Frailty syndrome, feelings of impotence and functional capacity in elderly patients with venous ulcers

AGUIAR, ELIANA GONÇALVES; SALOMÉ, GERALDO MAGELA; FERREIRA, LYDIA MASAKO

doi:10.5935/2177-1235.2023RBCP681-EN

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Original Article • Rev. Bras. Cir. Plást. 38 (1) • 2023 • https://doi.org/10.5935/2177-1235.2023RBCP681-EN copy

Frailty syndrome, feelings of impotence and functional capacity in elderly patients with venous ulcers

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Introduction:

Chronic venous ulcers have a negative impact on the physical, psychic, and social domains, affecting the quality of life of patients, especially the elderly. This study aimed to assess frailty, functional capacity, and feelings of helplessness in older people with venous ulcers.

Method:

112 older people were divided into two groups according to the presence or absence of venous ulcers. All patients were interviewed using the Edmonton Frail Scale (EFS), Health Assessment Questionnaire-20 (HAQ-20), and the Impotence Feelings Measurement Instrument (IMSI) from May 2017 to August 2018.

Results:

Regarding the EFS score, 76.8% of patients with venous ulcers were classified as vulnerable and frail, compared to 28.6% of patients in the group without ulcers. Scores on the HAQ-20 showed statistically significant differences between groups in all categories of the instrument, indicating that older people with venous ulcers had reduced general functional capacity compared to older people without ulcers. The mean IMSI score was 41.2 for the group with venous ulcers and 33.4 for the group without ulcers.

Conclusion:

Venous ulcers had a negative impact on functional capacity and increased frailty and feelings of powerlessness in the elderly.

Keywords:
Aged; Frail elderly; Aging; Varicose ulcer; Quality of life

Group	EFS - Overall Score				p-Value
Group	n	Mean	Median	SD	p-Value
With ulcer	56	6.46	6.0	3,086
No ulcer	56	3.38	3.0	2,253	0.001*
Total	112	4.92	5.0	3.105

Level of Fragility	Group						p-Value
	With ulcer		Without ulcer		Total
	n	%	n	%	n	%
Does not present Fragility	13	23.2	40	71.4	53	47.3
Apparently Vulnerable	16	28.6	11	19.6	27	24.1	0.001*
Mild frailty	12	21.4	4	7.1	16	14.3
Moderate frailty	11	19.6	0	0.0	11	9.8
Severe frailty	4	7.1	1	1.8	5	4.5
Total	56	100	56	100	112	100

Categories	Group									p-Value
	With ulcer			Without ulcer			Total
	No	Mean	SD	n	Mean	SD	n	Mean	SD
Dress up/ Take care of himself	56	0.86	0.841	56	0.20	0.401	112	0.53	0.735	0.001*
Wake up	56	1.07	0.912	56	0.39	0.593	112	0.73	0.838	0.002*
Eat	56	0.52	0.687	56	0.13	0.384	112	0.32	0.586	0.002*
To walk	56	1.59	0.890	56	0.57	0.759	112	1.08	0.969	0.001*
Hygiene	56	1.00	0.653	56	0.29	0.594	112	0.64	0.815	0.001*
Catch up	56	1.13	0.974	56	0.61	0.679	112	0.87	0.875	0.001*
Hold	56	1.18	1.081	56	0.36	0.616	112	0.77	0.968	0.001*
Others Activities	56	1.32	0.917	56	0.43	0.599	112	0.87	0.892	0.001*
General	56	1.08	0.729	56	0.37	0.407	112	0.73	0.686	0.002*

Domains	Group									p-Value
	With ulcer			Without ulcer			Total
	n	Mean	SD	n	Mean	SD	n	Mean	SD
Ability to perform Behavior	56	15.59	2,130	56	9.04	3.063	112	12.31	4.211	0.001*
Ability to take instructions	56	11.96	2,607	56	13.95	3,272	112	12.96	3.109	0.001*
Emotional response to control situations	56	13.54	2,565	56	10.57	3.173	112	12.05	3.235	0.001*
General	56	41.21	4,853	56	33.41	7.081	112	37.31	7.202	0.001*

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[1] *Corresponding author: Eliana Gonçalves Aguiar Disciplina de Cirurgia Plástica. Rua Botucatu 740, 2o andar, Vila Clementino, São Paulo, SP, Brazil. Zip code: 04023-062 E-mail: eaguiar@unifesp.br