使用模式和临床因素与早期痴呆症与勒维体的住院相关
Kathryn A Wyman-Chick1,2, Ella A B Chrenka2, Joseph P M Kane3
1Struthers Parkinson's Center, Golden Valley, Minnesota, USA.
International journal of geriatric psychiatry
|July 4, 2025
概括
与阿尔茨海默氏症 (AD),血管痴呆症 (VD) 和对照组相比,患有莱维体 (DLB) 痴呆症的患者住院和急诊室 (ED) 访问率显著更高. 预防跌倒和精神病治疗对于减少DLB住院治疗至关重要.
科学领域:
- 神经学 神经学
- 老年病的医生 老年病的医生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 勒维体痴呆症 (DLB) 是一种进展性神经退行性疾病.
- 了解医疗保健利用模式对于管理DLB患者护理至关重要.
- 早期的DLB在医疗保健资源分配方面提出了独特的挑战.
研究的目的:
- 描述早期痴呆症与勒维体 (DLB) 的住院和急诊室 (ED) 访问模式.
- 为了比较DLB患者与阿尔茨海默病 (AD),血管痴呆症 (VD) 和健康对照患者之间的医疗保健利用情况.
- 确定导致DLB住院的因素.
主要方法:
- 来自美国医疗保健系统的电子健康记录和索赔数据的分析.
- 包括被诊断患有DLB (n=175),AD (n=2478) 和VD (n=513) 的患者,诊断前/后长达3年.
- 与匹配的对照组 (n=525) 进行比较,使用通用线性模型来评估利用率和类型.
主要成果:
- 与AD和对照组相比,DLB患者的住院和ED访问率显著更高.
- DLB患者比VD患者有更多的ED访问.
- 与跌倒相关的住院病例在DLB患者中比AD和VD患者更有可能超过50%.
结论:
- 与AD,VD和对照组相比,患有DLB的患者使用ED服务的次数要大得多.
- 与AD和对照组相比,DLB患者更容易入院.
- 实施预防跌倒的策略和精神病学干预措施可以显著减少早期DLB的住院治疗.
更多相关视频
06:52Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
10.0K
04:13Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults
Published on: February 8, 2019
6.9K
相关概念视频
Dementia
173
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
The progression of dementia is generally gradual....
173
Alzheimer's Disease: Overview
675
Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
675
Parkinson's Disease: Overview
716
Neurodegenerative disorders are progressive diseases that cause irreversible damage and loss to neurons in specific brain areas. Examples of these disorders include Parkinson's disease, Alzheimer's disease, Multiple Sclerosis (MS), and Amyotrophic Lateral Sclerosis (ALS). These disorders share characteristics such as proteinopathies, selective neuronal vulnerability, and a complex interplay between genetic and environmental factors. The primary therapeutic goal for these conditions is...
716
Parkinson's Disease: Treatment
389
Neurodegenerative disorders, such as Parkinson's Disease (PD), involve the gradual and irreversible destruction of neurons in particular brain areas. These disorders exhibit standard features like proteinopathies, selective vulnerability of some neurons, and an interaction of intrinsic properties, genetics, and environmental influences in neural injury.
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of...
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of...
389
Alzheimer's Disease: Treatment
265
Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
265
