Cognitive Function Is a Prognostic Factor for Mortality of Nursing Home Residents during a 3-Year Observational Period.

IF 1.4 Q4 CLINICAL NEUROLOGY Dementia and Geriatric Cognitive Disorders Extra Pub Date : 2020-11-16 eCollection Date: 2020-09-01 DOI:10.1159/000509543

Dorota Pytka, Bozena Czarkowska-Paczek

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引用次数: 3

Abstract

Introduction: Assessing cognitive function could help to provide appropriate care for nursing home residents. The aim of the study was to identify the factors affecting cognitive function in nursing home residents in Poland and assess how it influenced the mortality rate during a 3-year observational period.

Methods: This study included 202 elderly individuals from a nursing home in 2015. The investigation included examination of cognitive function using the MMSE and bioelectrical impedance analysis. Collected data included sex, age, blood pressure (BP), heart rate, number of comorbidities, years spent in the nursing home, educational level, and cigarette-smoking.

Results: The mean MMSE score was 21.36 ± 6.35, which was negatively correlated with age and diastolic BP (p = 0.001 and p = 0.024, respectively) and positively correlated with body mass, BMI, fat-free mass, fat, muscle mass, and education level (p = 0.004, p = 0.004, p = 002, p = 0.049, p = 0.005, and p ˂ 0.001, respectively). Patients who died during the observational period had lower MMSE scores than those who survived (23.34 ± 5.68 vs. 20.16 ± 6.45; p < 0.001). Smokers had better MMSE results than nonsmokers (23.34 ± 5.98 vs. 20.08 ± 4.94; p < 0.001).

Discussion: Polish nursing home residents had mild cognitive impairment depending on their age, sex, educational level, and nutritional status. Lower MMSE score was a prognostic factor for mortality in the 3-year observational period.

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认知功能是疗养院居民3年观察期间死亡的预后因素。

简介:评估认知功能有助于为养老院居民提供适当的护理。该研究的目的是确定影响波兰养老院居民认知功能的因素，并评估其如何影响3年观察期间的死亡率。方法:本研究纳入2015年某养老院的202名老年人。调查包括使用MMSE和生物电阻抗分析检查认知功能。收集的数据包括性别、年龄、血压(BP)、心率、合并症数量、在养老院度过的时间、教育水平和吸烟情况。结果:MMSE平均评分为21.36±6.35分，与年龄、舒张压呈负相关(p = 0.001、p = 0.024)，与体重、BMI、无脂质量、脂肪、肌肉质量、文化程度呈正相关(p = 0.004、p = 0.004、p = 002、p = 0.049、p = 0.005、p小于0.001)。观察期内死亡患者的MMSE评分低于存活患者(23.34±5.68∶20.16±6.45;P < 0.001)。吸烟者的MMSE结果优于非吸烟者(23.34±5.98∶20.08±4.94;P < 0.001)。讨论:波兰养老院居民有轻度认知障碍取决于他们的年龄、性别、教育水平和营养状况。在3年的观察期内，较低的MMSE评分是死亡率的预后因素。

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来源期刊

Dementia and Geriatric Cognitive Disorders Extra Medicine-Psychiatry and Mental Health

CiteScore

4.30

自引率

0.00%

发文量

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 .