Análise comparativa da capacidade funcional e cognitiva de idosos em uma unidade de referência geriátrica na cidade de Salvador - Bahia

Introdução: O processo do envelhecimento associado às doenças crônico-degenerativas conduz ao declínio funcional e/ou cognitivo, resultando em redução da qualidade de vida e diminuição da autonomia e independência. Objetivo: Comparar a capacidade funcional e cognitiva de idosos em uma unidade de reabilitação geriátrica na cidade de Salvador-Bahia. Metodologia: Estudo observacional descritivo de corte transversal, utilizando análise de prontuários. Foram selecionados os prontuários de indivíduos idosos internados na Unidade de Reabilitação do Centro Geriátrico das Obras Sociais Irmã Dulce, entre janeiro e dezembro de 2011. Dados coletados: sociodemográficos, tempo de internação, diagnóstico clínico, escores do Índice de Barthel Modificado (IBM) e do Mini-Exame do Estado Mental (MEEM), na admissão e alta hospitalar. Resultados: 38 prontuários preencheram os critérios de inclusão. 73,68% dos pacientes eram do sexo masculino. A idade variou de 62 a 94 anos e o tempo de internação de 34 a 179 dias. As patologias mais prevalentes foram: hipertensão arterial (68,42%), acidente vascular cerebral (57,89%), restrição de mobilidade (42,10%), incontinência dupla (28,94%), diabetes mellitus (23,98%) e demência vascular (21,05%). As alterações observadas nos escores do IBM não modificaram os níveis funcionais dos idosos. Alterações cognitivas foram observadas em 81,57% na admissão e 63,15% na alta hospitalar. Apenas indivíduos com 1 a 3 anos de escolaridade modificaram os níveis de cognição. Conclusão: O processo do envelhecimento associado às doenças crônico-degenerativas influencia na funcionalidade e cognição da população estudada. Os resultados forneceram elementos para estabelecimento de objetivos e planos terapêuticos que favoreçam a reabilitação do idoso. Abstract Introduction: The aging process associated with chronic degenerative diseases leads to functional decline and/or cognitive impairment resulting in reduced quality of life and decreased autonomy and independence. Objective: To compare the functional and cognitive capacity of elderly in a geriatric rehabilitation unit in the city of Salvador, Bahia. Methodology: This is an observational descriptive cross-sectional analysis using medical records. The medical records of elderly patients admitted in the Rehabilitation Unit of the Geriatric Center of Obras Sociais Irmã Dulce were selected from January to December 2011. The charts were evaluated for sociodemographic, length of stay, clinical diagnosis, scores of the Modified Barthel Index (MBI) and the Mini-Mental State Examination (MMSE) on admission and discharge. Results: A total of 38 records met the inclusion criteria. 73.68% of the patients were male. The age ranged from 62 to 94 years and length of stay from 34 to 179 days. The most prevalent diseases were hypertension (68.42%), stroke (57.89%), restriction of mobility (42.10%), double incontinence (28.94%), diabetes mellitus (23.98 %) and vascular dementia (21.05%). The observed changes in the MBI scores did not change the functional levels of the elderly. Cognitive changes were observed in 81.57% on admission and 63.15% on discharge. Only individuals with 1-3 years of education changed levels of cognition. Conclusion: The process of aging associated with chronic degenerative diseases influences on the functionality and cognition of the studied population. The results provided evidence for the establishment of goals and treatment plans that promote the rehabilitation of the elderly.

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Assessment of caregiver burden with elderly having cognitive deficit

Acta Paulista de Enfermagem ◽

10.1590/s0103-21002012000600013 ◽

2012 ◽

Vol 25 (6) ◽

pp. 908-913 ◽

Cited By ~ 2

Author(s):

Aline Cristina Martins Gratao ◽

Luana Flávia da Silva Talmelli ◽

Vanderlei José Haas ◽

Sueli Marques ◽

Luciana Kusumota ◽

...

