Classification of Predictors of Falls in Elderly People with Hip Fractures Using the ICF
Abstract
Although the risk factors for falls in the elderly are known, little is known about their relationships with demographic factors, body impairments, activity limitations and participation restrictions, and environmental factors. Objective: To map the structure of the International Classification of Functioning, Disability and Health (ICF) to classify potential predictors of falls reported by elderly people hospitalized for surgical treatment of hip fractures. Method: Descriptive study with 64 elderly people operated on for hip fracture that occurred after a fall from standing height. Sociodemographic data were explored, in addition to the context of occurrence that led the elderly to fall. Data are presented descriptively and related to the ICF light. Results: Disabilities related to bodily functions were more related at the time of self-reported falls, especially neuromusculoskeletal and movement-related functions; in addition, environmental factors were present in half of the occurrences and consisted of barriers/obstacles to functionality and are related to extrinsic risk factors for falls. Conclusions: The biopsychosocial approach proposed by the ICF provides health professionals with a multidimensional overview of the health of the elderly and provides the best targeting of interventions, in order to provide functionality and quality of life, and reduce financial burden linked to the consequences of falls, such as surgical interventions.
References
Andrade, L.E.L.D., Oliveira, N.P.D.D., Ruaro, J.A., Barbosa, I.R., e Dantas, D.D.S. (2017). Avaliação do nível de conhecimento e aplicabilidade da Classificação Internacional de Funcionalidade, Incapacidade e Saúde. Saúde em Debate, 41, 812-823. https://doi.org/10.1590/0103-1104201711411
Bittar, C.K., Francisco, L.C., e Hirotani, J.M. (2021). Fatores associados à quedas e fraturas no paciente idoso. Brazilian Journal of Development, 7(7), 74046-74055. https://doi.org/10.34117/bjdv7n7-538
Caetano, M.J.D., Lord, S.R., Schoene, D., Pelicioni, P.H., Sturnieks, D.L., e Menant, J. C. (2016). Age-related changes in gait adaptability in response to unpredictable obstacles and stepping targets. Gait & Posture, 46, 35-41. https://doi.org/10.1016/j.gaitpost.2016.02.003
Cieza, A., Geyh, S., Chatterji, S., Kostanjsek, N., Ustün, B., e Stucki, G. (2005). ICF linking rules: an update based on lessons learned. Journal of Rehabilitation Medicine, 37(4), 212-218. https://doi.org/10.1080/16501970510040263
Fucahori, F.S., Lopes, A.R., Correia, J.J.A., Silva, C.K.D., e Trelha, C.S. (2014). Fear of falling and activity restriction {in older adults from the urban community of Londrina: a cross-sectional study. Fisioterapia em Movimento, 27, 379-387. https://doi.org/10.1590/0103-5150.027.003.AO08
Farias, N., e Buchalla, C.M. (2005). A classificação internacional de funcionalidade, incapacidade e saúde da organização mundial da saúde: conceitos, usos e perspectivas. Revista Brasileira de Epidemiologia, 8, 187-193. https://doi.org/10.1590/S1415-790X2005000200011
Lamb, S.E., Jørstad-Stein, E.C., Hauer, K., Becker, C., e Prevention of Falls Network Europe and Outcomes Consensus Group (2005). Development of a common outcome data set for fall injury prevention trials: the Prevention of Falls Network Europe consensus. Journal of the American Geriatrics Society, 53(9), 1618-1622. https://doi.org/10.1111/j.1532-5415.2005.53455.x
Lima, J.D.S., Quadros, D.V.D., Silva, S.L.C.D., Tavares, J.P., e Pai, D.D. (2022). Custos das autorizações de internação hospitalar por quedas de idosos no Sistema Único de Saúde, Brasil, 2000-2020: um estudo descritivo. Epidemiologia e Serviços de Saúde, 31, e2021603. https://doi.org/10.1590/S1679-49742022000100012
Medim, LT, Ferrari, D., Costodio, AR, Schuch, NJ, Santos, PA, Siviero, J., e Margutti, KMM (2023). Anthropometry of Muscle Mass: The Relationship Between Risk and Nutritional Status and Functionality in the Elderly. Mundo Saúde, 47, e13042022. https://doi.org/10.15343/0104-7809.202347e13042022I
