Dementia and Geriatric Cognitive Disorders

Original Research Article

Prevalence and Correlates of Cognitive Impairment among the Elderly in a General Hospital

Mendes-Chiloff C.L. · Torres A.R. · Lima M.C.P. · Ramos-Cerqueira A.T.A.

Author affiliations

Department of Neurology, Psychology and Psychiatry, Botucatu Medical School, São Paulo State University, Botucatu, Brazil

Keywords: Early diagnosisPrevalence studiesActivities of daily livingCognitive declineCognitive impairmentElderly

Related Articles for ""
Dement Geriatr Cogn Disord 2009;28:442–448
https://doi.org/10.1159/000255512

Log in to MyKarger to check if you already have access to this content.




Forgot your password
Sign up to MyKarger

Buy

  • FullText & PDF
  • Unlimited re-access via MyKarger
  • Unrestricted printing, no saving restrictions for personal use
read more
CHF 38.00 *
EUR 35.00 *
USD 39.00 *

Select

KAB

Buy a Karger Article Bundle (KAB) and profit from a discount!


If you would like to redeem your KAB credit, please log in.

Save over 20% compared to the individual article price.

Learn more

Rent/Cloud

  • Rent for 48h to view
  • Buy Cloud Access for unlimited viewing via different devices
  • Synchronizing in the ReadCube Cloud
  • Printing and saving restrictions apply
Rental: USD 8.50
Cloud: USD 20.00

Select

Subscribe

  • Access to all articles of the subscribed year(s) guaranteed for 5 years
  • Unlimited re-access via Subscriber Login or MyKarger
  • Unrestricted printing, no saving restrictions for personal use
read more

Subcription rates

Select
* The final prices may differ from the prices shown due to specifics of VAT rules.

Article / Publication Details

First-Page Preview
Abstract of Original Research Article

Accepted: August 06, 2009
Published online: November 10, 2009
Issue release date: December 2009

Number of Print Pages: 7
Number of Figures: 0
Number of Tables: 4

ISSN: 1420-8008 (Print)
eISSN: 1421-9824 (Online)

For additional information: https://www.karger.com/DEM

Abstract

Aims: To estimate the prevalence and correlates of cognitive impairment (CI) among the elderly in a general hospital. Methods: A cross-sectional study, including 200 Brazilian inpatients aged 60 years or over, using the Mini Mental State Examination to evaluate CI (dependent variable), and the Geriatric Depression Scale and the Katz and Lawton Index to evaluate basic (BADL) and instrumental activities of daily living (IADL). Results: 56% were women, 29% were dependent for BADL and 77.5% for IADL. The prevalence of CI was 29% and, in the logistic regression, it remained associated with higher age (>74 years old), number of previous hospitalizations (>3) and dependency for BADL (being dependent raised the odds of being cognitively impaired). Conclusions: It is essential to train the hospital staff to properly assist these patients, and to orient and support their caregivers.

© 2009 S. Karger AG, Basel



Related Articles:

