A clinical registry of dementia based on the principle of epidemiological surveillance

作者：Garre Olmo Josep^*; Flaque Margarita; Gich Jordi; Osuna Pulido Teresa; Turbau Josefina; Vallmajo Natalia; Vinas Marta; Lopez Pousa Secundi

来源：BMC Neurology, 2009, 9: 5.

DOI：10.1186/1471-2377-9-5

Background: Traditional epidemiological studies do not allow elucidating the reality of referral and diagnosis patterns of dementia in routine clinical practice within a defined territory. This information is useful and necessary in order to plan and allocate healthcare resources. This paper presents the results from a dementia case registry based on epidemiological surveillance fundamentals.
Methods: Standardised registry of dementia diagnoses made in 2007 by specialised care centres in the Health Region of Girona (RSG) (Spain), which encompasses an area of 5,517 sq. km and a reference population of 690,207 inhabitants.
Results: 577 cases of dementia were registered, of which 60.7% corresponded to cases of Alzheimer's disease. Presenile dementia accounted for 9.3% of the cases. Mean time between the onset of symptoms and clinical diagnosis was 2.4 years and the severity of the dementia was mild in 60.7% of the cases. High blood pressure, a family history of dementia, dislipidemia, and a past history of depression were the most common conditions prior to the onset of the disease (>20%).
Conclusion: The ReDeGi is a viable epidemiological surveillance device that provides information about the clinical and demographic characteristics of patients diagnosed with dementia in a defined geographical area.

• 出版日期2009-1-28