Keyword(s):

Caregiver Burden ◽

Cognitive Deficit ◽

The Elderly ◽

Cross Sectional Study ◽

Cognitive Capacity ◽

Cross Sectional ◽

Caregiver Health ◽

Burden Scale ◽

Double Entry ◽

Self Reporting Questionnaire

To characterize the elderly with cognitive déficit, and family caregivers who live in the urban communit,y and to identify the caregiver burden. METHODS: An observational, cross-sectional study, conducted between January and July 2009. Seventy elderly (aged 65 and older) were assessed for cognitive deficit using the Mini Mental State Examination (MMSE); their 70 caregivers were evaluated by the Zarit Burden Scale (ZBS) and the Self Reporting Questionnaire (SRQ). The data were entered and validated by double entry in the MS Excel Program, and were analyzed using SPSS software, version 15.0. RESULTS: Of the caregivers, 47.1% were children. We obtained a mean for the ZBS of 30.3 (± 17.3) and 6.2 (± 3.2) for the SRQ, p <0.05, correlating lower scores of the MMSE with high scores on ZBS and SRQ. CONCLUSIONS: Cognitive deficit of the elderly was a predictive factor for burden and emotional distress of caregivers. Knowing the reduction of cognitive capacity related to caregiver burden is essential for preserving caregiver health.

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Prevalence of Non-Communicable Diseases among Retired Military Personnel

Journal of Armed Forces Medical College Bangladesh ◽

10.3329/jafmc.v16i2.55295 ◽

2021 ◽

Vol 16 (2) ◽

pp. 35-39

Author(s):

Md Mazharul Islam Khan ◽

Ariful Haque ◽

- Md Shamimuzzaman ◽

Chyochyo Nancy ◽

Farzana Zafreen

Keyword(s):

Diabetes Mellitus ◽

Military Personnel ◽

The Elderly ◽

Communicable Diseases ◽

Ischemic Heart ◽

Military Hospital ◽

Epidemiologic Transition ◽

Cross Sectional ◽

Non Communicable Diseases ◽

Mortality And Morbidity

Introduction: Non-communicable diseases (NCDs) have become burning issues worldwide, especially among the elderly individuals. Bangladeshi elderly is also susceptible cohort to NCDs for its recent epidemiologic transition and the NCDs is casting as prominent risk for major mortality and morbidity related issues. Objectives: To find out the prevalence of common NCDs and its risk factors among the Bangladeshi retired military personnel. Methods: This cross-sectional study was conducted among the retired military personnel admitted in Combined Military Hospital (CMH), Savar from January 2019 to July 2019. A face-to-face interview was carried out among the respondents using a semi-structured questionnaire. Results: Among 153 retired military personnel; most common NCDs were hypertension (80.4%), diabetes mellitus 66.7%, ischemic heart disease37.3% and only 3.9 % had low back pain. Most of them accessed their health in CMH (66.7%), where 17.6% reported to Govt. hospital and only a minor portion (15.7%) to private hospital. Moreover, 70.6% of them were not willing to regular health check-up. Conclusions: The most common NCDs were hypertension, diabetes mellitus and ischemic heart disease. This study concluded with a few intervention strategies and community-based health promotion programs to reduce the burden of NCDs among the retired military personnel. JAFMC Bangladesh. Vol 16, No 2 (December) 2020: 35-39

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Factors associated with the frequency of polypathology among elderly persons receiving care at a referral center in Montes Claros, Minas Gerais

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1809-98232016019.150139 ◽

2016 ◽

Vol 19 (4) ◽

pp. 661-669

Author(s):

Thaynara Rocha de Souza ◽

Maria Aparecida Vieira ◽

Fernanda Marques da Costa ◽

Cássio de Almeida Lima

Keyword(s):

