Tai Shu-Yu, Huang Shu-Wan, Hsu Chia-Ling, Yang Chiu-Hsien, Chou Mei-Chuan, Yang Yuan-Han
Department of Family Medicine, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung City 80145, Taiwan ; Department of Family Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City 80708, Taiwan.
Department of Neurology, Kaohsiung Municipal Ta-Tung Hospital, Taiwan.
ScientificWorldJournal. 2014;2014:138786. doi: 10.1155/2014/138786. Epub 2014 Dec 8.
The targeted screening for individuals at the risks of having dementia would be crucial to the further public health issues for dementia. This study aimed to conduct a screening study in an outpatient department of a regional hospital to screen people who were at risk of developing comorbid dementia. Patients who visited Kaohsiung Municipal Ta-Tung Hospital (KMTTH) clinics during the period from June 1, 2013, to May 31, 2014, were invited to participate in this screening voluntarily. The trained interviewer collected all participants' demographic characteristics and used the instrument of ascertainment of dementia 8 (AD8) to find out suspected dementia ones. The result showed a higher ratio (24.1%) of suspected dementia in the outpatient department of a hospital, 500 out of 2017 subjects, than that in the general population. The median (interquartile range) age was significantly higher in the suspected dementia participants (70, (62, 77)) compared to that in nonsuspected dementia ones (65, (60, 73)), and the probability of suspected dementia was significantly increasing with age (P<0.001). Instead of screening dementia in general population, screening people at the risk of dementia could be the practicable and important issues in the care of dementia.
对有患痴呆症风险的个体进行针对性筛查对于痴呆症这一公共卫生问题的进一步解决至关重要。本研究旨在在一家地区医院的门诊部开展一项筛查研究，以筛查有患合并性痴呆症风险的人群。2013年6月1日至2014年5月31日期间前往高雄市大同医院（KMTTH）诊所就诊的患者被邀请自愿参与此次筛查。经过培训的访谈者收集了所有参与者的人口统计学特征，并使用痴呆症确诊工具8（AD8）来找出疑似痴呆症患者。结果显示，在一家医院的门诊部，2017名受试者中有500名（占比24.1%）疑似痴呆症患者，这一比例高于普通人群。疑似痴呆症参与者的年龄中位数（四分位间距）（70岁，（62岁，77岁））显著高于非疑似痴呆症参与者（65岁，（60岁，73岁）），且疑似痴呆症的概率随年龄显著增加（P<0.001）。在痴呆症护理中，筛查有痴呆症风险的人群而非在普通人群中筛查痴呆症可能是切实可行且重要的问题。
