ABSTRACT
Objetivou investigar associaçoÌes entre o decliÌnio cognitivo de idosos longevos em contexto ambulatorial e variaÌveis sociodemograÌficas, desempenho funcional, doenças croÌnicas, nuÌmero de hospitalizaçoÌes e acesso aos serviços de sauÌde. Foram entrevistados idosos longevos (80 anos e mais) residentes no Distrito Federal, avaliados em contexto ambulatorial por questionaÌrios padronizados e pelo Miniexame do Estado Mental (MEEM). Nas anaÌlises bivariadas, o decliÌnio cognitivo esteve associado aÌ faixa etaÌria (85 anos e mais), possuir uma ou mais limitaçoÌes nas atividades baÌsicas de vida diaÌria (ABVD), residir em arranjos domiciliares bi e trigeracionais e ter maior nuÌmero de hospitalizaçoÌes no uÌltimo ano. No modelo logiÌstico muÌltiplo, permaneceram associados ao decliÌnio cognitivo em longevos as ABVD e as hospitalizaçoÌes no uÌltimo ano. Por tratar-se de uma populaçaÌo com maior demanda assistencial de sauÌde, torna-se necessaÌrio delinear medidas de prevençaÌo e a promoçaÌo de cuidados de longa duraçaÌo.
The aim was to investigate associations between the cognitive decline of very old adults in outpatient settings and sociodemographic variables, functional performance, chronic diseases, number of hospitalizations and access to health services. Very old adults (80 years and over) residing in the Federal District were interviewed, evaluated in an outpatient setting by means of standardized questionnaires and the Mini-Mental State Examination (MMSE). In bivariate analyzes, cognitive decline was associated with the age group (85 years and over), having one or more limitations in basic activities of daily living (BADL), living in bi and tri-generational household arrangements and having a higher number of hospitalizations in the prior year. In the multiple logistic model, BADL and hospitalizations in the prior year remained associated with cognitive decline in very old adults. As it is a population with a greater demand for health care, it is necessary to outline measures of preventive and promotion of long-term care.