Outcomes and interventions in the elderly with and without cognitive impairment: a longitudinal study
ABSTRACT. Background: Clinical follow-up studies are necessary for a better understanding of the evolution of cognitive impairment as well as the development of better assessment and intervention tools. Objective: To investigate whether older people with preserved cognition (PC), mild cognitive im...
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| Format: | Article |
| Language: | English |
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Associação Neurologia Cognitiva e do Comportamento
2020-12-01
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| Series: | Dementia & Neuropsychologia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642020000400394&tlng=en |
| _version_ | 1818951742944968704 |
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| author | Anne Caroline Soares da Silva Juliana Hotta Ansai Natália Oiring de Castro Cezar Francisco Assis Carvalho Vale Julimara Gomes dos Santos Larissa Pires de Andrade |
| author_facet | Anne Caroline Soares da Silva Juliana Hotta Ansai Natália Oiring de Castro Cezar Francisco Assis Carvalho Vale Julimara Gomes dos Santos Larissa Pires de Andrade |
| author_sort | Anne Caroline Soares da Silva |
| collection | DOAJ |
| description | ABSTRACT. Background: Clinical follow-up studies are necessary for a better understanding of the evolution of cognitive impairment as well as the development of better assessment and intervention tools. Objective: To investigate whether older people with preserved cognition (PC), mild cognitive impairment (MCI) and mild Alzheimer's disease (AD) show differences in clinical outcomes and interventions after a 32-month period. Methods: One hundred twenty-four community-dwelling older people were included and classified in one of three groups (PC, MCI and mild AD). Information on clinical outcomes (deaths, new diagnoses, falls, need for assistance or changes in routine and hospitalizations) and interventions (increased use of medication, physiotherapeutic intervention, practice of physical exercise, etc.) in the 32-month period were collected by telephone or during a home visit on a single day. Results: Ninety-five participants (35 with PC, 33 with MCI and 27 with AD) were reevaluated after 32 months. The need for assistance/changes in routine was significantly higher in the AD group, especially with regard to basic activities of daily living. Unlike the other groups, the PC group did not show “other diagnoses” (urinary incontinence, prolapse, change in vision or autoimmune disease). No significant differences were found regarding other variables. Conclusions: Older people with and without cognitive impairment exhibited differences in some clinical outcomes after 32 months, such as need for assistance or changes in their routine and new diagnoses of specific diseases. Therefore, the multidimensionality of geriatric patients should be considered when planning assessments and interventions. |
| first_indexed | 2024-12-20T09:39:20Z |
| format | Article |
| id | doaj.art-3a5499e43974445d903a48f3bc027d86 |
| institution | Directory Open Access Journal |
| issn | 1980-5764 |
| language | English |
| last_indexed | 2024-12-20T09:39:20Z |
| publishDate | 2020-12-01 |
| publisher | Associação Neurologia Cognitiva e do Comportamento |
| record_format | Article |
| series | Dementia & Neuropsychologia |
| spelling | doaj.art-3a5499e43974445d903a48f3bc027d862022-12-21T19:44:55ZengAssociação Neurologia Cognitiva e do ComportamentoDementia & Neuropsychologia1980-57642020-12-0114439440210.1590/1980-57642020dn14-040010Outcomes and interventions in the elderly with and without cognitive impairment: a longitudinal studyAnne Caroline Soares da Silvahttps://orcid.org/0000-0002-7299-2083Juliana Hotta Ansaihttps://orcid.org/0000-0001-9873-3509Natália Oiring de Castro Cezarhttps://orcid.org/0000-0002-8264-3565Francisco Assis Carvalho Valehttps://orcid.org/0000-0001-8826-2010Julimara Gomes dos Santoshttps://orcid.org/0000-0002-5627-4655Larissa Pires de Andradehttps://orcid.org/0000-0002-8860-5818ABSTRACT. Background: Clinical follow-up studies are necessary for a better understanding of the evolution of cognitive impairment as well as the development of better assessment and intervention tools. Objective: To investigate whether older people with preserved cognition (PC), mild cognitive impairment (MCI) and mild Alzheimer's disease (AD) show differences in clinical outcomes and interventions after a 32-month period. Methods: One hundred twenty-four community-dwelling older people were included and classified in one of three groups (PC, MCI and mild AD). Information on clinical outcomes (deaths, new diagnoses, falls, need for assistance or changes in routine and hospitalizations) and interventions (increased use of medication, physiotherapeutic intervention, practice of physical exercise, etc.) in the 32-month period were collected by telephone or during a home visit on a single day. Results: Ninety-five participants (35 with PC, 33 with MCI and 27 with AD) were reevaluated after 32 months. The need for assistance/changes in routine was significantly higher in the AD group, especially with regard to basic activities of daily living. Unlike the other groups, the PC group did not show “other diagnoses” (urinary incontinence, prolapse, change in vision or autoimmune disease). No significant differences were found regarding other variables. Conclusions: Older people with and without cognitive impairment exhibited differences in some clinical outcomes after 32 months, such as need for assistance or changes in their routine and new diagnoses of specific diseases. Therefore, the multidimensionality of geriatric patients should be considered when planning assessments and interventions.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642020000400394&tlng=encontinuity of patient carecognitive dysfunctionAlzheimer diseaseaged |
| spellingShingle | Anne Caroline Soares da Silva Juliana Hotta Ansai Natália Oiring de Castro Cezar Francisco Assis Carvalho Vale Julimara Gomes dos Santos Larissa Pires de Andrade Outcomes and interventions in the elderly with and without cognitive impairment: a longitudinal study Dementia & Neuropsychologia continuity of patient care cognitive dysfunction Alzheimer disease aged |
| title | Outcomes and interventions in the elderly with and without cognitive impairment: a longitudinal study |
| title_full | Outcomes and interventions in the elderly with and without cognitive impairment: a longitudinal study |
| title_fullStr | Outcomes and interventions in the elderly with and without cognitive impairment: a longitudinal study |
| title_full_unstemmed | Outcomes and interventions in the elderly with and without cognitive impairment: a longitudinal study |
| title_short | Outcomes and interventions in the elderly with and without cognitive impairment: a longitudinal study |
| title_sort | outcomes and interventions in the elderly with and without cognitive impairment a longitudinal study |
| topic | continuity of patient care cognitive dysfunction Alzheimer disease aged |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642020000400394&tlng=en |
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