Afficher la notice abrégée

Cognitive Decline After Entering a Nursing Home: A 22-Year Follow-Up Study of Institutionalized and Noninstitutionalized Elderly People

dc.rights.licenseopenen_US
hal.structure.identifierEpidémiologie et Biostatistique [Bordeaux]
dc.contributor.authorGONZÁLEZ-COLAÇO HARMAND, Magali
hal.structure.identifierEpidémiologie et Biostatistique [Bordeaux]
dc.contributor.authorMEILLON, Celine
ORCID: 0000-0001-7891-9648
hal.structure.identifierEpidémiologie et Biostatistique [Bordeaux]
dc.contributor.authorRULLIER, Laetitia
hal.structure.identifierEpidémiologie et Biostatistique [Bordeaux]
dc.contributor.authorAVILA-FUNES, José-Alberto
hal.structure.identifierEpidémiologie et Biostatistique [Bordeaux]
dc.contributor.authorBERGUA, Valerie
ORCID: 0000-0002-2232-1812
IDREF: 09428895X
hal.structure.identifierEpidémiologie et Biostatistique [Bordeaux]
dc.contributor.authorDARTIGUES, Jean-Francois
ORCID: 0000-0001-9482-5529
IDREF: 058586105
dc.contributor.authorAMIEVA, Hélène
dc.date.accessioned2023-12-15T13:27:19Z
dc.date.available2023-12-15T13:27:19Z
dc.date.issued2014
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/186646
dc.description.abstractEnObjective The objective of this study is to compare cognitive decline of elderly people after entering an institution with that of elders living in the community with similar clinical conditions. Design The Personnes Agées QUID (PAQUID) cohort is a prospective population-based study which included, at baseline, 3777 community-dwelling people aged 65 years and older. Participants were followed-up for 22 years. Among those who were nondemented and living at home at baseline, 2 groups were compared: participants who entered a nursing home during study follow-up (n = 558) and those who remained living at home (n = 3117). Cognitive decline was assessed with Mini-Mental State Examination (MMSE), Benton visual retention test, and verbal fluency Isaacs Set Test. Results After controlling for numerous potential confounders, including baseline MMSE and instrumental activities of daily living scores, incident dementia, depressive symptoms, and chronic diseases, nursing home placement was significantly associated with a lower score on MMSE between the last visit before and after institutionalization (difference of 2.8 points, P \textless .0001) and greater further cognitive decline after institutionalization (difference of 0.7 point per year, P \textless .0001). Similar results were found for the Benton memory test. In a second series of analysis in which the persons who became demented over the study follow-up were excluded, the results remained unchanged. Conclusions The present study suggests that institutionalized elderly people present a greater cognitive decline than persons remaining in the community. The reasons of that decline remain unclear and may be related to physical and psychological effects of institutionalization in elderly people.
dc.language.isoENen_US
dc.title.enCognitive Decline After Entering a Nursing Home: A 22-Year Follow-Up Study of Institutionalized and Noninstitutionalized Elderly People
dc.typeArticle de revueen_US
dc.identifier.doi10.1016/j.jamda.2014.02.006en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
bordeaux.journalJournal of the American Medical Directors Associationen_US
bordeaux.page504--508en_US
bordeaux.volume15en_US
bordeaux.hal.laboratoriesAnciens laboratoires de l'Université de Bordeauxen_US
bordeaux.issue7en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.import.sourcehal
hal.identifierhal-04345557
hal.version1
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exportfalse
workflow.import.sourcehal
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Journal%20of%20the%20American%20Medical%20Directors%20Association&rft.date=2014&rft.volume=15&rft.issue=7&rft.spage=504--508&rft.epage=504--508&rft.au=GONZ%C3%81LEZ-COLA%C3%87O%20HARMAND,%20Magali&MEILLON,%20Celine&RULLIER,%20Laetitia&AVILA-FUNES,%20Jos%C3%A9-Alberto&BERGUA,%20Valerie&rft.genre=article


Fichier(s) constituant ce document

FichiersTailleFormatVue

Il n'y a pas de fichiers associés à ce document.

Ce document figure dans la(les) collection(s) suivante(s)

Afficher la notice abrégée