Associação entre o nível de funcionalidade e readmissão hospitalar de pacientes com doença cardiovascular
Resumo
Introdução: A avaliação da capacidade funcional traduz a habilidade do indivíduo em realizar atividades do dia-a-dia que demandam do metabolismo aeróbio. O Duke Activity Status Index (DASI) tem valor prognóstico na avaliação de pacientes com doença cardiovascular (DCV). Objetivo: Analisar a associação entre a funcionalidade, avaliada pelo DASI e a readmissão hospitalar de pessoas com DCV. Métodos: Foi realizado um estudo transversal com adultos, de ambos os sexos, com diagnóstico de DCV. A coleta de dados foi realizada em quatro ambulatórios de cardiologia. Foram utilizados os seguintes procedimentos: Anamnese, Questionário Internacional de Atividade Física, e determinação da capacidade funcional através da aplicação do DASI. Resultados: A amostra foi de 160 participantes, com média de idade de 64 (14) anos, 61% do sexo feminino, 65% de serviços públicos. Os principais diagnósticos foram: 26% hipertensão arterial sistêmica, 11% arritmia, 26% insuficiência cardíaca, 24% doença arterial coronariana e 13% outras; 80% dos indivíduos declararam ser irregularmente ativos e sedentários. A funcionalidade avaliada pelo DASI apresentou a mediana de 19,2 pontos. Análise de regressão logística identificou que menores índices de funcionalidade (DASI<19,2), sexo masculino e ser usuário de serviço público, são fatores independentemente associados à readmissão hospitalar de pacientes com DCV. Conclusões: A baixa capacidade funcional foi independentemente associada à readmissão hospitalar.
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