Prevalência de demência em instituições de longa permanência: uma metanálise

Fagundes, Daniel Ferreira; Costa, Marcos Túlio; Alves, Bárbara Bispo da Silva; Benício, Maria Madalena Soares; Vieira, Lanna Pinheiro; Carneiro, Lara S. F.; Nascimento, Osvaldo José Moreira; Monteiro Junior, Renato Sobral

doi:10.1590/0047-2085000000298

Daniel Ferreira Fagundes

Universidade Estadual de Montes Claros, Centro de Ciências Biológicas e da Saúde, Montes Claros, MG, Brasil.

Universidade Federal Fluminense, Programa de Pós-Graduação em Neurologia, Niterói, RJ, Brasil.

https://orcid.org/0000-0002-5875-9904

Marcos Túlio Costa

Universidade Estadual de Montes Claros, Centro de Ciências Biológicas e da Saúde, Montes Claros, MG, Brasil.

https://orcid.org/0000-0003-4712-2649

Bárbara Bispo da Silva Alves

Universidade Estadual de Montes Claros, Centro de Ciências Biológicas e da Saúde, Montes Claros, MG, Brasil.

https://orcid.org/0000-0002-7801-2621

Maria Madalena Soares Benício

Universidade Estadual de Montes Claros, Centro de Ciências Biológicas e da Saúde, Montes Claros, MG, Brasil.

https://orcid.org/0000-0002-7517-2726

Lanna Pinheiro Vieira

Universidade Estadual de Montes Claros, Centro de Ciências Biológicas e da Saúde, Montes Claros, MG, Brasil.

https://orcid.org/0000-0002-2960-2473

Lara S. F. Carneiro

Instituto Superior de Ciências Educativas do Douro, Penafiel, Portugal.

Instituto Universitário da Maia, Maia, Portugal.

Centro de Investigação em Saúde, Desporto e Desenvolvimento Humano, Portugal.

https://orcid.org/0000-0002-4385-5290

Osvaldo José Moreira Nascimento

Universidade Federal Fluminense, Programa de Pós-Graduação em Neurologia, Niterói, RJ, Brasil.

https://orcid.org/0000-0003-3516-485X

Renato Sobral Monteiro JuniorAddress for correspondence: Renato Sobral Monteiro-Junior. Universidade Estadual de Montes Claros. Av. Doutor Rui Braga, s/n, Vila Mauricéia – 39401-089 – Montes Claros, MG, Brasil. Telefone +55 (38) 3229-8289 E-mail: monteirojuniorms@gmail.com

Universidade Estadual de Montes Claros, Centro de Ciências Biológicas e da Saúde, Montes Claros, MG, Brasil.

Universidade Federal Fluminense, Programa de Pós-Graduação em Neurologia, Niterói, RJ, Brasil.

Aroldo Tourinho Hospital, Instituto de Neurociência do Exercício, Montes Claros, MG, Brasil.

https://orcid.org/0000-0002-8472-262X

Address for correspondence: Renato Sobral Monteiro-Junior. Universidade Estadual de Montes Claros. Av. Doutor Rui Braga, s/n, Vila Mauricéia – 39401-089 – Montes Claros, MG, Brasil. Telefone +55 (38) 3229-8289 E-mail: monteirojuniorms@gmail.com

INDIVIDUAL CONTRIBUTIONS

Daniel Ferreira Fagundes – Wrote the article and analyzed data.

Marcos Túlio Costa – Wrote the article and extracted data from included studies.

Bárbara Bispo da Silva Alves – Extracted data from studies.

Maria Madalena Soares Benício – Screened studies.

Lanna Pinheiro Vieira – Screened studies.

Lara S. F. Carneiro – Analysed data and revised the article.

Osvaldo José Moreira Nascimento – Revised the article.

Renato Sobral Monteiro-Junior – Analysed data and revised the article.

CONFLICT OF INTERESTS

There is no conflict of interest.

