Dependence in activities of daily living and cognitive impairment strongly predicted mortality in older urban residents in Brazil: A 2-year follow-up
Data
2001-09-01
Autores
Ramos, Luiz Roberto 
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Artigo
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OBJECTIVES: To identify a set of predictors of mortality among residents in the community, before any physical, biochemical, or image examination is performed, that could be collected on a routine standardized basis, to help the clinician define a patient follow-up strategy and the health planner make decisions regarding the care of older people.DESIGN: A household follow-up study, with an evaluation at baseline and 2 years later.SETTING: Residential area, with a low rate of in- and outmigration, in São Paulo a large industrialized urban center in southeastern Brazil.PARTICIPANTS: One thousand six hundred sixty-seven older urban residents in the community (65+), from different socioeconomic backgrounds, enrolled after a study area census.INTERVENTION: Structured home interview with Brazilian Older Americans Resources and Services Multidimensional Functional Assessment Questionnaire, previously validated in Portuguese.MEASUREMENTS: A logistic regression model for the risk of dying in the period was developed, having as independent variables, sociodemographic characteristics plus six other dimensions: subjective self-evaluation of health, past medical history, use of health services, dependence in activities of daily living (ADLs), mental health, and cognitive status.
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Citação
Journal of the American Geriatrics Society. Malden: Blackwell Science Inc, v. 49, n. 9, p. 1168-1175, 2001.