公共卫生 公共卫生
Tamara J LeCaire1, Jennifer Landeta-Vidal1, Uriel Paniagua2
1Wisconsin Alzheimer's Institute, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
威斯康星阿尔茨海默氏症研究所痴呆症诊断诊所网络 (DDCN) 的初级保健诊所看到更多患有可逆性认知衰退原因的患者. 加强初级保健诊断实践可以减少转诊和等待痴呆症护理的时间.
科学领域:
- 老年病学和老年学.
- 神经学 神经学
- 主要护理医学 医疗保健
- 认知神经学 认知神经学
背景情况:
- 威斯康星阿尔茨海默氏症研究所痴呆症诊断诊所网络 (DDCN) 包括初级和专科护理机构的跨学科记忆诊所.
- 大多数患者由初级保健医生 (PCP) 转诊,因此需要了解阿尔茨海默氏症和相关痴呆症 (ADRD) 的初级保健诊断需求.
研究的目的:
- 为了比较医疗查和疑似病因在DDCN内基于初级保健和基于专业保健的记忆诊所之间的DDCN.
- 确定对初级保健小组的支持需求,这些小组负责管理被转诊ADRD患者进行ADRD评估.
主要方法:
- 从DDCN诊所 (2021-2024) 获得的非识别患者数据的横截面分析.
- 数据包括社会人口统计,查和PCP转介的患者的疑似诊断.
- 奇平方测试和多变量逻辑回归被用来比较诊断经验通过实践设置.
主要成果:
- 17家初级保健 (2605名患者) 和11家专科保健 (1309名患者) 诊所提交了数据.
- 观察到患者人口统计学,访问原因和设置之间疑似综合征的显著差异 (p=0.001).
- 初级保健诊所更频繁地发现没有认知障碍 (17.2% vs 12.2%),睡眠问题 (30.5% vs 20.5%) 和患有抑郁症或睡眠障碍的ADRD的患者.
结论:
- 基于初级保健的DDCN诊所遇到的患者比例更高,这些患者有潜在的可逆性认知衰退原因.
- 在初级保健中改善可逆性认知障碍的诊断和管理能力,可能会减少专家转诊和等待时间.
- 这些发现突出了提高ADRD和相关疾病的初级保健诊断实践的机会.
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