Levels of functional disability in elderly people in Tanzania with dementia, stroke and Parkinson’s disease

Kisoli, Aloyce; Gray, William K.; Dotchin, Catherine; Orega, Golda; Dewhurst, Felicity; Paddick, Stella-Maria; Longdon, Anna R.; Chaote, Paul; Dewhurst, Matthew; Walker, Richard

doi:10.1017/neu.2015.9

Cited by 22 publications

(16 citation statements)

References 31 publications

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“…As populations age, dementia is becoming increasingly common and is associated with high levels of disability (Prince et al, 2011a;Dotchin et al, 2015;Kisoli et al, 2015). Despite the growing body of epidemiological data, diagnosis of dementia in many parts of SSA can be difficult because of a shortage of specialist physicians (Bower and Zenebe, 2005;Dotchin et al, 2013) and a lack of appropriate screening tools.…”

Section: Introductionmentioning

confidence: 99%

Community validation of the IDEA study cognitive screen in rural Tanzania

Gray

Paddick

Collingwood

et al. 2016

Int J Geriatr Psychiatry

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Section: Introductionmentioning

confidence: 99%

Community validation of the IDEA study cognitive screen in rural Tanzania

Gray

Paddick

Collingwood

et al. 2016

Int J Geriatr Psychiatry

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“…In regression modelling, initial post-stroke disability appears to be a more important predictor of case-fatality at 7 years than age and gender. The high prevalence of functional disability in stroke survivors living in Tanzania has been noted previously (19).…”

Section: Discussionmentioning

confidence: 80%

“…To simplify the model interpretation, for the purposes of the Cox regression model, age at stroke data were used untransformed and uncategorized and Barthel index scores were dichotomized into severe disability (score 0-14) and no, moderate or mild disability (score [15][16][17][18][19][20].…”

Section: Methodsmentioning

confidence: 99%

Case‐fatality and disability in the Tanzanian Stroke Incidence Project cohort

et al. 2015

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ObjectivesThe burden of stroke on healthcare services in sub‐Saharan Africa (SSA) is increasing. However, long‐term outcomes from stroke in SSA are not well described. We aimed to investigate case‐fatality and health outcomes for stroke survivors at 7‐ to 10‐year follow‐up.Materials and methodsThe Tanzanian Stroke Incidence Project (TSIP) recruited incidence stroke cases between 2003 and 2006. We followed up cases in 2013, recording date of death in those who had died.ResultsOf 130 stroke cases included in this study, case‐fatality and date of death data were available for 124 at 7–10 years post‐stroke. Of these, 102 (82.3%) had died by 7 years post‐stroke. Functional disability, as measured by the Barthel index immediately post‐stroke, was a significant predictor of case‐fatality at seven‐year follow‐up with those with severe disability having an almost four‐fold increase in the odds of death compared with those with no, mild or moderate disability.ConclusionsCase‐fatality rates are higher than reported in high‐income countries, with post‐stroke disability a significant predictor of death. Sustainable interventions to reduce post‐stroke disability in this setting should be investigated.

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“…Kisoli et al 27 assessed disability among an elderly population with various neurological diseases using the Barthel Index and found that 63% of CVA survivors were dependent for basic activities of daily living. It can be seen that there is a large discrepancy in the prevalence of disability and many factors can influence such rates, such as the sample location, age of participants, the recurrence of CVAs, the time of evaluation and the type of instrument applied.…”

Section: Discussionmentioning

confidence: 99%

Functional disability and associated factors in elderly stroke survivors in Vitória, Brazil

Carmo

Morelato

2016

Rev. bras. geriatr. gerontol.

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Objective: The aim of the present study was to estimate the prevalence of disability and associated factors in elderly stroke survivors. Methods: A cross-sectional study of 230 elderly persons was conducted in the 22 territories of the Estratégia de Saúde da Família (the Family Health Strategy) of Vitória, in the state of Espirito Santo. Patients were assessed using the modified Rankin Scale. Poisson regression with robust variance in crude and adjusted analyses was employed. Results: The majority of subjects were men (52.1%) aged between 60 to 98 years, with a mean age of 75.8 (sd±9.2). The prevalence of disability was 66%. Age ≥80 years, self-perceived limitations in bodily function, considering the physical structure of the street to be a barrier to leaving home and believing street lighting to be insufficient were positively associated with functional disability. Possessing 12 or more years of schooling was inversely associated with the outcome. Conclusions: The high prevalence of disability and associated factors in elderly stroke survivors reinforce the need for a health system that operates continuously and proactively, promoting active aging.

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Levels of functional disability in elderly people in Tanzania with dementia, stroke and Parkinson’s disease

Abstract: Levels of disability from these conditions is high and is likely to increase with demographic ageing. Innovative, community-based strategies to reduce disability levels should be investigated.

Cited by 22 publications

References 31 publications

Community validation of the IDEA study cognitive screen in rural Tanzania

Community validation of the IDEA study cognitive screen in rural Tanzania

Case‐fatality and disability in the Tanzanian Stroke Incidence Project cohort

Functional disability and associated factors in elderly stroke survivors in Vitória, Brazil

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