Prevalence, Resource Utilization and Costs of Vascular Dementia Compared to Alzheimer’s Dementia in a Population Setting

Dementia and Geriatric Cognitive Disorders - Tập 19 Số 5-6 - Trang 305-315 - 2005
Antoni Sicras1, Javier Rejas2, S. Arco3, E. Flores4, G. Ortega5, Adolfo Jarne Esparcia5, A. Suárez3, M.J. Gordillo4
1Badalona Serveis Assistencials SL, Badalona, Barcelona,
2Health Outcomes Research, Medical Unit, Pfizer SA, Alcobendas, Madrid,
3Primary Care Health Center Apenins-Montigalà, Badalona, Barcelona,
4Primary Care Health Center Morera-Pomar, Badalona, Barcelona, and
5Primary Care Health Center Tiana-Montgat, Montgat, Barcelona, Spain

Tóm tắt

<i>Objectives:</i> To determine the prevalence of dementia and to measure the monetary impact and health resources utilization of vascular dementia (VD) compared to Alzheimer’s dementia (AD) in persons aged over 64 years in a population setting. <i>Methods:</i> Retrospective, cross-sectional study. In the initial phase, information was obtained on specific clinical characteristics from the subjects with an active diagnosis of dementia. The second phase consisted of a clinical evaluation and validation of the cases. Mini-Mental State Examination was used to assess cognitive impairment. Dementia and its subtypes were determined using established diagnostic criteria. Information was obtained on the use of health care resources (direct costs) and the number of hours devoted by the primary caregiver (indirect costs) for patients with a documented diagnosis of AD or VD within the last 6 months prior to the interview. A multiple logistic regression analysis was performed to correct the model. <i>Results:</i> A total of 6,004 subjects were analyzed, 258 with diagnosis of dementia (overall prevalence: 4.3%). An evaluation was made of 224 patients, and gross prevalence of AD and VD was 2.4 and 1.0%, respectively. Cost per patient per semester was EUR 8,086 for AD and EUR 11,039 for VD (p = 0.016). 85.5% of the cost was attributable to primary caregiver time in AD and 84.4% in VD. <i>Conclusions:</i> The prevalence of AD and VD increases with age. No sociodemographic differences were seen between AD and VD. Costs associated with health care resource and primary caregiver utilization were high, being higher in VD than in AD.

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Thông tin xuất bản

Dementia and Geriatric Cognitive Disorders

Tập 19 Số 5-6

305-315

Thông tin tác giả