Author, Year	Reporting	External validity	Bias	Confoundin	Score
Xu¹⁷17. Xu S, Jin X, Liu C, Jin Y, Xu Y, Chen L, et al. Investigating the prevalence of dementia and its associated risk factors in a chinese nursing home. J Clin Neurol. 2017;13(1):10-4., 2017	6	2	3	4	15
Helvik¹³13. Helvik AS, Engedal K, Benth J, Selbæk G. Prevalence and severity of dementia in nursing home residents. Dement Geriatr Cogn Disord. 2015;40(3-4):166-77., 2015	7	2	3	3	15
Helvik¹³13. Helvik AS, Engedal K, Benth J, Selbæk G. Prevalence and severity of dementia in nursing home residents. Dement Geriatr Cogn Disord. 2015;40(3-4):166-77., 2015	7	2	3	3	15
Ouanes¹⁸18. Ouanes S, Fekih-Romdhane F, Melki W. Prevalence and management of dementia in nursing home residents in Tunisia. Int J Geriatr Psychiatry. 2014;29(8):877-9., 2014	6	2	3	4	15
Zwakhalen¹⁹19. Zwakhalen SM, Koopmans RT, Geels PJ, Berger MP, Hamers JP. The prevalence of pain in nursing home residents with dementia measured using an observational pain scale. Eur J Pain. 2009;13(1):89-93., 2009	4	2	3	3	12
Jakob²⁰20. Jakob A, Busse A, Riedel-Heller SG, Pavlicek M, Angermeyer MC. [Prevalence and incidence of dementia among nursing home residents and residents in homes for the aged in comparison to private homes]. Z Gerontol Geriatr. 2002;35(5):474-81., 2002	9	0	3	2	14
Burton²¹21. Burton LC, German PS, Gruber-Baldini AL, Hebel JR, Zimmerman S, Magaziner J. Medical care for nursing home residents: differences by dementia status. Epidemiology of dementia in nursing homes research group. J Am Geriatr Soc. 2001;49(2):142-7., 2001	9	2	3	2	16
Adolfsson²²22. Adolfsson R, Gottfries CG, Nyström L, Winblad B. Prevalence of dementia disorders in institutionalized Swedish old people. The work load imposed by caring for these patients. Acta Psychiatr Scand. 1981;63(3):225-44., 1981	7	1	2	1	11
Auer²³23. Auer SR, Höfler M, Linsmayer E, Beránková A, Prieschl D, Ratajczak P, et al. Cross-sectional study of prevalence of dementia, behavioural symptoms, mobility, pain and other health parameters in nursing homes in Austria and the Czech Republic: results from the DEMDATA project. BMC Geriatr. 2018;18(1):178., 2018	9	2	2	4	17
Hutsteiner²⁴24. Hutsteiner P, Galler S, Mendoza MC, Klunemann HH. Prevalence of dementia in a rural nursing home population in Southern Germany. Eur J Psychiatry. 2013;27(3):174-84.,2013	7	2	3	2	14
Reuther²⁵25. Reuther S, van Nie N, Meijers J, Halfens R, Bartholomeyczik S. [Malnutrition and dementia in the elderly in German nursing homes. Results of a prevalence survey from the years 2008 and 2009]. Z Gerontol Geriatr. 2013;46(3):260-7., 2013	8	2	2	3	15
Guo²⁶26. Guo MX, Gao L, Zhang GH, Li YM, Xu SS, Wang Z, et al. Prevalence of dementia and mild cognitive impairment in the elderly living in nursing and veteran care homes in Xi’an, China. J Neurol Sci. 2012;312(1-2):39-44., 2012	6	2	3	2	13
Amuk²⁷27. Amuk T, Oguzhanoglu NK, Oguzhanoglu A, Varma GS, Karadag F. Prevalence of dementia, related risk factors and psychiatric comorbidity in nursing home residents. Anadolu Psikiyatri Dergisi. 2009;10(4):301-9., 2009	7	2	3	1	13
Wancata²⁸28. Wancata J, Benda N, Meise U. Non-cognitive symptoms of dementia – Prevalence and consequences a general hospital and nursing home study. Psychiatrische Praxis. 2004;31(7):346-51., 2004	7	2	3	3	15
Alvarado-Esquivel²⁹29. Alvarado-Esquivel C, Hernández-Alvarado AB, Tapia-Rodríguez RO, Guerrero-Iturbe A, Rodríguez-Corral K, Martínez SE. Prevalence of dementia and Alzheimer’s disease in elders of nursing homes and a senior center of Durango City, Mexico. BMC Psychiatry. 2004;4:3., 2004	7	2	2	1	12
Donnelly³⁰30. Donnelly CM, Compton SA, Devaney N, Kirk S, McGuigan M. The elderly in long-term care .1. prevalence of dementia and levels of dependency. Int J Geriatr Psychiatry. 1989;4(5):299-304., 1989	7	2	3	3	15
Gutiérrez Rodríguez³¹31. Gutiérrez Rodríguez J, Jiménez Muela F, Alonso Collada A, de Santa María Benedet LS. [Prevalence and therapeutic management of dementia in nursing homes in Asturias (Spain)]. Rev Esp Geriatr Gerontol. 2009;44(1):31-3., 2009	7	2	3	2	14
Dehlin³²32. Dehlin O, Franzén M. Prevalence of dementia syndromes in persons living in homes for the elderly and in nursing homes in southern Sweden. Scand J Prim Health Care. 1985;3(4):215-22.,1985	7	2	3	1	13
van Kooten³³33. van Kooten J, Smalbrugge M, van der Wouden JC, Stek ML, Hertogh C. Prevalence of pain in nursing home residents: the role of dementia stage and dementia subtypes. J Am Med Dir Assoc. 2017;18(6):522-7., 2017	5	2	3	3	13
van de Rijt³⁴34. van de Rijt LJ, Feast AR, Vickerstaff V, Lobbezoo F, Sampson EL. Prevalence and associations of orofacial pain and oral health factors in nursing home residents with and without dementia. Age Ageing. 2020;49(3):418-24., 2020	7	2	3	2	14

