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Dementia Diagnoses and Treatment in Geriatric Ward Patients: A Cross-Sectional Study in Poland
PURPOSE: The study aimed to determine the prevalence of dementia, its types, and treatment in geriatric ward patients. PATIENTS AND METHODS: A cross-sectional study of 406 patients (77.8% women, median age 82, IQR (77–86) years) who underwent a comprehensive geriatric assessment in one of the Polish...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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2020
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7671484/ https://www.ncbi.nlm.nih.gov/pubmed/33223824 http://dx.doi.org/10.2147/CIA.S281723 |
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author | Wojszel, Zyta Beata |
author_facet | Wojszel, Zyta Beata |
author_sort | Wojszel, Zyta Beata |
collection | PubMed |
description | PURPOSE: The study aimed to determine the prevalence of dementia, its types, and treatment in geriatric ward patients. PATIENTS AND METHODS: A cross-sectional study of 406 patients (77.8% women, median age 82, IQR (77–86) years) who underwent a comprehensive geriatric assessment in one of the Polish hospitals between September 2014 and April 2015 was conducted. RESULTS: Dementia was diagnosed in 132 (32.5%) patients (46% mixed dementia; 32% Alzheimer’s disease; 10%vascular dementia; 5% dementia in Parkinson’s disease; 4% frontotemporal; 3% atypical parkinsonism). A total of 95 (72%) dementia cases were not detected before, and in the above half of these patients, it was not mentioned in the referral document. Only 33.3% of dementia patients were on cognitive enhancers (donepezil, rivastigmine, or memantine); 36.4% received antipsychotics, 45.5% received anti-depressants, 25.8% received nootropics, and 16.7% received anxiolytics/hypnotics. DISCUSSION: The results confirmed the high incidence of underdiagnoses and undertreatment of dementia in patients admitted to the geriatric ward. It is partly due to the lack of systematic cognitive assessment in primary care settings, although other factors can play a role. |
format | Online Article Text |
id | pubmed-7671484 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-76714842020-11-20 Dementia Diagnoses and Treatment in Geriatric Ward Patients: A Cross-Sectional Study in Poland Wojszel, Zyta Beata Clin Interv Aging Original Research PURPOSE: The study aimed to determine the prevalence of dementia, its types, and treatment in geriatric ward patients. PATIENTS AND METHODS: A cross-sectional study of 406 patients (77.8% women, median age 82, IQR (77–86) years) who underwent a comprehensive geriatric assessment in one of the Polish hospitals between September 2014 and April 2015 was conducted. RESULTS: Dementia was diagnosed in 132 (32.5%) patients (46% mixed dementia; 32% Alzheimer’s disease; 10%vascular dementia; 5% dementia in Parkinson’s disease; 4% frontotemporal; 3% atypical parkinsonism). A total of 95 (72%) dementia cases were not detected before, and in the above half of these patients, it was not mentioned in the referral document. Only 33.3% of dementia patients were on cognitive enhancers (donepezil, rivastigmine, or memantine); 36.4% received antipsychotics, 45.5% received anti-depressants, 25.8% received nootropics, and 16.7% received anxiolytics/hypnotics. DISCUSSION: The results confirmed the high incidence of underdiagnoses and undertreatment of dementia in patients admitted to the geriatric ward. It is partly due to the lack of systematic cognitive assessment in primary care settings, although other factors can play a role. Dove 2020-11-13 /pmc/articles/PMC7671484/ /pubmed/33223824 http://dx.doi.org/10.2147/CIA.S281723 Text en © 2020 Wojszel. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Wojszel, Zyta Beata Dementia Diagnoses and Treatment in Geriatric Ward Patients: A Cross-Sectional Study in Poland |
title | Dementia Diagnoses and Treatment in Geriatric Ward Patients: A Cross-Sectional Study in Poland |
title_full | Dementia Diagnoses and Treatment in Geriatric Ward Patients: A Cross-Sectional Study in Poland |
title_fullStr | Dementia Diagnoses and Treatment in Geriatric Ward Patients: A Cross-Sectional Study in Poland |
title_full_unstemmed | Dementia Diagnoses and Treatment in Geriatric Ward Patients: A Cross-Sectional Study in Poland |
title_short | Dementia Diagnoses and Treatment in Geriatric Ward Patients: A Cross-Sectional Study in Poland |
title_sort | dementia diagnoses and treatment in geriatric ward patients: a cross-sectional study in poland |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7671484/ https://www.ncbi.nlm.nih.gov/pubmed/33223824 http://dx.doi.org/10.2147/CIA.S281723 |
work_keys_str_mv | AT wojszelzytabeata dementiadiagnosesandtreatmentingeriatricwardpatientsacrosssectionalstudyinpoland |