探索老年人记忆障碍的诊断策略:一项回顾性通用实践数据库研究
Iris Linden1, Marieke Perry2,3, Claire Wolfs1
1Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience (MHeNS), Alzheimer Centre Limburg, Maastricht University, Maastricht, The Netherlands.
International journal of geriatric psychiatry
|January 4, 2024
概括
大多数患有记忆问题的患者在初级保健中得到治疗. 一般的医生一般的医生
科学领域:
- 老年学是指老年学的学科.
- 神经学 神经学
- 初级医疗保健医学 一级医疗保健医学
背景情况:
- 一般医生 (GPs) 是老年人遇到记忆问题或对痴呆症的担忧的第一个联系点.
- 了解全科医生对初始记忆投诉的诊断策略对于及时和适当的患者管理至关重要.
研究的目的:
- 调查全科医生对出现新的记忆抱怨或痴呆症担忧的患者使用的诊断策略.
- 探索患者特征与在初级保健中选择的诊断途径之间的关系.
主要方法:
- 使用荷兰初级保健网络 (2012-2019) 电子患者记录进行的回顾性观察性研究.
- 诊断策略分为"等待和观察"",初级保健诊断测试"或"转诊".
- 分析患者的特征,包括年龄,性别,并发症,多药,咨询频率和对痴呆症的恐惧.
主要成果:
- 包括228名患者;大多数人在初级保健中接受护理 (56.1%的进一步诊断,14.9%的"等待").
- 28.9%的患者被转介到专家护理.
- 没有发现患者特征,对痴呆症的恐惧或咨询的原因和所采用的诊断策略之间存在显著的关联.
结论:
- 大多数初始记忆问题荷兰患者在初级保健中至少经过6个月的治疗.
- 在一般实践中,痴呆症诊断测试的决策过程似乎很复杂,受患者可观测特征的影响有限.
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