Impacto da pandemia da COVID-19 no estado funcional dos idosos: revisão de escopo

Autores

DOI:

https://doi.org/10.33233/fb.v24i2.5255

Palavras-chave:

idosos, estado funcional, COVID-19

Resumo

Introdução: O processo de envelhecimento vem acompanhado de mudanças fisiológicas e estruturais, o isolamento social apresenta impacto negativo na vida dos longevos. Objetivo: Mapear as evidências sobre o impacto da pandemia da COVID-19 no estado funcional dos idosos. Métodos: Trata-se de uma revisão de escopo, cuja pesquisa foi realizada até dia 27 de janeiro de 2022, em cinco bases de dados. Foram incluídos 22 estudos nesta revisão, majoritariamente, os artigos foram desenvolvidos na Espanha, Itália, Israel e Polônia. Quanto aos periódicos eram especializados em saúde do idoso, como também saúde pública, medicina geral e nutrição. Os estudos eram do tipo coorte, ensaio clínico randomizados, observações clínicas, exploratório, retrospectivos e prospectivos. Participaram desses estudos 8741 pessoas. Resultados: Esta revisão permitiu mapear os principais impactos da pandemia COVID-19 sobre o estado funcional dos idosos, ficou evidente nos estudos a vulnerabilidade dessa população à doença, foi identificado que a idade é um fator de risco para aumento da mortalidade e os idosos que apresentavam o estado funcional preservado pré-COVID-19 tiveram um melhor desfecho em relação à recuperação hospitalar como também pós-COVID.

Biografia do Autor

Patrícia Alves Diniz Pires, UFPB

Programa de Mestrado Profissional em Gerontologia da Universidade Federal da Paraíba (UFPB), João Pessoa, PB, Brasil

Robson Antão de Medeiros, UFPB

Docente dos Cursos do Programa do Mestrado Profissional em Gerontologia e do Programa de Pós-graduação em Direito, UFPB, João Pessoa, PB, Brasil

Karoline de Lima Alves, UFPB

Pós-doutoranda no Programa de Pós-graduação em Enfermagem - UFPB, João Pessoa, PB, Brasil

Francisco Pires de Castro Júnior, UEPB

Mestre em Ciência e Tecnologia Ambiental, Universidade Estadual da Paraíba- UEPB, João Pessoa, PB, Brasil

Emanuella Conceição Alves Diniz, UFPB

Psicóloga, Especialista em Análise do Comportamento Aplicada

Renata Clecia Neves Leite, UFPB

Programa de Mestrado Profissional em Gerontologia - UFPB, João Pessoa, PB, Brasil.

Renata Moreira Montenegro, UFPB

Programa de Mestrado Profissional em Gerontologia - UFPB, João Pessoa, PB, Brasil

Referências

Ciotti M, Ciccozzi M, Terrinoni A, Jiang WC, Wang CB, Bernardini S. The COVID-19 pandemic. Crit Rev Clin Lab Sci. 2020;57(6):365-88. doi: 10.1080/10408363.2020.1783198

WHO. Coronavirus. Retrieved March 17, 2021. Disponível em: https://www.who.int/health-topics/coronavirus#tab=tab_1

Pollard CA, Morran MP, Nestor-Kalinoski AL. The COVID-19 pandemic: a global health crisis. Physiol Genomics. 2020;52(11):549-57. doi: 10.1152/physiolgenomics.00089.2020

Garavito LNC, Santos JB, Hernández AG, Cala-Martínez DY, Morales DFG. Influence of COVID-19 quarantine on the health of adults with mild cognitive impairment. Dement Neuropsychol. 2022;16(1):121-6. doi: 10.1590/1980-5764-DN-2021-0013

Freitas CV, Sarges ESNF, Moreira KECS, Carneiro SR. Evaluation of frailty, functional capacity and quality of life of the elderly in geriatric outpatient clinic of a university hospital. Rev Bras Geriatr Gerontol. 2016;19(1):119-28. doi: 10.1590/1809-9823.2016.14244

Pedreira LC. Cuidado de Enfermagem as Pessoas Idosas: Repercussões do Isolamento Social. In: Enfermagem gerontologica no cuidado do idoso em tempos da COVID 19 [Internet]. Rio de Janeiro: ABEn; 2021 [citado 2022 Abr 29]. Disponível em: https://publicacoes.abennacional.org.br/ebooks/e5-geronto3-cap24

