Factors associated with cognitive performance in residents of long-term care facilities in Northeast Mexico.

  • Fernando Coindreau-Frías Asilo Luis Elizondo, Guadalupe, NL., Mexico.
  • Luis E. Fernandez-Garza 2Innbiogem SC at National Laboratory of Specialized Services of Research, Development, and Innovation on Chemical and Biotechnological Drugs (LANSEIDI)-CONACyT.
  • Loubette Botello-González Universidad de Monterrey, San Pedro Garza Garcia, NL., Mexico
  • David E. Rodríguez-Fuentes Escuela de Medicina y Ciencias de la Salud. Tecnologico de Monterrey. Monterrey, NL., Mexico
  • Silvia A. Barrera-Barrera National Institute of Pediatrics. Mexico City, Mexico
  • Hugo A. Barrera-Saldaña Innbiogem SC at National Laboratory of Specialized Services of Research, Development, and Innovation on Chemical and Biotechnological Drugs (LANSEIDI)-CONACyT. Monterrey, NL, Mexico.
Keywords: adultos mayores mexicanos, deterioro cognitivo, instituciones de cuidados a largo plazo

Abstract

Objective: To investigate factors associated with cognitive impairment (CI) in institutionalized Mexican older adults.

Material and methods: Cross-sectional study of residents of three long-term care facilities in the metropolitan area of Monterrey, Mexico. A medical history, Mini-Mental State Examination (MMSE), Barthel index, geriatric depression scale, and a nutritional screening were performed. CI was defined as MMSE ≤24.

Results: Of 280 octogenarian residents (72.1% females) 61.1 % had a MMSE ≤24. Older age (OR=1.047), functional dependence (OR=10.309), malnutrition (OR=2.202), urinary incontinence (OR=2.588), and history of fracture (OR=1.764) were directly associated to CI. While higher education level (OR=0.583) and the use of antihypertensives (OR=0.521), antihistamines (OR=0.322), antiprostatic hypertrophy (OR=0.219), and lipid-lowering drugs (OR=0.575) were inversely associated.

Conclusions: The evaluation of cognitive performance and its associated factors is essential for institutionalized patients in order to implement a management program aimed at reducing the progression of CI and its possible complications.

Published
2021-06-01
How to Cite
Coindreau-Frías, F., Fernandez-Garza, L. E., Botello-González, L., Rodríguez-Fuentes, D. E., Barrera-Barrera, S. A., & Barrera-Saldaña, H. A. (2021). Factors associated with cognitive performance in residents of long-term care facilities in Northeast Mexico. Archivos De Neurociencias, 26(2), 10-19. https://doi.org/10.31157/archneurosciencesmex.v26i2.230
Section
Original Articles