Profile of interned elderly people with dementia in Brazil in the period from 2012 to 2021

Authors

  • Cátia Suely Palmeira
  • Gleide Vânia Cruz Cavalcante
  • Tassia Teles Santana de Macedo
  • Claudete Dantas da Silva Varela

Keywords:

Hospitalization, Dementia, Health of the elderly

Abstract

Objective: To describe the profile of elderly patients hospitalized with dementia in Brazil from 2012 to 2021. Method: Retrospective ecological time series study using secondary data from the Information System (DATASUS). The population consisted of elderly people aged 60 years and over. The following variables were chosen: year of hospitalization, length of stay, macro-regions of Brazil, year of occurrence, sex, color/race, number of deaths, character and regime of care. Results: In the period analyzed, 15,778 hospitalizations of elderly people with dementia were recorded, with the highest number in the Southeast Region (9,967), and in the cities of Rio de Janeiro (4,060) and São Paulo (4,021). Regarding the characteristics, there was a higher frequency of elderly females (8,599; 54.5%) aged 80 years and over (6,146; 38.9%), white (6,917; 43.8%), and in urgent care (10,171; 63.8%). Older adults aged 60 to 69 years were hospitalized longer (80.4 days), although the mortality rate was higher among older adults aged 80 ≥ years (19.9%). Conclusion: Elderly people with dementia are a growing reality in Brazil. Thus, actions aimed at improving the quality of care are necessary.

References

World Health Organization – WHO. Ageing and health. 2023. Disponível em: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health

Rocha GSA, Silva DMR, Andrade MS, Andrade BBF, Medeiros SEG, Aquino JM. Suffering and defense mechanisms: an analysis of the Works of Primary Health Care nurses. Rev Bras Enferm. 2022;75 (Suppl 3):e20200419. DOI: https://doi.org/10.1590/0034-7167-2020-0419

Melo SC, Champs APS, Goulart RF, Malta DC, Passos VMA. Dementias in Brazil: increasing burden in the 2000–2016 periódico Estimates from the Global Burden of Disease Study. Arquivos de Neuro-Psiquiatria, 2020; 78(12):762-7. DOI: https://doi.org/10.1590/0004-282X20200059

Dorsey ER, Elbaz A. Global, regional, and national burden of Parkinson's disease, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet Neurology, 2018;17(11):939-53. DOI: 10.1016/S1474-4422(18)30295-3

Livingston G, Huntley J, Sommerlad A, Ames D, Ballard C, Sube S. et al.Dementia prevention, intervention, and care: 2020 report of the Lancet. Lancet, 2020; 396. Edição 10248. Doi: https://doi.org/10.1016/S0140-6736(20)30367-6

Cole JH, Marioni RE, Harris SE, Deary IJ. Brain age and other bodily 'ages': implications for neuropsychiatry. Mol Psychiatry, 2019;24(2):266-21. DOI: 10.1038/s41380-018-0098-1.

Silva A.R, Sgnaolin V, Nogueira EL, Loureiro F, Engroff P, Gomes I. Doenças crônicas não transmissíveis e fatores sociodemográficos associados a sintomas de depressão em idosos. Jornal Brasileiro de Psiquiatria, 2017;66(1):45-51. DOI: https://doi.org/10.1590/0047-2085000000149.

Elahi Fm, Miller Bl. A clinicopathological approach to the diagnosis of dementia. Revista Neurologia, 2017; 13(8):457-476. DOI: 10.1038/nrneurol.2017.96.

Brucki SMD, Aprahamian I, Borelli WV, Silveira VC da, Ferretti CE de L, Smid J, et al.. Manejo das demências em fase avançada: recomendações do Departamento Científico de Neurologia Cognitiva e do Envelhecimento da Academia Brasileira de Neurologia. Dement neuropsychol. 2022;16(3):101–20. DOI: https://doi.org/10.1590/1980-5764-DN-2022-S107PT

Santos EAA. Barriers associated with palliative care in dementia: a review of the literature. Geriatr Gerontol Aging. 2018;12:105-12. DOI: 10.5327/Z2447-211520181800014

Castro MC, Carvalho LR, Chin T, Kahn R, França GRVA, Macário EM, Oliveira WK. Demand for hospitalization services for COVID-19 patients in Brazil. Medrxiv. 2020;1. DOI: https://doi.org/10.1101/2020.03.30.20047662

Dantas MNP, Souza DLB, Souza AMG, Aiquoc KM, Souza TA, Barbosa IR. Fatores associados ao acesso precário aos serviços de saúde no Brasil. Rev Bras Epidemio. 2021;24:e210004.DOI: https://doi.org/10.1590/1980-549720210004

Instituto Brasileiro de Geografia e Estatística – IBGE. A Pesquisa Nacional por Amostra de Domicílios Contínua – PNAD: Características gerais dos moradores 2020-2021, 2021. Disponivel em: https://www.ibge.gov.br/estatisticas/sociais/populacao/9127-pesquisa-nacional-por-amostra-de-domicilios.html