Multivariate Analysis ◽

Medical Records ◽

Older Persons ◽

The Elderly ◽

Minas Gerais ◽

Elderly Persons ◽

Elderly Men ◽

Cross Sectional ◽

Referral Center ◽

Appropriate Care

Abstract Objective: To investigate polypathology among elderly persons treated at a referral center in the state of Minas Gerais, Brazil. Methodology: An analytical documentary study with a cross-sectional quantitative approach was performed. The records of referral and care of 668 elderly persons who were treated at the referral center were analyzed. Bivariate and multivariate analysis was performed using logistic regression. Results: 278 medical records were analyzed. Polypathology was the main reason for seeking care in 114 (41.0%) cases. There was a statistically significant association between the characteristics of being male and less educated and polypathology. In multivariate analysis, polypathology was higher among men and lower among elderly persons with a high school or higher education. Conclusion: The findings identify a situation with a predominance of polypathology among the elderly. This is at a worrying level among elderly men and less educated older persons, and should be addressed carefully by health professionals, in the search for more specific and appropriate care.

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Correlation Analysis Study between Hearing Loss Occurence and Duration of Type 2 Diabetes Mellitus in Sultan Agung Islamic Hospital Semarang

Sains Medika ◽

10.26532/sainsmed.v6i1.338 ◽

2015 ◽

Vol 6 (1) ◽

pp. 12

Author(s):

Citta Arunika Risyudhanti ◽

Agung Sulistyanto ◽

Suparmi Suparmi

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Hearing Impairment ◽

Medical Records ◽

Pure Tone ◽

Pure Tone Audiometry ◽

Chi Square ◽

Cross Sectional

Introduction: Hearing impairment due to cochlear damage is one complication of Type 2 Diabetes Mellitus (DM2). Objective: This study aims to determine the relationship between duration of DM2 with hearing impairment.Method: The analytic observasional study with the cross sectional design using the medical record of DM2 outpatient in internal clinic of Islamic Sultan Agung Hospital Semarang and also pure tone audiometric examination’s record in Otorynolaryngology clinic of Islamic Sultan Agung Hospital Semarang.31 medical records of DM2 patients were meeting the inclusion and exclusion criteria. The data consist of 18 medical records of patients with less than6 years duration of DM2, and 13 medical records of patients with more than 6 years duration of DM2. The pure tone audiometry was used to classified the hearing impairment. The data analysis was conducted using SPSS 20.0. The correlation between the duration of DM2 and hearing impairment was analyzed using Chi Square test. The significance relation between the duration of DM type 2 and hearing impairment was analyzed using cooficient contigency, with significance of < 0.05. Result: hearing impairment’s distribution frequency on tested ears in Sultan agung Islamic Hospital Semarang were 27 ears having SNHL type (43,5%), 19 ears having CHL (30,6%) and 16 ears were normal (25,8%), p = 0,02 (p < 0,05). Conclusion: There is a weak correlation between the DM 2 duration and the incidence of hearing impairment in Sultan Agung Islamic Hospital Semarang.

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The link between cognitive state and general self-esteem among institutionalized elderly persons: can health condition serve as a mediating factor?

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1981-22562018021.170191 ◽

2018 ◽

Vol 21 (4) ◽

pp. 456-463

Author(s):

Cristina Imaginário ◽

Magda Rocha ◽

Paulo Puga Machado ◽

Cristina Antunes ◽

Teresa Martins

Keyword(s):

