痴呆症老年人的慢性疾病的患病率和顺序:一个多省份,基于人口的队列研究
Susan E Bronskill1,2,3, Azmina Artani1, Laura C Maclagan1
1ICES, Toronto, Ontario, Canada.
概括
大多数患有痴呆症的人都有多种慢性疾病,通常在诊断前就存在. 了解这些并发症对于加拿大有效的医疗保健规划至关重要.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 伴随性慢性疾病在痴呆症患者中很普遍,影响了医疗服务的利用和结果.
- 关于这些伴随性疾病在痴呆症患者群体中的患病率和模式的数据有限.
研究的目的:
- 确定65岁及以上痴呆症加拿大人的大量队列中并发性慢性疾病的患病率.
- 为了比较加拿大各省的并发症模式.
主要方法:
- 利用了来自不列颠哥伦比亚省,安大略省,北克省和爱德华王子岛的链接行政数据.
- 确定了287,453名患有痴呆症的人群 (2015年4月至2020年3月).
- 应用加拿大慢性病监测系统的定义,用于确定病情.
主要成果:
- 社会人口统计特征在各省都是一致的.
- 患有痴呆症的人中有很大比例患有五种或以上的并发病 (38.8%-53.5%).
- 高血压,精神疾病和骨关节炎的患病率很高;许多疾病在痴呆症诊断之前.
结论:
- 伴随性慢性疾病在痴呆症患者中很常见,并且在痴呆症诊断之前在很大程度上存在.
- 在加拿大各省观察到一致的并发症模式.
- 省级卫生服务规划应应对这一群体的复杂需求.
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