Roca SAC, Henriette K, Ramírez RA, Prosper C

Language: Spanish
References: 30
Page: 138-148
PDF size: 206.85 Kb.

ABSTRACT

Background: high levels of comorbidity and functional decline are closely related to short-term mortality and poor quality of life in institutionalized elderly individuals.
Objective: to determine the association of cognitive impairment with high comorbidity and functional decline in institutionalized elderly patients.
Methods: a descriptive study was conducted involving 156 patients admitted to a nursing home in Mahé, Seychelles, from 2010 and 2012. They were studied in relation to: presence of cognitive impairment and dementia, age, sex, non-communicable diseases, levels of comorbidity, functional decline, glomerular filtration rate, polypharmacy and schooling level. A short form of the Charlson Index was used to evaluate comorbidity and the Barthel Index was applied for functional assessment.
Results: A total of 57,7 % patients suffered from cognitive impairment and dementia, 66,7 % of them were males. Study patients with cognitive impairment and dementia were more likely to have high comorbidity (OR: 5.88; 95 % confidence interval [IC95]: 5,42 to 6,33) and worse functional performance (OR: 20.53; IC95%:19,54 to 21,29) than institutionalized cases without these entities. Other variables analysed in cognitively impaired patients such as age, polypharmacy, glomerular filtration rate and schooling level showed significant differences compared to the elderly without cognitive impairment.
Conclusions: patients with cognitive impairment and functional decline have higher comorbidity than those without these entities. Association of cognitive impairment with high comorbidity and worse functional performance is observed.

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