Définir la polypathologie

Deswarte, Didier

doi:10.1016/b978-2-294-76052-5.00001-1

Cited by 1 publication

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“…The explanatory variables considered as potential predictive factors of independence trajectory included sociodemographic: age, sex, occupation, educational level, place of housing, type of housing, place of residence, marital status, lifestyle, monthly income, financial, human and technical assistance, hobbies, association membership. The health-related variables were: comorbidities [9], daily medications [37], urinary incontinence, anal incontinence, visual disorder, auditory disorder, and communication disorder. Cognitive ability measures consisted the Mini-Mental State Examination (MMSE) [6,27,37].…”

Section: Potential Predictive Factorsmentioning

confidence: 99%

Patterns and predictive factors of loss of the independence trajectory among community-dwelling older adults

et al. 2021

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Background Independence is related to the aging process. Loss of independence is defined as the inability to make decisions and participate in activities of daily living (ADLs). Independence is related to physical, psychological, biological, and socioeconomic factors. An enhanced understanding of older people’s independence trajectories and associated risk factors would enable the develop early intervention strategies. Methods Independence trajectory analysis was performed on patients identified in the Unité de Prévention de Suivi et d’Analyse du Vieillissement (UPSAV) database. UPSAV cohort is a prospective observational study. Participants were 221 community-dwelling persons aged ≥75 years followed for 24 months between July 2011–November 2013 and benefits from a prevention strategy. Data were collected prospectively using a questionnaire. Independence was assessed using the “Functional Autonomy Measurement System (Système de Mesure de l’Autonomie Fonctionnelle (SMAF))”. Group-based trajectory modeling (GBTM) was performed to identify independence trajectories, and the results were compared with those of k-means and hierarchical ascending classifications. A multinomial logistic regression was performed to identify predictive factors of the independence trajectory. Results Three distinct trajectories of independence were identified including a “Stable functional autonomy (SFA) trajectory” (53% of patients), a “Stable then decline functional autonomy decline (SDFA) trajectory” (33% of patients) and a “Constantly functional autonomy decline (CFAD) trajectory” (14% of patients). Not being a member of an association, and previous fall were significantly associated of a SDFA trajectory (P < 0.01). Absence of financial and human assistance, no hobbies, and cognitive disorder were significantly associated with a CFAD trajectory (P < 0.01). Previous occupation and multiple pathologies were predictive factors of both declining trajectories SDFA and CFAD. Conclusions Community-living older persons exhibit distinct independence trajectories and the predictive factors. The evidence from this study suggests that the prevention and screening for the loss of independence of the older adults should be anticipated to maintaining autonomy.

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Section: Potential Predictive Factorsmentioning

confidence: 99%