Demencia no detectada y utilización de los servicios sanitarios: implicaciones para la atención primaria

Pastor, MV Zunzunegui; Ser, Teodoro del; Laso, Ángel Rodríguez; Yébenes, MJ García De; Domingo, J; Puime, Ángel Otero

doi:10.1157/13048142

Cited by 19 publications

(17 citation statements)

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“…Eight of the surveys reported prevalence counts for different illnesses in populations ranging from 516 to 3,600 individuals. While some studies focused on only one major entity, such as dementia (Toledo) or parkinsonism (Cantalejo), oth- The following 11 studies addressed dementia: Zaragoza, ZARADEMP [3,5]; Leganés [8]; Gerona, NEDICES/EPICAR-DIAN [2]; Alcoi/Bañeres; Pamplona [1]; El Prat de Llobregat; Toledo [9]; Santiago de Compostela and La Selva del Camp [10]. One study, ZARADEMP [5], was excluded from the review, since neither denominators nor age-and sex-specific data were available.…”

Section: Methodsmentioning

confidence: 99%

“…Explicit men- tion but sparse description of screening instruments was found in the Pamplona and Gerona parkinsonism surveys. Direct individual screening was most frequent [1, 2, 5, 7-12, 15], and a relative-informant was used in all studies when direct application was not possible due to death or absence, and in 3 studies [7,8,10] this was the primary systematic approach. Two surveys conducted complementary mail and telephone searches of potential cases [8,11,12].…”

Section: Methodsmentioning

confidence: 99%

“…As can be seen from table 3, the personnel responsible for phase II clinical diagnoses for dementia were psychiatrists [3] and, most frequently, neurologists [1,2,[8][9][10][11], who in certain instances supervised work initially done by psychologists and geriatricians [9]. For parkinsonism and stroke, diagnoses were always issued by board-certified clinical neurologists.…”

Section: Methodsmentioning

confidence: 99%

“…Data from populations resident in Pamplona, Gerona and Zaragoza [1][2][3] have been analyzed by EUROPARKINSON and EURODEM groups funded by the EU BIOMED research program and, at a national level, by the Elderly Neurological Disease Research Group (Grupo de Investigació n de Enfermedades Neuroló gicas en los Ancianos) [4][5][6]. Al- though such pioneering studies have furnished data of high quality, they currently constitute only a part of the reported Spanish surveys focusing on similar entities [7][8][9][10][11][12][13][14][15]. The aim of this study was to compare reported data on the prevalence of dementia, PD, ischemic stroke and the most important etiological subgroups such as Alzheimer's disease (AD) and vascular dementia (VD).…”

Section: Introductionmentioning

confidence: 99%

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Dementia, Stroke and Parkinson’s Disease in Spanish Populations: A Review of Door-to-Door Prevalence Surveys

et al. 2005

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We identified 14 door-to-door prevalence surveys on dementia, parkinsonism or stroke in Spanish populations fulfilling specific criteria and combined selected age- and sex-specific data using logistic regression and taking Pamplona as a reference. The prevalence of dementia and of Alzheimer’s disease varied significantly with space. However, the largest variation was seen for vascular dementia: odds ratio (OR) and 95% confidence interval (CI) for Gerona were 6.42 (3.23–12.3) in women and 2.30 (1.10–4.79) in men. Stroke was particularly frequent among Arevalo’s women, with OR 2.10 and 95% CI 1.26–3.49. The prevalence of Parkinson’s disease was twofold higher in Cantalejo. Although differences in methodology make the interpretation of results problematic, the prevalence of stroke and vascular dementia in Spain seems to vary spatially, indicating a space for prevention.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Dementia, Stroke and Parkinson’s Disease in Spanish Populations: A Review of Door-to-Door Prevalence Surveys

et al. 2005

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“…Debido a que la mayoría de estos casos son atendidos en primer lugar por los servicios de atención primaria, se hace primordial contar con instrumentos de cribado breves que permitan identificar adecuadamente a los adultos mayores con síntomas de demencia y que puedan ser integrados con normalidad en la práctica clínica del médico generalista (Bermejo-Pareja et al, 2009;Gifford y Cummings, 1999;Sarasola, Calcagno, Sabe, Caballero y Manes, 2004;Zunzunegui Pastor et al, 2003).…”

Section: Introductionunclassified

Análisis del test neuropsicológico Addenbrooke’s Cognitive Examination mediante el Modelo de Rasch

Junco

Prieto

2014

RevPsicología

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El Addenbrooke's Cognitive Examination (ACE) es un test cognitivo breve diseñado para detectar y diferenciar entre demencia tipo Alzheimer y demencia frontotemporal, recientemente validado en España. En el presente estudio se evaluaron las propiedades psicométricas de la versión española del ACE mediante el modelo de Rasch y se comparó la eficacia discriminativa de esta prueba con el Mini-Mental State Examination (MMSE). La prueba se aplicó a un grupo de 103 participantes, 53 de los cuales tenían establecido un diagnóstico de demencia. Los resultados indican que, en general, el ACE posee adecuadas propiedades psicométricas en cuanto ajuste y precisión de las medidas, aunque el rendimiento en la prueba se ve influido por algunas características sociodemográficas de los participantes (sexo y nivel de escolarización). Más aún, en comparación con el MMSE, los ítems del ACE permiten identificar un conjunto más amplio de síntomas de deterioro cognitivo y presenta mayor poder de discriminación. En conclusión, la versión española del ACE parece ser una herramienta adecuada para el diagnóstico de demencia, aunque son necesarias más investigaciones para seguir profundizando en sus características psicométricas.

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¿Puede diagnosticarse la demencia en la Atención Primaria?

Olazarán

2011

Atención Primaria

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Despite the personal and social value of an early diagnosis, more than 50% of dementias remain undetected. The author shares the view that primary care is an adequate setting for both the detection and diagnosis of dementia. This diagnosis is conducted through clinical interview, physical examination and mental status examination. Once confusional and focal neurobehavioral syndromes have been ruled out, it is useful to differentiate between subjective cognitive complaints, mild cognitive impairment (MCI) and dementia. The target syndrome should be MCI, since more than 50% of these patients develop dementia. In both MCI and dementia an objective and persistent cognitive impairment is detected that, in case of dementia, precludes some of the usual activities. Along with diagnosis, a global plan of care ought to be outlined. This plan should contemplate the prevention of accidents, the management of behavioural and psychological symptoms, the specific pharmacological treatment and caregiver support.

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Demencia no detectada y utilización de los servicios sanitarios: implicaciones para la atención primaria

Cited by 19 publications

References 0 publications

Dementia, Stroke and Parkinson’s Disease in Spanish Populations: A Review of Door-to-Door Prevalence Surveys

Dementia, Stroke and Parkinson’s Disease in Spanish Populations: A Review of Door-to-Door Prevalence Surveys

Análisis del test neuropsicológico Addenbrooke’s Cognitive Examination mediante el Modelo de Rasch

¿Puede diagnosticarse la demencia en la Atención Primaria?

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