scholarly journals Faktor – faktor yang berhubungan dengan gangguan kognitif pada lansia di Panti Sosial Tresna Werdha Wana Seraya Denpasar

2018 ◽  
Vol 2 (2) ◽  
pp. 32-37
Author(s):  
Sandra Surya Rini ◽  
Tuty Kuswardhani ◽  
Suka Aryana
Keyword(s):  
Cognitive Assessment ◽  
Daily Living ◽  
Frailty Index ◽  
The Elderly ◽  
Montreal Cognitive Assessment ◽  
Hearing Handicap

Latar Belakang: Gangguan kognitif merupakan salah satu masalah kesehatan lansia dan merupakan prediktor mayor kejadian demensia yang masih menjadi permasalahan kesehatan dan sosial. Penurunan fungsi intelektual merupakan masalah paling serius ketika proses penuaan yang akan mengakibatkan lansia sulit untuk hidup mandiri, dan meningkatkan risiko terjadinya demensia sehingga lansia akan mengalami gangguan perilaku dan penurunan kualitas hidup. Tujuan: Melihat faktor-faktor yang berhubungan dengan gangguan kognitif pada lansia di Panti Sosial Tresna Werdha Wana Seraya Denpasar, Bali. Metode: Studi ini menggunakan desain analitik potong lintang dengan metode pengambilan sampel adalah total sampling. Sebanyak 30 sampel terkumpul, dengan 10 sampel dengan fungsi kognitif normal dan 20 sampel memiliki gangguan kognitif. Sampel dilakukan wawancara untuk mengetahui karakteristik demografi. Variabel gangguan pendengaran dinilai dengan kuisioner Hearing  Handicap  Inventory  for  the  Elderly-Screening, Frailty diukur dengan menggunakan Fried Frailty Index, tingkat kemandirian dinilai dengan Activity Daily Living Barthel dan fungsi kognitif dengan kuisioner Montreal Cognitive Assessment Indonesia. Analisis data menggunakan SPSS 17 dengan uji fisher’s exact. Hasil: Sejumlah 30 sampel lansia yang berusia 61-94 tahun mengikuti studi ini dengan median usia 73,73 tahun. Sebanyak 20 sampel didapatkan ada gangguan kognitif dan 10 sampel memiliki fungsi kognitif normal. Skor MoCA-INA berkisar antara 11 – 27 dengan rata-rata skor 19. Dari berbagai variabel yang dianalisis, gangguan pendengaran(p=0,000), tingkat kemandirian (p=0,005), frailty (p=0,017) berhubungan dengan gangguan kognitif secara bermakna. Simpulan: Terdapat 20 orang (67%) mengalami gangguan kognitif. Gangguan pendengaran, frailty, tingkat kemandirian merupakan variabel yang berhubungan dengan gangguan kognitif pada studi ini.

scholarly journals Sociodemographic Characteristics and Health Profile of the Elderly Seeking Health Care in Kampala, Uganda

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Faith Nawagi ◽  
Martin Söderberg ◽  
Vanja Berggren ◽  
Patrik Midlöv ◽  
Aidah Ajambo ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Joint Pain ◽  
Daily Living ◽  
The Elderly ◽  
Advanced Age ◽  
Sociodemographic Characteristics ◽  
Health Profile ◽  
Medical Disorders ◽  
Pertinent Data ◽  
Hearing Handicap

Aging entails health challenges globally, but pertinent data from low-income countries like Uganda remains scarce. A cross-sectional study was carried out at Mulago National Referral Hospital in Kampala, among 134 patients (38% men and 62% women) aged ≥60 years. Data was collected on sociodemographic characteristics, medical disorders, cognitive function, hearing handicap, and functional status, that is, Basic Activities of Daily Living (BADL) and Instrumental Activities of Daily Living (IADL). The participants had high independency in BADL (89%) and IADL (75%). The most common medical conditions were bone/joint pain (35%), hypertension (24%), and visual problems (20%). More women (54%) than men (37%) reported bone and joint pain. The majority (80%) of the participants did not report any hearing handicap, and half (54%) did not have any cognitive impairment. Dependency in IADL was associated with advanced age, being female, and being financially dependent, and the risk of having a hearing handicap was higher among those above the median age (68 years). In adjusted models, the effects remained similar although statistical significance was only achieved for advanced age versus dependency in IADL (RR: 2.38, 95% CI: 1.12–5.08) and hearing handicap (RR: 2.67, 95% CI: 1.17–6.12). Thus, socioeconomic status and gender are relevant aspects when attempting to understand the health profile of the elderly in Kampala, Uganda.

