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Orientador(es)
Resumo(s)
RESUMO - Introdução: Portugal é um país envelhecido e um dos países com mais casos de
demência. A doença de Alzheimer representa 60-80% dos casos de demência. O
principal fator de risco é a idade, contudo existem doze fatores de risco modificáveis que
podem prevenir até 40% das demências. Pretende-se conhecer as características dos
utentes, com doença de Alzheimer, internados nos hospitais do SNS em Portugal, em
2017.
Metodologia: Foi utilizada a Base de Dados de Morbilidade Hospitalar da ACSS,
referente ao ano de 2017. O estudo inclui os episódios de internamento com diagnóstico
de doença de Alzheimer, dos utentes com idade igual ou superior a 18 anos. Foi feita
uma análise descritiva dos episódios e foram identificados os fatores de risco presentes.
Resultados: A população em estudo foi de 8.437 episódios, 65,1% do sexo feminino,
99,5% com idade igual ou superior a 60 anos e uma média de idades de 82,6 anos. Os
diagnósticos principais mais frequentes foram pneumonia e fratura do fêmur. A média
dos dias de internamento foi de 11 dias. Os fatores de risco mais habituais foram
hipertensão e diabetes. Faleceram 17,7% dos utentes, tinham em média 83,8 anos e os
diagnósticos principais foram pneumonia e outras septicemias.
Conclusão: É necessário existir uma maior coordenação entre os cuidados de saúde
primários, os hospitalares, os continuados e os paliativos, evitando internamentos
desnecessários e complicações de saúde. Os cuidadores informais podem controlar a
saúde desses doentes, evitando internamentos, e antecipando altas, com o apoio da
hospitalização domiciliária.
ABSTRACT - Introduction: Portugal is an aging country and one of the countries with the highest incidence of dementia. Alzheimer's disease accounts for 60-80% of dementia cases. Age is the main risk factor, but there are twelve modifiable risk factors that can prevent up to 40% of the disease. The aim of this study is gaining insights into the characteristics of patients with Alzheimer's disease who were admitted to SNS hospitals in Portugal in 2017. Methodology: We used the Hospital Morbidity Database of the ACSS for the year 2017. The study includes hospitalization episodes, of patients older than 18 years, with a diagnosis of Alzheimer's disease. Through a descriptive analysis we examined these episodes and identified the risk factors present. Results: The study population was 8.437 episodes, 65,1% were female, 99,5% had more than 60 years and the mean age was 82,6 years. The most frequent principal diagnoses were pneumonia and femur fracture. The average number of days of hospitalization was 11 days. The most common risk factors were hypertension and diabetes. 17,7% of the patients died, with an average age of 83,8 years and the principal diagnoses were pneumonia and other sepsis. Conclusion: There is a need for improved coordination between primary, hospital, longterm and palliative care, avoiding unnecessary hospitalizations and health complications. Informal caregivers can control the health of these patients, avoiding hospitalizations, and anticipating discharges, with the support of home hospitalization.
ABSTRACT - Introduction: Portugal is an aging country and one of the countries with the highest incidence of dementia. Alzheimer's disease accounts for 60-80% of dementia cases. Age is the main risk factor, but there are twelve modifiable risk factors that can prevent up to 40% of the disease. The aim of this study is gaining insights into the characteristics of patients with Alzheimer's disease who were admitted to SNS hospitals in Portugal in 2017. Methodology: We used the Hospital Morbidity Database of the ACSS for the year 2017. The study includes hospitalization episodes, of patients older than 18 years, with a diagnosis of Alzheimer's disease. Through a descriptive analysis we examined these episodes and identified the risk factors present. Results: The study population was 8.437 episodes, 65,1% were female, 99,5% had more than 60 years and the mean age was 82,6 years. The most frequent principal diagnoses were pneumonia and femur fracture. The average number of days of hospitalization was 11 days. The most common risk factors were hypertension and diabetes. 17,7% of the patients died, with an average age of 83,8 years and the principal diagnoses were pneumonia and other sepsis. Conclusion: There is a need for improved coordination between primary, hospital, longterm and palliative care, avoiding unnecessary hospitalizations and health complications. Informal caregivers can control the health of these patients, avoiding hospitalizations, and anticipating discharges, with the support of home hospitalization.
Descrição
Trabalho Final do Curso de Especialização em Administração Hospitalar
Palavras-chave
Doença de Alzheimer internamento hospitalar fatores de risco Portugal Alzheimer's disease hospitalization risk factors
Contexto Educativo
Citação
Editora
Universidade Nova de Lisboa, Escola Nacional de Saúde Pública