Doenças crônicas, cognição, declínio funcional e Índice de Charlson em idosos com demência

Pimenta, Fausto Aloísio Pedrosa; Bicalho, Maria Aparecida Camargos; Romano-Silva, Marco Aurélio; Moraes, Edgar Nunes de; Rezende, Nilton Alves de

doi:10.1016/j.ramb.2013.02.002

Cited by 16 publications

(5 citation statements)

References 42 publications

(60 reference statements)

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“…However, this site was screened primarily by phone, and its population was also highly educated (93.2% had at least a high school education) and had less medical comorbidities, both of which are known to be related to the risk of ADRD. 25 – 27 , 33 , 34 Moreover, this group had a higher socioeconomic status (data not shown), which can positively contribute to reduced comorbidities. 35 …”

Section: Discussionmentioning

confidence: 89%

“… 8 , 12 , 19 , 26 – 28 Moreover, recent epidemiological studies have shown a reduction in the incidence rates of dementia, 23 , 29 , 30 and an analysis of the Framingham study has shown a greater decline in younger age groups. 31 Changing patient factors, including increased education and lifetime cognitive stimulation, 32 decreased vascular risk factors, 33 or tobacco control, 34 may contribute to the decline. Also, others have suggested that the decline is greater in different age groups, especially in younger age groups.…”

Section: Discussionmentioning

confidence: 99%

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Patient characteristics associated with screening positive for Alzheimer’s disease and related dementia

Fowler¹,

Perkins²,

Gao³

et al. 2018

CIA

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IntroductionScreening all older adults for Alzheimer’s disease and related dementias (ADRD) in primary care may not be acceptable or feasible. The goal of this study was to identify factors that could optimize screening in primary care and enhance its feasibility.MethodsThis is a cross-sectional study in rural, suburban, and urban primary care practices in Indiana. A total of 1,723 patients ≥65 years of age were screened for ADRD using the Memory Impairment Screen. Logistic regression was used to identify patient-specific factors associated with screening positive for ADRD.ResultsThe positive screening rate was 4.9%. Rates varied significantly across the three study sites. The rural site had the lowest rate (2.8%), which was significantly lower than the rates at the suburban (5.6%) and urban (6.6%) sites (P<0.01). Patient age, sex, and education were significantly (P<0.05) associated with screening positive for ADRD.ConclusionTargeted screening of patients at risk for ADRD may represent a more optimal and feasible screening alternative to population screening.

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Patient characteristics associated with screening positive for Alzheimer’s disease and related dementia

Fowler¹,

Perkins²,

Gao³

et al. 2018

CIA

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“…The chance to assess health as bad was higher among individuals with lower education levels, regardless of other characteristics investigated. Education determines several advantages for health, because individuals with higher educational level are less likely to expose themselves to risk factors for diseases and, in general, have greater access to economic and social resources that promote better health 18 .…”

Section: Discussionmentioning

confidence: 99%

Health self-assessment by hemodialysis patients in the Brazilian Unified Health System

et al. 2016

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OBJECTIVE To examine whether the level of complexity of the services structure and sociodemographic and clinical characteristics of patients in hemodialysis are associated with the prevalence of poor health self-assessment.METHODS In this cross-sectional study, we evaluated 1,621 patients with chronic terminal kidney disease on hemodialysis accompanied in 81 dialysis services in the Brazilian Unified Health System in 2007. Sampling was performed by conglomerate in two stages and a structured questionnaire was applied to participants. Multilevel multiple logistic regression was used for data analysis.RESULTS The prevalence of poor health self-assessment was of 54.5%, and in multivariable analysis it was associated with the following variables: increasing age (OR = 1.02; 95%CI 1.01–1.02), separated or divorced marital status (OR = 0.62; 95%CI 0.34–0.88), having 12 years or more of study (OR = 0.51; 95%CI 0.37–0.71), spending more than 60 minutes in commuting between home and the dialysis service (OR = 1.80; 95%CI 1.29–2.51), having three or more self-referred diseases (OR = 2.20; 95%CI 1.33–3.62), and reporting some (OR = 2.17; 95%CI 1.66–2.84) or a lot of (OR = 2.74; 95%CI 2.04–3.68) trouble falling asleep. Individuals in treatment in dialysis services with the highest level of complexity in the structure presented less chance of performing a self-assessment of their health as bad (OR = 0.59; 95%CI 0.42–0.84).CONCLUSIONS We showed poor health self-assessment is associated with age, years of formal education, marital status, home commuting time to the dialysis service, number of self-referred diseases, report of trouble sleeping, and also with the level of complexity of the structure of health services. Acknowledging these factors can contribute to the development of strategies to improve the health of patients in hemodialysis in the Brazilian Unified Health System.

