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Volume 8 Journal of Palliative Care & Medicine
ISSN: 2165-7386 Geriatrics 2018
July 30-31, 2018
July 30-31, 2018 | Barcelona, Spain
8th International Conference on
Geriatrics Gerontology & Palliative Nursing
Brazilian elderly affective disorders and suicide: Trends on morbi-mortality and health service costs
Raquel de Souza Praia1, 2, Jorge Reboredo2, Fernanda Barbisan3, Beatriz Sadigurski Nunes Cunha3, Bruna Chitolina3, Pedro Antonio Smith do Prado-
Lima4, Ednea Aguiar Maia Ribeiro1, Euler Esteves Ribeiro1 and Ivana Beatrice Mânica da Cruz3
1University of the Elderly State of Amazonas, Brazil
2University of Business and Social Sciences, Argentina
3Federal University of Santa Maria, Brazil
4Pontifical Catholic University of Rio Grande do Sul, Brazil
S tatement of affective disorders (AD) including depression has important epidemiological impact on elderly morbi-mortality
been also associated to elevate suicide rates. However, AD impact on trends elderly mortality, morbidity and Brazilian health
service cost (hospitalization and outpatient care) need to be more deeply investigated. Therefore, this study evaluated the
trends of AD and suicide mortality in Brazilian elderly population (1996-2015) and in use of health services (hospitalization
and outpatient care) and their costs in 2009 to 2015 period by a socio-ecological analysis using databank evaluable for Health
Unit System (DATASUS, Brazil Ministry). The study was performed just in elderly subjects (> 60 years old) considering as
co-variables: sex ad age. Linear, joint point and multivariate regressions were used to detect change in the trends of AD and
suicide mortality. Total AD mortality was slightly higher in women (1.2/100.000) than men (1.0/100.000). At contrary, suicide
mortality rate was higher in men (13.5/100.000) than females (2.5/100.000). In both mortality causes, occurrence was age-
dependent, with higher rates in oldest-old group (> 80 years). Hospitalizations by AD were also higher in older group, in both
sexes. However, hospitalization costs trend to decrease in the last four years. The whole of results suggests the necessity to
construct specific preventive and treatment programs for elderly people, since this population presents important biological,
functional, health and social specificities that are different of find in adults.
Biography
Raquel de Souza Praia has completed her Bachelor of Science in nursing (2007) and in Biological Sciences (2000). She has experience at ICU, Emergency and
Urgency Sector, and Public Health. She completed her Master in Gerontology and pursuing PhD in Public Health. She worked in the Women's Health Program of
Mobile Care Units. She is a Professor at School of Nursing at the Federal University of Amazonas. She has coordinated a project developed at home for the elderly
over 70, bedridden or impaired mobility at Open University of the Third Age / University of the State of Amazonas. She was the organizer and author of the book
launched in 2018 in Brazil “Fundamentos de Psicogerontologia”. Currently she conducts research involving psychiatric disorders in aging.
Raquel de Souza Praia et al., J Palliat Care Med 2018, Volume 8
DOI: 10.4172/2165-7386-C2-018