Cognitive profile and associations among very old adults in an outpatient setting in the Federal District
DOI:
https://doi.org/10.5216/ree.v22.61878Keywords:
Aged, 80 and over, Cognition, Comprehensive Health Care, Activities of Daily LivingAbstract
The aim was to investigate associations between the cognitive decline of very old adults in outpatient settings and sociodemographic variables, functional performance, chronic diseases, number of hospitalizations and access to health services. Very old adults (80 years and over) residing in the Federal District were interviewed, evaluated in an outpatient setting by means of standardized questionnaires and the Mini-Mental State Examination (MMSE). In bivariate analyzes, cognitive decline was associated with the age group (85 years and over), having one or more limitations in basic activities of daily living (BADL), living in bi and tri-generational household arrangements and having a higher number of hospitalizations in the prior year. In the multiple logistic model, BADL and hospitalizations in the prior year remained associated with cognitive decline in very old adults. As it is a population with a greater demand for health care, it is necessary to outline measures of preventive and promotion of long-term care.
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Neri AL, Borim FSA, Assumpção D. Octogenários em Campinas: Dados do Fibra 80+. Campinas: Editora Alínea; 2019.
Cesário LMS, Chariglione IPFS. A percepção de familiares cuidadores frente às mudanças ocorridas após um diagnóstico de demência. Rev. bras. geriatr. gerontol. [Internet]. 2018 [acesso em: 27 dez. 2019];21(6):743-54. Disponível em: https://doi.org/10.1590/1981-22562018021.180123.
Gutierrez BAO, Silva HS, Guimarães C, Campino AC. Impacto econômico da doença de Alzheimer no Brasil: é possível melhorar a assistência e reduzir custos? Ciênc. saúde coletiva. [Internet]. 2014 [acesso em: 20 dez. 2019];19(11):4479-86. Disponível em: http://doi.org/10.1590/1413-812320141911.03562013.
Prince M, Wimo A, Guerchet M, Ali GC, Wu YT, Prina M. World Alzheimer report 2015 - the global impact of dementia: an analysis of prevalence, incidence, cost and trends. [Internet]. Londres: Alzheimer’s Disease International; 2015 [acesso em: 20 dez. 2019]. 87 p. Disponível em: https://www.alz.co.uk/research/WorldAlzheimerReport2015.pdf.
Phelan EA, Borson S, Grothaus L, Balch S, Larson EB. Association of Incident Dementia With Hospitalizations. JAMA [Internet]. 2012 [acesso em: 20 dez. 2019];307(2):165-72. Disponível em: http://doi.org/10.1001/jama.2011.1964.
Silva HS, Gutierrez BAO. Care complexity in hospitalized elderly according to cognitive performance. Rev. Bras. Enferm. [Internet]. 2019 [acesso em: 27 dez. 2019];72(Suppl 2):134-9. Disponível em: http://doi.org/10.1590/0034-7167-2018-0357.
Morrisby C, Joosten A, Ciccarelli M. Do services meet the needs of people with dementia and carers living in the community? A scoping review of the international literature. Int Psychogeriatrics [Internet]. 2018 [acesso em: 27 dez. 2019];30(1):5-14. Disponível em: https://doi.org/10.1017/S1041610217001491.
Folle AD, Shimizu HE, Naves JOS. Social representation of Alzheimer’s disease for family caregivers: stressful and rewarding. Rev Esc Enferm USP [Internet]. 2016 [acesso em: 27 dez. 2019];50(1):79-85. Disponível em: http://doi.org/10.1590/S0080-623420160000100011.
Nascimento PPP, Yassuda MS. Cognição. In: Neri AL, Borim FSA, Assumpção D. Octogenários em Campinas: Dados do Fibra 80+. Campinas: Editora Alínea; 2019. p. 57-70.
Instituto Brasileiro de Geografia e Estatística. Sinopse do Censo Demográfico 2010. Rio de Janeiro: IBGE; 2010.
Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. Studies of Illness in the Aged: The Index of ADL: A Standardized Measure of Biological and Psychosocial Function. JAMA [Internet]. 1963 [acesso em: 27 dez. 2019];185(12):914-9. Disponível em: http://doi.org/10.1001/jama.1963.03060120024016.
Brucki SMD, Nitrini R, Caramelli P, Bertolucci PHF, Okamoto IH. Sugestões para o uso do mini-exame do estado mental no Brasil. Arq. Neuro-Psiquiatr. [Internet]. 2003 [acesso em: 27 dez. 2019];61(3B):777-81. Disponível em: http://doi.org/10.1590/S0004-282X2003000500014.
Oliveira MCGM, Salmazo-Silva H, Gomes L, Moraes CF, Alves VP. Elderly individuals in multigenerational households: Family composition, satisfaction with life and social involvement. Estud. psicol. (Campinas). [Internet] 2020 [acesso em: 27 dez. 2019];37:e180081. Disponível em: https://doi.org/10.1590/1982-0275202037e180081.