Ghram A, Briki W, Mansoor H, Al-Mohannadi AS, Lavie CJ, Chamari K. Home-based exercise can be beneficial for counteracting sedentary behavior and physical inactivity during the COVID-19 pandemic in older adults. Postgraduate Medicine. 2021;133(5):469-80. doi: 10.1080/00325481.2020.1860394

Peters MDJ, Godfrey CM, Khalil H, McInerney P, Parker D, Soares CB. Guidance for conducting systematic scoping reviews. Int J Evid Based Healthc. 2015;13(3):141–6.1. doi: 10.1097/XEB.0000000000000050

Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan— A web and mobile app for systematic reviews. Syst Rev 2016;5(1):210. doi: 10.1186/s13643-016-0384-4

Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med. 2018;169(7):467-73. doi: 10.7326/M18-0850

Adams LM, Gell NM, Hoffman EV, Gibbons LE, Phelan EA, Sturgeon JA, et al. Impact of COVID-19 ‘Stay Home, Stay Healthy’ orders on function among older adults participating in a community-based, Behavioral Intervention Study. J Aging Health. 2021;33(7–8):458–68. doi: 10.1177/0898264321991314

Carrillo-Garcia P, Garmendia-Prieto B, Cristofori G, Montoya IL, Hidalgo JJ, Feijoo MQ, et al. Health status in survivors older than 70 years after hospitalization with COVID-19: observational follow-up study at 3 months. Eur Geriatr Med. 2021;12(5):1091-4. doi: 10.1007/s41999-021-00516-1

Causa R, Almagro Nievas D, Bermúdez Tamayo C. COVID-19 and functional dependence: cohort study of an outbreak in a nursing home for elderly. Rev Esp Salud Pública [Internet]. 2021;95:e202103045. [citado 2022 Jan 15]. Disponível em: https://pubmed.ncbi.nlm.nih.gov/33767129/

Covino M, Russo A, Salini S, De Matteis G, Simeoni B, Della Polla D, et al. Frailty assessment in the Emergency Department for risk stratification of COVID-19 patients aged ≥ 80 years. J Am Med Dir Assoc. 2021;22(9):1845-52.e1. doi: 10.1016/j.jamda.2021.07.005

Ntsama Essomba MJ, Nzana V, Noubiap JJ, Zingui-Ottou M, Ciaffi L, Sobngwi E, et al. The follow-up and well-being of geriatric outpatients during COVID-19 pandemic in Cameroon: Insights from the Yaounde Central Hospital. Gerontol Geriatr Med. 2020;6:233372142095924. doi: 10.1177/2333721420959242

Emily L, Gilad G, Haim ME, Galina G. Functional dependency and COVID-19 in elderly patients with mild to moderate disease. Experience of tertiary geriatric hospital. Exp Gerontol. 2022;157:111620. doi: 10.1016/j.exger.2021.111620

Fumagalli C, Ungar A, Rozzini R, Vannini M, Coccia F, Cesaroni G, et al. Predicting mortality risk in older hospitalized persons with COVID-19: A comparison of the COVID-19 mortality risk score with frailty and disability. J Am Med Dir Assoc. 2021;22(8):1588-1592.e1. doi: 10.1016/j.jamda.2021.05.028

García-Cabrera L, Pérez-Abascal N, Montero-Errasquín B, Rexach Cano L, Mateos-Nozal J, Cruz-Jentoft A. Characteristics, hospital referrals and 60-day mortality of older patients living in nursing homes with COVID-19 assessed by a liaison geriatric team during the first wave: a research article. BMC Geriatr. 2021;21(1):610. doi: 10.1186/s12877 021 02565 4

Gutiérrez Rodríguez J, Montero Muñoz J, Jiménez Muela F, Guirola García-Prendes C, Martínez Rivera M, Gómez Armas L. Variables asociadas con mortalidad en una población de pacientes mayores de 80 años y con algún grado de dependencia funcional, hospitalizados por COVID-19 en un Servicio de Geriatría. Revista Española de Geriatría y Gerontología. 2020;55(6):317-25. doi: 10.1016/j.regg.2020.07.002

Kawamura K, Kamiya M, Suzumura S, Maki K, Ueda I, Itoh N, et al. Impact of the coronavirus disease 2019 outbreak on activity and exercise levels among older patients. J Nutr Health Aging. 2021;25(7):921-5. doi: 10.1007/s12603-021-1648-9