scholarly journals Evaluation of participation restriction in activities of daily living in elderly users of hearing aids

2016 ◽  
Vol 49 (5) ◽  
pp. 403
Author(s):  
Erika B. Mantello ◽  
Mirela V. Marino ◽  
Ana Claudia Alves ◽  
Miguel A. Hyppolito ◽  
Ana Claudia Mirandola B. dos Reis ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Hearing Aids ◽  
Daily Living ◽  
The Elderly ◽  
Participation Restriction ◽  
Hearing Handicap ◽  
Elderly Users

Objetivo: avaliar o efeito do uso do aparelho de amplificação sonora individual e do aconselhamento na autopercepção da restrição de participação em atividades de vida diária de idosos. Modelo do Estudo: estudo prospectivo e descritivo. Metodologia: foram selecionados 29 idosos, os quais responderam ao questionário Hearing Handicap Inventory for the Elderly Screening Version (HHIE-S) e, em seguida, começaram a fazer uso contínuo de aparelhos de amplificação sonora individual (AASI). Após três meses foi realizada nova aplicação do questionário e comparados os resultados obtidos sobre a restri- ção de participação. Resultados: quantitativamente a diferença entre os escores (total, social/situacional e emocional), antes e depois da adaptação foi significante. Na análise qualitativa, observou-se na condição antes do uso dos AASI, uma auto-percepção significativa da restrição de participação para o escore total e três meses após o uso esta deixa de existir. Conclusão: A estimulação acústica por meio do uso de AASI e das sessões de aconselhamento foram efetivos para a diminuição da restrição de participação dos idosos, avaliados pelo questionário HHIE-S

Impact of Educational Level on Versions (Basic and Complete) of the Montreal Cognitive Assessment

2021 ◽  
pp. 1-8
Author(s):  
Lila Adana Díaz ◽  
Andrea Arango ◽  
César Parra ◽  
Alberto Rodríguez-Lorenzana ◽  
Tarquino Yacelga-Ponce
Keyword(s):  
Educational Level ◽  
Cognitive Assessment ◽  
The Elderly ◽  
Montreal Cognitive Assessment ◽  
Screening Instruments ◽  
Psychometric Characteristics ◽  
Educational Levels ◽  
Dementia Screening ◽  
Diagnosis Of Dementia ◽  
Basic Version

<b><i>Background:</i></b> One of the most marked problems in the use of screening instruments for the diagnosis of dementia or cognitive impairment in the elderly is the influence of educational level on the results of psychometric tests. The Montreal Cognitive Assessment (MoCA) questionnaire is one of the most widely used dementia screening instruments internationally and with greater proven validity. There is a version of this instrument called MoCA “Basic” which was developed to reduce education bias. The aim of the study was to compare the psychometric characteristics of the MoCA, full versus basic, versions in older adults. <b><i>Method:</i></b> Participants (<i>N</i> = 214) completed both versions of the MoCA, and screening measures to corroborate their health status. <b><i>Results:</i></b> Internal consistency was satisfactory in both versions: MoCA full (0.79) and MoCA basic (0.76). The overall correlation between both tests was high (0.73). There was no relationship between the dimensions included in each version. Educational level and age explained 33.8% of the total variance in MoCA Full and 31.8% in MoCA Basic. Among educational levels, there are statistically significant differences in participants with &#x3c;6 years of education. <b><i>Conclusions:</i></b> The results confirm that both versions are reliable instruments and also show that in both versions the educational level of &#x3c;6 years of education continues to have an impact on performance. Therefore, it can be considered that the MoCA Basic version for the Ecuadorian population with &#x3c;6 years of education continues to imply literacy competencies.

Screening utility of the Montreal Cognitive Assessment (MoCA): in place of – or as well as – the MMSE?

