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CLINICAL PROFILE AND PATTERN OF DEMENTIA IN A GERIATRIC CENTRE
O O Elugbadebo1, T H Farombi2, O A Afolabi3
1Department of Psychiatry, College of Medicine, University of Ibadan, Nigeria.
Annals of Ibadan Postgraduate Medicine
|June 28, 2024
Summary
Dementia patients in low-income countries often have multiple health issues and seek treatment late. Understanding their profile is key for better dementia care and early detection.
Area of Science:
- Geriatric Medicine
- Neurology
- Public Health
Background:
- Dementia's clinical presentation knowledge is vital for care, particularly in Low- and Middle-Income Countries (LMICs).
- Dementia cases are rising sharply in LMICs, necessitating updated clinical insights.
- Early detection of dementia aids in identifying other underlying health conditions.
Purpose of the Study:
- To profile the socio-demographic and clinical characteristics of dementia patients in an LMIC setting.
- To analyze the diagnostic and treatment patterns for dementia in this population.
- To provide an updated understanding of dementia presentation in resource-limited environments.
Main Methods:
- Retrospective cohort study of 192 older adults diagnosed with dementia.
- Data collected from medical records at a Geriatric Centre's psychogeriatric and neurology clinics.
- Utilized a proforma for systematic information extraction from case records.
Main Results:
- Average participant age was 74.0 years; 97.9% lived with others.
- High comorbidity rates: 50.0% had at least one, with hypertension (64.1%) and diabetes (22.4%) being most common.
- Late presentation for treatment occurred in 52.6%; behavioral issues (55.2%) and forgetfulness (91.7%) were key symptoms.
Conclusions:
- A significant proportion of dementia patients present late with multiple comorbidities.
- Clinical awareness of dementia patterns in older adults is crucial for timely intervention.
- Findings underscore the need for tailored approaches to dementia care in LMICs.
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