Prevalence of Geriatric Syndromes among Older Outpatients with Dementia.

IF 1.4 Q4 CLINICAL NEUROLOGY Dementia and Geriatric Cognitive Disorders Extra Pub Date : 2024-09-02 eCollection Date: 2024-01-01 DOI:10.1159/000541237
Luc Viet Tran, Thanh Xuan Nguyen, Thu Thi Hoai Nguyen, Huong Thi Thu Nguyen, Tam Ngoc Nguyen, Anh Lan Nguyen, Vasikaran Naganathan, Janani Thillainadesan, Huong Thi Thanh Nguyen, Anh Trung Nguyen, Huyen Thi Thanh Vu
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Abstract

Introduction: The identification of geriatric syndromes in people with dementia is important. The aim of the study was to assess the prevalence of geriatric syndromes among dementia outpatients.

Methods: A cross-sectional study was conducted enrolling outpatients with dementia aged ≥60 years old. Dementia was diagnosed by neuropsychiatrists following DSM-5 criteria. The geriatric syndromes assessed included nutritional status (Mini Nutritional Assessment Scale-Short Form), polypharmacy, comorbidities, alcohol use, depression (quality of life in Alzheimer disease), functional status (Barthel Index, Instrumental Activities of Daily Living); lower body strength (30 s stand chair test), and frailty (Timed Up and Go test ≥14 s).

Results: A total of 87 participants was recruited in the study (mean age: 76.8 ± 1.2 years; female: 65.5%). The median number of geriatric syndromes per participant was 5 (IQR = 2); all participants had two or more geriatric syndromes. The most common geriatric syndromes were loss of independence (96.6% impairment in >1 IADL task score and 74.7% dependency in physical function at based on Barthel Index), reduced lower body strength (86.2%), malnutrition and risk of malnutrition (78.2%), and frailty (67.8%). Current and history of smoking, drinking alcohol, using memantine therapy, malnourishment and risk of malnourishment were significantly associated with increasing severity of dementia.

Conclusion: The presence and coincidence of geriatric syndromes is common among outpatients with dementia. These findings have important clinical implications in terms of the assessment and service delivery for older adults in Vietnam. We are exploring ways to enhance our services to provide comprehensive, multidisciplinary approaches to screening, recognition, and treatment of geriatric syndromes in older adults with dementia.

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老年痴呆症老年门诊病人的老年综合症患病率。
引言识别痴呆症患者的老年综合征非常重要。本研究旨在评估老年痴呆症门诊患者中老年综合征的发病率:方法:对年龄≥60 岁的痴呆症门诊患者进行横断面研究。痴呆症由神经精神科医生根据 DSM-5 标准诊断。评估的老年综合征包括营养状况(迷你营养评估量表-简表)、多药治疗、合并症、饮酒、抑郁(阿尔茨海默病的生活质量)、功能状况(巴特尔指数、日常生活器械活动)、下肢力量(30 秒站立坐椅测试)和虚弱程度(≥14 秒定时起立行走测试):研究共招募了 87 名参与者(平均年龄:76.8 ± 1.2 岁;女性:65.5%)。每位参与者的老年综合征中位数为 5 种(IQR = 2);所有参与者都有两种或两种以上的老年综合征。最常见的老年病综合征是丧失独立能力(根据巴特尔指数,96.6%的人在>1 项 IADL 任务中受损,74.7%的人在身体功能上依赖)、下半身力量减弱(86.2%)、营养不良和营养不良风险(78.2%)以及虚弱(67.8%)。吸烟、饮酒、使用美金刚治疗、营养不良和营养不良风险与痴呆症的严重程度显著相关:结论:老年痴呆症门诊患者中,老年综合征的存在和并发很常见。这些发现对越南老年人的评估和服务提供具有重要的临床意义。我们正在探索如何加强我们的服务,为老年痴呆症患者提供全面、多学科的老年综合征筛查、识别和治疗方法。
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来源期刊
Dementia and Geriatric Cognitive Disorders Extra
Dementia and Geriatric Cognitive Disorders Extra Medicine-Psychiatry and Mental Health
CiteScore
4.30
自引率
0.00%
发文量
18
审稿时长
9 weeks
期刊介绍: This open access and online-only journal publishes original articles covering the entire spectrum of cognitive dysfunction such as Alzheimer’s and Parkinson’s disease, Huntington’s chorea and other neurodegenerative diseases. The journal draws from diverse related research disciplines such as psychogeriatrics, neuropsychology, clinical neurology, morphology, physiology, genetic molecular biology, pathology, biochemistry, immunology, pharmacology and pharmaceutics. Strong emphasis is placed on the publication of research findings from animal studies which are complemented by clinical and therapeutic experience to give an overall appreciation of the field. Dementia and Geriatric Cognitive Disorders Extra provides additional contents based on reviewed and accepted submissions to the main journal Dementia and Geriatric Cognitive Disorders Extra .
期刊最新文献
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