Elderly Person ◽

The Elderly ◽

Self Esteem ◽

Health Condition ◽

Cognitive State ◽

Elderly Persons ◽

Cognitive Changes ◽

Cross Sectional ◽

Institutionalized Elderly ◽

Mediating Factor

Abstract Objective: to assess whether the health condition of an elderly person can serve as a mediating factor between the cognitive state and general self-esteem of the institutionalized elderly. Method: a quantitative, cross-sectional correlational study was performed, based on the path analysis technique.The following instruments were used for data collection: the Mini-Mental State Examination, the Tinetti Performance Oriented Mobility Assessment, the Mini Nutritional Evaluation and the Rosenberg Self-Esteem Scale. Results: the sample was composed of 312 elderly patients of both genders (112 men and 200 women), with an average age of 83.39 (+7.09) years. Most of the elderly persons were widowed, with a low educational level, and had been institutionalized in Residential Care Facilities for the Elderly for on average 54.6 (+51.69) months. The mediating factor of health condition renders the link between the cognitive state and self-esteem of the elderly null. However, the analysis of the decomposition of the effects showed a significant indirect effect between the cognitive state and health condition. The total effect of cognitive state on the health condition of the elderly is significant, positive and direct. Conclusion: based on the results of this study we maintain that cognitive changes can affect the nutritional state and physical balance of the institutionalized elderly.

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Changes in the Prevalence of Diabetes Mellitus in Bulgaria (2006–2012)

Clinical Medicine Insights Endocrinology and Diabetes ◽

10.4137/cmed.s24742 ◽

2015 ◽

Vol 8 ◽

pp. CMED.S24742 ◽

Cited By ~ 4

Author(s):

Anna-Maria Borissova ◽

Alexander Shinkov ◽

Roussanka Kovatcheva ◽

Jordan Vlahov ◽

Lilia Dakovska ◽

...

Keyword(s):

Diabetes Mellitus ◽

Diagnostic Criteria ◽

International Diabetes Federation ◽

The Elderly ◽

Diabetes Prevalence ◽

Community Based ◽

Cross Sectional ◽

Absolute Increase ◽

Cross Sectional Studies ◽

Prevalence Of Diabetes Mellitus

Aim The aim of this study was to compare two nationwide cross-sectional studies of diabetes prevalence in Bulgaria (2006 and 2012) and to assess its dynamics. Material and Methods The two studies included 2396 and 2033 subjects, respectively. The International Diabetes Federation (IDF) diagnostic criteria were applied, and the data were weighed for type of settlement and age. Results Diabetes prevalence was found to be 7.9% in 2006 and 9.55% in 2012, P = 0.06, showing an increase of 20.9%. The absolute increase was 0.9% in the females and 2.3% in the males ( P < 0.09). The increase was the largest in those aged 50–59: [9.4%, 2006 vs. 15.7%, 2012, P < 0.01]. Diabetes prevalence increased in the 20–60-year olds by 6.8% and decreased in the elderly by 6.1%. Obesity increased from 26.7 to 32.7%, P < 0.02. Conclusions A significant increase in diabetes prevalence was found that necessitates healthcare measures and resources for community-based awareness and prevention programs.

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Cluster analysis to identify elderly people's profiles: a healthcare strategy based on frailty characteristics

Sao Paulo Medical Journal ◽

10.1590/1516-3180.2014.1324622 ◽

2014 ◽

Vol 132 (4) ◽

pp. 224-230 ◽

Cited By ~ 4

Author(s):

André Fattori ◽

Ivan Mazivieiro Oliveira ◽

Rosalia Matera de Angelis Alves ◽

Maria Elena Guariento

Keyword(s):

