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Frailty monitoring software for the elderly assisted in health primary care: evaluation of its effectiveness and efficiency

Abstract

The primary health care (PHC) can offer whole care to the elderly by identifying the specific needs of non-frail elderly, pre frail and frail. However, tools that facilitate the effective actions of these policies are scarce in the planning and monitoring of the fragile conditions of elderly users in the Unified Health System (SUS). A computer monitoring system to be used by the health team to identify elderly frailty levels can collaborate in decision making in elderly care management, and also can serve as a model for other Brazilian health facilities. This study is a continuation of an earlier study entitled "Tool for monitoring fragility levels and associated factors in elderly attended by primary health care settings in São Carlos." The first phase of the project was successfully completed and evaluated 346 elderly enrolled in ABS a highly vulnerable region. It was evaluated various aspects related to the fragility and carried out full clinical examination, including the measurement of inflammatory cytokines. From the results found, a tool was created from an algorithm aiming to direct the care of the elderly according to the fragility levels (not fragil, pre-frail and frail). In this new phase, the objective is to evaluate the usability, effectiveness and efficiency of this computational tool for monitoring fragility levels in the elderly. For this, through quantitative and qualitative methods, the tool will be enhanced and then the health team of ABS will be trained in the use of it. They will be monitored accessibility and usability through data loggers; use of health services for the elderly and a frequent monitoring of the decision-making of these professionals from the frailty diagnosis will be carried out. Furthermore, the elderly will be reevaluated over the tool and questionnaires, performing a crossed valid tool for identifying efficiency. It is expected that the tool is effective, efficient and cost effective in detecting frailty levels of elderly attended by PHC. (AU)

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Scientific publications (6)
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
CRISPIM NASCIMENTO, CARLA MANUELA; ZACARIN CARDOSO, JULIANA DE FATIMA; MACHADO DE JESUS, ISABELA THAIS; ORLANDI, FABIANA DE SOUZA; PIMENTA COSTA-GUARISCO, LETICIA; DE OLIVEIRA GOMES, GRACE ANGELICA; DOS SANTOS ORLANDI, ARIENE ANGELINI; VASILCEAC, FERNANDO AUGUSTO; IOST PAVARINI, SOFIA CRISTINA; GRAMANI-SAY, KARINA; et al. Are body fat and inflammatory markers independently associated with age-related muscle changes?. Clinical Nutrition, v. 40, n. 4, p. 2009-2015, . (14/50104-0, 16/15235-1)
JESUS, ISABELA T. MACHADO DE; ORLANDI, FABIANA DE SOUZA; DE OLIVEIRA GOMES, GRACE ANGELICA; SAY, KARINA GRAMANI; GUARISCO, LETICIA PIMENTA COSTA; ORLANDI, ARIENE ANGELINI DOS SANTOS; POTT-JUNIOR, HENRIQUE; ZAZZETTA, MARISA SILVANA. Frailty state transitions among non-frail and vulnerable older adults: Does mobility performance really matter?. GERIATRIC NURSING, v. 42, n. 6, p. 1367-1372, . (16/15235-1, 14/50104-0)
RIBEIRO, JULIO C.; DUARTE, JULIANA G.; GOMES, GRACE A. O.; COSTA-GUARISCO, LETICIA P.; DE JESUS, ISABELA T. M.; NASCIMENTO, CARLA M. C.; SANTOS-ORLANDI, ARIENE A.; ORLANDI, FABIANA S.; VASILCEAC, FERNANDO A.; ZAZZETTA, MARISA S.; et al. Associations between inflammatory markers and muscle strength in older adults according to the presence or absence of obesity. Experimental Gerontology, v. 151, . (16/15235-1, 14/50104-0)
OLIVEIRA MONTEIRO, MARIA PATRICIA A.; SALHEB OLIVEIRA, DANIELLE S. M.; MANZINE, PATRICIA R.; CRISPIM NASCIMENTO, CARLA M.; DOS SANTOS ORLANDI, ARIENE A.; DE OLIVEIRA GOMES, GRACE A.; ORLANDI, FABIANA DOS SANTOS; ZAZZETTA, MARISA S.; POTT-JUNIOR, HENRIQUE; COMINETTI, MARCIA R.. ADAM10 plasma levels predict worsening in cognition of older adults: a 3-year follow-up study. ALZHEIMERS RESEARCH & THERAPY, v. 13, n. 1, . (16/15235-1, 19/02648-4, 14/50104-0)
QUESSADA, LIGIA PEREIRA MARTINS; NASCIMENTO, CARLA MANUELA CRISPIM; ORLANDI, FABIANA DE SOUZA; GRATAO, ALINE CRISTINA MARTINS; VASILCEAC, FERNANDO AUGUSTO; PAVARINI, SOFIA CRISTINA IOST; GRAMANI-SAY, KARINA; GOMES, GRACE ANGELICA DE OLIVERIA; ZAZZETTA, MARISA S.; COMINETTI, MARCIA R.; et al. Plasma 25-hydroxyvitamin D levels, quality of life, inflammation and depression in older adults: Are they related?. Experimental Gerontology, v. 153, . (16/15235-1, 14/50104-0)
POTT-JUNIOR, HENRIQUE; CRISPIM NASCIMENTO, CARLA MANUELA; COSTA-GUARISCO, LETICIA PIMENTA; DE OLIVEIRA GOMES, GRACE ANGELICA; GRAMANI-SAY, KARINA; ORLANDI, FABIANA DE SOUZA; MARTINS GRATAO, ALINE CRISTINA; DOS SANTOS ORLANDI, ARIENE ANGELINI; IOST PAVARINI, SOFIA CRISTINA; VASILCEAC, FERNANDO AUGUSTO; et al. Vitamin D Deficient Older Adults Are More Prone to Have Metabolic Syndrome, but Not to a Greater Number of Metabolic Syndrome Parameters. NUTRIENTS, v. 12, n. 3, . (16/15235-1, 14/50104-0)

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