We have located links that may give you full text access.
ENGLISH ABSTRACT
JOURNAL ARTICLE
[Long-term survival related to cognitive performance in older adults treated at a tertiary hospital level].
Gaceta Médica de México 2009 September
OBJECTIVE: To determine the association between cognitive performance and long-term survival in an elderly Mexican population sample.
METHODS: In this retrospective, retrolective and observational study elderly subjects were assessed in the Geriatrics Clinic of the Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán" between January 1994 and August 1999 using a comprehensive geriatric assessment. All 2544 subjects for whom vitality status was known up to September 2002 were included in the analysis. Socio-demographic and health-related information was gathered during the clinical interview, and their emotional and functional status was determined using the Katz, Lawton and GDS scales. Cognition was measured using the Mini-Mental State Examination (MMSE), grouping the subjects according to their performance into four groups: normal-high performance, normal-low performance, mild-to-moderate impairment and moderate-to-severe impairment. Vitality status was determined by searching the hospital's clinical records or by telephonic contact with the patient or primary caregiver when needed.
RESULTS: Long-term mortality rates increased in a linear fashion as MMSE scores decreased (p < 0.001), even for MMSE scores over 24. This association persisted even after adjustment for comorbidity, depression, functional status and socio-demographic factors.
CONCLUSION: Patients showed a progressive decline in long-term survival according to their cognitive performances. MMSE scores between 24 and 27 were also associated with an increased mortality and should not be considered as normal, even if they are not sensitive enough to detect impairment.
METHODS: In this retrospective, retrolective and observational study elderly subjects were assessed in the Geriatrics Clinic of the Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán" between January 1994 and August 1999 using a comprehensive geriatric assessment. All 2544 subjects for whom vitality status was known up to September 2002 were included in the analysis. Socio-demographic and health-related information was gathered during the clinical interview, and their emotional and functional status was determined using the Katz, Lawton and GDS scales. Cognition was measured using the Mini-Mental State Examination (MMSE), grouping the subjects according to their performance into four groups: normal-high performance, normal-low performance, mild-to-moderate impairment and moderate-to-severe impairment. Vitality status was determined by searching the hospital's clinical records or by telephonic contact with the patient or primary caregiver when needed.
RESULTS: Long-term mortality rates increased in a linear fashion as MMSE scores decreased (p < 0.001), even for MMSE scores over 24. This association persisted even after adjustment for comorbidity, depression, functional status and socio-demographic factors.
CONCLUSION: Patients showed a progressive decline in long-term survival according to their cognitive performances. MMSE scores between 24 and 27 were also associated with an increased mortality and should not be considered as normal, even if they are not sensitive enough to detect impairment.
Full text links
Related Resources
Trending Papers
Challenges in Septic Shock: From New Hemodynamics to Blood Purification Therapies.Journal of Personalized Medicine 2024 Februrary 4
Molecular Targets of Novel Therapeutics for Diabetic Kidney Disease: A New Era of Nephroprotection.International Journal of Molecular Sciences 2024 April 4
Perioperative echocardiographic strain analysis: what anesthesiologists should know.Canadian Journal of Anaesthesia 2024 April 11
The 'Ten Commandments' for the 2023 European Society of Cardiology guidelines for the management of endocarditis.European Heart Journal 2024 April 18
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app