Costanzi RNF, Sidone OJG. Breve análise da nova projeção da população do IBGE e seus impactos previdenciários. Instituto de Pesquisa Econômica Aplicada - IPEA, 2018. Disponível em: https://repositorio.ipea.gov.br/bitstream/11058/8792/1/NT_51_Disoc_Breve_an%C3%A1lise.pdf

Santos CS, Bessa TA, Xavier A. Fatores associados à demência em idosos. Ciência & Saúde Coletiva, 2020;25(2):603-11.DOI: https://doi.org/10.1590/1413-81232020252.02042018

Sousa NFS, Medina IPB, Bastos TF, Monteiro CN, Lima MG, Barros MBA. Desigualdades sociais na prevalência de indicadores de envelhecimento ativo na população brasileira: Pesquisa Nacional de Saúde, 2013. Revista Brasileira De Epidemiologia. 2019;22 (SUPL.2):e-190013. DOI: https://doi.org/10.1590/1980-549720190013.supl.2

Romero DE, Maia L, Muzzy J. Tendência e desigualdade na completude da informação sobre raça/cor dos óbitos de idosos no Sistema de Informações sobre Mortalidade no Brasil, entre 2000 e 2015. Cadernos de Saúde Pública, 2019;35(12):e00223218. DOI: https:/ / doi.org/10.1590/0102-311X00223218.

Bernardes C, Massan OJ, Freitas A. Hospital admissions 2000–2014: A retrospective analysis of 288 096 events in patients with dementia. Arch G erontol, 2014;77:150–7. DOI: 10.1016/j.archger.2018.05.006.

Prince M, Comas-Herrera A, Knapp M, Guerchet M, Karagiannidou M. World Alzheimer Report 2016 Improving healthcare for people living with dementia. Coverage, Quality and costs now and in the future. Alzheimer’s Dis Int. 2016:1–140. Available from: https://www.alz.co.uk/research/world-report-2016

World Health Organization – WHO. 2021. Global status report on the public health response to dementia. chrome-extension: //efaidnbmnnnibpcajpcglclefindmkaj/https://apps.who.int/iris/bitstream/handle/10665/344701/9789240033245-eng.pdf

Bail K, Goss J.; Draper B, Berry H, Karmel R, Gibson D. The cost of hospital-acquired complications for older people with and without dementia; a retrospective cohort study. BMC Health Serv Res. 2015;15 (91).DOI: https://doi.org/10.1186/s12913-015-0743-1

Rao A, Suliman A, Vuik S, Aylin P, Darzi A. Outcomes of dementia: Systematic review and meta-analysis of hospital administrative database studies. Arch Gerontol Geriatr. 2016;66:198-204. DOI: 10.1016/j.archger. 2016.06.008.

Mitchell R, Draper B, Brodaty H, Close J, Ting HP, Lystad R. et al. An 11-year review of hip fracture hospitalisations, health outcomes, and predictors of access to in-hospital rehabilitation for adults ≥ 65 years living with and without dementia: a population-based cohort study. Osteoporos Int, 2020; 31(3):465-474. DOI: 10.1007/s00198-019-05260-8.

Lehmann J, Michalowsky B, Kaczynski A, Thyrian JR, Schenk NS, Esser A. et al. The Impact of Hospitalization on Readmission, Institutionalization, and Mortality of People with Dementia: A Systematic Review and Meta-Analysis. J Alzheimers Dis. 2018;64 (3):735-749, 2018. DOI: 10.3233/JAD-171128.

Bergman H, Borson S, Jessen F, Krolak-Salmon P, Pirani A, Rasmussen J. et al. Dementia and comorbidities in primary care: a scoping review. BMC Prim Care. 2023;24(1):277. doi: 10.1186/s12875-023-02229-9.

Keuning-Plantinga, A.; Stoffels, J.; Roodbol, P.F.; Finnema, E.J.; Van Munster, B.C. Involvement, topics, and roles of nurses in shared decision-making with patients with dementia in acute hospitals: An integrative review. Nurs Open.2023;10(6):3519-32. DOI: 10.1002/nop2.1618

Spears CC, Besharat A, Monari EH, Martinez-Ramirez D, Almeida L, Armstrong MJ. Causes and outcomes of hospitalization in Lewy body dementia: A retrospective cohort study. Park Relat Disord, 2019; 64:106–11. DOI: https://doi.org/10.1016/j.parkreldis.2019.03.014

Published

2024-04-23

How to Cite

Palmeira, C. S., Cavalcante, G. V. C., Macedo, T. T. S. de, & Varela, C. D. da S. (2024). Profile of interned elderly people with dementia in Brazil in the period from 2012 to 2021. Revista De Divulgação Científica Sena Aires, 13(2), 525–536. Retrieved from https://rdcsa.emnuvens.com.br/revista/article/view/180

Issue

Section

Original Paper