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Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: UNLABELLED, METHODS, RESULTS. Meshes: Activities of Daily Living, Age Factors, Aged, Aged, 80 and over, Brazil, Cognition, Cohort Studies, Dementia, Educational Status, Female, Humans, Male, Mental Status Schedule, Middle Aged, Neuropsychological Tests, Outpatients, Reference Values, Severity of Illness Index, Socioeconomic Factors, Surveys and Questionnaires.
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Is lower mortality rate in people with dementia associated with better cognitive and functional performance in an outpatient cohort? Context: We describe a three-year experience with patients with dementia. clinical, cognitive and functional evaluation was performed by a multidisciplinary team for persons above 60 years. Mortality was assessed after three years. Mini-Mental State Examination (MMSE) (n=2,074) was 15.7 (8.4). Male patients MMSE (n=758) was 15.6 (8.3) and female's (n=1315) was 15.8 (8.3). Instrumental Activities of Daily Living Scale (n=2023) was 16.5 (7.6); females (n=1277) was 16.9 (7.2) and males (n=745) was 15.7(8.2). From these patients, 12.6% (n=209) died within three years. Baseline cognition of patients still alive was higher (p<0.001) than MMSE of those who died [MMSE=16.3 (8.1) vs. 10.6 (7.6)]. Mortality rate decreased 6% (IR=0.94) for each additional point on MMSE. Higher functional status decreases the mortality rate approximately 11% (IR=0.89) independently of age, gender, and education.
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Three-year mortality rates are dependent on baseline functional and cognitive status. Final Decision: yes