CLINICAL – FUNCTIONAL VULNERABILITY OF ELDERLY PEOPLE ASSISTED IN THE SINGLE HEALTH SYSTEM.
1. Fragility 2. Health of the elderly 3. Single health system 4. Vulnerability
Introduction: The significant growth of the Brazilian elderly population brings challenges to the management of health services, health policies and society. Objective: To evaluate the clinical-functional Vulnerability Index of elderly people assisted in the single health system. Methods: Observational, cross-sectional, convenience sample study, with 120 elderly people, aged 60 years or over, of both sexes, from January to September 2024, in secondary public service care. The instruments used were the Clinical-Functional Vulnerability Index-(IVCF-20) questionnaire and the elderly person's health booklet. The collected data were tabulated in the Excel spreadsheet and analyzed using descriptive statistics for continuous variables, absolute and relative frequency for categorical variables. Results The results showed a high prevalence of frailty among elderly people in the most advanced age groups, males, aged between 60 and 74, Catholics, who declared themselves to be mixed race. The multiple comorbidities Hypertension and Diabetes Mellitus were highlighted as a significant problem, in addition to conditions such as cognitive deficits. Inadequate lifestyle habits, such as lack of physical activity, alcoholism and smoking. All participants in this research were Brazilian, the majority depend on the single health system (SUS). Final considerations: This study showed that the clinical-functional vulnerability of elderly people is related to sociodemographic factors: age, economic conditions, education, difficulty in accessing health services, cognition, multiple comorbidities (prevalence of high blood pressure and diabetes) and lifestyle habits (lack of physical activity, alcohol consumption and smoking). In this context, vulnerability in elderly people is a topic of great relevance for collective health, as it reflects the impact that multifactorial clinical outcomes have on this population, increasing the risks of hospitalization, health complications and mortality in this age group that depend on assistance from the Unified Health System. It is important to continue studies on the vulnerability of elderly people, to contribute to actions to promote and protect the health of this rapidly growing population, reinforcing the commitment to dignified aging and quality of life.