Home care in the Federal District: factors associated with the first occurrence of acute lower respiratory infection and death

Barros, Leny Nunes de; Oliveira, Maria Regina Fernandes de

doi:10.1590/0037-8682-0405-2016

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Revista da Sociedade Brasileira de Medicina Tropical

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Sumário

Short Communication • Rev. Soc. Bras. Med. Trop. 51 (02) • Mar-Apr 2018 • https://doi.org/10.1590/0037-8682-0405-2016 copy

Home care in the Federal District: factors associated with the first occurrence of acute lower respiratory infection and death

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

INTRODUCTION:

We aimed to evaluate the frequency and associated factors of acute respiratory infection and death among home care patients in Sobradinho/DF, Brazil.

METHODS:

Data were obtained from patients’ medical records. Bivariate and multivariate analyses were performed. Odds ratio and 95% confidence interval were estimated.

RESULTS:

Factors associated with respiratory infection were ages <40 and >80 years and accommodation. Female sex was a protective factor. Age >30 years and dependency for daily activities were associated with death.

CONCLUSIONS:

These factors can improve clinical results in this specific home care and open new opportunities and questions for future research.

Keywords:
Home care services; Communicable diseases; Health services for the aged

	Respiratory infection
Variables	with	without	Odds ratio	95% CI	p-value	ORadj*	95% CI	p-value
Characteristics of the individual
Age stratum (years)
≤ 40	24	88	3.15	1.83-5.45	0.001
41 to 80	44	509	1
> 81	43	265	1.87	1.20-2.93	0.005	1.97**	1.29-3.00	0.002
Sex
female	31	523	0.25	0.16-0.39	<0.001	0.23	0.14-0.36	<0.001
male	80	339	1
Level of dependency (ADL)
dependent patient	96	706	1.41	0.80-2.50	0.232
non-dependent patient	15	156	1
Characteristics of residence
Accommodation
shared room	55	256	2.32	1.56-3.47	<0.001	2.40	1.56-3.68	<0.001
individual room	56	606	1
Animals in the residence
presence	71	470	1.48	0.98-2.23	0.060	1.33	0.85-2.07	0.210
absence	40	392	1
Environmental control services
Water treatment
other sources	32	221	1.18	0.76-1.82	0.471
public network	79	641	1
Disposal of sewage
other destinations	36	222	1.38	0.90-2.12	0.134	1.23	0.75-2.01	0.415
public collection	75	640	1
Disposal of household waste
other destinations	10	28	2.95	1.39-6.25	0.003	1.55	0.63-3.79	0.339
public collection	101	834	1

Outcomes/variables	ß	SE	ORadj*	95% CI	p-value
Respiratory infection
Age (years)
≤40 and <80	0.684	0.216	1.98	1.30-3.02	0.002
Sex
female	−1.506	0.229	0.22	0.14-0.35	<0.001
Accommodation
shared room	0.909	0.217	2.48	1.62-3.79	<0.001
Death	1.440	0.355	4.22	2.11-8.46	<0.001
Age (years)
>31
Level of functional dependency (ADL)
dependent	1.420	0.224	4.14	2.67-6.42	<0.001

Variables	Death	Dis-charged	Odds ratio	95% CI	p-value	ORadj*	95% CI	p-value
Characteristics of the individual
Age stratum (years)
≤ 30	12	32	1
31 to 59	57	54	2.81	1.31-6.02	0.007
>60	362	213	4.53	2.28-8.99	<0.001	3.72**	1.81-7.65	<0.001
Sex
male	203	120	1.33	0.98-1.79	0.062	1.28	0.93-1.75	0.131
female	228	179	1
Level of dependency (ADL)
dependent patient	397	221	4.12	2.67-6.37	<0.001	4.02	2.58-6.25	<0.001
non-dependent patient	34	78	1
Characteristics of residence
Accommodation
shared room	135	121	0.67	0.49-0.91	0.011	0.80	0.58-1.12	0.190
individual room	296	178	1
Animals in the residence
presence	243	178	0.88	0.65-1.18	0.397
absence	188	121	1
Environmental control services
Water treatment
other sources	99	83	0.78	0.55-1.09	0.141	1.52	0.26-8.73	0.639
public network	332	216	1
Disposal of sewage
other destinations	100	87	0.74	0.53-1.03	0.073	0.54	0.09-3.08	0.489
public collection	331	212	1
Disposal of household waste
other destinations	20	12	1.16	0.56-2.42	0.684
public collection	441	287	1

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[1] Corresponding author: Leny Nunes de Barros. e-mail: lenubarros@gmail.com