Abstract
| Language | English |
|---|---|
| Article number | 114 |
| Pages | 37 |
| Number of pages | 1 |
| Journal | Journal of Neurology, Neurosurgery and Psychiatry |
| Volume | 90 |
| Issue number | e7 |
| DOIs | |
| Publication status | Published - Jul 2019 |
| Event | Australian and New Zealand Association of Neurologists Annual Scientific Meeting 2019 - Melbourne, Australia Duration: 19 May 2019 → 22 May 2019 |
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Cognitive impairment in the community : a 16-month audit study of a neurology memory clinic in the inner Sydney region. / Rigney, Louise; Chen, Lily; Selby, Alexis; Patel, Tejas; Hwang, Yun T.; Mobbs, Anthony E. D.; Mobbs, Rowena E. A.
In: Journal of Neurology, Neurosurgery and Psychiatry, Vol. 90, No. e7, 114, 07.2019, p. 37.Research output: Contribution to journal › Meeting abstract › Research › peer-review
TY - JOUR
T1 - Cognitive impairment in the community
T2 - Journal of Neurology, Neurosurgery and Psychiatry
AU - Rigney, Louise
AU - Chen, Lily
AU - Selby, Alexis
AU - Patel, Tejas
AU - Hwang, Yun T.
AU - Mobbs, Anthony E. D.
AU - Mobbs, Rowena E. A.
PY - 2019/7
Y1 - 2019/7
N2 - Introduction Neurodegenerative disease is increasingly common, but neurology service utilisation by this population is unclear. This study presents an integrated metropolitan neurology clinic as a model of care, and examines care pathways and characteristics in patients with cognitive decline. Methods An audit of patients with dementia (n=136,51–96 yr,M:F1.1:1) and mild cognitive impairment (MCI)(n=28,56–83 yr,M:F0.6:1) over a 16 month period was performed using retrospective analysis of demographic characteristics, clinical information and frailty measures. Results The average duration of cognitive decline at presentation was 2.7 years in dementia (n=135,M=3.1,F=2.3) and 1.5 years MCI (n=28,M=1.7,F=1.3). Average age of patients with newly diagnosed dementia was 72 (M:F0.96:1) and MCI 70 (M:F1.03:1) with Alzheimer’s disease in 86(64%) dementia with Lewy bodies 13(10%) frontotemporal dementia 11(8%) and distinct overlap syndromes in 7(5%). Depression was associated with younger age at diagnosis(ave.60) versus anxiety(74) and agitation(75). Psychosis was in 14(10%) REM sleep behaviour disorder 6(5%). In the 12 months prior, falls were seen in 30(22%) and weight loss 29(21%). Allied health input occurred in 81% of dementia versus 68% MCI cases. Conclusions Delay in diagnosis from first clinical manifestation, high rate of psychological and medical comorbidity, presence of overlap syndromes, and allied health requirement, support the need for integrated neurological services in dementia.
AB - Introduction Neurodegenerative disease is increasingly common, but neurology service utilisation by this population is unclear. This study presents an integrated metropolitan neurology clinic as a model of care, and examines care pathways and characteristics in patients with cognitive decline. Methods An audit of patients with dementia (n=136,51–96 yr,M:F1.1:1) and mild cognitive impairment (MCI)(n=28,56–83 yr,M:F0.6:1) over a 16 month period was performed using retrospective analysis of demographic characteristics, clinical information and frailty measures. Results The average duration of cognitive decline at presentation was 2.7 years in dementia (n=135,M=3.1,F=2.3) and 1.5 years MCI (n=28,M=1.7,F=1.3). Average age of patients with newly diagnosed dementia was 72 (M:F0.96:1) and MCI 70 (M:F1.03:1) with Alzheimer’s disease in 86(64%) dementia with Lewy bodies 13(10%) frontotemporal dementia 11(8%) and distinct overlap syndromes in 7(5%). Depression was associated with younger age at diagnosis(ave.60) versus anxiety(74) and agitation(75). Psychosis was in 14(10%) REM sleep behaviour disorder 6(5%). In the 12 months prior, falls were seen in 30(22%) and weight loss 29(21%). Allied health input occurred in 81% of dementia versus 68% MCI cases. Conclusions Delay in diagnosis from first clinical manifestation, high rate of psychological and medical comorbidity, presence of overlap syndromes, and allied health requirement, support the need for integrated neurological services in dementia.
U2 - 10.1136/jnnp-2019-anzan.101
DO - 10.1136/jnnp-2019-anzan.101
M3 - Meeting abstract
VL - 90
SP - 37
JO - Journal of Neurology, Neurosurgery and Psychiatry
JF - Journal of Neurology, Neurosurgery and Psychiatry
SN - 0022-3050
IS - e7
M1 - 114
ER -