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Dementia & neuropsychologia
By Morros-González E, Pérez S, Arias-Blanco D and 1 others.
The prevalence of neurocognitive disorder increases with age; nearly one in two nonagenarians may be affected, representing a clinical challenge during hospitalization because of their admission condition, comorbidities, decision-making needs, and management.
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This study aimed to describe the clinical characteristics of individuals aged 90 years old or older with a history of major neurocognitive disorder admitted due to an acute medical condition.
A descriptive cross-sectional study was conducted using institutional data from the Geriatrics Department of a high-complexity hospital in Bogotá, Colombia. Information on the history and type of neurocognitive disorder was obtained through self-report or proxy report, and disease severity was assessed using information recorded during the comprehensive geriatric assessment. A descriptive analysis was performed to examine clinical characteristics, baseline functional status, and in-hospital outcomes.
Among the 178 people, the majority were women (71.34%), with a mean age of 93±3 years, and had polypharmacy. Upon admission, 55.61% had delirium, and among the 68 patients who underwent nutritional assessment, 75.00% had moderate or severe malnutrition. The most frequent diagnoses were urinary tract infection and pneumonia. Alzheimer disease (62.5%) and multiple etiologies (Alzheimer disease and vascular) (6.2%) were the most frequent reported etiologies. The median length of stay was 7 days, 4.49% experienced in-hospital complications such as healthcare-associated pneumonia or bacteremia, 45.51% continued management through a home care plan, and 34.83% completed the planned hospital care.
Nonagenarians with major neurocognitive disorder have multiple healthcare needs during hospitalization, requiring multidimensional and interdisciplinary assessment and intervention.
Published in Dementia & neuropsychologia. The abstract is shown as published and remains the work of its authors; read the full article at the source.
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