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• W2045793994 abstract "Analizar la concordancia entre escalas de actividades básicas de la vida diaria (ABVD) y de deterioro cognitivo en centenarios. Entrevista domiciliaria a todos los centenarios de nuestra área, cumplimentándose tres escalas de ABVD (índice de Katz [IK], índice de Barthel [IB] e índice de incapacidad física de la Cruz Roja [IFCR]), y dos de valoración de deterioro cognitivo (miniexamen cognoscitivo [MEC], y el índice de incapacidad psíquica de la Cruz Roja [IPCR]). Se valoró la concordancia mediante el índice kappa. Se entrevistó a 80 centenarios, 26 hombres y 64 mujeres, media de edad, 100,8 ± 1,3 años. Más de la mitad de los centenarios presentaron independencia funcional o dependencia leve, siendo los hombres independientes con más frecuencia (IB 70 ± 34,4 frente a 50,4 ± 36,3; p = 0,005). Al valorar deterioro cognitivo, los resultados fueron discordantes, aunque los hombres presentaron menos deterioro cognitivo que las mujeres (MEC, 16,5 ± 9,1 vs. 11,6 ± 8,1; p = 0,008). Los tres cuestionarios que miden ABVD (IK, IB, IFCR) clasificaron uniformemente a los centenarios; el IK y el IB clasifican igual al 95% de los centenarios (kappa, 0,899), el IB y el IFCR al 97,5% (kappa, 0,95) y el IK e IFCR al 97,5% (kappa, 0,95). La concordancia en los cuestionarios de deterioro cognitivo fue muy baja; se clasificaron igual al 58,8% de los centenarios (kappa, 0,295). Cualquiera de las tres escalas de ABVD es útil en pacientes centenarios. Sin embargo, está por definir cómo valorar el deterioro cognitivo. To analyse the concordance between different scales used to assess basic activities of daily living and cognitive impairment in centenarians. A domiciliary interview was carried out with all centenarians in our area. Three scales of basic activities of daily living (Katz index [KI], Barthel index [BI], Red Cross physical impairment index [RCPI]), and two of cognitive impairment assessment(Mini cognoscitive test [MCT], Red Cross psychic impairment index [RCPI]) were completed. A total of 80 centenarians were interviewed, 26 men and 64 women, mean age 100.8 ± 1.3. More than half of centenarians had functional independence or slight dependence. Men were more frequently independent than women (BI 70 ± 34.4 vs. 50.4 ± 36.3; P = .005). The results of cognitive impairment tests were discordant, although men had less cognitive impairment than women (MCT 16.5 ± 9.1 vs. 11.6 ± 8.1; P = .008). The three scales of basic activities of daily living uniformly classified the centenarians, with a high level of concordance between them: KI and BI similarly classified up to 95% of the centenarians (Kappa 0.899), BI and RCPI to 97.5% (kappa 0.95), KI and RCPI to 97.5% (Kappa 0.95). Nevertheless, the concordance between the cognitive impairment measured by RCPI and MCT was low; only 58.8% of centenarians were equally classified (Kappa 0.295). Any of three scales analysed for assessment of basic activities of daily living is useful in centenarians. Nevertheless, the best way to assess cognitive impairment in these patients needs to be defined." @default.
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• W2045793994 date "2012-01-01" @default.
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• W2045793994 title "Valoración de actividades básicas de la vida diaria y de deterioro cognitivo en centenarios: concordancia entre las escalas utilizadas" @default.
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• W2045793994 doi "https://doi.org/10.1016/j.cali.2011.03.007" @default.
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