Lim JP, Low KYH, Lin NJJ, Lim CZQ, Ong SWX, Tan WYT, et al. Predictors for development of critical illness amongst older adults with COVID-19: Beyond age to age-associated factors. Arch Gerontol Geriatr. 2021;94:104331. doi: 10.1016/j.archger.2020.104331

Neumann-Podczaska A, Chojnicki M, Karbowski LM, Al-Saad SR, Hashmi AA, Chudek J, et al. Clinical characteristics and survival analysis in a small sample of older COVID-19 patients with defined 60-day outcome. IJERPH. 2020;17(22):8362. doi: 10.3390/ijerph17228362

Ortonobes Roig S, Soler-Blanco N, Torrente Jiménez I, Van den Eynde Otero E, Moreno-Ariño M, Gómez-Valent M, et al. Clinical and pharmacological data in COVID-19 hospitalized nonagenarian patients. Rev Esp Quimioter. 2021;34(2):145-50. doi: 10.37201/req/130.2020

Plotnikov G, Waizman E, Tzur I, Yusupov A, Shapira Y, Gorelik O. The prognostic role of functional dependency in older inpatients with COVID-19. BMC Geriatr. 2021;21(1):219. doi: 10.1186/s12877-021-02158-1

Pérez-Rodríguez P, Díaz de Bustamante M, Aparicio Mollá S, Arenas MC, Jiménez-Armero S, Lacosta Esclapez P, et al. Functional, cognitive, and nutritional decline in 435 elderly nursing home residents after the first wave of the COVID-19 Pandemic. Eur Geriatr Med. 2021;12(6):1137--45. doi: 10.1007/s41999-021-00524-1

Madhavan S, Pandurangan V. Prevalence, pattern and functional outcome of post COVID-19 syndrome in older adults. Cureus [Internet]. 2021 [citado 2020 Ago 1]. Disponível em: https://www.cureus.com/articles/66703-prevalence-pattern-and-functional-outcome-of-post-COVID-19-syndrome-in-older-adults

Ramos-Rincon JM, Buonaiuto V, Ricci M, Martín-Carmona J, Paredes-Ruíz D, Calderón-Moreno M, et al. Clinical characteristics and risk factors for mortality in very old patients hospitalized with COVID-19 in Spain. Newman AB, ed. J Gerontol. 2021;76(3):e28–37: Series A. doi: 10.1093/gerona/glaa243

Rodríguez-Sánchez I, Redondo-Martín M, Furones-Fernández L, Méndez-Hinojosa M, Chen-Chim Á, Saavedra-Palacios R, et al. Functional, clinical, and sociodemographic variables associated with risk of in-hospital mortality by COVID-19 in people over 80 years old. J Nutr Health Aging. 2021;25(8):964-70. doi: 10.1007/s12603-021-1664-9

Saraiva MD, Apolinario D, Avelino-Silva TJ, Tavares CAM, Gattás-Vernaglia IF, Fernandes CM, et al. The impact of frailty on the relationship between life-space mobility and quality of life in older adults during the COVID-19 pandemic. J Nutr Health Aging. 2021;25(4):440–7. doi: 10.1007/s12603-020-1532-z

Verholt AB, Gregersen M, Gonzalez-Bofill N, Hansen TK, Ebdrup L, Foss CH, et al. Clinical presentation and outcomes of COVID-19 in older hospitalised patients assessed by the record-based multidimensional prognostic index, a cross-sectional study. Eur Geriatr Med. 2021;12(6):1147-57. doi: 10.1007/s41999-021-00522-3

Visser M, Schaap LA, Wijnhoven HAH. Self-Reported Impact of the COVID-19 Pandemic on nutrition and physical activity behaviour in Dutch older adults living independently. Nutrients. 2020;12(12):3708. doi: 10.3390/nu12123708

Walle-Hansen MM, Ranhoff AH, Mellingsæter M, Wang-Hansen MS, Myrstad M. Health-related quality of life, functional decline, and long-term mortality in older patients following hospitalisation due to COVID-19. BMC Geriatr. 2021;21(1):199. doi: 10.1186/s12877-021-02140-x

Alexandrino A, Cruz EKL da, Medeiros PYD de, Oliveira CBS de, Araújo DS, Nogueira MF. Evaluation of the clinical-functional vulnerability index in older adults. Rev Bras Geriatr Gerontol. 2019;22(6):e190222. doi: 10.1590/1981-22562019022.190222

