Comprehensive Geriatric Assessment and Its Clinical Correlates among Hospitalized Older Adults in the Brazilian Amazon: A Descriptive Cohort Study
Isabela Dourado de Carvalho, Laryssa Trindade, Laiane Moraes Dias, Adonias Brito dos Santos Júnior, Camila Miranda Pereira, Natália De Almeida Façanha, Rudival Faial De Moraes Júnior, Gabriela Ladeia da Silva, Yuri De Sousa Azevedo, Raissa Barbosa De Arêde, Daniel Oliveira Kato, Valdenira de Jesus Oliveira Kato, Ana Paula Sabado Feio, Jefferson Lazarini de Aquino, Paulo Lucas Paes Duarte, Matheus Moreira de Melo
International Neuropsychiatric Disease Journal · pp. 161–172 · Published 29 Oct 2025
10.9734/indj/2025/v22i5523Abstract
Aims: This study aimed to evaluate the functional, clinical, and cognitive profiles of hospitalized older adults in a general hospital in the Brazilian Amazon, contributing to understanding the relationship between frailty, cognitive decline, and functionality during hospitalization. Study Design: Prospective and analytical cohort study. Place and Duration of Study: Conducted at Hospital Jean Bitar, Belém, Pará, Brazil, from March to June 2023. Methodology: The study included 45 patients aged 65 years or older, assessed within 48 hours of admission using validated instruments such as the Clinical Frailty Scale (CFS), 10-Point Cognitive Screener (10-CS), Katz Index for Basic Activities of Daily Living (BADL), and Lawton Scale for Instrumental Activities of Daily Living (IADL). Statistical analyses were performed using BioEstat® 5.4, applying G and Chi-Square tests (α = 0.05). Results: The mean age was 76.3 years, with a slight predominance of females (51.1%, p = 0.8815). The most frequent admission diagnoses were gastrointestinal bleeding (24.4%) and consumptive syndrome (22.2%). A statistically significant association was found between sex and cognitive impairment (p = 0.0030; Cramer’s V = 0.42), with females showing a higher prevalence of probable cognitive impairment (73.9%). The 10-CS revealed a significant difference across cognitive categories (p = 0.0006; V = 0.51). The CFS demonstrated a significant association with mortality risk (p = 0.0282), where higher frailty scores correlated with greater mortality probability. Conclusion: Functional dependence and cognitive decline were prevalent among hospitalized older adults, particularly among females, with significant associations between frailty, cognition, and mortality. These findings reinforce the need for comprehensive geriatric assessments to guide care strategies and improve quality of life in this population.
Cited by 0
No indexed citations yet.
Related research
- Cognitive Recovery Outcome in a 12 Month Quasi-experimental Study Involving Sub-acute Stroke Survivors in Selected Hospitals in Nnewi, Anambra State, Nigeria — shares topic coverage
- Neuropsychiatric Systemic Lupus Erythematosus and Cognitive Impairment: A Complex Issue with a Dark Prognosis — shares topic coverage
- Effect of Curcumin on Blood Glucose Level and Some Neurobehavioral Responses in Alloxan-induced Diabetic Swiss Albino Mice — shares topic coverage
- Prevalence of Post-stroke Cognitive Impairment and Dementia in a Sudanese Cohort: A Single-center Retrospective Study — shares topic coverage
- Full Dental Care under General Anesthesia for a Patient with Epilepsy and Cerebral Palsy: Case Report — shares topic coverage
Article metrics
Real usage data collected on this platform.
0
Page views
0
PDF downloads
0
Outbound clicks
0
Citations
Views by country
Approximate, from request IP at view time — not citizenship or institution. Countries with fewer than 5 views are grouped as "Other".
No views recorded yet.
Traffic sources
Referring site, by host.
No traffic recorded yet.
Views and downloads exclude known bots/crawlers. Citations combines this platform's own DOI-resolved index with each external source's own reported total — see Cited by above for individually listed citing works. Last refreshed 0 seconds ago.