Clinical characteristics and presenting symptoms of dementia - a case-control study of older ethnic minority patients in a Dutch urban memory clinic.

Autor:	Goudsmit M; Department of Psychiatry and Medical Psychology, OLVG Hospital, Amsterdam, the Netherlands., van de Vorst I; Department of Geriatrics, OLVG Hospital, Amsterdam, the Netherlands., van Campen J; Department of Geriatrics, OLVG Hospital, Amsterdam, the Netherlands., Parlevliet J; Department of Geriatrics, Amsterdam University Medical Centers, Academic Medical Center, Amsterdam, the Netherlands., Schmand B; Department of Medical Psychology, Amsterdam University Medical Center, location Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
Jazyk:	angličtina
Zdroj:	Aging & mental health [Aging Ment Health] 2022 Nov; Vol. 26 (11), pp. 2277-2284. Date of Electronic Publication: 2021 Aug 30.
DOI:	10.1080/13607863.2021.1963416
Abstrakt:	Objectives: Despite the suspected higher prevalence of dementia in first generation ethnic minority populations, little is known about their pathway to geriatric diagnostic facilities. This study describes presenting symptoms, demographic and clinical characteristics of a large cohort of patients from ethnic minority populations at their first visit to a geriatric day clinic and compares them with those of native majority (Dutch) patients. Method: Retrospective case control study in an urban geriatric day clinic setting. Participants were 415 minority patients (cases) from 47 different countries and 428 native Dutch control patients. Measurements were demographic characteristics, cognitive screening results, informant questionnaires, neuropsychiatric and depressive symptoms and somatic comorbidity. Results: Ethnic minority patients presented with a different profile of psychiatric and somatic comorbidity. They were younger, had longer duration of symptoms and possibly presented somewhat later in the course of the dementia than the controls. Minority patients had more neuropsychiatric and depressive symptoms than native Dutch patients. They also had more often somatic comorbidities than controls, especially diabetes mellitus. Conclusions: Clinicians in geriatric diagnostic facilities should be aware of the younger age at presentation and the high prevalence of some specific risk factors for dementia in ethnic minority patients.
Databáze:	MEDLINE
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