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[Dementias in the primary care setting]

J Espinás1, E Caballé, C Blay

  • 1Area Básica de Salud de Sta. Eugènia de Berga, Barcelona.

Atencion Primaria
|May 15, 1997
PubMed
Summary
This summary is machine-generated.

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This study found that most dementia patients in a rural area live at home with family support. Primary care physicians often accurately diagnose dementia, with infection being a common cause of death.

Area of Science:

  • Gerontology
  • Epidemiology
  • Neurology

Context:

  • Study conducted in a rural health district.
  • Retrospective evaluation of medical records from 1995.
  • Focus on patients diagnosed with dementia.

Purpose:

  • To investigate epidemiological, demographic, social, family, and clinical characteristics of dementia patients.
  • To understand the prevalence and progression of dementia in a specific rural population.
  • To assess healthcare utilization and management of dementia patients.

Summary:

  • Prevalence of dementia in the over-65 population ranged from 1.29% to 5.19%.
  • 90.2% of patients lived at home, with 57% diagnosed with Alzheimer's disease and 40% in advanced stages.
  • Only 26% were referred to Neurology; 35% received no dementia medication; 45.6% were in home care programs.

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Impact:

  • Highlights the significant role of families and home care in managing dementia in rural settings.
  • Suggests primary care's capability in diagnosing dementia.
  • Identifies areas for improved dementia care, including medication and specialist referral.