idosos sem demĂȘncia. Os principais motivos de
admissĂŁo foram: patologias infeciosas, cardiovasculares e quedas. Os indivĂduos com
demĂȘncia apresentaram perĂodos de internamento mais longos, maior taxa de
mortalidade e maior probabilidade de institucionalização após o internamento,
comparativamente aos idosos internados sem défice cognitivo. As principais complicaçÔes
no decorrer do internamento foram delirium, infeçÔes hospitalares e quedas. Fraturas e
traumatismos causados por quedas foram frequentes causas de internamento e sĂŁo
relevantes uma vez que tĂȘm impacto na funcionalidade do indivĂduo. Como resultado da
hospitalização pode decorrer agravamento da deterioração cognitiva, especialmente se
ocorrer o desenvolvimento de delirium. Os resultados alertam para o impacto negativo do
internamento desta população e para o alto risco de mortalidade e institucionalização após
este evento.
ConclusĂŁo: De um modo geral, o internamento de pessoas idosas com demĂȘncia Ă© um
evento negativo na vida destes doentes, tendo importantes repercussÔes na sua qualidade
de vida, dependĂȘncia e mortalidade. Torna-se relevante preparar estes internamentos, atravĂ©s de protocolos de atuação in situ. Verifica-se que sĂŁo indispensĂĄveis mais estudos
sobre esta temĂĄtica com a finalidade de entender concretamente como se pode prevenir
resultados adversos e aumentar a qualidade de vida desta população.
Introduction: An increase in average life expectancy is followed by a rise in the number of elderly people. Given the rising prevalence of dementia with the aging of the population, the longer life expectancy can, therefore, be associated with the growth in number of dementia patients. Globally, about 10 million new cases of dementia appear each year, one case every 3 seconds. Elderly people with dementia are more likely to be hospitalized for falls and infections, when compared to individuals of the same age and with the same pathology. However, services are not always prepared to respond adequately to the needs of such patients. The present study aims to conduct an integrative review of the literature on the hospitalization of people with dementia, systematizing the main problems, results and content on the subject. Methodology: Integrative review of the literature concerning hospitalization of people with dementia. The search was carried out in the following electronic databases: PubMed, Scopus and Web of Science between November 28th, 2019 and January 24th, 2020. No filters or restrictions were applied. Results: Twelve articles were found on the hospitalization of elderly people with dementia. These studies suggested higher rates of hospital admission in elderly people with dementia compared to elderly people without dementia. The main reasons for their admission were: infectious and cardiovascular diseases and falls. Individuals with dementia had longer hospital stay, a higher mortality rate and a higher probability of institutionalization after hospitalization, compared to hospitalized elderly people without cognitive impairment. The main complications during hospitalization were delirium, hospital infections and falls. Fractures and trauma caused by falls were frequent causes of admission and are relevant since they impact on the individualâs functionality. As a result of hospitalization, cognitive deterioration may worsen, especially if delirium is developed. Therefore, the results alert to the negative impact of hospitalization of this population and to the high risk of mortality and institutionalization after being hospitalized. Conclusion: In general, the hospitalization of elderly people with dementia is a negative event in these patientsâ lives, with important repercussions on their mortality, functionality and dependence. It is relevant to prepare these hospitalizations, through guidelines and protocols in situ. It appears that more studies on this topic are required in order to better understand how to prevent adverse results and increase the quality of life of this population.
Introduction: An increase in average life expectancy is followed by a rise in the number of elderly people. Given the rising prevalence of dementia with the aging of the population, the longer life expectancy can, therefore, be associated with the growth in number of dementia patients. Globally, about 10 million new cases of dementia appear each year, one case every 3 seconds. Elderly people with dementia are more likely to be hospitalized for falls and infections, when compared to individuals of the same age and with the same pathology. However, services are not always prepared to respond adequately to the needs of such patients. The present study aims to conduct an integrative review of the literature on the hospitalization of people with dementia, systematizing the main problems, results and content on the subject. Methodology: Integrative review of the literature concerning hospitalization of people with dementia. The search was carried out in the following electronic databases: PubMed, Scopus and Web of Science between November 28th, 2019 and January 24th, 2020. No filters or restrictions were applied. Results: Twelve articles were found on the hospitalization of elderly people with dementia. These studies suggested higher rates of hospital admission in elderly people with dementia compared to elderly people without dementia. The main reasons for their admission were: infectious and cardiovascular diseases and falls. Individuals with dementia had longer hospital stay, a higher mortality rate and a higher probability of institutionalization after hospitalization, compared to hospitalized elderly people without cognitive impairment. The main complications during hospitalization were delirium, hospital infections and falls. Fractures and trauma caused by falls were frequent causes of admission and are relevant since they impact on the individualâs functionality. As a result of hospitalization, cognitive deterioration may worsen, especially if delirium is developed. Therefore, the results alert to the negative impact of hospitalization of this population and to the high risk of mortality and institutionalization after being hospitalized. Conclusion: In general, the hospitalization of elderly people with dementia is a negative event in these patientsâ lives, with important repercussions on their mortality, functionality and dependence. It is relevant to prepare these hospitalizations, through guidelines and protocols in situ. It appears that more studies on this topic are required in order to better understand how to prevent adverse results and increase the quality of life of this population.
Description
Keywords
DemĂȘncia Hospitalização RevisĂŁo da Literatura