Author, Year	Country	N	Dementia (n)	Prevalence (%)
Xu¹⁷17. Xu S, Jin X, Liu C, Jin Y, Xu Y, Chen L, et al. Investigating the prevalence of dementia and its associated risk factors in a chinese nursing home. J Clin Neurol. 2017;13(1):10-4., 2017	China	943	420	45
Helvik¹³13. Helvik AS, Engedal K, Benth J, Selbæk G. Prevalence and severity of dementia in nursing home residents. Dement Geriatr Cogn Disord. 2015;40(3-4):166-77., 2015	Norway	1163	932	80
Helvik¹³13. Helvik AS, Engedal K, Benth J, Selbæk G. Prevalence and severity of dementia in nursing home residents. Dement Geriatr Cogn Disord. 2015;40(3-4):166-77., 2015	Norway	1858	538	84
Ouanes¹⁸18. Ouanes S, Fekih-Romdhane F, Melki W. Prevalence and management of dementia in nursing home residents in Tunisia. Int J Geriatr Psychiatry. 2014;29(8):877-9., 2014	Tunisia	77	45	58
Zwakhalen¹⁹19. Zwakhalen SM, Koopmans RT, Geels PJ, Berger MP, Hamers JP. The prevalence of pain in nursing home residents with dementia measured using an observational pain scale. Eur J Pain. 2009;13(1):89-93., 2009	Netherlands	179	117	65
Jakob²⁰20. Jakob A, Busse A, Riedel-Heller SG, Pavlicek M, Angermeyer MC. [Prevalence and incidence of dementia among nursing home residents and residents in homes for the aged in comparison to private homes]. Z Gerontol Geriatr. 2002;35(5):474-81., 2002	Germany	185	89	48
Burton²¹21. Burton LC, German PS, Gruber-Baldini AL, Hebel JR, Zimmerman S, Magaziner J. Medical care for nursing home residents: differences by dementia status. Epidemiology of dementia in nursing homes research group. J Am Geriatr Soc. 2001;49(2):142-7., 2001	USA	2153	1063	49
Adolfsson²²22. Adolfsson R, Gottfries CG, Nyström L, Winblad B. Prevalence of dementia disorders in institutionalized Swedish old people. The work load imposed by caring for these patients. Acta Psychiatr Scand. 1981;63(3):225-44., 1981	Sweden	780	439	56
Auer²³23. Auer SR, Höfler M, Linsmayer E, Beránková A, Prieschl D, Ratajczak P, et al. Cross-sectional study of prevalence of dementia, behavioural symptoms, mobility, pain and other health parameters in nursing homes in Austria and the Czech Republic: results from the DEMDATA project. BMC Geriatr. 2018;18(1):178., 2018	Austria and Czech Republic	965	528	54
Hutsteiner²⁴24. Hutsteiner P, Galler S, Mendoza MC, Klunemann HH. Prevalence of dementia in a rural nursing home population in Southern Germany. Eur J Psychiatry. 2013;27(3):174-84.,2013	Germany	3,928	1,892	48
Reuther²⁵25. Reuther S, van Nie N, Meijers J, Halfens R, Bartholomeyczik S. [Malnutrition and dementia in the elderly in German nursing homes. Results of a prevalence survey from the years 2008 and 2009]. Z Gerontol Geriatr. 2013;46(3):260-7., 2013	Germany	4,777	2,531	52
