Comorbidities and medication intake among people with dementia living in long-term care facilities

Marques, Alda; Rocha, Vânia; Pinto, Margarida; Sousa, Liliana; Figueiredo, Daniela

doi:10.1016/j.rpsp.2014.07.005

Cited by 7 publications

(9 citation statements)

References 25 publications

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“…As discussed in the Results section, in the pcb-Cohort correlations with comorbidities were likewise evident, and there was a significant correlation with GID. A previous study in the Aveiro district [50] on patients in long-term facilities found that hypertension had a lower prevalence than that reported in the study here presented (41.3% [50], vs. 61.8% in the pcb-Cohort); the same was true with respect to GID (10% [50], vs. 26.6% in the pcb-Cohort).…”

Section: Discussionsupporting

confidence: 55%

Screening Younger Individuals in a Primary Care Setting Flags Putative Dementia Cases and Correlates Gastrointestinal Diseases with Poor Cognitive Performance

Rosa¹,

Henriques²,

Carvalho³

et al. 2016

Dement Geriatr Cogn Disord

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Background/Aims: Diagnosing dementia is challenging in many primary care settings, given the limited human resources and the lack of current diagnostic tools. With this in mind, a primary care-based cohort was established in the Aveiro district of Portugal. Methods: A total of 568 participants were evaluated using cognitive tests and APOE genotyping. Results: The findings revealed a dementia prevalence of 12%. A strong correlation between increasing Clinical Dementia Rating (CDR) scores and education was clearly evident. Other highly relevant risk factors were activities of daily living (ADL), instrumental ADL, aging, depression, gender, the APOE ε4 allele, and comorbidities (depression as well as gastrointestinal, osteoarticular, and neurodegenerative diseases). A hitherto unreported, significant correlation between gastrointestinal disease and high CDR score was clearly observable. Conclusions: This study shows the merit of carrying out a dementia screening on younger subjects. Significantly, 71 subjects in the age group of 50-65 years were flagged for follow-up studies; furthermore, these cases with a potentially early onset of dementia were identified in a primary care setting.

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Section: Discussionsupporting

confidence: 55%

Screening Younger Individuals in a Primary Care Setting Flags Putative Dementia Cases and Correlates Gastrointestinal Diseases with Poor Cognitive Performance

Rosa¹,

Henriques²,

Carvalho³

et al. 2016

Dement Geriatr Cogn Disord

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“…Common physical diagnoses in the aging population are hypertension, lipid metabolism disorders, diabetes, coronary heart disease, heart failure and cancer [ 18 – 21 ]. Several of these diseases represent vascular risk factors, which may contribute to dementia onset and lead to faster progression of dementia [ 22 – 24 ]. Parkinson’s disease, congestive heart failure, cerebrovascular disease, cardiac arrhythmia, osteoporosis and retinal disorders [ 25 ] are physical comorbidities which seem to be significantly associated with having dementia.…”

Section: Introductionmentioning

confidence: 99%

Physical diagnoses in nursing home residents - is dementia or severity of dementia of importance?

et al. 2018

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BackgroundDementia and physical morbidity are primary reasons for nursing home admission globally. However, data on physical morbidity in nursing home residents with and without dementia are scarce. The first aim of the present study was to explore whether presence and severity of dementia were related to the number of physical diagnoses in nursing home residents. The second aim was to explore if the severity of dementia was associated with having registered the most frequent complexes of physical diagnoses when controlling for physical health and demographic factors.MethodsA total of 2983 Norwegian nursing home residents from two cross-sectional samples from 2004/2005 and 2010/2011 were included in the analysis. By the use of assessment scales, the severity of dementia (Clinical Dementia Rating), physical health (General Medical Health Rating), activities of daily living (Physical Self-Maintenance Scale) and neuropsychiatric symptoms (Neuropsychiatric Inventory Nursing Home) were determined. Physical diagnoses and medications were assembled from the medical records. The physical diagnoses were categorized into complexes, using the ICD-10 chapters. Linear mixed models and generalized linear mixed models were estimated.ResultsResidents with dementia were registered with fewer physical diagnoses than residents without dementia. The frequency of physical diagnoses decreased with increasing severity of dementia. Cardiovascular, musculoskeletal and endocrine, nutritional and metabolic diagnoses were the most common complexes of physical diagnoses in individuals with and without dementia. The odds of having cardiovascular and musculoskeletal diagnoses increased for males and decreased for females with increasing severity of dementia, in contrast to endocrine diagnoses where the odds increased for both genders.ConclusionIncreasing severity of dementia in nursing home residents may complicate the diagnostics of physical disease. This might reflect a need for more attention to the registration of physical diagnoses in nursing home residents with dementia.

