Prevalence of Dementia Syndromes in Persons Living in Homes for the Elderly and in Nursing Homes in Southern Sweden

Dehlin, Ove; Franzen, Michael D.

doi:10.3109/02813438509013952

Cited by 26 publications

(14 citation statements)

References 16 publications

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“…There are some data available in Sweden on demen tia prevalence by different severity stages among the subjects, both for those living at home and those in institutions. Rorsman et al [10] reported data on severe forms of senile dementia only, and others [15][16][17] have stud ied the prevalence of the dementia in institu tionalized populations. In addition, there are studies on different degrees of cognitive im pairment [18][19][20] without defined medical diagnosis.…”

Section: Introductionmentioning

confidence: 99%

Severity of Dementia and Institutionalization in the Elderly: Prevalence Data from an Urban Area in Sweden

Fratiglioni

Forsell

et al. 1994

Neuroepidemiology

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This study investigated the severity of dementia in relation to disease type and sociodemographic variables. The dementia cases were detected with a two-phase study design in a population aged over 74 years in Stockholm. The prevalence of questionable, mild, moderate, and severe dementia was 1.0, 3.1, 5.5, and 2.3 per 100, respectively. Women aged over 84 had the highest prevalence of severe dementia. More severe cases and a higher institutionalization rate were present for vascular dementia than for Alzheimer''s disease. Fifty-five percent of the demented subjects but only 3% of the nondemented were institutionalized. The institutionalized demented subjects were affected mostly by moderate-severe dementia (88.6%), while the noninstitutionalized were affected more often by a questionable-mild form (68.3%).

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Section: Introductionmentioning

confidence: 99%

Severity of Dementia and Institutionalization in the Elderly: Prevalence Data from an Urban Area in Sweden

Fratiglioni

Forsell

et al. 1994

Neuroepidemiology

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“…The high percent age of patients with dementia in this study is in agreement with other reports. Dehlin and Franzen [9] showed that in nursing homes in the southern part of Sweden 33% of the patients were moderately and 36% severely demented. Sandman el al.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis of Dementia in Patients in Long-Term Somatic Care

Bråne¹,

Karlsson²,

Kihlgren³

1992

Dement Geriatr Cogn Disord

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A study was undertaken to investigate the frequency and accuracy of dementia diagnosis in two Swedish nursing homes. The diagnoses of 46 patients were registered from the medical records on the wards. Then the patients were reinvestigated and diagnosed according to DSM-III-R. Ratings were performed using two instruments, the Gottfries-Bråne-Steen scale (GBS scale) and the Mini-Mental State Examination (MMSE). The results of the psychiatric reinvestigation and the ratings showed that 45 of the 46 patients had dementia, while, according to the ward records, dementia was diagnosed in only 9 cases. The discrepancy was striking. The unawareness of dementia in the nursing homes was thus considerable and may have had implications for the planning and quality of the care. Education of the staff with regard to dementia must also be considered. The use of a rating scale for identification of dementia symptoms is suggested.

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“…In western countries, epidemiological and neuropathological studies have shown that most demented cases are of the degenerative type, with VD representing only a relatively small group [8][9][10][11][12][13][14][15][16][17][18][19]. In contrast, in Japan, VD accounted for the majority of all dementia cases in both epidemiological and neuropathological studies [1][2][3][4][5][6][7] in the early 1980s.…”

Section: Discussionmentioning

confidence: 99%

“…In Japan, VD was responsible for the majority of all dementia cases in both epidemiological [1][2][3][4][5] and neuropathological studies [6,7], whereas in western countries, SDAT has accounted for the majority of dementia cases [8][9][10][11][12][13][14][15][16][17][18][19]. Recently, in Japan, several epidemiological investigations have shown that the rate of VD has decreased and SDAT is now the major cause of dementia [3,4,20], though few neuropathological investigations show that the majority of dementia is SDAT.…”

Section: Introductionmentioning

confidence: 99%

A Neuropathological Study of Dementia in Nursing Homes over a 17-Year Period, in Shimane Prefecture, Japan

Seno¹,

Ishino²,

Inagaki³

et al. 1998

Gerontology

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Background: In Japan, vascular dementia (VD) has been responsible for the majority of all dementia cases in both epidemiological and neuropathological studies. Recently, however, several epidemiological investigations have shown that the rate of VD has decreased and senile dementia of the Alzheimer type (SDAT) is now the major cause of dementia, though few neuropathological investigations show that the majority of dementia is SDAT. Objective: The purpose of the study was to clarify the rates of dementia types in Japanese nursing home residents and to compare the ratio of SDAT to VD in the first and second halves of the study. Methods: One hundred and twenty-two demented nursing home residents (48 men and 74 women) were evaluated neuropathologically over a period of 17 years in Shimane prefecture, Japan. All subjects died between 1976 and 1992. The average age at death was 81.4 ± 9.4 years for men, 85.0 ± 7.2 for women and 83.6 ± 8.3 for total samples. Results: In classifying dementia type, SDAT accounted for 34% (41 cases); VD 35% (42); mixed dementia 11% (14); and ‘other’ dementia 20% (25) of all samples. Comparison of the first 9-year period with the second 8-year period revealed the ratio of SDAT to VD tended to increase (from 0.83 to 1.15). This increasing tendency was found both in men (from 0.53 to 0.7) and in women (from 1.13 to 1.44). These tendencies, however, were not statistically significant. Conclusion: There was no change statistically in the ratio of SDAT to VD between the first half of the study and the second half. However, there was an increasing tendency of the ratio in our study.

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Prevalence of Dementia Syndromes in Persons Living in Homes for the Elderly and in Nursing Homes in Southern Sweden

Cited by 26 publications

References 16 publications

Severity of Dementia and Institutionalization in the Elderly: Prevalence Data from an Urban Area in Sweden

Severity of Dementia and Institutionalization in the Elderly: Prevalence Data from an Urban Area in Sweden

Diagnosis of Dementia in Patients in Long-Term Somatic Care

A Neuropathological Study of Dementia in Nursing Homes over a 17-Year Period, in Shimane Prefecture, Japan

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