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P2‐359: SUBJECTIVE PHYSICAL AND COGNITIVE AGE AMONG COMMUNITY‐DWELLING OLDER PEOPLE AGED 75 AND OLDER: DIFFERENCE WITH CHRONOLOGICAL AGE AND ITS ASSOCIATED FACTORS
Author(s) -
Ihira Hikaru,
Furuna Taketo,
Mizumoto Atsushi,
Makino Keitarou,
Makizako Hyuma,
Shimada Hiroyuki
Publication year - 2014
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2014.05.1039
Subject(s) - cognition , gerontology , feeling , psychology , quality of life (healthcare) , cognitive decline , medicine , dementia , psychiatry , social psychology , disease , pathology , psychotherapist
(Dementia: lifeand person-centered help in Mecklenburg-Western Pomerania) is an on-going GP-based randomizedcontrolled intervention trial to implement and evaluate an innovative concept of collaborative care management in Germany. N1⁄42,893 patients (age 70+, living at home) of N1⁄460 GP-practices were screened for dementia with the DemTect. N1⁄4484 patients (17%) were eligible for the DelpHi-trial (DemTect<9), of these n1⁄4290 patients (60%) agreed to participate in the study. The analysis was based on data of n1⁄4206 probands with complete baseline assessment at 1 st of September 2013 (preliminary data). Severity of cognitive impairment was assessed at baseline (Mini Mental State Examination). The medical diagnoses, including the exact dates of the initial diagnosis, were retrieved from the patient’s medical records of the treating GP (ICD-10 codes: F00, F01, F02, F03, G30, G31). Results: (1) Of N1⁄4206 probands screened positive for dementia n1⁄481 have been formally diagnosed prior to screening (39%). (2) In total n1⁄497 diagnoses were documented: 57% "unspecified dementia" (F03); 20% "vascular dementia" (F01); 19% "dementia in Alzheimer’s disease" (F00/G30). (3) Undiagnosed dementia was significantly associated with less cognitive impairment (OR1⁄41.08; p1⁄40.033) and depression (OR1⁄42.71; p1⁄40.043). (3) Of n1⁄4125 subjects without diagnosis prior to screening n1⁄449 probands (39%) received at least one formal diagnosis of dementia after the positive screening. Conclusions: The diagnosis rates of dementia in German primary care are well within the range of international data. Present results indicate that screening for dementia can increase diagnosis rates in primary care practices considerably.