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“…Besides that, Hamid et al 14 have proposed that healthy or optimal aging can be achieved by absence of six chronic diseases (hypertension, diabetes, heart disease, chronic lung diseases, cancer, and stroke) and superior satisfaction in health status. Pimenta et al 34 have reported that chronic diseases among older adults increased the risk of cognitive decline, functional impairment, and affected quality of life. Older adults with dementia usually present with multimorbidities as compared to elderly with no cognitive impairment.…”

Section: Discussionmentioning

confidence: 99%

Development of TUA-WELLNESS screening tool for screening risk of mild cognitive impairment among community-dwelling older adults

Vanoh

Shahar

Rosdinom

et al. 2016

CIA

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Background and aimFocus on screening for cognitive impairment has to be given particular importance because of the rising older adult population. Thus, this study aimed to develop and assess a brief screening tool consisting of ten items that can be self-administered by community dwelling older adults (TUA-WELLNESS).MethodologyA total of 1,993 noninstitutionalized respondents aged 60 years and above were selected for this study. The dependent variable was mild cognitive impairment (MCI) assessed using neuropsychological test batteries. The items for the screening tool comprised a wide range of factors that were chosen mainly from the analysis of ordinal logistic regression (OLR) and based on past literature. A suitable cut-off point was developed using receiver operating characteristic analysis.ResultsA total of ten items were included in the screening tool. From the ten items, eight were found to be significant by ordinal logistic regression and the remaining two items were part of the tool because they showed strong association with cognitive impairment in previous studies. The area under curve (AUC), sensitivity, and specificity for cut-off 11 were 0.84%, 83.3%, and 73.4%, respectively.ConclusionTUA-WELLNESS screening tool has been used to screen for major risk factors of MCI among Malaysian older adults. This tool is only suitable for basic MCI risk screening purpose and should not be used for diagnostic purpose.

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Doenças crônicas, cognição, declínio funcional e Índice de Charlson em idosos com demência

Abstract: These comorbidities were associated with the functional decline in elderly people with dementia.

Cited by 16 publications

References 42 publications

Patient characteristics associated with screening positive for Alzheimer’s disease and related dementia

Patient characteristics associated with screening positive for Alzheimer’s disease and related dementia

Health self-assessment by hemodialysis patients in the Brazilian Unified Health System

Development of TUA-WELLNESS screening tool for screening risk of mild cognitive impairment among community-dwelling older adults

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Doenças crônicas, cognição, declínio funcional e Índice de Charlson em idosos com demência

Abstract: These comorbidities were associated with the functional decline in elderly people with dementia.

Cited by 16 publications

References 42 publications

Patient characteristics associated with screening positive for Alzheimer&rsquo;s disease and related dementia

Patient characteristics associated with screening positive for Alzheimer&rsquo;s disease and related dementia

Health self-assessment by hemodialysis patients in the Brazilian Unified Health System

Development of TUA-WELLNESS screening tool for screening risk of mild cognitive impairment among community-dwelling older adults

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Product

Resources

About

Patient characteristics associated with screening positive for Alzheimer’s disease and related dementia

Patient characteristics associated with screening positive for Alzheimer’s disease and related dementia