期刊
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY
卷 27, 期 11, 页码 1180-1188出版社
WILEY-BLACKWELL
DOI: 10.1002/gps.3765
关键词
memory complaints; memory disorders; dementia; family practice; epidemiology
资金
- General Practitioners' Foundation for Education and Development Grant [R56-A369-B186]
Objective Many older patients in general practice have subjective memory complaints (SMC); however, not all share this information with their general practitioner (GP). The association between SMC and future cognitive decline or dementia is not clear, especially in a general practice population. The aim of this study was to determine the risk for receiving a subsequent hospital-based dementia diagnosis on the basis of patients' reports of SMC in a primary care setting. Methods Prospective cohort survey with 4-year register-based follow-up in general practice. All 17 practices with a total of 24 GPs working in the inner district of Copenhagen municipality, Denmark. A total of 40?865 patients were listed, and 2934 were 65 years or older. Cox proportional hazard models were used to examine the influence of risk factors for hospital-based dementia diagnosis. Results A total of 758 non-nursing home residents aged 65?years and older consulted their GP in October and November 2002, and, when asked, 177 (24%) reported memory problems, and 50 (6.6%) received a hospital-based dementia diagnosis within the 4-years follow-up. SMC had an adjusted Hazard Ratio (HR) of 2.27 for subsequent dementia diagnosis. Other statistical significant covariates were Mini Mental State Examination?
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