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Cognitive disorders in migrants: retrospective analysis in a Center for Cognitive Disorders and Dementia in Milan
I Cova1, F Del Tedesco2, L Maggiore3
1Center for Research and Treatment on Cognitive Dysfunctions, Neurology Unit, L. Sacco University Hospital, Via G.B. Grassi, 74, 20157, Milan, Italy. ilaria.cova@unimi.it.
Background:
The number of migrants with dementia in Italy might increase considerably over the coming years due to the increasing flow of immigration and the aging of the population.
Aims:
We retrospectively registered rate and characteristics of demented migrant outpatients referred to one hospital in Milan from 2001 to 2017.
Methods:
Information about country of origin of migrants attending general neurology and memory clinics was obtained from their Italian tax code. Socio-demographic, cultural, and clinical characteristics were derived from their medical records.
Results:
Migrants with cognitive decline represented a minimal fraction (3.1%) of demented outpatients, but a grow rate of 400% was registered within the period of observation. A linguistic barrier resulted as the main obstacle for the application of available diagnostic tools for dementia.
Discussion/Conclusion:
Given the above-reported data, the implementation of strategies (such as transcultural diagnostic instruments) and policies dedicated to this growing health problem appears a priority for our health systems.
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