Cluster Analysis ◽

Cognitive Impairment ◽

Functional Performance ◽

Functional Dependence ◽

The Elderly ◽

Cross Sectional Study ◽

Cognitive Capacity ◽

Cross Sectional ◽

Analysis Strategy ◽

Specific Care

CONTEXT AND OBJECTIVES: The new social panorama resulting from aging of the Brazilian population is leading to significant transformations within healthcare. Through the cluster analysis strategy, it was sought to describe the specific care demands of the elderly population, using frailty components.DESIGN AND SETTING: Cross-sectional study based on reviewing medical records, conducted in the geriatric outpatient clinic, Hospital de Clínicas, Universidade Estadual de Campinas (Unicamp).METHODS: Ninety-eight elderly users of this clinic were evaluated using cluster analysis and instruments for assessing their overall geriatric status and frailty characteristics.RESULTS: The variables that most strongly influenced the formation of clusters were age, functional capacities, cognitive capacity, presence of comorbidities and number of medications used. Three main groups of elderly people could be identified: one with good cognitive and functional performance but with high prevalence of comorbidities (mean age 77.9 years, cognitive impairment in 28.6% and mean of 7.4 comorbidities); a second with more advanced age, greater cognitive impairment and greater dependence (mean age 88.5 years old, cognitive impairment in 84.6% and mean of 7.1 comorbidities); and a third younger group with poor cognitive performance and greater number of comorbidities but functionally independent (mean age 78.5 years old, cognitive impairment in 89.6% and mean of 7.4 comorbidities).CONCLUSION: These data characterize the profile of this population and can be used as the basis for developing efficient strategies aimed at diminishing functional dependence, poor self-rated health and impaired quality of life.

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Diabetes Mellitus and Associated Factors among the Elderly Living in the Old Age Homes of Davangere District: A Cross Sectional Study

Indian Journal of Public Health Research & Development ◽

10.37506/ijphrd.v11i8.10913 ◽

2020 ◽

Keyword(s):

Diabetes Mellitus ◽

Old Age ◽

Associated Factors ◽

The Elderly ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Elderly Living ◽

Old Age Homes

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Prevalence and pattern of non-communicable diseases among elderly in a sub-urban area of Delhi

Indian Journal of Community Health ◽

10.47203/ijch.2021.v33i01.010 ◽

2021 ◽

Vol 33 (1) ◽

pp. 75-81

Author(s):

Tushar Prabhakar ◽

Manish Kumar Goel ◽

Anita Shankar Acharya ◽

Sanjeev Kumar Rasania

Keyword(s):

Diabetes Mellitus ◽

The Elderly ◽

Cross Sectional Study ◽

Communicable Diseases ◽

Geriatric Population ◽

Cross Sectional ◽

Non Communicable Diseases ◽

Obesity Hypertension ◽

Systemic Examination ◽

Study Participants

Background: With increasing proportion of geriatric population across societies, the occurrence and prevalence of non-communicable diseases has been steadily increasing as well. The study tries to showcase the pattern and proportion of NCDs among the elderly population in a sub-urban part of Delhi. Aim & Objective: To assess the prevalence and study the morbidity profile of NCDs among geriatric population of Delhi. Materials & Methods: A community based cross sectional study was done in 350 elderly participants in Mehrauli, Delhi. Data was collected using a semi-structured questionnaire. Detailed general and systemic examination was also done. Results: A total of 87.4% of the study population was suffering from at least one NCD; 68% were having an already known NCD(s) while 19.4% were newly diagnosed during the study. 2.41 NCDs were found per patient. The prevalence of hypertension was 58%, 49.4% suffered from senile cataract, 32.9% had osteoarthritis, 30.3% had diabetes mellitus, and 26.9% had obesity. Hypertension and diabetes mellitus together were present in 18.3% while the combination of hypertension, diabetes mellitus and obesity was seen in 9.4% of the study participants. Conclusion: Burden of NCDs among the elderly was notably high with a large proportion of them having multimorbidity. It gets important to focus on preventive measures to delay the onset and stem the progression of NCDs to facilitate healthy ageing.

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Caracterização sociodemográfica e a autopercepção das condições de saúde de idosos

Revista de Enfermagem UFPE on line ◽

10.5205/1981-8963-v12i3a230161p692-700-2018 ◽

2018 ◽

Vol 12 (3) ◽

pp. 692

Author(s):

Aires Garcia Dos Santos Junior ◽

Jasmine De Oliveira Pedro ◽

Mayara Chaves De Oliveira ◽

Mara Cristina Ribeiro Furlan ◽

Francielle Garcia Nascimento ◽

...

