Session Title: Alzheimer's Disease (AD) including Non-Cognitive Aspects
Presentation Date: Friday, March 14 – Saturday, March 15, 2009
DIAGNOSTIC PROCEDURES FOR CARDIOVASCULAR COMORBIDITIES IN HOSPITALIZED ELDERLY IN RELATION TO DEMENTIA
F. Nicosia, A. Favalli, G. Sennino, S. Cossi, G. Romanelli, A. Marengoni
Cattedra di Clinica Medica-Geriatria, Università degli Studi di Brescia, Brescia, Italy
Aims: The aim of the study was to evaluate the prevalence of cardiovascular comorbid diseases and the diagnostic procedures used to detect them in relation to dementia diagnosis in older patients.
Methods: 667 patients aged 65 years and older consecutively admitted into an acute care Geriatric Unit in Brescia, Italy (2007) were evaluated.
Results: Amongst the patients evaluated in the study, 230 were affectd by dementia. Patients with dementia were significantly older, with a lower level of education, a higher number of diseases and comorbidity score, more functionally impaired and with a higher number of depressive symptoms than those without a diagnosis of dementia. Prevalence of cardiovascular diseases was similar between patients with or without dementia, but hypertension which was lower in those affected by dementia. No differences were found in the prescription of clinical examinations for cardiovascular comorbidities, but in patients with dementia and atrial fibrillation or other arrhythmias, Holter-ECG and ecocardiography were underprescribed. However, after adjustment for age, gender, education, lenght of hospital stay and number of disease, being affected by dementia was no more significantly associated with being underprescribed for these two procedures.
Conclusion: Although difficulties in the clinical management old patients in acute care diagnostic procedures are equally performed amongst elderly with or without dementia.