痴呆症诊断在安全网卫生系统中的流行率
Elizabeth Joe1,2, Soo Borson3, John Ringman1,2
1Department of Neurology, Keck School of Medicine of USC, Los Angeles, California, USA.
概括
在安全网卫生系统中,被诊断患有痴呆症的患病率低于预期,这表明潜在的诊断不足或编码不足. 这突显了对弱势老年人痴呆症护理的关键差距.
科学领域:
- 老年病的医生 老年病的医生
- 公共卫生 公共卫生
- 神经学 神经学
背景情况:
- 来自弱势背景的老年人经常使用安全网健康系统.
- 这些人群可能面临更高的痴呆风险.
- 在安全网设置中,关于痴呆症护理的数据有限.
研究的目的:
- 评估在一个大型安全网卫生系统中诊断出痴呆症的流行率.
- 确定与被诊断为痴呆症相关的人口和临床因素.
- 为了将这种环境中的痴呆症患病率与国家估计进行比较.
主要方法:
- 使用了国际疾病分类第十版 (ICD-10) 痴呆症分类代码.
- 分析了2019年有147,689名老年人的电子健康记录数据.
- 根据年龄队列,性别和种族/民族计算的流行率.
主要成果:
- 在50-64岁的成年人中,确诊痴呆的患病率为0.3%,在65岁及以上的成年人中为3.0%.
- 被诊断为痴呆症的个体年龄较大,不太可能说英语,并有更多的并发症.
- 这些流行率低于基于国家数据的预期.
结论:
- 该研究发现,在安全网环境下,确诊痴呆症的患病率明显低于预期.
- 这种差异可能表明痴呆症的诊断不足或编码不完整.
- 解决这些差距对于改善服务不足人群的痴呆症护理至关重要.
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