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Previous issue date: 2017-06-05 / Thesis held in the papers format. The first article is a systematic review that aimed to investigate the relationship between BPPV and falls (with and without fracture). The review was carried out independently by two researchers, using the combined descriptors in English, Portuguese and Spanish, "vertigo" and "elderly" and "accidental falls"; "benign paroxysmal positional vertigo" and "accidental falls"; in the Virtual Health Library and United States National Library of Medicine (PubMED) databases, being the last search in August 2016. Six scientific papers were selected. The results showed that there were double falls in the elderly with the diagnosis of BPPV and this the relationship increased with advancing age. There was evidence of a decrease in episodes of falls above 60% of the elderly who were treated for BPPV. In elderly people with more than one cause for dizziness, BPPV can not be considered as an independent risk factor for falls. However, in the hospital environment, the relationship between BPPV and falls was not observed when the investigation was performed from the hip fracture. However, when the study included elderly patients hospitalized for various consequences of falls, BPPV could be identified in more than 50% of the patients. It can be concluded that BPPV is associated with falls. The second article, whose primary objective was to evaluate dizziness in the elderly in the primary care for the recognition of BPPV and the secondary one, to analyze the association between dizziness and BPPV with falls. It was a cross-sectional study of 298 diabetic and / or hypertensive elderly individuals enrolled in the Hypertensive and Diabetic Monitoring System of the Basic Family Health Unit of the Madre Germana II neighborhood of Goiânia, Goiás. The evaluation was carried out at the residence of the elderly, including the Mini Mental State Examination, sociodemographic profile, record of self-reported health conditions with emphasis on reporting dizziness and / or vertigo and record of falls in the last 12 months. The elderly who reported dizziness and/or vertigo were revisited for functional otoneurological evaluation for BPPV, using the Dix Hallpike test for the posterior and anterior semicircular canals and the Supine Roll test for the horizontal semicircular canal. The study included 150 elderly individuals with a mean age of 69.7 (+/- 7.36), the majority of them were female. Dizziness was reported by 50 elderly (33.3%). Among the 50 patients who reported dizziness, 19 had objective and subjective BPPV (38.8%). There was association between the complaint of dizziness and falls (p = 0.05), which did not occur with BPPV. The assessment of dizziness and BPPV can be performed in the home of the elderly in primary care. This proactive approach can help prevent falls because dizziness has increased the chances of the elderly falling. Although elderly people who presented objective or subjective BPPV did not increase their chances of falls, the identification of this disease, which has a known, effective and financially inexpensive treatment, may lead to the resolution of this clinical condition. / Tese construída na forma de artigos científicos. O primeiro artigo é uma revisão sistemática que objetivou investigar a relação entre VPPB e quedas (com e sem fratura). A revisão foi realizada de forma independente por duas pesquisadoras, utilizando os descritores combinados em inglês, português e espanhol, “vertigem” and “idoso” and “acidentes por quedas"; “vertigem posicional paroxística benigna” and idoso and acidentes por quedas”; vertigem posicional paroxística benigna” and “acidentes por quedas”, nas bases de dados Biblioteca Virtual em Saúde (BVS), United States National Library of Medicine (PubMED), sendo a última busca em agosto de 2016. Foram selecionados seis artigos. Observou-se diversidade metodológica entre os estudos. Quedas ocorreram o dobro de vezes em idosos com o diagnóstico de VPPB e esta relação aumentou com o avanço da idade. Houve evidência de diminuição de episódios de quedas acima de 60% dos idosos que foram tratados da VPPB. Em idosos com mais de uma causa para a tontura, a VPPB não pode ser considerada como fator de risco independente para quedas. Contudo, no ambiente hospitalar, a relação entre VPPB e quedas não foi observada quando a investigação foi realizada a partir da fratura de quadril. No entanto, quando o estudo incluiu idosos internados por consequências diversas de quedas, a VPPB pôde ser identificada em mais de 50% dos pacientes. Pode-se concluir que a VPPB está associada a quedas. O segundo artigo, teve como objetivos, avaliar a tontura em idosos na atenção primária para o reconhecimento da VPPB e analisar a associação entre tontura e VPPB com quedas. Foi um estudo do tipo transversal sendo estudados 298 idosos diabéticos e/ou hipertensos, cadastrados no Sistema de Acompanhamento de Hipertensos e Diabéticos da Unidade Básica de Saúde da Família do bairro Madre Germana II de Goiânia, Goiás. A avaliação foi realizada na residência dos idosos incluindo o Mini Exame do Estado Mental, perfil sociodemográfico, registro das condições de saúde auto referidas com ênfase no relato de tontura e/ou vertigem e registro de quedas nos últimos 12 meses. Os idosos que referiram tontura e/ou vertigem foram revisitados para avaliação funcional
Abstract xvi otoneurológica para VPPB, utilizando o teste de Dix Hallpike para os canais semicirculares posterior e anterior e Supine Roll test para o canal semicircular horizontal. Foram incluídos no estudo 150 idosos com média de idade de 69,7(+/-7,36), a maioria do sexo feminino e 26% referiam queda. Tontura foi referida por 33% dos idosos, dentre os quais, 38,8% apresentaram VPPB. Houve associação entre a queixa de tontura e quedas (p=0,05), o que não ocorreu com a VPPB objetiva ou subjetiva. A avaliação da tontura e VPPB pode ser realizada no domicílio de idosos na atenção primária.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.bc.ufg.br:tede/8080 |
| Date | 05 June 2017 |
| Creators | Schimchak, Gabriella Assumpção Alvarenga |
| Contributors | Porto, Celmo Celeno, Porto, Celmo Celeno, Schaffeln, Ricardo, Sandoval, Renato Alves, Avelino, Melissa Ameloti Gomes, Simone, Flávia Doná |
| Publisher | Universidade Federal de Goiás, Programa de Pós-graduação em Ciências da Saúde (FM), UFG, Brasil, Faculdade de Medicina - FM (RG) |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da UFG, instname:Universidade Federal de Goiás, instacron:UFG |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | -1006864312617745310, 600, 600, 600, 1545772475950486338, -969369452308786627 |
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