Reliability of three questions for the screening of advanced cognitive impairment in polypathological patients

Reliability of three questions for the screening of advanced cognitive impairment in... IntroductionWith an aging population and advances in healthcare, it is becoming more and more frequent for one patient to have more than one chronic disease. Multimorbidity is the coexistence of several acute or chronic diseases in the same person. Polypathology has been defined as the coexistence of two or more chronic and symptomatic diseases, often related, with frequent re‐exacerbations that have a negative effect on the functional situation of the patient and generate special requirements at the various levels of healthcare. In 2007, the Andalusian Government established a set of criteria to define a patient as polypathological. The estimations are that 30–38% of the patients admitted in internal medicine departments are polypathological, and that the prevalence in primary healthcare centers is 1.38%.Polypathological patients (PP) are usually very old. Their average age in different studies ranges between 77 and 81 years.Cognitive impairment is highly prevalent in PP. Up to 39–50% of them present with cognitive impairment, and 26–36% have been diagnosed with dementia. Furthermore, these patients frequently present dyspnea, and fatigability both physical and mental, and are unable to stay focused during interviews, so that the usual instruments of dementia detection cannot be used. During hospital admission, several factors, among http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Geriatrics & Gerontology International Wiley

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Publisher
Wiley
Copyright
© 2018 Japan Geriatrics Society
ISSN
1444-1586
eISSN
1447-0594
D.O.I.
10.1111/ggi.13204
Publisher site
See Article on Publisher Site

Abstract

IntroductionWith an aging population and advances in healthcare, it is becoming more and more frequent for one patient to have more than one chronic disease. Multimorbidity is the coexistence of several acute or chronic diseases in the same person. Polypathology has been defined as the coexistence of two or more chronic and symptomatic diseases, often related, with frequent re‐exacerbations that have a negative effect on the functional situation of the patient and generate special requirements at the various levels of healthcare. In 2007, the Andalusian Government established a set of criteria to define a patient as polypathological. The estimations are that 30–38% of the patients admitted in internal medicine departments are polypathological, and that the prevalence in primary healthcare centers is 1.38%.Polypathological patients (PP) are usually very old. Their average age in different studies ranges between 77 and 81 years.Cognitive impairment is highly prevalent in PP. Up to 39–50% of them present with cognitive impairment, and 26–36% have been diagnosed with dementia. Furthermore, these patients frequently present dyspnea, and fatigability both physical and mental, and are unable to stay focused during interviews, so that the usual instruments of dementia detection cannot be used. During hospital admission, several factors, among

Journal

Geriatrics & Gerontology InternationalWiley

Published: Jan 1, 2018

Keywords: ; ; ; ;

References

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