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“…Estes resultados vão no mesmo sentido aos obtidos em outro estudo (Anathhanam et al, 2012), que sugerem uma média entre os cinco e os seis medicamentos. Por outro lado, num noutro estudo português (Marques et al, 2015), a medicação em maior primazia destinava-se igualmente ao sistema cardiovascular, mas a média de consumo de um ou mais medicamentos era superior. As diferenças dos resultados podem explicarem-se pelo fato dos Os dados permitem considerar que as QSM são muito frequentes, mas o seu significado clínico não é ainda claro.…”

Section: As Queixas Subjetivas De Memória No Cuidado De Saúde Primáriounclassified

“…A presença de comorbilidades médicas e o consumo de 10 ou mais medicamentos é relativamente comum (Anathhanam, Powis, Cracknell, & Robson, 2012;Marques, Rocha, Pinto, Sousa, & Figueiredo, 2015;Santana, Farinha, Freitas, Rodrigues, & Carvalho, 2015).…”

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As queixas subjetivas de memória num cuidado de saúde primário: Um estudo follow up

Sousa

Pereira

Costa

et al. 2017

Psychol. Community Health

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ResumoObjetivo: As queixas subjetivas de memória (QSM) são um fator clínico relevante e uma das principais queixas feitas aos médicos de família por adultos e adultos idosos. Houve ainda um aumento da sintomatologia depressiva e ansiógena, dos valores da Hemoglobina glicosilada (HbA1c) e do número de medicamentos consumidos, com particular ênfase nos anti hipertensores. Conclusão: As QSM deverão ser objeto de preocupação e vigilância do médico de família, uma vez que podem representar um sintoma relevante para a identificação precoce de um processo demencial.Palavras-Chave: cuidados de saúde primários, pessoas adultas, pessoas idosas, queixas subjetivas de memória, depressão, ansiedade AbstractObjective: The subjective memory complaints (QSM) are an important clinical factor and a frequent problem in primary health care in adult and older people (Eichler et al., 2015). This study, carried out in a primary health care of the Central Region of Portugal, aimed to characterize the QSM according to sociodemographic, clinical, cognitive, emotional and quality of life variables. Methods: This longitudinal study at two time points aims to explore the process of the QSM for 18 months and which factors are associated with. It was conducted with a sample of 19 adults and older adults aged between 55 to 81 years (79.2% female). The data was collected by semi-structured interviews and whenever possible the medical records were consulted. It was used as measuring instruments the Portuguese version of the Mini Mental State Examination (MMSE), the Montreal Cognitive Assessment (MoCA), the Memory Complaint Scale (EQM), the Geriatric Depression Scale (GDS), the Anxiety Inventory Geriatrics (GAI) or the World Health Organization Quality of Life Assessment (WHOQOL-Bref) and a sociodemographic clinical questionnaire developed for this purpose. Results: In the second assessment moment all participants had QSM, which are significantly more influenced by age. It was also observed an increase in depressive symptoms and anxiety, the amounts of glycosylated hemoglobin (HbA1c) and the number of medications, with particular emphasis on anti-hypertensives. Conclusion:The QSM should be a matter of concern and vigilance from the family doctor, as this may be an important symptom for the early identification of individuals at higher risk for developing a dementing process.

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Comorbidities and medication intake among people with dementia living in long-term care facilities

Cited by 7 publications

References 25 publications

Screening Younger Individuals in a Primary Care Setting Flags Putative Dementia Cases and Correlates Gastrointestinal Diseases with Poor Cognitive Performance

Screening Younger Individuals in a Primary Care Setting Flags Putative Dementia Cases and Correlates Gastrointestinal Diseases with Poor Cognitive Performance

Physical diagnoses in nursing home residents - is dementia or severity of dementia of importance?

As queixas subjetivas de memória num cuidado de saúde primário: Um estudo follow up

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