Severity of memory impairment in the elderly: Association with health care resource use and functional limitations in the United States
INTRODUCTION: Dementia is a prevalent condition in older adults associated with decline in cognitive and functional abilities and substantial burden. This study assessed the prevalence and impact of subjective memory impairment in the United States. METHODS: The 2011 to 2014 National Health and Nutr...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5413212/ https://www.ncbi.nlm.nih.gov/pubmed/28492059 http://dx.doi.org/10.1016/j.dadm.2017.04.001 |
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author | Aigbogun, Myrlene Sanon Stellhorn, Robert Krasa, Holly Kostic, Dusan |
author_facet | Aigbogun, Myrlene Sanon Stellhorn, Robert Krasa, Holly Kostic, Dusan |
author_sort | Aigbogun, Myrlene Sanon |
collection | PubMed |
description | INTRODUCTION: Dementia is a prevalent condition in older adults associated with decline in cognitive and functional abilities and substantial burden. This study assessed the prevalence and impact of subjective memory impairment in the United States. METHODS: The 2011 to 2014 National Health and Nutrition Examination Survey, a population-based, nationally representative survey, was analyzed. Data included medical examinations, self-reported cognitive and functional limitations, and health care utilization over 1 year. Participants were aged ≥65 years and completed both interview and medical examination components. Descriptive analyses of patient characteristics were performed, and complex survey regression models were used to test associations. RESULTS: Of 2431 survey participants included, 53.1% had no memory impairment, 40.1% had early-stage memory impairment, and 6.6% had late-stage memory impairment. In adjusted analyses, late-stage versus no impairment was associated with more functional limitations (odds ratio [OR] = 7.26, P < .001), greater health care utilization (OR = 2.46, P < .001), and higher likelihood of seeing a mental health specialist (OR = 3.06, P = .001). DISCUSSION: Consistent with previous research, individuals with late-stage memory impairment had significantly greater functional limitations and higher health care utilization versus individuals with early-stage or no memory impairment. |
format | Online Article Text |
id | pubmed-5413212 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-54132122017-05-10 Severity of memory impairment in the elderly: Association with health care resource use and functional limitations in the United States Aigbogun, Myrlene Sanon Stellhorn, Robert Krasa, Holly Kostic, Dusan Alzheimers Dement (Amst) Cognitive & Behavioral Assessment INTRODUCTION: Dementia is a prevalent condition in older adults associated with decline in cognitive and functional abilities and substantial burden. This study assessed the prevalence and impact of subjective memory impairment in the United States. METHODS: The 2011 to 2014 National Health and Nutrition Examination Survey, a population-based, nationally representative survey, was analyzed. Data included medical examinations, self-reported cognitive and functional limitations, and health care utilization over 1 year. Participants were aged ≥65 years and completed both interview and medical examination components. Descriptive analyses of patient characteristics were performed, and complex survey regression models were used to test associations. RESULTS: Of 2431 survey participants included, 53.1% had no memory impairment, 40.1% had early-stage memory impairment, and 6.6% had late-stage memory impairment. In adjusted analyses, late-stage versus no impairment was associated with more functional limitations (odds ratio [OR] = 7.26, P < .001), greater health care utilization (OR = 2.46, P < .001), and higher likelihood of seeing a mental health specialist (OR = 3.06, P = .001). DISCUSSION: Consistent with previous research, individuals with late-stage memory impairment had significantly greater functional limitations and higher health care utilization versus individuals with early-stage or no memory impairment. Elsevier 2017-04-20 /pmc/articles/PMC5413212/ /pubmed/28492059 http://dx.doi.org/10.1016/j.dadm.2017.04.001 Text en © 2017 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Cognitive & Behavioral Assessment Aigbogun, Myrlene Sanon Stellhorn, Robert Krasa, Holly Kostic, Dusan Severity of memory impairment in the elderly: Association with health care resource use and functional limitations in the United States |
title | Severity of memory impairment in the elderly: Association with health care resource use and functional limitations in the United States |
title_full | Severity of memory impairment in the elderly: Association with health care resource use and functional limitations in the United States |
title_fullStr | Severity of memory impairment in the elderly: Association with health care resource use and functional limitations in the United States |
title_full_unstemmed | Severity of memory impairment in the elderly: Association with health care resource use and functional limitations in the United States |
title_short | Severity of memory impairment in the elderly: Association with health care resource use and functional limitations in the United States |
title_sort | severity of memory impairment in the elderly: association with health care resource use and functional limitations in the united states |
topic | Cognitive & Behavioral Assessment |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5413212/ https://www.ncbi.nlm.nih.gov/pubmed/28492059 http://dx.doi.org/10.1016/j.dadm.2017.04.001 |
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