Guo²⁶26. Guo MX, Gao L, Zhang GH, Li YM, Xu SS, Wang Z, et al. Prevalence of dementia and mild cognitive impairment in the elderly living in nursing and veteran care homes in Xi’an, China. J Neurol Sci. 2012;312(1-2):39-44., 2012	China	264	97	36
Amuk²⁷27. Amuk T, Oguzhanoglu NK, Oguzhanoglu A, Varma GS, Karadag F. Prevalence of dementia, related risk factors and psychiatric comorbidity in nursing home residents. Anadolu Psikiyatri Dergisi. 2009;10(4):301-9., 2009	Turkey	141	88	62
Wancata²⁸28. Wancata J, Benda N, Meise U. Non-cognitive symptoms of dementia – Prevalence and consequences a general hospital and nursing home study. Psychiatrische Praxis. 2004;31(7):346-51., 2004	Austria	249	159	63
Alvarado-Esquivel²⁹29. Alvarado-Esquivel C, Hernández-Alvarado AB, Tapia-Rodríguez RO, Guerrero-Iturbe A, Rodríguez-Corral K, Martínez SE. Prevalence of dementia and Alzheimer’s disease in elders of nursing homes and a senior center of Durango City, Mexico. BMC Psychiatry. 2004;4:3.,2004	Mexico	155	25	11
Donnelly³⁰30. Donnelly CM, Compton SA, Devaney N, Kirk S, McGuigan M. The elderly in long-term care .1. prevalence of dementia and levels of dependency. Int J Geriatr Psychiatry. 1989;4(5):299-304., 1989	Ireland	429	213	49
Gutiérrez Rodríguez³¹31. Gutiérrez Rodríguez J, Jiménez Muela F, Alonso Collada A, de Santa María Benedet LS. [Prevalence and therapeutic management of dementia in nursing homes in Asturias (Spain)]. Rev Esp Geriatr Gerontol. 2009;44(1):31-3., 2009	Spain	215	74	34
Dehlin³²32. Dehlin O, Franzén M. Prevalence of dementia syndromes in persons living in homes for the elderly and in nursing homes in southern Sweden. Scand J Prim Health Care. 1985;3(4):215-22.,1985	Sweden	200	105	52
van Kooten³³33. van Kooten J, Smalbrugge M, van der Wouden JC, Stek ML, Hertogh C. Prevalence of pain in nursing home residents: the role of dementia stage and dementia subtypes. J Am Med Dir Assoc. 2017;18(6):522-7., 2017	Netherlands	200	168	84
van de Rijt³⁴34. van de Rijt LJ, Feast AR, Vickerstaff V, Lobbezoo F, Sampson EL. Prevalence and associations of orofacial pain and oral health factors in nursing home residents with and without dementia. Age Ageing. 2020;49(3):418-24., 2020	United Kingdom	151	107	70

[1] Address for correspondence: Renato Sobral Monteiro-Junior. Universidade Estadual de Montes Claros. Av. Doutor Rui Braga, s/n, Vila Mauricéia – 39401-089 – Montes Claros, MG, Brasil. Telefone +55 (38) 3229-8289 E-mail: monteirojuniorms@gmail.com

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Prevalência de demência em instituições de longa permanência: uma metanálise

RESUMO

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