Menezes, R.L.D., e Bachion, M.M. (2012). Ocorrência de quedas e seu contexto num seguimento de dois anos em idosos institucionalizados. Rev. eletrônica enferm, 550-558. https://doi.org/10.5216/ree.v14i3.14982
Mol, A., Hoang, PTSB, Sharmin, S., Reijnierse, EM, van Wezel, RJ, Meskers, CG, e Maier, AB (2019). Orthostatic hypotension and falls in older adults: a systematic review and meta-analysis. Journal of the American Medical Directors Association, 20(5), 589-597. https://doi.org/10.1016/j.jamda.2018.11.003
Montero-Odasso, M., van der Velde, N., Martin, F. C., Petrovic, M., Tan, M. P., Ryg, J., Aguilar-Navarro, S., Alexander, SB, Becker, C., Blain, H., Bourke, R., Cameron, IDE, Camicioli, R., Clemson, L., Close, J., Delbaere, K., Duan, L., Duque, G., Dyer, SM, Freiberger, E.,..Masud, T. (2022). World guidelines for falls prevention and management for older adults: a global initiative. Age and ageing, 51(9), afac205. https://doi.org/10.1093/ageing/afac205
Nascimento, C.M.M., Oliveira, A.P.S.D., Lima, J.C.D., Lima, Á.R.D., Lins, C.C.D.S.A., e Coriolano, M.D.G.W.D.S. (2022). Use of the activities and participation profile to assess the functioning of physically inactive elderly. Fisioterapia em Movimento, 35, e35119. https://doi.org/10.1590/fm.2022.35119
Organização Mundial da Saúde (2015). CIF: Classificação Internacional de Funcionalidade, Incapacidade e Saúde. Trad. do Centro Colaborador da Organização Mundial da Saúde para a Família de Classificações Internacionais. EDUSP.
Ribeiro, D.M., Bueno, G.A.S., Gervásio, F.M., e de Menezes, R.L. (2019). Foot-ground clearance characteristics in women: A comparison across different ages. Gait & Posture, 69, 121-125. https://doi.org/10.1016/j.gaitpost.2019.01.028
Riberto, M. (2011). Core sets da classificação internacional de funcionalidade, incapacidade e saúde. Revista Brasileira de Enfermagem, 64, 938-946. https://doi.org/10.1590/S0034-71672011000500021
Silva, S.M., Corrêa, F.I., Faria, C.D., e Corrêa, J.C. (2013). Comparison of quality-of-life instruments for assessing the participation after stroke based on the International Classification of Functioning, Disability and Health (ICF). Brazilian journal of physical therapy, 17, 470-478. https://doi.org/10.1590/S1413-35552012005000118
Soares, M.F.N., Maia, L.C., Costa, S.D.M., e Caldeira, A.P. (2020). Functional Dependence among older adults receiving care from Family Health Strategy teams. Revista Brasileira de Geriatria e Gerontologia, 22. https://doi.org/10.1590/1981-22562019022.190147
Soh, S.E., Barker, A.L., Morello, R.T., e Ackerman, I.N. (2020). Applying the International Classification of Functioning, Disability and Health framework to determine the predictors of falls and fractures in people with osteoarthritis or at high risk of developing osteoarthritis: Data from the Osteoarthritis Initiative. BMC musculoskeletal disorders, 21(1), 1-8. https://doi.org/10.1186/s12891-020-3160-5
Velten, A.P.C., Benseñor, I., Souza, J.B.D., e Mill, J.G. (2019). Fatores associados à hipotensão ortostática em adultos: estudo ELSA-Brasil. Cadernos de Saúde Pública, 35, e00123718. https://doi.org/10.1590/0102-311X00123718
Xing, F., Luo, R., Chen, W., e Zhou, X. (2021). The risk-adjusted Charlson comorbidity index as a new predictor of one-year mortality rate in elderly Chinese patients who underwent hip fracture surgery. Orthopaedics & Traumatology: Surgery & Research, 107(3), 102860. https://doi.org/10.1016/j.otsr.2021.102860
Author Biographies
http://lattes.cnpq.br/1664803104080362
https://lattes.cnpq.br/6855218411087778
http://lattes.cnpq.br/7533111351545163
http://lattes.cnpq.br/2491251163537472
http://lattes.cnpq.br/001932437945107
http://lattes.cnpq.br/7186522541368763
http://lattes.cnpq.br/0801615424099670
Copyright (c) 2024 Lecturas: Educación Física y Deportes
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