References

  1. Bennet DA, Wilson RS, Schneider JA, Evans DA, Beckett LA, Aggarwal NT, et al: Natural history of mild cognitive impairment in older persons. Neurology 2002;59:198–205.
    External Resources
  2. Schonknecht P, Pantel J, Kruse A, Schoder J: Prevalence and natural course of aging-associated cognitive decline in a population-based sample of young-old subjects. Am J Psychiatry 2005;162:2071–2077.
    External Resources
  3. Morris JC, Storandt M, Miller P, McKeel DW, Price JL, Rubin EH, Berg L: Mild cognitive impairment represents early-stage Alzheimer Disease. Arch Neurol 2001;58:397–405.
    External Resources
  4. Charchat-Fichman H, Caramelli P, Sameshima K, Nitrini R: Declínio da capacidade cognitiva durante o envelhecimento. Rev Bras Psiquiatr 2005;27:79–82.
    External Resources
  5. Lyketsos CG, Lopez O, Jones B, Fitzpatrick AL, Breitner J, DeKosky S: Prevalence and neuropsychiatric symptoms in dementia and mild cognitive impairment: results from the cardiovascular health study. JAMA 2002;288:1475–1483.
    External Resources
  6. Unverzagt FW, Gao S, Baiyewu O, Ogunniyi AO, Gureje O, Perkins A, Emsley CL, et al: Prevalence of cognitive impairment. Neurology 2001;57:1655–1662.
    External Resources
  7. Petersen, RC, Doody R, Kurz A, Mohs RC, Morris JC, Rabins PV, Ritchie K, Rossor M, Thal L, Winblad B: Current concepts in mild cognitive impairment. Arch Neurol 2001;58:1985–1992.
    External Resources
  8. Plassman BL, Langa KM, Fisher GG, Heeringa SG, Weir DR, Ofstedal MB, et al: Prevalence of cognitive impairment without dementia in the United States. Ann Intern Med 2008;148:427–434.
    External Resources
  9. Jorm AF, Korten AE, Henderson AS: The prevalence of dementia: a quantitative integration of the literature. Acta Psychiatr Scand 1987;76:465–479.
    External Resources
  10. Hofman A, Rocca WA, Brayne C, Breteler MMB, Clarke M, Cooper B, et al: The prevalence of dementia in Europe: a collaborative study of 1980–1990 findings. Eurodem Prevalence Research Group. Int Epidemiol Assoc 1991;20:736–748.
    External Resources
  11. Fichter MM, Meller I, Schoppel H, Steinkirchner R: Dementia and cognitive impairment in the oldest old in the community. Br J Psychiatry 1995;166:621–629.
    External Resources
  12. Prince M: The need for research on dementia in developing countries. Trop Med Int Health 1997;2:993–1000.
    External Resources
  13. Herrera E Jr, Caramelli P, Nitrini R: Estudo epidemiológico populacional de demência na cidade de Catanduva – estado de São Paulo – Brasil. Rev Psiquiatr Clín 1998;25:70–73.
  14. Tabert MH, Albert SM, Borukhova-Milov L, Camacho Y, Pelton G, Liu X, et al: Functional deficits in patients with mild cognitive impairment: prediction of AD. Neurology 2002;58:758–764.
    External Resources
  15. Ernest RL, Hay JW: Economic research on Alzheimer disease: a review of the literature. Alzheimer Dis Assoc Disord 1997;11(suppl 6):135–145.
    External Resources
  16. Aguero-Torres H, Thomas VS, Wimblad B, Fratriglioni L: The impact of somatic and cognitive disorders on the functional status of the elderly. J Clin Epidemiol 2002;10:1007–1012.
    External Resources
  17. Duarte SF, Duarte YAO, Lebrão ML, Laurenti R: Demanda referida e auxílio recebido por idosos com declínio cognitivo no município de São Paulo. Saude Soc 2007;16:81–89.
  18. Callahan CM, Hendrie HC, Tierney WM: Documentation and evaluation of Cognitive Impairment in elderly primary care patients. Ann Intern Med 1995;122:422–429.
    External Resources
  19. Graham JE, Rockwood K, Beattie BL, Eastwood R, Gauthier S, Tuokko H, McDowell I: Prevalence and severity of cognitive impairment with and without dementia in an elderly population. Lancet 1997;349:1793–1796.
    External Resources
  20. Hickey A, Clinch D, Groarke EP: Prevalence of cognitive impairment in the hospitalized elderly. Int J Geriatr Psychiatry 1997;12:27–33.
    External Resources
  21. Engelhardt E, Laks J, Rozenthal M, Marinho VM: Idosos institucionalizados: rastreamento cognitivo. Rev Psiquiatr Clín 1998; 25:74–79.
  22. Ritchie K, Artero S, Touchon J: Classification criteria for mild cognitive impairment: a population-based validation study. Neurology 2001;56:37–42.
    External Resources
  23. Busse A, Bischkopfs J, Riedel-Heller SG, Angermeyer MC: Mild cognitive impairment: prevalence and incidence according to different diagnostic criteria. Br J Psychiatry 2003;182:449–454.
    External Resources
  24. Cerqueira ATAR: O estudo da saúde mental no projeto SABE: deterioração cognitiva e depressão; in Lebrão ML, Laurenti R (eds): SABE – Saúde, Bem-estar e Envelhecimento – O Projeto SABE no Município de São Paulo. São Paulo, OPAS/OMS, 2003, pp 143–165.
