Banca de QUALIFICAÇÃO: CRISTINA MARQUES DE ALMEIDA HOLANDA

Uma banca de QUALIFICAÇÃO de DOUTORADO foi cadastrada pelo programa.
STUDENT : CRISTINA MARQUES DE ALMEIDA HOLANDA
DATE: 02/05/2022
TIME: 14:30
LOCAL: VIDEOCONFERÊNCIA
TITLE:

Physical performance and mortality of nursing home residents: a cohort study

KEY WORDS:

Physical Performance, Short Physical Performance Battery, Older Adults, Nursing home, Long-term Care Facility (LTCF), Mortality

PAGES: 50
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Aim: Physical performance can predict mortality in older adults, but their relationship in the nursing home (NH) setting is uncertain. This study developed a five-year survival analysis to verify the relationship between the Short Physical Performance Battery (SPPB) and death in older adults residing in NHs. Methods: 114 residents of 15 NHs in Northeast Brazil participated in the follow-up. In addition to the SPPB, the older adults answered about sociodemographic data, cognitive function, number of medications, comorbidities, falls/ hospitalizations and depressive symptoms. Subjects were divided into two groups: low (SPPB ≤ 7) or high (SPPB > 7) physical performance. The relationship between physical performance and mortality was evaluated using the Kaplan Meier survival curves and Cox proportional regression. A confidence interval (CI) of 95% and p< 0.05 were considered in all statistical analyses. Results: The sample had a mean age of 79.26 (±7.41) years and 66.7% were women. 61.40% of the participants were low performance and 41.22% died. Older adults with better physical performance survived an average of 12 months longer (Kaplan-Meier p<0.01). Low physical performance was an independent predictor of mortality increasing the chance of death by 2.77 times in five years (adjusted Hazard Ratio 2.77; 95% CI 1.40-5.50; p < 0.01). Performing worse on the SPPB Gait Speed Test also represented a 2.58-fold increased risk of dying (adjusted HR 2.58; 95% CI 1.38-4.83; p < 0.01). Conclusions: This study suggests that the low physical performance can predict the mortality of older adults residing in NHs over five years.

BANKING MEMBERS:
Presidente - 1460020 - ALVARO CAMPOS CAVALCANTI MACIEL
Externo ao Programa - 1674532 - DIMITRI TAURINO GUEDES
Externa à Instituição - PATRÍCIA VIDAL DE NEGREIROS NÓBREGA - UNIPÊ