Keyword(s):

Diabetes Mellitus ◽

Good Health ◽

The Elderly ◽

Cross Sectional Study ◽

The Self ◽

Self Perception ◽

Cross Sectional ◽

De Se ◽

Sociodemographic Profile ◽

Quantitative Descriptive

RESUMOObjetivo: descrever as características sociodemográficas e a autopercepção das condições de saúde de idosos. Método: estudo quantitativo, descritivo, de corte transversal, realizado com idosos de um Centro de Convivência. Para a análise dos dados, optou-se pela realização de dupla digitação em banco de dados para a codificação, permitindo a elaboração de um dicionário de códigos em planilha do Excel. Resultados: dos 106 (100%) entrevistados, a sua maioria é do sexo feminino, 67 (63,20%). Sobre a autopercepção de saúde, os idosos relataram em sua maioria ser “BOA” com 63 (59,42%). Em relação aos problemas de saúde, 78 (73,58%) idosos confirmaram ter algum tipo de doença: Hipertensão Arterial, 29 (27,35%); doenças osteomusculares, 17 (16,03%); e Diabetes Mellitus, 13 (12,26%). Conclusão: a maioria foi do sexo feminino, com faixa etária em maior índice entre os 60 e 69 anos. Entre os idosos entrevistados, a maioria referiu possuir uma boa percepção de saúde, 63 (59,42%). A importância para a enfermagem de se criar um perfil sociodemográfico e conhecer a autopercepção de saúde dos idosos colabora com o desenvolvimento assertivo de ações a essa população. Descritores: Idoso; Saúde do Idoso; Longevidade; Perfil de Saúde; Autoimagem.ABSTRACT Objective: to describe the sociodemographic characteristics and the self-perception of the health conditions of the elderly population. Method: this is a quantitative, descriptive, cross-sectional study carried out with elderly people from a Living Center. For the analysis of the data, it was chosen to perform double digitalization in the database for coding, allowing the elaboration of a code dictionary in Excel spreadsheet. Results: of the 106 (100%) interviewed, most of them were female, 67 (63.20%). Regarding self-perception of health, the elderly reported mostly being “GOOD” with 63 (59.42%). Regarding health problems, 78 (73.58%) elderly confirmed having some type of disease: Hypertension, 29 (27.35%); osteomuscular diseases, 17 (16.03%); and Diabetes Mellitus, 13 (12.26%). Conclusion: most were female, with the highest age group between 60 and 69 years old. Among the elderly interviewed, most of them reported having a good health perception, 63 (59.42%). The importance of the nursing of creating a sociodemographic profile and knowing the self-perception of the health of the elderly collaborates with the assertive development of actions to this population. Descriptors: Aged; Health of the Elderly; Longevity; Health Profile; Self Concept.RESUMEN Objetivo: describir las caracteríticas sociodemográficas y la autopercepción de las condiciones de salud de ancianos. Método: estudio cuantitativo, descriptivo, de cohorte transversal, realizado con ancianos de un Centro de Convivencia. Para el análisis de los datos, se optó por la realización de doble digitación en banco de datos para la codificación, permitiendo la elaboración de un diccionario de códigos en planilla de Excel. Resultados: de los 106 (100%) entrevistados, su mayoría es del sexo femenino, 67 (63,20%). Sobre la autopercepción de salud, los ancianos relataron en su mayoría ser “BUENA” con 63 (59,42%). En relación a los problemas de salud, 78 (73,58%) ancianos confirmaron tener algún tipo de enfermedad: Hipertensión Arterial, 29 (27,35%); enfermedades osteomusculares, 17 (16,03%); y Diabetes Mellitus, 13 (12,26%). Conclusión: la mayoría fue del sexo femenino, com edad en mayor índice entre los 60 y 69 años. Entre los ancianos entrevistados, la mayoría dijo poseer una buena percepción de salud, 63 (59,42%). La importancia para la enfermería de criarse un perfíl sociodemográfico y conocer la autopercepción de salud de los ancianos colabora con el desarrollo asertivo de acciones a esa población. Descriptores: Anciano; Salud del Anciano; Longevidad; Perfil de Salud; Autoimagen.

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