Psychic and physical comorbidity in the elderly: Incidence, life-time risk and implications of “subsyndromic” cases, and “negative” syndromes on mortality rates (Q3146648): Difference between revisions
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(Created claim: summary (P836): Objectives: In the context of the relevance of the topic of psycho-physical comorbidity (including "subsyndromic" psychopathological cases”; mild cognitive impairment, DCL; and psychopathological “negative” syndromes, hypotheses about their incidence and “life-time risk” in older patients (55+ years); and his worst prognosis in relation to isolated morbidities. Its association with mortality (including the “Population Attribution Risk”) and the...) |
(Changed label, description and/or aliases in fr: translated_label) |
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Comorbidité psychique et physique chez les personnes âgées: Incidence, risque de vie et implications des cas «subsyndromiques» et des syndromes «négatifs» sur les taux de mortalité |
Revision as of 15:31, 2 December 2021
Project Q3146648 in Spain
Language | Label | Description | Also known as |
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English | Psychic and physical comorbidity in the elderly: Incidence, life-time risk and implications of “subsyndromic” cases, and “negative” syndromes on mortality rates |
Project Q3146648 in Spain |
Statements
12,000.0 Euro
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24,000.0 Euro
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50.0 percent
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1 January 2017
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31 March 2020
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INSTITUTO DE INVESTIGACION SANITARIA ARAGON
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50297
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Objetivos: En el contexto de la relevancia del tema de la comorbilidad psico-física (incluyendo casos psicopatológicos ”subsindrómicos”; deterioro cognitivo leve, DCL; y síndromes psicopatológicos “negativos”), se someten a verificación hipótesis sobre su incidencia y “life-time risk” en los mayores (55+años); y su peor pronóstico en relación a morbilidades aisladas. Su asociación con mortalidad (incluyendo el “Population Attribution Risk”) y búsqueda de causas de mortalidad es tema central de la coordinación con los Subproyectos en muestras de población no-geriátrica. Metodología: Se utilizará la base de datos del Estudio ZARADEMP (cohorte poblacional, 4.803 mayores; 5 “olas” y 20 años de seguimiento; diseño de “dos-fases” en cada “ola” y tercera fase de diagnóstico hospitalario en los casos de demencia). Ahora se añade una búsqueda de causas de mortalidad en el Registro Civil. Evaluación de morbilidad psíquica con instrumentos validados (Geriatric Mental State; History and Aetiology Schedule; Mini Examen Cognoscitivo); Escalas de discapacidad (Katz ; Lawton y Brody). Criterios diagnósticos computerizados (GMS-AGECAT); de clasificaciones oficiales (DSM-IV; CIE-10; NINDS-ADRA). Evaluación de morbilidad somática según criterios EURODEM. Se han operativizado los criterios diagnósticos de comorbilidad psico-física; de “caso incidente”; y de DCL. Se seguirá un proceso especial de “homogeneización” de criterios entre los Subproyectos participantes. El análisis estadístico incluirá técnicas multivariadas y modelos especiales como el de supervivencia de Fine & Gray. (Spanish)
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Objectives: In the context of the relevance of the topic of psycho-physical comorbidity (including "subsyndromic" psychopathological cases”; mild cognitive impairment, DCL; and psychopathological “negative” syndromes, hypotheses about their incidence and “life-time risk” in older patients (55+ years); and his worst prognosis in relation to isolated morbidities. Its association with mortality (including the “Population Attribution Risk”) and the search for causes of mortality is central to coordination with subprojects in non-geriatric population samples. Methodology: The ZARADEMP Study database (population cohort, 4,803 older; 5 “waves” and 20 years of follow-up; design of “two phases” in each “wave” and third phase of hospital diagnosis in cases of dementia). A search for causes of mortality is now added in the Civil Registry. Evaluation of psychic morbidity with validated instruments (Geriatric Mental State; History and Aetiology Schedule; Mini Cognoscitive Examination); Disability scales (Katz; Lawton and Brody). Computerised diagnostic criteria (GMS-AGECAT); official classifications (DSM-IV; ICN-10; NINDS-ADRA). Assessment of somatic morbidity according to EURODEM criteria. Diagnostic criteria for psycho-physical comorbidity have been operated; ‘incident case’; and DCL. A special process of “homogenisation” of criteria will be followed among the participating sub-projects. The statistical analysis will include multivariate techniques and special models such as Fine & Gray survival. (English)
12 October 2021
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Zaragoza
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Identifiers
PI16_00896
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