Avaliação dos subtipos de transtorno neurocognitivo (demência) em ambulatório de referência do Distrito Federal

• Ano de defesa: 2019
• Autor(a) principal: Silva, Aline Laginestra e
• Orientador(a): Oliveira, Maria Liz Cunha de
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Católica de Brasília
• Programa de Pós-Graduação: Programa Stricto Sensu em Gerontologia
• Departamento: Escola de Saúde e Medicina
• País: Brasil
• Palavras-chave em Português: Epidemiologia; Demência vascular; Disfunção cognitiva; Doença de Alzheimer; Classificação Clínica das Demências
• Palavras-chave em Inglês: Neurocognitive disorders; Alzheimer disease; Dementia vascular; Epidemiology
• Área do conhecimento CNPq: CNPQ::CIENCIAS DA SAUDE
• Link de acesso: https://bdtd.ucb.br:8443/jspui/handle/tede/2648

The more elaborate identification of geronte cognitive disorders, according to current protocols, will validate the construction of solid bases for specific treatments with optimization of expenses and relevant results. In reference clinics in the Federal District we do not yet have an evaluation of subtypes of dementias with differential diagnosis, establishing a gap between the necessary assistance to the patients with the diseases, their families and public policies known. To establish a differential diagnosis of subtypes of dementias in a reference outpatient clinic in geriatrics in the Federal District, calculating their prevalence by primary source, prioritizing better accuracy through clinical examination and multifunctional evaluation. This is a longitudinal, retrospective, ecological and documentary study. Will be performed in an outpatient clinic specializing in Geriatrics. Population and sample comprised of people aged 60 years or over residing in the Federal District, who have cognitive deficits characterized by Major Neurocognitive Disorder (MND), registered during the years 2010 to 2018. Data collection will be performed in medical records. select and evaluate the profile of the elderly with diagnosis of MND followed by a broad geriatric evaluation and multifunctional evaluation. The data analysis will be performed with the calculation of prevalence, descriptive statistics and correlations through the coefficient V of Cramer. In response to the hypothesis and problems presented, a review of the literature was done, article 1, as well as a profile of the studied population and the subtypes of dementia found, article 2. Research on dementia in Brazil is still incipient, counting with few studies. In this study, 158 individuals were studied. 52.5% are 80 to 89 years old, 62.5% are women and 62.7% are Caucasian, 50.6% are widowers and 47.5% are illiterate. The initial prevalence of AD was 45.6%, decreasing to 35.4% after a follow-up period and that DV was initially 34.2% and 45.6% at the end. We used Cramer's V-Coefficient, where we found a weak or very weak relationship of risk factors with the diagnoses of dementias presented. Low schooling and AD (V 0.257), DV (V 0.052); arterial hypertension and AD (V 0.343), DV (V 0.259); obesity and AD (V 0.202), DV (V 0.263); hypoacusis and AD (V 0.027), DV (V 0.1777); smoking and AD (V 0.021), DV (V 0.076); depression and AD (V 0.060), DV (V 0.1119); sedentary lifestyle and AD (V 0.017), DV (V 0.020); social isolation and AD (V 0.160), DV (V 0.086), diabetes and AD (V 0.009), DV (V 0.0004). This dissertation contributes socially, as it disseminates and clarifies population profile, diagnostic subtypes, difficulties and complexity of evaluations, punctuating current gaps, opening possibilities for new research, developing a more critical and grounded view on reality. Tools derived from the theme, also greatly increase the aid in health education, one of the basic premises of SUS.