  25. Lopez OL, Jagust WJ, DeKosky ST, Becker JT, Fitzpatrick A, Dulberg C, et al: Prevalence and classification of mild cognitive impairment in the Cardiovascular Health Study Cognition Study: part 1. Arch Neurol 2003;60:1385–1389.
    External Resources
  26. Manly JJ, Bell-McGinty S, Tang M, Schupf N, Stern Y, Mayeux R: Implementing diagnostic criteria and estimating frequency of mild cognitive impairment in a urban community. Arch Neurol 2005;62:1739–1746.
    External Resources
  27. Bickel H, Mosch E, Seigerschmidt E, Siemen M, Forstl H: Prevalence and persistence of mild cognitive impairment among elderly patients in general hospitals. Dement Geriatr Cogn Disord 2006;21:242–250.
    External Resources
  28. Das SK, Bose P, Biswas A, Dutt A, Banerjee TK, Hazra A, et al: An epidemiologic study of mild cognitive impairment in Kolkata, India. Neurology 2007;68:2019–2026.
    External Resources
  29. Fischer P, Jungwirth S, Zchetmayer S, Weissgram S, Hoenigschnabl S, Gelpi E, et al: Conversion from subtypes of mild cognitive impairment to Alzheimer dementia. Neurology 2007;68:288–291.
    External Resources
  30. Folstein MF, Folstein SE, McHugh PR: A practical method for grading the cognitive state of patient for the clinician. J Psychiatr Res 1975;12:189–198.
    External Resources
  31. Bertolucci PHF, Brucki SM, Campacci SR, Julioano Y: O Mini-Exame do estado mental em uma população geral. Arq Neuropsiquiatr 1994;52:1–7.
    External Resources
  32. Yesavage JA, Brink TL, Rose T, Lum O, Huang V, Adey M, et al: Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 1983;17:37–49.
    External Resources
  33. Almeida OP, Almeida SA: Confiabilidade da versão brasileira da escala de depressão em Geriatria (GDS) versão reduzida. Arq Neuropsiquiatr 1999;57:421–426.
    External Resources
  34. 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 1963;914–919.
    External Resources
  35. Lawton MP, Brody EM: Assesment of older people: self-maintaining and instrumental activities of daily living. Gerontologist 1969;3:179–186.
  36. Lino VTS, Pereira SEM, Camacho LAB, Ribeiro Filho ST, Buksman S: Adaptação transcultural da Escala de Independência em Atividades de Vida Diária (Escala de Katz). Cad Saude Publica 2008;24:103–112.
    External Resources
  37. Hosmer DW, Lemeshow S: Applied Logistic Regression. New York, John Wiley & Sons, 1989.
  38. Kleinbaum DG: Logistic Regression: A Self-Learning Text. New York, Springer, 1994.
  39. Instituto Brasileiro de Geografia e Estatística: Indicadores sociais; renda; escolaridade. 2002. www.ibge.gov.br (accessed 02/08/08).
  40. Lebrão ML, Laurenti R: Condições de Saúde; in SABE – Saúde, Bem-estar e Envelhecimento – O Projeto SABE no município de São Paulo: uma abordagem inicial. Brasília, Organização Pan-americana da Saúde, 2003, pp 75–91.
  41. Lima-Costa MF, Peixoto SV, Giatti: Tendências da mortalidade entre idosos brasileiros (1980–2000). Epidemiol Serv Saude 2004;13:217–228.
  42. Maia FO, Duarte YAO, Lebrão ML, Santos JLF: Fatores de risco para mortalidade em idosos. Rev Saúde Pública 2006;40:1049–1056.
  43. Mendes-Chiloff CL, Cerqueira ATAR, Lima MCP, Torres AR: Depressive symptoms among elderly inpatients of a Brazilian university hospital: prevalence and associated factors. Int Psychogeriatr 2008;20:1028–1040.
    External Resources
  44. Lyketsos CG, Sheppard JME, Rabins PV: Dementia in elderly person in a general hospital. Am J Psychiatry 2000;157:704–707.
    External Resources
  45. Icasa MC, Albala C: Minimental State Examination (MMSE): Del estúdio de dementia em Chile: análisis estatístico. OPAS, 1999, pp 1–18.
  46. Di Carlo A, Baldereschi M, Amaducci L, Lepore V, Bracco L, Maggi S, et al: Incidence of dementia, Alzheimer’s disease and vascular dementia. J Am Geriatr Soc 2002;50:41–48.
    External Resources
  47. Fick D, Foreman M: Consequences of not recognizing delirium superimposed on dementia in hospitalized elderly individuals. J Gerontol Nurs 2000;26:30–40.
    External Resources

Article / Publication Details

First-Page Preview
Abstract of Original Research Article

Accepted: August 06, 2009
Published online: November 10, 2009
Issue release date: December 2009

Number of Print Pages: 7
Number of Figures: 0
Number of Tables: 4

ISSN: 1420-8008 (Print)
eISSN: 1421-9824 (Online)

For additional information: https://www.karger.com/DEM

Copyright / Drug Dosage / Disclaimer

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

Article Tools
Article Details

2009, Vol.28, No. 5

December 2009

Article

Recommend This
TOP