Oliveira SFD, Duarte YAO, Lebrão ML, Laurenti R. Demanda referida e auxílio recebido por idosos com declínio cognitivo no município de São Paulo. Saude soc. [Internet]. 2007 [acesso em: 27 dez. 2019];16(1):81-9. Disponível em: http://doi.org/10.1590/S0104-12902007000100008.
Guimarães HC, Cascardo JL, Beato RG, Barbosa MT, Machado TH, Almeida MA, et al. Features associated with cognitive impairment and dementia in a community-based sample of illiterate elderly aged 75+ years: The Pietà study. Dement. neuropsychol. [Internet]. 2014 [acesso em: 27 dez. 2019];8(2):126-31. Disponível em: http://doi.org/10.1590/S1980-57642014DN82000007.
Fuentes P, Albala C. An update on aging and dementia in Chile. Dement. neuropsychol. [Internet]. 2014 [acesso em: 20 dez. 2019];8(4):317-22. Disponível em: http://doi.org/10.1590/S1980-57642014DN84000003.
Falvey JR, Burke RE, Levy CR, Gustavson AM, Price L, Forster JE, et al. Impaired Physical Performance Predicts Hospitalization Risk for Participants in the Program of All-Inclusive Care for the Elderly. Phys Ther [Internet]. 2019 [acesso em: 27 dez. 2019];99(1):28-36. Disponível em: https://doi.org/10.1093/ptj/pzy127.
Zhu CW, Cosentino S, Ornstein K, Gu Y, Andrews H, Stern Y. Use and cost of hospitalization in dementia: longitudinal results from a community-based study. Int J Geriatr Psychiatry [Internet]. 2015 [acesso em: 20 dez. 2019];30(8):833-41. Disponível em: http://doi.org/10.1002/gps.4222.
Harding AJE, Morbey H, Ahmed F, Opdebeeck C, Lasrado R, Williamson PR, et al. What is important to people living with dementia?: the ‘long-list’ of outcome items in the development of a core outcome set for use in the evaluation of non-pharmacological community-based health and social care interventions. BMC Geriatr [Internet] 2019 [acesso em: 27 dez. 2019];19:94. Disponível em: https://doi.org/10.1186/s12877-019-1103-5.
Giacomin KC, Duarte YAO, Camarano AA, Nunes DP, Fernandes D. Care and functional disabilities in daily activities – ELSI-Brazil. Rev. saúde pública [Internet]. 2019 [acesso em: 27 dez. 2019];52(Suppl 2):9s. Disponível em: http://doi.org/10.11606/s1518-8787.2018052000650.
Marcoux V, Chouinard M-C, Diadiou F, Dufour I, Hudon C. Screening tools to identify patients with complex health needs at risk of high use of health care services: A scoping review. PLoS ONE [Internet]. 2017 [acesso em: 20 dez. 2019];12(11):e0188663. Disponível em: https://doi.org/10.1371/journal.pone.0188663.
Griffith LE, Gruneir A, Fisher K, Panjwani D, Gandhi S, Sheng L, et al. Patterns of health service use in community living older adults with dementia and comorbid conditions: a population-based retrospective cohort study in Ontario, Canada. BMC Geriatr [Internet] 2016 [acesso em: 20 dez. 2017];16:177. Disponível em: https://doi.org/10.1186/s12877-016-0351-x.
Franciulli SE, Ricci NA, Lemos ND, Cordeiro RC, Gazzola JM. A modalidade de assistência Centro-Dia Geriátrico: efeitos funcionais em seis meses de acompanhamento multiprofissional. Ciênc. saúde coletiva [Internet]. 2007 [acesso em: 20 dez. 2019];12(2):373-80. Disponível em: https://doi.org/10.1590/S1413-81232007000200013.
Souza LR, Hanus JS, Dela Libera LB, Silva VM, Mangilli EM, Simões PW, et al. Sobrecarga no cuidado, estresse e impacto na qualidade de vida de cuidadores domiciliares assistidos na atenção básica. Cad. saúde colet. [Internet]. 2015 [acesso em: 27 dez. 2019];23(2):140-9. Disponível em: https://doi.org/10.1590/1414-462X201500020063.
Costa NRCD, Aguiar MIF, Rolim ILTP, Rabelo RPC, Oliveira DLA, Barbosa YC. Política de saúde do idoso: percepção dos profissionais sobre sua implementação na atenção básica. Rev Pesq Saúde [Internet]. 2015 [acesso em: 20 dez. 2019];16(2):95-101. Disponível em: http://www.periodicoseletronicos.ufma.br/index.php/revistahuufma/article/view/4239.
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