Diagnosis and treatment of dementia in neurology outpatient departments of general hospitals in China

被引：58

作者：

Jia, Jianping ^{[1
,2
,3
,4
]}

Zuo, Xiumei ^{[2
,3
,4
]}

Jia, Xiang-Fei ^{[5
]}

Chu, Changbiao ^{[2
,3
,4
]}

Wu, Liyong ^{[2
,3
,4
]}

Zhou, Aihong ^{[2
,3
,4
]}

Wei, Cuibai ^{[2
,3
,4
]}

Tang, Yi ^{[2
,3
,4
]}

Li, Dan ^{[2
,3
,4
]}

Qin, Wei ^{[2
,3
,4
]}

Song, Haiqing ^{[2
,3
,4
]}

Ma, Qingfeng ^{[2
,3
,4
]}

Li, Junjie ^{[2
,3
,4
]}

Sun, Yongxin ^{[2
,3
,4
]}

Min, Baoquan ^{[2
,3
,4
]}

Xue, Sufang ^{[2
,3
,4
]}

Xu, Erhe ^{[2
,3
,4
]}

Yuan, Quan ^{[2
,3
,4
]}

Wang, Min ^{[2
,3
,4
]}

Huang, Xiaoqin ^{[2
,3
,4
]}

Fan, Chunqiu ^{[2
,3
,4
]}

Liu, Jianghong ^{[2
,3
,4
]}

Ren, Yi ^{[2
,3
,4
]}

Jia, Qian ^{[2
,3
,4
]}

Wang, Qi ^{[2
,3
,4
]}

Jiao, Lidong ^{[2
,3
,4
]}

Xing, Yi ^{[2
,3
,4
]}

Wu, Xiaoguang ^{[6
]}

机构：

[1] Capital Med Univ, Beijing Friendship Hosp, Dept Neurol, Beijing, Peoples R China

[2] Capital Med Univ, Xuan Wu Hosp, Dept Neurol, Beijing, Peoples R China

[3] Ctr Alzheimers Dis Beijing, Inst Brain Disorders, Beijing, Peoples R China

[4] Beijing Key Lab Geriatr Cognit Disorders, Beijing, Peoples R China

[5] Univ Otago, Dept Comp Sci, Dunedin, New Zealand

[6] Capital Med Univ, Xuan Wu Hosp, Ctr Evidence Based Med, Beijing, Peoples R China

来源：

ALZHEIMERS & DEMENTIA | 2016年 / 12卷 / 04期

基金：

中国国家自然科学基金;

关键词：

Dementia; Diagnosis and treatment; Hospital; Intervention; Memory clinic; INFORMANT QUESTIONNAIRE; SCREENING GUIDELINES; COGNITIVE DECLINE; ELDERLY IQCODE; WORK GROUP; CRITERIA; SCALE;

D O I：

10.1016/j.jalz.2015.06.1892

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Introduction: The status of dementia diagnosis and treatment of neurology outpatients in general hospitals in China remains unclear. Methods: From neurology outpatients at 36 randomly selected hospitals, we first collected baseline data concerning the number of dementia doctors, memory clinics, and patients diagnosed with dementia. In stage 2, we intervened based on drawbacks discovered in stage 1, implementing a dementia initiative program. In stage 3, we reinvestigated the outpatients to determine the effects of intervention. Results: After intervention, all 36 hospitals had established memory clinics (205 dementia doctors) compared with only 6 (47 dementia doctors) before intervention. The percentage of patients diagnosed with dementia significantly increased from 0.10% (536 dementia patients of 553,986 outpatients) in stage 1 to 0.41% (2482 dementia patients of 599,214 outpatients) in stage 3. Discussion: Proper diagnosis and treatment are unavailable to many dementia patients because of a lack of dementia doctors and memory clinics in China. (C) 2016 The Alzheimer's Association. Published by Elsevier Inc. All rights reserved.

引用

页码：446 / 453

页数：8

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