Undiagnosed diseases in patients with dementia -: A potential target group for intervention

被引:41
作者
Löppönen, MK
Isoaho, RE
Räihä, IJ
Vahlberg, TJ
Loikase, SM
Takala, TI
Puolijoki, H
Irjala, KM
Kivelä, SL
机构
[1] Univ Turku, Dept Gen Practice, FI-20014 Turku, Finland
[2] Univ Turku, Dept Geriatr, Turku, Finland
[3] Univ Turku, Dept Biostat, Turku, Finland
[4] Turku Univ, Cent Hosp, Dept Clin Chem, Turku, Finland
[5] Univ Turku, Turku City Hosp, Turku, Finland
[6] Mehilainen Oyj, Turku, Finland
[7] Harkatie Hlth Ctr, Lieto, Finland
[8] Pori Hlth Ctr, Pori, Finland
[9] Satakunta Cent Hosp, Pori, Finland
[10] Seinajoki Cent Hosp, Seinajoki, Finland
[11] Turku Univ Hosp, Unit Family Med, FIN-20520 Turku, Finland
关键词
population-based study; comorbidity; undiagnosed diseases;
D O I
10.1159/000080126
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Objective: To study undiagnosed diseases in older people with and without dementia. Design: Cross-sectional population-based study in Lieto, southwestern Finland. Participants: All the inhabitants aged 64 and more in Lieto. Participation rate was 82% (n = 1,260). Measurements: Dementia and its subtypes were diagnosed according to prevailing criteria. Medical conditions were assessed in clinical examinations and from medical records. Results: 112 patients with dementia were found; 66% of them had at least 1 undiagnosed disease compared to 48% of the non-demented group (p = 0.041). The demented subjects had more undiagnosed hypercholesterolaemia (p = 0.039) and undiagnosed hypothyroidism (p = 0.032) than the controls. Conclusion: Undiagnosing is more common among patients with dementia. Screening strategies should be developed further to find these patients. Copyright (C) 2004 S. Karger AG, Basel.
引用
收藏
页码:321 / 329
页数:9
相关论文
共 48 条
[1]   Prevalence of coronary heart disease, associated manifestations and electrocardiographic findings in elderly Finns [J].
Ahto, M ;
Isoaho, R ;
Puolijoki, H ;
Laippala, P ;
Romo, M ;
Kivelä, SL .
AGE AND AGEING, 1998, 27 (06) :729-737
[2]  
*AM PSYCH ASS, 1997, DSM 4 DIAGN KRIT
[3]  
[Anonymous], 1982, MINNESOTA CODE RESTI
[4]   Prevalence of and association between silent myocardial ischemia and new coronary events in older men and women with and without cardiovascular disease [J].
Aronow, WS ;
Ahn, C ;
Mercando, AD ;
Epstein, S ;
Kronzon, I .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2002, 50 (06) :1075-1078
[5]   Vitamin B12 deficiency in the elderly [J].
Baik, HW ;
Russell, RM .
ANNUAL REVIEW OF NUTRITION, 1999, 19 :357-377
[6]   Risk of Alzheimer's disease among elderly patients with anemia: Population-based investigations in Olmsted County, Minnesota [J].
Beard, CM ;
Kokmen, E ;
OBrien, PC ;
Ania, BJ ;
Melton, LJ .
ANNALS OF EPIDEMIOLOGY, 1997, 7 (03) :219-224
[7]   Prevalence of thyroid disease, thyroid dysfunction and thyroid peroxidase antibodies in a large, unselected population.: The Health Study of Nord-Trondelag (HUNT) [J].
Bjoro, T ;
Holmen, J ;
Krüger, O ;
Midthjell, K ;
Hunstad, K ;
Schreiner, T ;
Sandnes, L ;
Brochmann, H .
EUROPEAN JOURNAL OF ENDOCRINOLOGY, 2000, 143 (05) :639-647
[8]   Low cognitive performance, comorbid disease, and task-specific disability: Findings from a nationally representative survey [J].
Blaum, CS ;
Ofstedal, MB ;
Liang, J .
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 2002, 57 (08) :M523-M531
[9]   Prevalence of undiagnosed pernicious anemia in the elderly [J].
Carmel, R .
ARCHIVES OF INTERNAL MEDICINE, 1996, 156 (10) :1097-1100
[10]   Alzheimer disease as a vascular disorder - Nosological evidence [J].
de la Torre, JC .
STROKE, 2002, 33 (04) :1152-1162