Caracterização clínica da demência vascular: avaliação retrospectiva de uma amostra de pacientes ambulatoriais

Smid, Jerusa; Nitrini, Ricardo; Bahia, Valéria Santoro; Caramelli, Paulo

doi:10.1590/s0004-282x2001000300015

Cited by 9 publications

(6 citation statements)

References 26 publications

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“…12 Whether alone or concomitant with other diseases, cardiovascular disease was associated with a smaller number of psychotropics prescribed and seemed to be the clinical condition that most infl uenced the physician's decision in prescribing psychotropics. This may be partly explained by the fear of pharmacological interactions and lack of familiarity with drugs not usually prescribed by general practitioners.…”

Section: Discussionmentioning

confidence: 99%

Factors influencing psychotropic prescription by non-psychiatrist physicians in a nursing home for the elderly in Brazil

et al. 2006

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CONTEXT AND OBJECTIVE: Although psychotropics are one of the classes of medications most prescribed in nursing homes for the elderly, studies examining prescribing patterns are limited in both number and scope. The present study was undertaken to investigate factors associated with general psychotropic use in a nursing home in Brazil. DESIGN AND SETTING: Retrospective observational study at the Nursing Home for the Elderly, Institute of Biosciences, Universidade Estadual Paulista. METHODS: Information on prescriptions was retrieved from the medical records of 108 elderly residents in a nursing home. Sixty-five of these patients, with mean age 74.5 years (± standard deviation 9.4 years), who were taking medications on a regular basis, comprised the sample. The effects of demographic and clinical variables on the psychotropic prescription pattern were examined. RESULTS: Females were more likely to receive psychotropics (p = 0.038). Individuals on medicines for cardiovascular diseases received psychotropics less frequently (p = 0.001). The number of prescribed psychotropics correlated negatively with both age (p = 0.009) and number of non-psychotropic drugs (p = 0.009). CONCLUSIONS: Although preliminary, the present results indicated that cardiovascular disease was the clinical variable that most influenced psychotropic prescription. Physicians' overconcern regarding drug interactions might at least partially explain this result. Further investigations involving larger sample sizes from different regions are warranted to confirm these findings.

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Section: Discussionmentioning

confidence: 99%

Factors influencing psychotropic prescription by non-psychiatrist physicians in a nursing home for the elderly in Brazil

et al. 2006

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“…however, this may be due to a delay in the detection of the disease. regarding vaD, the identified risk fac-risk factors for dementia Magalhães et al tors are age, male gender, hypertension, acute myocardial infarction (MI), diabetes mellitus (DM), high cholesterol levels, smoking, and history of stroke 1,[10][11][12][13][14][15] . Cardiovascular diseases are controversial risk factors for AD 13,16 .…”

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confidence: 99%

Risk factors for dementia in a rural area of Northeastern Brazil

Magalhães

Peixoto

Frank

et al. 2008

Arq. Neuro-Psiquiatr.

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-Objective: To identify risk factors for dementia among the elderly in a rural area of Northeastern Brazil. Method: The subjects assessed were all 60 years old or older, and lived in a rural region of Bahia, a Northeastern State of Brazil. CAMDEX, a structured clinical evaluation protocol, was used for diagnosis, and applied at the home of the subjects. Results: The risk factors identified were divided in accordance with socio-demographic characteristics, the presence of co-morbid conditions, and the use of medications. The variables with strong association with dementia were age, history of stroke, arterial hypertension, and sight impairment. Conclusion: Advanced age, arterial hypertension, and vascular brain injury were the main risk factors associated with dementia, which suggests that public health measures adopted to prevent and control modifiable risk factors can mitigate the prevalence of high rates of dementia.KEy worDS: dementia, elderly, population aging, prevalence, risk factors. Fatores de risco para demência em uma área rural do nordeste do BrasilResumo -Objetivo: Identificar fatores de risco para demência entre idosos de uma área rural do nordeste do Brasil. Método: os indivíduos avaliados tinham 60 anos ou mais e viviam numa região rural na Bahia, Estado do nordeste brasileiro. Um protocolo de avaliação clínica estruturada -CAMDEX -foi utilizado para diagnóstico e aplicado no domicílio dos indivíduos participantes. Resultados: os fatores de risco identificados foram divididos de acordo com características sócio-demográficas, a presença de comorbidades e o uso de medicações. As variáveis com forte associação para demência foram idade, história de acidente vascular encefálico, hipertensão arterial e comprometimento visual. Conclusão: Idade avançada, hipertensão arterial e lesão vascular cerebral foram os principais fatores de risco associados com demência, o que sugere que medidas de saúde pública adotadas para prevenir e controlar fatores de risco modificáveis podem diminuir a prevalência de altas taxas de demência. PAlAvrAS-ChAvE: demência, envelhecimento, prevalência, fatores de risco. Dementia is a generic term that describes a chronic or progressive dysfunction of cortical and subcortical function that results in a complex cognitive decline. These dysfunctions are usually accompanied by personality, mood and/or behavior disorders 1 . Dementia is also a condition characterized by impairment of memory and of at least one other cognitive function (aphasia, apraxia, agnosia, executive dysfunction). The impairment must represent a decline from previous level of function, and must be severe enough to interfere with daily functions and independence 2 . The prevalence of dementia increases with age, and doubles every five years, ranging between 1% among people aged 60-64 years and 45% in individuals aged 85 or older [3][4][5][6] . Today, dementia is considered one of the major social burdens in developing countries 3,7 and accounts, worldwide, for 11.2% years lived with incapacity, in people a...

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“…It is important to obtain a full list of drugs used and prescribed, as well as alternative medications. 21 , 24 , 50 , 51 …”

Section: Methodsmentioning

confidence: 99%

Vascular dementia: Diagnostic criteria and supplementary exams: Recommendations of the Scientific Department of Cognitive Neurology and Aging of the Brazilian Academy of Neurology. Part I.

Engelhardt¹,

Tocquer

André³

et al. 2011

Dement. neuropsychol.

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Vascular dementia (VaD) is the most prevalent form of secondary dementia and the second most common of all dementias. The present paper aims to define guidelines on the basic principles for treating patients with suspected VaD (and vascular cognitive impairment - no dementia) using an evidence-based, systematized approach. The knowledge used to define these guidelines was retrieved from searches of several databases (Medline, Scielo, Lilacs) containing scientific articles, systematic reviews, meta-analyses, largely published within the last 15 years or earlier when pertinent. Information retrieved and selected for relevance was used to analyze diagnostic criteria and to propose a diagnostic system encompassing diagnostic criteria, anamnesis, as well as supplementary and clinical exams (neuroimaging and laboratory). Wherever possible, instruments were selected that had versions previously adapted and validated for use in Brazil that take into account both schooling and age. This task led to proposed protocols for supplementary exams based on degree of priority, for application in clinical practice and research settings.

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Caracterização clínica da demência vascular: avaliação retrospectiva de uma amostra de pacientes ambulatoriais

Cited by 9 publications

References 26 publications

Factors influencing psychotropic prescription by non-psychiatrist physicians in a nursing home for the elderly in Brazil

Factors influencing psychotropic prescription by non-psychiatrist physicians in a nursing home for the elderly in Brazil

Risk factors for dementia in a rural area of Northeastern Brazil

Vascular dementia: Diagnostic criteria and supplementary exams: Recommendations of the Scientific Department of Cognitive Neurology and Aging of the Brazilian Academy of Neurology. Part I.

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