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Ciência & Saúde Coletiva

Print version ISSN 1413-8123On-line version ISSN 1678-4561

Abstract

DANIEL, Fernanda; FERNANDES, Vanessa; SILVA, Alexandre  and  ESPIRITO-SANTO, Helena. Cognitive screening for elderly people in long-term care institutions in the Miranda do Corvo municipality, Portugal. Ciênc. saúde coletiva [online]. 2019, vol.24, n.11, pp.4355-4366.  Epub Oct 28, 2019. ISSN 1678-4561.  http://dx.doi.org/10.1590/1413-812320182411.07422018.

This study aimed to screen the cognitive profile elderly people living in long-term care institutions in the municipality of Miranda do Corvo by evaluating 174 participants with the Mini Mental State Examination (MMSE) (n=96) and the clinical dementia diagnosis (n=78). According to the MMSE, 41.7% of respondents had scores suggestive of cognitive impairment. The percentage rose to 67.8% (n=118) by adding the diagnosis of dementia reported in individual medical records to this result. The comparison of our results with those obtained nationwide showed that this proportion was significantly higher (p<0.001). The educational level was a predictive factor for MMSE scores (p=0.001). We can conclude that the high prevalence of suspected cognitive impairment and dementia revealed in our study should lead us to reflect on the quality of care provided and on the lack/scarcity of cognitive stimulation programs in long-term care institutions for seniors. Thus, it is imperative to implement regular cognitive assessment and to apply intervention programs for the preservation and improvement of the cognitive functioning of institutionalized elderly of deprived areas.

Keywords : Elderly; Institutionalization; Cognitive deficit; Cognitive screening.

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