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首页> 外文期刊>Annals of epidemiology >Alzheimer's disease or other dementia and medical care utilization.
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Alzheimer's disease or other dementia and medical care utilization.

机译：阿尔茨海默氏病或​​其他痴呆和医疗保健利用。

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PURPOSE: Recent findings on medical care utilization among people with Alzheimer's disease (AD) or other dementia (OD) are conflicting. A population-based case-control study was designed to determine if patients with clinically diagnosed AD or OD have different medical care utilization patterns before and after diagnosis compared to age-matched controls. METHODS: All community dwelling incident cases of AD (n = 240) or OD (n = 208) diagnosed between July 1, 1992 and June 30, 1997, and age-matched controls (n = 363) living in an enumerated population, were included. Medical care services, defined by Physicians' Current Procedural Terminology Codes, were assessed the year prior to diagnosis and up to five years after diagnosis of AD/OD. RESULTS: Prior to diagnosis, AD/OD cases had a significantly greater age-adjusted average number of medical services per year, 33 and 29, respectively, compared to 20 for controls (p = 0.0001 and p = 0.0002, respectively). These differences were significant after adjusting for age, gender, follow-back time, comorbidities, and insurance status. After diagnosis, AD/OD cases still had significantly greater age-adjusted average number of medical services per year (34 services and 37 services, respectively) compared to controls with 27 services (p = 0.0064 and p = 0.0006, respectively). After adjusting for confounding variables (particularly comorbid conditions), these differences were no longer significant. CONCLUSIONS: This research demonstrates that higher medical care utilization by patients with AD/OD after diagnosis is not due to dementia per se, but explained by their poorer physical health compared to controls. Greater utilization prior to diagnosis of AD/OD is most likely due to the search for a diagnosis for the person developing dementia.
机译：目的：关于阿尔茨海默氏病（AD）或其他痴呆症（OD）人群医疗保健利用的最新发现存在矛盾。设计了一项基于人群的病例对照研究，以确定与年龄匹配的对照相比，临床诊断为AD或OD的患者在诊断前后是否具有不同的医疗利用模式。方法：在1992年7月1日至1997年6月30日之间诊断出的所有AD（n = 240）或OD（n = 208）社区居住事件病例，以及年龄相同的对照组（n = 363）生活在一个计数的人群中。包括在内。根据医生当前的程序术语法定义的医疗服务，在诊断前一年和诊断为AD / OD后的五年内进行评估。结果：在诊断之前，AD / OD患者的年龄调整后的平均每年平均医疗服务数量分别为33和29，而对照组为20（分别为p = 0.0001和p = 0.0002）。在调整了年龄，性别，回诊时间，合并症和保险状况之后，这些差异具有显着性。诊断后，AD / OD患者的年龄调整后的平均每年医疗服务数量仍显着增加（分别为34个服务和37个服务），而对照组为27个服务（分别为p = 0.0064和p = 0.0006）。调整混杂变量（尤其是合并症）后，这些差异不再显着。结论：这项研究表明，AD / OD患者确诊后较高的医疗利用率不是由于痴呆症本身，而是由于他们的身体健康状况较对照者差。在诊断AD / OD之前，最有可能利用更多的资源，这是因为寻找了对痴呆症患者的诊断方法。

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