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A Nationwide Survey of Dementia Prevalence in Long-Term Care Facilities in Taiwan

Background: As the average life expectancy of global citizens has increased, the prevalence of dementia has increased rapidly. The number of patients with dementia has increased by 6.7 times, reaching 300,000 in the past three decades in Taiwan. To realize the latest actual situation, the need for i...

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Autores principales: Kao, Yi-Hui, Hsu, Chih-Cheng, Yang, Yuan-Han
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8955493/
https://www.ncbi.nlm.nih.gov/pubmed/35329879
http://dx.doi.org/10.3390/jcm11061554
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author Kao, Yi-Hui
Hsu, Chih-Cheng
Yang, Yuan-Han
author_facet Kao, Yi-Hui
Hsu, Chih-Cheng
Yang, Yuan-Han
author_sort Kao, Yi-Hui
collection PubMed
description Background: As the average life expectancy of global citizens has increased, the prevalence of dementia has increased rapidly. The number of patients with dementia has increased by 6.7 times, reaching 300,000 in the past three decades in Taiwan. To realize the latest actual situation, the need for institutional care for elderly patients with dementia, and also a reference basis for government agencies to formulate dementia-related care policies, we investigated the institutional prevalence of dementia. Methods: We randomly sampled 299 out of the 1607 registered long-term care facilities including senior citizens’ institutions, nursing homes, and veteran homes in every administrative region of Taiwan. Then, a two-phase survey including MMSE screening, CDR, and clinical confirmation was conducted on each subject from 2019 to 2020. Results: Among 5753 enrolled subjects, 4765 from 266 facilities completed the examinations with a response rate of 82.8%. A total of 4150 subjects were diagnosed with dementia, 7.4% of whom had very mild dementia. The prevalence of all-cause dementia, including very mild dementia, was 87.1% in all facilities, 87.4% in senior citizens’ institutions, 87.1% in nursing homes, and 83.3% in veteran homes. Advanced age, low education, hypertension, Parkinsonism, respiratory disease, stroke, and intractable epilepsy were associated with dementia risk. Conclusions: We show that in an aged society, the prevalence of all-cause dementia in long-term care institutions can be as high as 87.1%. This study was completed before the outbreak of COVID-19 and provides a precious hallmark for future epidemiological research. We recommend that the long-term care policy in an aged society needs to take into account the increasing high prevalence of dementia in the institution.
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spelling pubmed-89554932022-03-26 A Nationwide Survey of Dementia Prevalence in Long-Term Care Facilities in Taiwan Kao, Yi-Hui Hsu, Chih-Cheng Yang, Yuan-Han J Clin Med Article Background: As the average life expectancy of global citizens has increased, the prevalence of dementia has increased rapidly. The number of patients with dementia has increased by 6.7 times, reaching 300,000 in the past three decades in Taiwan. To realize the latest actual situation, the need for institutional care for elderly patients with dementia, and also a reference basis for government agencies to formulate dementia-related care policies, we investigated the institutional prevalence of dementia. Methods: We randomly sampled 299 out of the 1607 registered long-term care facilities including senior citizens’ institutions, nursing homes, and veteran homes in every administrative region of Taiwan. Then, a two-phase survey including MMSE screening, CDR, and clinical confirmation was conducted on each subject from 2019 to 2020. Results: Among 5753 enrolled subjects, 4765 from 266 facilities completed the examinations with a response rate of 82.8%. A total of 4150 subjects were diagnosed with dementia, 7.4% of whom had very mild dementia. The prevalence of all-cause dementia, including very mild dementia, was 87.1% in all facilities, 87.4% in senior citizens’ institutions, 87.1% in nursing homes, and 83.3% in veteran homes. Advanced age, low education, hypertension, Parkinsonism, respiratory disease, stroke, and intractable epilepsy were associated with dementia risk. Conclusions: We show that in an aged society, the prevalence of all-cause dementia in long-term care institutions can be as high as 87.1%. This study was completed before the outbreak of COVID-19 and provides a precious hallmark for future epidemiological research. We recommend that the long-term care policy in an aged society needs to take into account the increasing high prevalence of dementia in the institution. MDPI 2022-03-11 /pmc/articles/PMC8955493/ /pubmed/35329879 http://dx.doi.org/10.3390/jcm11061554 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kao, Yi-Hui
Hsu, Chih-Cheng
Yang, Yuan-Han
A Nationwide Survey of Dementia Prevalence in Long-Term Care Facilities in Taiwan
title A Nationwide Survey of Dementia Prevalence in Long-Term Care Facilities in Taiwan
title_full A Nationwide Survey of Dementia Prevalence in Long-Term Care Facilities in Taiwan
title_fullStr A Nationwide Survey of Dementia Prevalence in Long-Term Care Facilities in Taiwan
title_full_unstemmed A Nationwide Survey of Dementia Prevalence in Long-Term Care Facilities in Taiwan
title_short A Nationwide Survey of Dementia Prevalence in Long-Term Care Facilities in Taiwan
title_sort nationwide survey of dementia prevalence in long-term care facilities in taiwan
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8955493/
https://www.ncbi.nlm.nih.gov/pubmed/35329879
http://dx.doi.org/10.3390/jcm11061554
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