living in their own homes. Methods. Comprehensive evaluation was done using the following tests and scales: Mini Mental State Examination (MMSE), Geriatric Depression Scale (GDS), Barthel Index of Independence in Activities of Daily modified (ADLBarthel Index), Instrumental Activity Daily Life (IADL), Physical Performance Test (PPT), Tinetti Performance-Oriented Mobility Assessment (POMA), Mini Nutritional Assessment (MNA), Cumulative Illness Rating Scale for Geriatric (CIRS-G). 387 subjects were recruited, of whom 303 (78.3%) aged 65-84 years (average age 72.5 ± 5.5 years), and 84 subjects 85 years or over (average age 90.4 ± 4.5 years). Results. Younger subjects showed better cognitive and functional abilities than older ones (MMSE, ADL-Bartel Index, IADL, PPT, POMA, p < 0.0001). Nutritional status (MNA) and co-morbidity for Geriatric (CIRS-G) were found to be significantly worse in the older group (p < 0.0001). However no significant difference (p = 0.088) in mood status was found. Conclusions. We assessed health status in over-85-year-olds, evaluated in their own homes, and compared it with that of under-85-year-olds. The results obtained showed functional, cognitive, nutritional, and co-morbidity status to be significantly worse in the oldest old than in the younger elderly. However, over-85-year-olds who live in their own homes, despite worsening of functional status, do not present significant difference in the mood status.
Valutazione multidimensionale geriatrica in una popolazione di soggetti ultraottantacinquenni studiati a domicilio
MANDAS, ANTONELLA
2010-01-01
Abstract
living in their own homes. Methods. Comprehensive evaluation was done using the following tests and scales: Mini Mental State Examination (MMSE), Geriatric Depression Scale (GDS), Barthel Index of Independence in Activities of Daily modified (ADLBarthel Index), Instrumental Activity Daily Life (IADL), Physical Performance Test (PPT), Tinetti Performance-Oriented Mobility Assessment (POMA), Mini Nutritional Assessment (MNA), Cumulative Illness Rating Scale for Geriatric (CIRS-G). 387 subjects were recruited, of whom 303 (78.3%) aged 65-84 years (average age 72.5 ± 5.5 years), and 84 subjects 85 years or over (average age 90.4 ± 4.5 years). Results. Younger subjects showed better cognitive and functional abilities than older ones (MMSE, ADL-Bartel Index, IADL, PPT, POMA, p < 0.0001). Nutritional status (MNA) and co-morbidity for Geriatric (CIRS-G) were found to be significantly worse in the older group (p < 0.0001). However no significant difference (p = 0.088) in mood status was found. Conclusions. We assessed health status in over-85-year-olds, evaluated in their own homes, and compared it with that of under-85-year-olds. The results obtained showed functional, cognitive, nutritional, and co-morbidity status to be significantly worse in the oldest old than in the younger elderly. However, over-85-year-olds who live in their own homes, despite worsening of functional status, do not present significant difference in the mood status.
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