Factors associated with cognitive performance in residents of long-term care facilities in Northeast Mexico.

Q4 Medicine

Archivos de Neurociencias Pub Date : 2021-06-01 DOI:10.31157/ARCHNEUROSCIENCESMEX.V26I2.230

Fernando Coindreau-Frías, L. E. Fernández-Garza, Loubette Botello-González, David E. Rodríguez-Fuentes, Silvia A. Barrera-Barrera, H. Barrera-Saldana

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引用次数: 1

Abstract

Objective: To investigate factors associated with cognitive impairment (CI) in institutionalized Mexican older adults. Material and methods: Cross-sectional study of residents of three long-term care facilities in the metropolitan area of Monterrey, Mexico. A medical history, Mini-Mental State Examination (MMSE), Barthel index, geriatric depression scale, and a nutritional screening were performed. CI was defined as MMSE ≤24. Results: Of 280 octogenarian residents (72.1% females) 61.1 % had a MMSE ≤24. Older age (OR=1.047), functional dependence (OR=10.309), malnutrition (OR=2.202), urinary incontinence (OR=2.588), and history of fracture (OR=1.764) were directly associated to CI. While higher education level (OR=0.583) and the use of antihypertensives (OR=0.521), antihistamines (OR=0.322), antiprostatic hypertrophy (OR=0.219), and lipid-lowering drugs (OR=0.575) were inversely associated. Conclusions: The evaluation of cognitive performance and its associated factors is essential for institutionalized patients in order to implement a management program aimed at reducing the progression of CI and its possible complications.

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墨西哥东北部长期护理机构居民认知表现的相关因素。

目的:探讨墨西哥住院老年人认知功能障碍(CI)的相关因素。材料与方法:对墨西哥蒙特雷市区三家长期护理机构的居民进行横断面研究。进行病史、简易精神状态检查(MMSE)、Barthel指数、老年抑郁量表和营养筛查。CI定义为MMSE≤24。结果:280名老年居民中，61.1% MMSE≤24，其中女性占72.1%。年龄(OR=1.047)、功能依赖(OR=10.309)、营养不良(OR=2.202)、尿失禁(OR=2.588)、骨折史(OR=1.764)与CI直接相关。高学历(OR=0.583)与抗高血压药(OR=0.521)、抗组胺药(OR=0.322)、抗前列腺肥大药(OR=0.219)、降脂药(OR=0.575)的使用呈负相关。结论:为了实施旨在减少CI进展及其可能并发症的管理方案，对住院患者进行认知表现及其相关因素的评估是必不可少的。

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

Archivos de Neurociencias Medicine-Neurology (clinical)

CiteScore

0.20

自引率

0.00%

发文量

期刊介绍： La revista Archivos de Neurociencias es una publicación trimestral que bajo el patrocinio del Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, se dedica a publicar artículos relacionados con las neurociencias, tanto nacionales como extranjeros procurando tener una estricta relación con los interesados en áreas afines de habla hispana. De 1966 a 1980 apareció como Revista del Instituto Nacional de Neurología. De 1986 a 1995 apareció como Archivos del Instituto Nacional de Neurología y Neurocirugía.