| Summary: | Made available in DSpace on 2015-04-14T13:54:09Z (GMT). No. of bitstreams: 1
458674.pdf: 5699850 bytes, checksum: 95b49e864ee416f0b5365c918ebd8064 (MD5)
Previous issue date: 2014-03-31 === INTRODUCTION: Aging is spreading in the worldwide. How old are the people, it
will have more chance to develop dementia and to track them, are hardly, by the
way there are tool that are trying to objective this screening to make this diagnoses
as fast as possible. OBJECTIVES: To study IQCODE-BR (Informant Questionnaire
on Cognitive Decline in the Elderly) psychometrics characteristics in the elderly
assisted by Family Health Program(ESF)-POA. METHODS: Transversal study from
population with low education and social level. IQCODE was applied in all the
informants from the 87 elderly assisted in the AMBEC (Outpatient Brain Aging from
PUCRS), in the period of March to Dec 2013, and it s a reference for monitoring of
the elderly in Family Health Program(ESF) POA from a cross-sectional populationbased
study. Those elderly were assisted in the AMBEC, with a minimum a
neurological and a psychiatric appointment, receiving a diagnosis of depressive
disorder (DSM-IV criteria), Mild Cognitive Impairment (MCI) or dementia (criteria
from NIA-AA, 2011), and part of the elderly had no such diagnosis. The application
of IQCODE was blind to diagnosis. RESULTS: There were studied 87 elderly
people and their health home care. The average was 72 years old (60-90 years),
most of them were women (72,4%), 31 were illiterate (35,6%). The elderly was
classified in 4 groups, by the way, 30 had diagnoses of dementia (G4), 20 had MCI
(G3), 21 had depression (G2), 16 did not have none diagnosis (G1). We observed
that were a correlation by MCI and dementia with high age and low educational
level. The mean cutoff from IQCODE were higher in G2 and G3 than G1, being
similar between the first 2 groups. The mean cutoff from G4 were higher than all
others. The IQCODE and the short form showed a Cronbach's alpha of 0.906 and
0.908, respectively. The ROC curves showed for diagnosis of MCI a power of
discrimination is higher when excluding patients with depression, with no significant
difference in the diagnosis of dementia. The complete version and the short form of
IQCODE showed similar accuracy. CONCLUSION: The IQCODE is an excellent
tool for screening MCI and dementia. We recommend using the short form with a
cutoff of 3.22 for MCI but also having to exclude depression diagnosis and 3.48 for
dementia regardless of having depressive symptoms. === INTRODU??O: O envelhecimento ? algo inevit?vel no mundo inteiro. Quanto
maior a idade, maior ? a chance dos idosos desenvolverem dem?ncias, e
rastrear estas dem?ncias ? cada vez mais dif?cil, por?m existem instrumentos
que est?o tentando objetivar este rastreio e assim faz?-lo o mais r?pido
poss?vel.
OBJETIVOS: Estudar as caracter?sticas psicom?tricas do IQCODEBR
(Informant Questionnaire on Cognitive Decline in the Elderly) em idosos
atendidos pela Estrat?gia Sa?de da Fam?lia, em Porto Alegre (ESF-POA).
METODOS: Estudo transversal, em uma popula??o de baixa renda e
escolaridade. O IQCODE foi aplicado a todos os 87 informantes dos idosos
atendidos no Ambulat?rio de Envelhecimento Cerebral da PUCRS, no per?odo
de mar?o a dezembro de 2013, refer?ncia para acompanhamento dos idosos
da ESF-POA de um estudo transversal de base populacional. Estes idosos
eram acompanhados no ambulat?rio com no m?nimo uma consulta neurol?gica
e uma psiqui?trica, recebendo diagn?stico de transtorno depressivo (crit?rios
DSM-IV), comprometimento cognitivo leve (CCL) ou dem?ncia (crit?rios da
NIA-AA de 2011), sendo que parte dos idosos atendidos n?o tinha nenhum
desses diagn?sticos. A aplica??o do IQCODE foi cega para o diagn?stico.
RESULTADOS: Foram estudados 87 idosos e seus informantes. A m?dia de
idade foi de 72 anos (60-90 anos), sendo a maioria mulheres (72,4%) e 31
analfabetos (35,6%). Os idosos foram classificados em 4 grupos, sendo, 30
com dem?ncia (G4), 20 com CCL (G3), 21 com depress?o (G2) e 16 sem
nenhum desses diagn?sticos (G1). Foi observada uma associa??o de CCL e
dem?ncia com idade avan?ada e com baixa escolaridade. As m?dias do
IQCODE foram maiores no G2 e G3 que no G1, sendo semelhante entre os 2
primeiros grupos. As m?dias dos pontos de corte do IQCODE foram ainda
maiores no G4. As vers?es completa e reduzida apresentaram um Alfa de
Cronbach de 0,906 e 0,908, respectivamente. As curvas ROC mostraram que para o diagn?stico de CCL o poder de discrimina??o ? maior quando exclu?dos
os pacientes com depress?o, n?o havendo diferen?a significativa para o
diagn?stico da dem?ncia. As vers?es completa e reduzida mostram acur?cias
semelhantes.
CONCLUS?O: O IQCODE ? um excelente instrumento para o
rastreio de CCL e dem?ncias. Recomendamos o uso da vers?o curta, com
ponto de corte de 3,22 para CCL, desde que seja exclu?da depress?o e de 3,48
para dem?ncia independente de ter sintomas depressivos.
|
|---|
