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Titolo:
Relation between cognitive performances and dependency state according to the AGGIR model
Autore:
Lafont, S; Barberger-Gateau, P; Sourgen, C; Dartigues, JF;
Indirizzi:
INSERM, U330, F-33076 Bordeaux, France INSERM Bordeaux France F-33076INSERM, U330, F-33076 Bordeaux, France
Titolo Testata:
REVUE D EPIDEMIOLOGIE ET DE SANTE PUBLIQUE
fascicolo: 1, volume: 47, anno: 1999,
pagine: 7 - 17
SICI:
0398-7620(199903)47:1<7:RBCPAD>2.0.ZU;2-R
Fonte:
ISI
Lingua:
FRE
Soggetto:
ELDERLY COMMUNITY DWELLERS; PAQUID; DEMENTIA; DISABILITY; IMPAIRMENT; PROGRAM;
Keywords:
ageing; dependency; cognitive performances; dementia;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
22
Recensione:
Indirizzi per estratti:
Indirizzo: Lafont, S INSERM, U330, 146 Rue Leo Signat, F-33076 Bordeaux, France INSERM 146 Rue Leo Signat Bordeaux France F-33076 deaux, France
Citazione:
S. Lafont et al., "Relation between cognitive performances and dependency state according to the AGGIR model", REV EPIDEM, 47(1), 1999, pp. 7-17

Abstract

Background: The aim of the present study was to invesfigate the relation between cognitive performances and dependency state according to the AGGIR model, the national standardized instrument determining the attribution of the "Prestation Specifique Dependance" (PSD) in France. Method: The sample of the study comprised 1 052 subjects aged 73 and over seen at the 8-year follow-up of the Paquid cohort. The "Autonomie Gerontologie Groupes Iso-Ressources" (AGGIR) model relies on the assessment of eightmeasures of disability and two additional measures of intellectual coherence and orientation. The model results in a classification of sir Iso-Ressources Groups (GIR), only the subjects from GIR 1, 2 or 3 being potential beneficiaries of the PSD. Results: The percentage of completely independent subjects (GIR 6) was 85 % and only 6.1 % were dependent according to the level of the attribution of the PSD (GIR 1 to 3). Among these subjects, 57.8 % had been diagnosed as cases of dementia. Conversely, less than half of the cases of dementia werenot potential beneficiaries of the PSD. Cognitive performances assessed bythe Mini Mental State Examination (MMSE), were associated to a risk of dependency with an odds ratio of 1.4 for the subjects who lost one point on the MMSE (95 % CI : 1.3 - 1.5 p < 0.001). Even when dementia was not diagnosed, low cognitive performances and dyspnea were the main factors of the dependency classification according to the AGGIR model. Conclusions: This study confirms the relationship between cognitive performances and dependency assessed by the AGGIR model. However the model seems to lack sensitivity for taking into account functional impairment associated with dementia. Consideration of Instrumental Activities of Daily Living in the classification procedure could improve the satisfaction of the needs of these subjects.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/07/20 alle ore 06:25:35