Nuclear medical imaging as part of dementia diagnostics in psychiatric day-care clinics and inpatient care settings
| Autor: | Charles Timäus, Bernhard Kis, Philipp Hessmann, Katrin Radenbach, Stephan Gyßer, Claus Wolff-Menzler, Jonathan Vogelgsang, Kiriaki Mavridou, Jens Wiltfang |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Aging medicine.medical_specialty Psychiatric day care Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Medical imaging medicine Humans Dementia ddc:610 diagnostic imaging [Dementia] 030212 general & internal medicine Medical diagnosis Tomography Aged Aged 80 and over Inpatients Inpatient care business.industry Middle Aged medicine.disease Hospitalization Exact test Emergency medicine Healthcare settings Female Diagnosis code Geriatrics and Gerontology business 030217 neurology & neurosurgery |
| Zdroj: | Aging clinical and experimental research 32(5), 809-815 (2019). doi:10.1007/s40520-019-01257-9 |
| ISSN: | 1720-8319 |
| Popis: | Current guidelines support the use of nuclear medical imaging (NMI) techniques for differential diagnostics of certain cases of dementia. We aimed at studying the association between using NMI and the accuracy of dementia diagnoses. Additionally, we evaluated the effect of conducting NMI on the duration of hospital treatment. This study was based on data collected according to §21 of the German hospital remuneration law, including relevant diagnostic and procedural codes for NMI in dementia patients. In total, more than 7.2 million cases treated in German psychiatric and somatic hospitals between 2015 and 2017 were included. Associations between the frequency of NMI and the accuracy of dementia diagnoses in terms of specific vs. unspecific diagnostic codes were analyzed using Fischer’s exact test. In total, 351,106 cases with a dementia diagnosis were encoded during the study period. NMI was performed in 1.03% or 0.15% of all patients with dementia in psychiatric or somatic clinics, respectively. In psychiatric clinics, the proportion of unspecific dementia diagnoses decreased from 20.86% in 2015 to 17.73% in 2017. NMI was mainly performed within psychiatric day-care settings. Interestingly, patients receiving NMI stayed shorter within day-care settings (8.1 ± 16.0 days) compared to inpatient settings (38.3 ± 44.7 days). Nuclear medical imaging is often performed in psychiatric day-care settings. Further studies are warranted to understand the predictive diagnostic value of NMI in dementia diagnosis compared with clinical, CSF and structural imaging in different healthcare settings. |
| Databáze: | OpenAIRE |
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