Costa FA, Silva AS, Oliveira CBS, Costa LCS, Paixão MES, Celestino MNS, et al. COVID-19: seus impactos clínicos e psicológicos na população idosa. Brazilian Journal of Development. 2020;6(7):49811-824. doi: 10.34117/bjdv6n7-580

Clarfield AM, Dwolatzky T, Brill S, Press Y, Glick S, Shvartzman P, et al. Israel Ad Hoc COVID‐ 19 Committee: Guidelines for care of older persons during a pandemic. J Am Geriatr Soc. 2020;68(7):1370-5. doi: 10.1111/jgs.16554

Zou Y, Han M, Wang J, Zhao J, Gan H, Yang Y. Predictive value of frailty in the mortality of hospitalized patients with COVID-19: a systematic review and meta-analysis. Ann Transl Med. 2022;10(4):166. doi: 10.21037/atm-22-274

Rocha MEF, Canuto KAT, Gouveia MLA, Favero ABL, Dias ALP, Veloso JAP. Avaliação do estado funcional sobre o desfecho clínico de idosos hospitalizados com COVID-19. RSD. 2022;11(3):e56311326869. doi: 10.33448/rsd-v11i3.26869

Rockwood K, Mitnitski A. Frailty in relation to the accumulation of deficits. J Gerontol Biol Sci Med Sci. 2007;62(7):722-7. doi: 10.1093/gerona/62.7.722

Ma Y, Hou L, Yang X, Huang Z, Yang X, Zhao N, et al. The association between frailty and severe disease among COVID-19 patients aged over 60 years in China: a prospective cohort study. BMC Med. 2020;18(1):274. doi: 10.1186/s12916-020-01761-0

Zhang XM, Jiao J, Cao J, Huo XP, Zhu C, Wu XJ, et al. Frailty as a predictor of mortality among patients with COVID-19: a systematic review and meta-analysis. BMC Geriatr. 2021;21(1):186. doi: 10.1186/s12877-021-02138-5

Ferré C, Llopis F, Martín-Sánchez FJ, Cabello I, Albert A, García-Lamberechts EJ, et al. The utility of the Barthel index as an outcome predictor in older patients with acute infection attending the emergency department. Australasian Emergency Care. 2022;S2588994X22000239. doi: 10.1016/j.auec.2022.03.003

Araujo GVM, Rica RL, Leopoldo APL, Alonso AC, Silva-Grigoletto ME, Cadore E, et al. Correlação entre os scores dos testes de aptidão funcional GDLAM e escala funcional de Katz de idosos fisicamente independentes. Rev Bras Fisiol Exerc. 2021;20(1):17-26. doi: 10.33233/rbfex.v20i1.3852

Church S, Rogers E, Rockwood K, Theou O. A scoping review of the Clinical Frailty Scale. BMC Geriatr. 2020;20(1):393. doi: 10.1186/s12877-020-01801-7

Sablerolles RSG, Lafeber M, van Kempen JAL, van de Loo BPA, Boersma E, Rietdijk WJR, et al. Association between Clinical Frailty Scale score and hospital mortality in adult patients with COVID-19 (COMET): an international, multicentre, retrospective, observational cohort study. Lancet Healthy Longev. 2021;2(3):e163-70. doi: 10.1016/S2666-7568(21)00006-4

Philip KEJ, Polkey MI, Hopkinson NS, Steptoe A, Fancourt D. Social isolation, loneliness and physical performance in older-adults: fixed effects analyses of a cohort study. Sci Rep. 2020;10(1):13908. doi: 10.1038/s41598-020-70483-3

Hämmig O. Health risks associated with social isolation in general and in young, middle and old age. Ginsberg SD, organizador. PLoS One. 2019;14(7):e0219663. doi: 10.1371/journal.pone.0219663

Araujo B, Bof Chiamulera G, Maria Firmiano Barros Saretto C. O impacto da pandemia COVID-19 sobre a fragilidade física e a capacidade funcional de idosos. RFS. 2021;9(1):16-30. doi: 10.22298/rfs.2021.v.9.n.1.5952

Rocha SV, Dias CRC, Silva MC, Lourenço CLM, Santos CA. A pandemia de COVID-19 e a saúde mental de idosos: possibilidades de atividade física por meio dos Exergames. Rev Bras Ativ Fís Saúde. 2020;25:1-4. doi: 10.12820/rbafs.25e0142

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2023-05-02