Cognitive impairment in a primary healthcare population: a cross-sectional study on the island of Crete, Greece
| Autor: | Ioannis Zaganas, Panagiotis G. Simos, Chariklia Tziraki, George Duijker, Maria Basta, Dimitrios T. Boumpas, Christos Lionis, Emmanouil K. Symvoulakis, Polyvios Papadokostakis, Ioanna Tsiligianni, Alexandros N. Vgontzas, Simeon Panagiotakis, Antonios Bertsias, Sophia Papadakis, Eliza Iatraki, Joanna Moschandreas, Kornilia Makri |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Gerontology medicine.medical_specialty Cross-sectional study Population Primary health care primary care Epidemiology medicine Humans Dementia Cognitive Dysfunction Cognitive impairment education Aged Aged 80 and over Islands education.field_of_study High prevalence Greece Primary Health Care business.industry General Medicine medicine.disease Cross-Sectional Studies Quality of Life Medicine epidemiology Female General practice / Family practice business Inclusion (education) dementia |
| Zdroj: | BMJ Open, Vol 10, Iss 9 (2020) BMJ Open |
| ISSN: | 2044-6055 |
| DOI: | 10.1136/bmjopen-2019-035551 |
| Popis: | ObjectivesCognitive impairment is known to have a significant impact on the quality of life of individuals and their caregivers, yet it is often underdiagnosed. The objective of this study is to assess the extent of cognitive impairment among elders visiting primary healthcare (PHC) practice settings, to explore associated risk factors and discuss current care challenges for PHC providers.DesignA cross-sectional study was conducted between March 2013 and May 2014.SettingFourteen PHC units located in rural and urban areas of the Heraklion district in Crete, Greece.ParticipantsConsecutive visitors aged at least 60 years attending selected PHC practices.Primary and secondary outcome measuresThe Mini-Mental State Examination (MMSE) was used to indicate cognitive status. Associations of low MMSE scores (≤23/24, adjusted for education level) with 12 socio-demographic factors, comorbidities and lifestyle factors were assessed.ResultsA total of 3140 PHC patients met inclusion criteria (43.2% male; mean age 73.7±7.8 years). The average MMSE score was 26.0±3.8; 26.7±3.5 in male and 25.4±3.9 in female participants (pConclusionsThis study identified a relatively high prevalence of low MMSE scores among persons attending PHC practices in a southern European community setting and associations with several known risk factors. |
| Databáze: | OpenAIRE |
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