High Prevalence of Dementia and Cognitive Impairment in Indigenous Australians

Kountouras, J.; Gavalas, E.; Boziki, Marina; Zavos, Christos; Deretzi, G.; Grigoriadis, N.; Tsiaousi, E.; Katsinelos, P.; Chatzopoulos, D.; Tzilves, D.; Kouklakis, G.; Smith, Kate; Flicker, L.; Lautenschlager, Nicola T.; Almeida, Osvaldo P.; Atkinson, D.; LoGiudice, Dina

doi:10.1212/wnl.0b013e3181ab9a93

Cited by 2 publications

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“…Research targeting this population is needed because there is a higher prevalence of dementia among indigenous Australians [41], current policies emphasize providing more aged care places for indigenous Australians [42], and indigenous people living with dementia have different health conditions and care needs, and face different risk factors [43,44]. …”

Section: Discussionmentioning

confidence: 99%

Risk of death or hospital admission among community-dwelling older adults living with dementia in Australia

et al. 2014

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BackgroundOlder people living with dementia prefer to stay at home to receive support. But they are at high risk of death and/or hospital admissions. This study primarily aimed to determine risk factors for time to death or hospital admission (combined) in a sample of community-dwelling older people living with dementia in Australia. As a secondary study purpose, risk factors for time to death were also examined.MethodsThis study used the data of a previous project which had been implemented during September 2007 and February 2009. The original project had recruited 354 eligible clients (aged 70 and over, and living with dementia) for Extended Aged Care At home Dementia program services during September 2007 and 2008. Client information and carer stress had been collected from their case managers through a baseline survey and three-monthly follow-up surveys (up to four in total). The principal data collection tools included Global Deterioration Scale, Modified Barthel Index, Instrumental-Dependency OARS, Adapted Cohen-Mansfield Agitation Inventory, as well as measures of clients’ socio-demographic characteristics, service use and diseases diagnoses. The sample of our study included 284 clients with at least one follow-up survey. The outcome variable was death or hospital admission, and death during six, nine and 16-month study periods. Stepwise backwards multivariate Cox proportional hazards analysis was employed, and Kaplan-Meier survival analysis using censored data was displayed.ResultsHaving previous hospital admissions was a consistent risk factor for time to death or hospital admission (six-month: HR = 3.12; nine-month: HR = 2.80; 16-month: HR = 2.93) and for time to death (six-month: HR = 2.27; 16-month: HR = 2.12) over time. Previously worse cognitive status was a consistent risk factor over time (six- and nine-month: HR = 0.58; 16-month: HR = 0.65), but no previous use of community care was only a short-term risk factor (six-month: HR = 0.42) for time to death or hospital admission.ConclusionsPrevious hospital admissions and previously worse cognitive status are target intervention areas for reducing dementia clients’ risk of time to death or hospital admission, and/or death. Having previous use of community care as a short-term protective factor for dementia clients’ time to death or hospital admission is noteworthy.

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Section: Discussionmentioning

confidence: 99%

Risk of death or hospital admission among community-dwelling older adults living with dementia in Australia

et al. 2014

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Current awareness in geriatric psychiatry

2010

Int J Geriat Psychiatry

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In order to keep subscribers up‐to‐date with the latest developments in their field, John Wiley & Sons are providing a current awareness service in each issue of the journal. The bibliography contains newly published material in the field of geriatric psychiatry. Each bibliography is divided into 9 sections: 1 Reviews; 2 General; 3 Assessment; 4 Epidemiology; 5 Therapy; 6 Care; 7 Dementia; 8 Depression; 9 Psychology. Within each section, articles are listed in alphabetical order with respect to author. If, in the preceding period, no publications are located relevant to any one of these headings, that section will be omitted

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High Prevalence of Dementia and Cognitive Impairment in Indigenous Australians

Cited by 2 publications

References 0 publications

Risk of death or hospital admission among community-dwelling older adults living with dementia in Australia

Risk of death or hospital admission among community-dwelling older adults living with dementia in Australia

Current awareness in geriatric psychiatry

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