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Centre for Policy on Ageing | |
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Predictors of rapid cognitive decline among demented subjects aged 75 or more
— ('Sujet Agé Fragile - Evaluation et Suivi' Cohort - SAFES) | | Author(s) | Saturnin Viatonou, Moustapha Dramé, Damien Jolly |
| Journal title | International Journal of Geriatric Psychiatry, vol 24, no 7, July 2009 |
| Pages | pp 709-715 |
| Source | http://www.interscience.wiley.com/journal/gps |
| Keywords | Dementia ; Cognitive impairment ; Longitudinal surveys ; France. |
| Annotation | The factors predictive of rapid cognitive decline (RCD) among older subjects aged 75+ suffering from dementia were identified. The analysis concerned 250 patients drawn from the Sujet Agé Fragile - Evaluation et Suivi (SAFES) cohort, presenting a dementia syndrome at inclusion and followed up for at least 1 year. RCD was defined as the loss of at least 3 points on the Mini-Mental State Examination (MMSE) in the 12-month follow-up period. All patients underwent a standardised geriatric evaluation. Logistic regression was used to identify factors predictive of RCD. In the study sample, 84 patients (33.6%) presented RCD. The factors identified in multivariate analysis as predictive of RCD were: high level of education; risk of depression; and the initial MMSE score. Among the 177 subjects with a main caregiver, the predictive factors were malnutrition or risk thereof, risk of a fall, caregiver burden and initial MMSE score. In conclusion, as soon as dementia is diagnosed in older adults, information should be collected about the subject's socioeconomic status, nutritional status, risk of falling, mood state, and caregiver burden. This would enable the provision of appropriate therapeutic care, and make it possible to adapt follow-up in case of a risk of accelerated cognitive deterioration. (KJ/RH). |
| Accession Number | CPA-090824213 A |
| Classmark | EA: E4: 3J: 765 |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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