{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T16:07:55Z","timestamp":1774973275395,"version":"3.50.1"},"reference-count":18,"publisher":"Health Sciences Research Unit: Nursing","issue":"N.\u00ba 5","license":[{"start":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T00:00:00Z","timestamp":1774915200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Enf. Ref"],"abstract":"<jats:p>Enquadramento: As quedas dos idosos no domic\u00edlio s\u00e3o eventos frequentes e potencialmente graves, com impacto cl\u00ednico, funcional, psicol\u00f3gico e econ\u00f3mico.\n\nObjetivo: Identificar os fatores associados \u00e0 maior criticidade do risco de quedas dos idosos no domic\u00edlio na Regi\u00e3o Aut\u00f3noma da Madeira.\n\nMetodologia: Estudo observacional transversal com componente anal\u00edtica, baseado em dados cl\u00ednicos retrospetivos extra\u00eddos de notifica\u00e7\u00f5es cl\u00ednicas validadas entre 2019 e 2022. A criticidade foi determinada por matriz de risco. Foram aplicados testes estat\u00edsticos de associa\u00e7\u00e3o e regress\u00e3o log\u00edstica.\n\nResultados: Foram analisadas 137 notifica\u00e7\u00f5es. Em 79,5% destas, houve dano e em 36% ocorreu fratura.\nVerificou-se associa\u00e7\u00e3o entre maior criticidade do risco e a presen\u00e7a de fraturas, les\u00f5es m\u00faltiplas, dano psicol\u00f3gico e econ\u00f3mico. A polimedica\u00e7\u00e3o e altera\u00e7\u00f5es da mobilidade foram comuns, mas n\u00e3o se associaram diretamente \u00e0 criticidade do risco.\n\nConclus\u00e3o: A criticidade do risco de queda depende de m\u00faltiplos fatores, cuja identifica\u00e7\u00e3o \u00e9 essencial para orientar estrat\u00e9gias de preven\u00e7\u00e3o eficazes. A notifica\u00e7\u00e3o destes eventos \u00e9 fundamental para o delineamento destas estrat\u00e9gias.<\/jats:p>","DOI":"10.12707\/rvi25.56.42235","type":"journal-article","created":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T12:01:19Z","timestamp":1774958479000},"update-policy":"https:\/\/doi.org\/10.12707\/2182.2883","source":"Crossref","is-referenced-by-count":0,"title":["Avalia\u00e7\u00e3o das Quedas dos Idosos no Domic\u00edlio: Estudo Observacional Transversal Baseado num Sistema de Notifica\u00e7\u00e3o"],"prefix":"10.12707","volume":"VI S\u00e9rie","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-1803-3309","authenticated-orcid":false,"given":"Soraya","family":"Machado","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02csscj62","id-type":"ROR","asserted-by":"publisher"}],"name":"Servi\u00e7o de Sa\u00fade da Regi\u00e3o Aut\u00f3noma da Madeira"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2362-5527","authenticated-orcid":false,"given":"Paulo","family":"Santos","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/043pwc612","id-type":"ROR","asserted-by":"publisher"}],"name":"Universidade do Porto"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9016-1785","authenticated-orcid":false,"given":"Marta","family":"Ornelas","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0442zbe52","id-type":"ROR","asserted-by":"publisher"}],"name":"Universidade da Madeira"}]}],"member":"5008","published-online":{"date-parts":[[2026,3,31]]},"reference":[{"key":"ref0","unstructured":"Al-Aama, T. (2011). Falls in the elderly: Spectrum and prevention. Canadian Family Physician, 57(7), 771\u2013776. https:\/\/www.cfp.ca\/content\/57\/7\/771"},{"key":"ref1","unstructured":"Alper, E., O\u2019Malley, T. A., Greenwald, J., Aronson, M., & Park, L. (2017). Hospital discharge and readmission. UpToDate. Waltham, MA: UpToDate."},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Cruz, D. T., Ribeiro, L. C., Vieira, M. T., Teixeira, M. T., Leite, I. C., & Bastos, R. R. (2020). Preval\u00eancia de quedas e fatores associados em idosos. Revista de Sa\u00fade P\u00fablica, 46(1), 138-146. https:\/\/doi.org\/10.1590\/S0034-89102011005000087 DOI: 10.1590\/S0034-89102011005000087","DOI":"10.1590\/S0034-89102011005000087"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Faleiros, A. H., Pereira, A. E. M., Santos, C. A. d., Queiroz, M. L. d., & Ara\u00fajo, C. L. d. O. (2018). O ambiente domiciliar e seus riscos para quedas em idosos: uma revis\u00e3o integrativa da literatura. 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