2011 ◽  
Vol 24 (3) ◽  
pp. 391-396 ◽  
Author(s):  
A. J. Larner
Keyword(s):  
Cognitive Impairment ◽  
Cognitive Assessment ◽  
Characteristic Curve ◽  
The Elderly ◽  
Montreal Cognitive Assessment ◽  
Test Accuracy ◽  
Diagnostic Utility ◽  
Memory Clinic ◽  
Index Study ◽  
In Series

ABSTRACTBackground: This aim of this study was to assess the clinical utility of the Montreal Cognitive Assessment (MoCA) as a screening instrument for cognitive impairment in patients referred to a memory clinic, alone and in combination with the Mini-Mental State Examination (MMSE).Methods: This was a pragmatic prospective study of consecutive referrals attending a memory clinic (n = 150) over an 18-month period. Patients were diagnosed using standard clinical diagnostic criteria for dementia (DSM-IV) and mild cognitive impairment (MCI; cognitive impairment prevalence = 43%) independent of MoCA test scores.Results: MoCA proved acceptable to patients and was quick and easy to use. Using the cut-offs for MoCA and MMSE specified in the index paper (≥26/30), MoCA was more sensitive than MMSE (0.97 vs 0.65) but less specific (0.60 vs 0.89), with better diagnostic accuracy (area under Receiver Operating Characteristic curve 0.91 vs 0.83). Downward adjustment of the MoCA cut-off to ≥20/30 maximized test accuracy and improved specificity (0.95) for some loss of sensitivity (0.63). Combining MoCA with the MMSE – either in series or in parallel – did not improve diagnostic utility above that with either test alone.Conclusions: In a memory clinic population, MoCA proved sensitive for the diagnosis of cognitive impairment. Use of a cut-off lower than that specified in the index study may be required to improve overall test accuracy and specificity for some loss of sensitivity in populations with a high prior probability of cognitive impairment. Combining the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) with the MMSE did not improve diagnostic utility.

scholarly journals Pre-Stroke Frailty Is Independently Associated With Post-Stroke Cognition: A Cross-Sectional Study

2019 ◽  
Vol 25 (05) ◽  
pp. 501-506 ◽  
Author(s):  
Martin Taylor-Rowan ◽  
Ruth Keir ◽  
Gillian Cuthbertson ◽  
Robert Shaw ◽  
Bogna Drozdowska ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cognitive Impairment ◽  
Cognitive Assessment ◽  
Frailty Index ◽  
Multiple Regression Model ◽  
Montreal Cognitive Assessment ◽  
Stroke Severity ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Post Stroke

AbstractObjective: Post-stroke cognitive impairment is common, but mechanisms and risk factors are poorly understood. Frailty may be an important risk factor for cognitive impairment after stroke. We investigated the association between pre-stroke frailty and acute post-stoke cognition. Methods: We studied consecutively admitted acute stroke patients in a single urban teaching hospital during three recruitment waves between May 2016 and December 2017. Cognition was assessed using the Mini-Montreal Cognitive Assessment (min=0; max=12). A Frailty Index was used to generate frailty scores for each patient (min=0; max=100). Clinical and demographic information were collected, including pre-stroke cognition, delirium, and stroke-severity. We conducted univariate and multiple-linear regression analyses with covariates forced in (covariates included were: age, sex, stroke severity, stroke-type, pre-stroke cognitive impairment, delirium, previous stroke/transient ischemic attack) to investigate the association between pre-stroke frailty and post-stroke cognition. Results: Complete data were available for 154 stroke patients. Mean age was 68 years (SD=11; range=32–97); 93 (60%) were male. Median mini-Montreal Cognitive Assessment score was 8 (IQR=4–12). Mean Frailty Index score was 18 (SD=11). Pre-stroke cognitive impairment was apparent in 13/154 (8%) patients. Pre-stroke frailty was significantly associated with lower post-stroke cognition (Standardized-Beta=−0.40; p&lt;0.001) and this association was independent of covariates (Unstandardized-Beta=−0.05; p=0.005). Additional significant variables in the multiple regression model were age (Unstandardized-Beta=−0.05; p=0.002), delirium (Unstandardized-Beta=−2.81; p&lt;0.001), pre-stroke cognitive impairment (Unstandardized-Beta=−2.28; p=0.001), and stroke-severity (Unstandardized-Beta=−0.20; p&lt;0.001). Conclusions: Pre-stroke frailty may be a moderator of post-stroke cognition, independent of other well-established post-stroke cognitive impairment risk factors. (JINS, 2019, 25, 501–506)

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