Análise do índice de vulnerabilidade clínico funcional / IVCF- 20 como instrumento para gestão do trabalho e assistência em saúde da fisioterapia da Atenção Primária de um do município da região metropolitana de Belo Horizonte

Abstract

OBJECTIVE: To analyze the Clinical Functional Vulnerability Index / IVCF-20 as an instrument for stratification, organization of care and management of Physiotherapy. METHOD: Observational, cross-sectional, population-based, descriptive and quantitative epidemiological study carried out with the population referred to physiotherapy. A sociodemographic questionnaire and the multidimensional instrument - IVCF-20 were used as tools. RESULTS: Data collection from 1,653 patients with a median age of 58 years, predominantly female, with (31.7%) classified as frail. There was a significant difference for sociodemographic variables, inactivity and chronic diseases. In logistic regression using the ROC curve for the outcome of decline in functionality, an excellent value was reached for IVCF-20 (AUC-ROC = 0.94); for chronic diseases, the IVCF also showed superiority for age (AUC-ROC IVCF20: 0.73), and a good result for sarcopenia (AUC-ROC IVCF20: 0.80). FINAL CONSIDERATIONS: The findings of the experience indicate positive reports on the functioning of the physiotherapy service according to the perspective of management, therapists, users and family members/caregivers involved in the research. Despite the methodological limitations, the present study indicates that the IVCF-20 can be a tool for this purpose, since nowadays it is imperative that the rehabilitation service be organized in a rational way.