Prevalence of Severe Neurocognitive Impairment and Its Association with Socio-Demographics and Functionality Among Ugandan Older Persons: A Hospital-Based Study.

Journal: Clinical interventions in aging

Volume: 16

Issue: 

Year of Publication: 2021

Affiliated Institutions:  Department of Psychiatry, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda. CHINTA Research Bangladesh (Centre for Health Innovation, Networking, Training, Action and Research - Bangladesh), Savar, Dhaka, , Bangladesh.

Abstract summary 

The prevalence of neurocognitive disorders, especially dementia, is rising due to an increase in longevity. Early detection and diagnosis of neurocognitive impairments are important for early interventions and appropriate management of reversible causes, especially by the primary health workers. However, this study aimed to determine the prevalence and associated factors of severe neurocognitive impairment among elderly persons attending a tertiary hospital in Uganda.This cross-sectional survey was conducted in a Ugandan hospital setting, where older adults go for treatment for their chronic health problems. Following the inclusion criteria, interviews were conducted, where information about socio-demographics was collected, whereas neurocognitive impairment and functionality were assessed by Mini-Mental State Examination and Barthel Index, respectively. Chi-square test, Pearson correlation test, and logistic regression were performed to determine the factors associated with severe neurocognitive impairment.A total of 507 elderly persons aged 60 years and above were enrolled in this study (mean age 68.62 ±7.95 years), and the prevalence of severe neurocognitive impairment was 28.01%. Advanced age, female gender, lower education level, and functional dependency were significantly associated with severe neurocognitive impairment.Severe neurocognitive impairment is prevalent among Ugandan hospital attending elderlies with functional dependency. This suggests a need to routinely screen cognitive disorders among older persons who visit the healthcare facilities with other physical complaints to enable early detection and treatment of reversible causes of neurocognitive impairment, such as depression and delirium to enable better functionality.

Authors & Co-authors:  Atim Letizia Maria LM Kaggwa Mark Mohan MM Mamun Mohammed A MA Ashaba Scholastic S Maling Samuel S

Study Outcome 

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Statistics
Citations :  Ruitenberg A, Ott A, van Swieten JC, Hofman A, Breteler MMB. Incidence of dementia: does gender make a difference? Neurobiol Aging. 2001;22(4):575–580. doi:10.1016/S0197-4580(01)00231-7
Authors :  5
Identifiers
Doi : 10.2147/CIA.S319891
SSN : 1178-1998
Study Population
Female
Mesh Terms
Aged
Other Terms
Barthel Index;Mini-Mental Status Examination;Ugandan elderly;dementia;early diagnosis;functionality;neurocognitive disorder;prevalence and associated factors
Study Design
Cross Sectional Study
Study Approach
Country of Study
Uganda
Publication Country
New Zealand