Clinical and demographic characteristics of elderly patients with dementia assisted at an outpatient clinic in Southern Brazil
Fuente:
Redalyc
Guardado en:
| Autor principal: | |
|---|---|
| Formato: | Artículo científico |
| Lenguaje: | en |
| Publicado: |
Associação Neurologia Cognitiva e do Comportamento
2010
|
| Materias: | |
| Acceso en línea: | |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| _version_ | 1876478575658401792 |
|---|---|
| author | Cláudia Godinho |
| author_facet | Cláudia Godinho |
| contents | Clinical and demographic characteristics of elderly patients with dementia assisted at an outpatient clinic in Southern Brazil Cláudia Godinho Iulek Gorczevski Andréa Heisler Maria Otília Cerveira Márcia Lorena Chaves Medicina Brazil dementia vascular dementia Alzheimer’s disease Tertiary outpatient clinic The aging of the population is a worldwide phenomenon, where 60% of elders live in developing areas of the world such as Brazil, regions in which few studies have been carried out. Objectives: The goal of this study was to evaluate the clinical and demographic profile of patients with dementing disorders seen at a specialized outpatient clinic in South Brazil. Methods: A sample of 105 demented patients seen at the Dementia Outpatient Clinic from Hospital de Clínicas de Porto Alegre (HCPA), Brazil between June 2004 and June 2008. Evaluation of patients consisted of medical history, cognitive testing, assessment of functional status (Activities of Daily Living Scale - ADL; Instrumental Activities Daily Living - IADL) and application of the Neuropsychiatry Inventory (NPI) for behavioral symptoms. Severity of dementia was evaluated based on the CDR scale. All patients underwent laboratory screening tests and brain imaging exams to define etiology of dementia. Results: Of the whole sample, 71% were female. Age was 79±8 years (mean±SD). Educational level was 4±3 years (mean±SD). Sixty-four patients (60%) presented the diagnosis of Alzheimer’s disease. Of the whole sample, 26.7% were classified as CDR=1, 44% as CDR=2 and 29. 3% as CDR=3. A significant difference on the Mini Mental State Examination (MMSE) and functional status scores was observed among the CDR categories (severity). No significant association was found between severity and impairment on memory tests and behavioral symptoms. Conclusions: Alzheimer’s disease was the most common etiology, followed by vascular dementia. At diagnosis, most patients presented mild to moderate severity of dementia, independent of cause. 2010 artículo científico 1980-5764 https://www.redalyc.org/articulo.oa?id=339529016013 en http://www.redalyc.org/revista.oa?id=3395 Dementia & Neuropsychologia application/pdf Associação Neurologia Cognitiva e do Comportamento Dementia & Neuropsychologia (Brasil) Num.1 Vol.4 |
| format | Artículo científico |
| id | redalyc_339529016013 |
| institution | Redalyc |
| language | en |
| publishDate | 2010 |
| publisher | Associação Neurologia Cognitiva e do Comportamento |
| spellingShingle | Clinical and demographic characteristics of elderly patients with dementia assisted at an outpatient clinic in Southern Brazil Cláudia Godinho Medicina Brazil dementia vascular dementia Alzheimer’s disease Tertiary outpatient clinic Clinical and demographic characteristics of elderly patients with dementia assisted at an outpatient clinic in Southern Brazil Cláudia Godinho Iulek Gorczevski Andréa Heisler Maria Otília Cerveira Márcia Lorena Chaves Medicina Brazil dementia vascular dementia Alzheimer’s disease Tertiary outpatient clinic The aging of the population is a worldwide phenomenon, where 60% of elders live in developing areas of the world such as Brazil, regions in which few studies have been carried out. Objectives: The goal of this study was to evaluate the clinical and demographic profile of patients with dementing disorders seen at a specialized outpatient clinic in South Brazil. Methods: A sample of 105 demented patients seen at the Dementia Outpatient Clinic from Hospital de Clínicas de Porto Alegre (HCPA), Brazil between June 2004 and June 2008. Evaluation of patients consisted of medical history, cognitive testing, assessment of functional status (Activities of Daily Living Scale - ADL; Instrumental Activities Daily Living - IADL) and application of the Neuropsychiatry Inventory (NPI) for behavioral symptoms. Severity of dementia was evaluated based on the CDR scale. All patients underwent laboratory screening tests and brain imaging exams to define etiology of dementia. Results: Of the whole sample, 71% were female. Age was 79±8 years (mean±SD). Educational level was 4±3 years (mean±SD). Sixty-four patients (60%) presented the diagnosis of Alzheimer’s disease. Of the whole sample, 26.7% were classified as CDR=1, 44% as CDR=2 and 29. 3% as CDR=3. A significant difference on the Mini Mental State Examination (MMSE) and functional status scores was observed among the CDR categories (severity). No significant association was found between severity and impairment on memory tests and behavioral symptoms. Conclusions: Alzheimer’s disease was the most common etiology, followed by vascular dementia. At diagnosis, most patients presented mild to moderate severity of dementia, independent of cause. 2010 artículo científico 1980-5764 https://www.redalyc.org/articulo.oa?id=339529016013 en http://www.redalyc.org/revista.oa?id=3395 Dementia & Neuropsychologia application/pdf Associação Neurologia Cognitiva e do Comportamento Dementia & Neuropsychologia (Brasil) Num.1 Vol.4 |
| title | Clinical and demographic characteristics of elderly patients with dementia assisted at an outpatient clinic in Southern Brazil |
| topic | Medicina Brazil dementia vascular dementia Alzheimer’s disease Tertiary outpatient clinic |
| url | https://www.redalyc.org/articulo.oa?id=339529016013 |