Yeung Michael, MacFarland Katherine, Mlilo Vincent, Dean Nathan, Underwood Benjamin R
University of Cambridge.
North Middlesex University Hospital NHS Trust.
BJPsych Bull. 2021 Apr;45(2):81-86. doi: 10.1192/bjb.2020.89.
Currently, no separate service exists for patients with young-onset dementia in Cambridgeshire. These patients are managed together with late-onset dementia patients within old age psychiatry services. To inform service design, we sought to characterise young-onset dementia patients in our population. We first analysed service-level data and supplemented this with a detailed case review of 90 patients.
Young-onset dementia remains a relatively rare condition. Only a small proportion of those referred for assessment receive a diagnosis of dementia. Data collected on presenting complaints, comorbidities, medication and Health of the Nation Outcome Scales scores associated young-onset dementia with a greater incidence of depression than late-onset dementia. Outcomes in the two groups did not appear to differ.
The data presented here do not suggest a need to create a separate service. Practitioners should be aware of the increased incidence of depression observed in this group.
目前，剑桥郡没有为早发性痴呆患者提供单独的服务。这些患者与老年精神病学服务中的晚发性痴呆患者一起接受治疗。为了为服务设计提供依据，我们试图对我们人群中的早发性痴呆患者进行特征描述。我们首先分析了服务层面的数据，并通过对90名患者的详细病例回顾进行补充。
早发性痴呆仍然是一种相对罕见的疾病。只有一小部分接受评估的人被诊断为痴呆。收集到的关于主诉、合并症、用药情况以及国家健康结果量表评分的数据表明，早发性痴呆患者的抑郁症发病率高于晚发性痴呆患者。两组的结果似乎没有差异。
此处呈现的数据并不表明需要设立单独的服务。从业者应意识到该组中观察到的抑郁症发病率增加的情况。
