During 2018 the Home Care Unit takes care of 882 patients, with need of nurses and physiotherapists. The aim of this study is to evaluate the functional and cognitive performances of our patient’s population.We evaluated the patients using: Barthel Index (BI), Mini Nutritional Assessment (MNA), Norton scale (NS), Clinical Dementia Rating Scale (CDR), pain evaluation with NRS or PAINAD.

Results: Male 398 (45.2%), female 484 (54.8%), main age 80.1, BI 40.9, MNA 6.9, NS 14.1. The main pathology are: skin ulcers 359 patients (40.8%), orthopedic disease 110 patients (12.5%), neurological disease 88 patients (10%), urinary disorders 53 patients (6%), neoplastic disease 45 patients (5.1%), cardiovascular disease 42 patients (4.8%). The male vs female have statistically significant higher BI (44.1 vs 38.3) e NS (14.3 vs 13.8) (t-test p<0.05).278 patients (31.5%) have pressure ulcers, 604 patients have no pressure ulcers. 194 patients (21.8%) have dementia with CDR>2, 688 patients are non-demented with CDR<2. 88 patients with dementia (45.4%) have pressure ulcers with chi-square statistically significant (P<0.05) if compared with non-demented patients (27.6%). Patients with dementia have lower BI (13.5 vs 48.6) and NS (10.7 vs 15.1) non statistically significant. 88 patients with dementia (45.4%) have dysphagia with chi-square statistically significant (P<0.05) if compared with non-demented patients (14.3%). No differences in pain evaluation or nutritional status.

Conclusions:The application of CDR permits to classify patients with dementia, who have a worse functional status with higher presence of pressure ulcers and dysphagia.