Clinical profiles of older adults in French Caribbean nursing homes: a descriptive cross-sectional study

IF 3.1 3区医学 Q1 MEDICINE, GENERAL & INTERNAL

Frontiers in Medicine Pub Date : 2024-09-18 DOI:10.3389/fmed.2024.1428443

Denis Boucaud-Maitre, Nadine Simo, Roxane Villeneuve, Christine Rambhojan, Nathalie Thibault, Sarah-Priscilla Joseph, Michel Bonnet, Moustapha Dramé, Larissa Vainqueur, Leila Rinaldo, Laurys Letchimy, Jean-François Dartigues, Matteo Cesari, Yves Rolland, Bruno Vellas, Hélène Amieva, Maturin Tabué-Teguo

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Abstract

BackgroundNursing homes in the Caribbean are scarce and the characteristics of their residents have not been previously documented. This study aimed to describe the clinical profiles of residents living in nursing homes in Guadeloupe and Martinique (French West Indies).MethodsThis is a cross-sectional study of the baseline screening data from the KASEHPAD (Karukera Study of Ageing in nursing homes) study. Clinical characteristics and geriatric scale scores, including the Activities of Daily Living (ADL), Mini-Mental State Examination (MMSE), Mini Nutritional Assessment Short-Form (MNA-SF) and Short Physical Performance Battery (SPPB) were collected and analysed.ResultsA total of 332 older adults were recruited between September 2020 and November 2022. The mean age of the residents was 81.3 ± 10.1, with a male–female ratio of 1:1. Diabetes was reported in 28.3% of the residents, hypertension in 66.6% and heart disease in 18.4%. Dementia was diagnosed in 52.3% of the residents and 74.9% had a MMSE score ≤18. The prevalence of Parkinson’s disease was 9.0%. Additionally, 18.4% were unable to perform any basic activities of daily living (ADL score of 0). The prevalence of physical impairment (SPPB < 8) was 90.0%. One-quarter of the residents were classified as undernourished (MNA-SF score ≤ 7).ConclusionResidents in Caribbean nursing homes are younger than in metropolitan France, whereas they present quite similar clinical profiles. Notably, a high prevalence of diabetes, cardiovascular diseases and neurodegenerative diseases was observed. This study represents a preliminary effort to address the knowledge gap regarding the aging trajectories of older adults in the Caribbean and could guide the development of future nursing homes in these countries.

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法属加勒比地区养老院老年人的临床概况：横断面描述性研究

背景加勒比海地区的疗养院很少，以前也没有关于其居民特征的记录。本研究旨在描述居住在瓜德罗普岛和马提尼克岛（法属西印度群岛）疗养院的住院者的临床特征。结果 2020 年 9 月至 2022 年 11 月期间，共招募了 332 名老年人。居民的平均年龄为 81.3 ± 10.1 岁，男女比例为 1:1。28.3%的居民患有糖尿病，66.6%患有高血压，18.4%患有心脏病。52.3%的住院者被诊断患有痴呆症，74.9%的住院者 MMSE 评分低于 18 分。帕金森病的发病率为 9.0%。此外，18.4%的住户无法进行任何基本的日常生活活动（ADL 得分为 0）。肢体障碍（SPPB < 8）的患病率为 90.0%。结论加勒比海地区疗养院的住户比法国本土的住户更年轻，但他们的临床表现却非常相似。值得注意的是，糖尿病、心血管疾病和神经退行性疾病的发病率较高。这项研究为填补有关加勒比海地区老年人老龄化轨迹的知识空白做出了初步努力，可为这些国家未来养老院的发展提供指导。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Medicine Medicine-General Medicine

CiteScore

5.10

自引率

5.10%

发文量

3710

审稿时长

12 weeks

期刊介绍： Frontiers in Medicine publishes rigorously peer-reviewed research linking basic research to clinical practice and patient care, as well as translating scientific advances into new therapies and diagnostic tools. Led by an outstanding Editorial Board of international experts, this multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. In addition to papers that provide a link between basic research and clinical practice, a particular emphasis is given to studies that are directly relevant to patient care. In this spirit, the journal publishes the latest research results and medical knowledge that facilitate the translation of scientific advances into new therapies or diagnostic tools. The full listing of the Specialty Sections represented by Frontiers in Medicine is as listed below. As well as the established medical disciplines, Frontiers in Medicine is launching new sections that together will facilitate - the use of patient-reported outcomes under real world conditions - the exploitation of big data and the use of novel information and communication tools in the assessment of new medicines - the scientific bases for guidelines and decisions from regulatory authorities - access to medicinal products and medical devices worldwide - addressing the grand health challenges around the world