The importance of detecting and managing comorbidities in people with dementia?

Age and Ageing

Volumn 43, Issue 6, 2014, Pages 741-743

  Fox, Chris ^a   Smith, Toby ^a   Maidment, Ian ^b   Hebding, Jennifer ^a   Madzima, Tairo ^a   Cheater, Francine ^a   Cross, Jane ^a   Poland, Fiona ^a   White, Jacqueline ^c   Young, John ^d  

^a UNIVERSITY OF EAST ANGLIA   (United Kingdom)

^b ASTON UNIVERSITY   (United Kingdom)

^c UNIVERSITY OF HULL   (United Kingdom)

^d BRADFORD INSTITUTE FOR HEALTH RESEARCH   (United Kingdom)

Author keywords

Cognitive impairment; Diseases; Multiple pathologies; Older people

Indexed keywords

ALZHEIMER DISEASE; CHRONIC OBSTRUCTIVE LUNG DISEASE; COMORBIDITY; DELIRIUM; DEMENTIA; DIABETES MELLITUS; DISEASE SEVERITY; EARLY DIAGNOSIS; EPILEPSY; FALLING; FRAIL ELDERLY; HEALTH CARE COST; HEALTH PROMOTION; HEART FAILURE; HUMAN; INCONTINENCE; MALNUTRITION; MOUTH DISEASE; MUSCULOSKELETAL DISEASE; NOTE; PNEUMONIA; PRACTICE GUIDELINE; PREVALENCE; QUALITY OF LIFE; SLEEP DISORDER; URINARY TRACT INFECTION; VISUAL DISORDER; WELLBEING; AGE; AGING; PATHOPHYSIOLOGY; PREDICTIVE VALUE; PROGNOSIS; PSYCHOLOGY; RISK FACTOR;

AGE FACTORS; AGING; COMORBIDITY; DEMENTIA; HUMANS; PREDICTIVE VALUE OF TESTS; PROGNOSIS; RISK FACTORS;

EID: 84911360853     PISSN: 00020729     EISSN: 14682834     Source Type: Journal    
DOI: 10.1093/ageing/afu101     Document Type: Note

References (29)

1. Prince M, Bryce R, Albanese E et al. The global prevalence of dementia: a systematic review and metaanalysis. Alzheimers Dement 2013; 9: 63-75.
2. Wimo A, Jonsson L, Bond J, Prince M, Winblad B. The worldwide economic impact of dementia 2010. Alzheimers Dement 2013; 9: 1-11.
3. Schubert CC, Boustani M, Callahan CM et al. Comorbidity profile of dementia patients in primary care: are they sicker? J Am Geriatr Soc 2006; 54: 104-9.
4. Martín-García S, Rodríguez-Blázquez C, Martínez-López I, Martínez-Martín P, Forjaz MJ. Comorbidity, health status, and quality of life in institutionalized older people with and without dementia. Int Psychogeriatr 2013; 25: 1077-84.
5. Fillit HM. The pharmacoeconomics of Alzheimer's disease. Am J Manag Care 2000; 6: S1139-44, 45-48.
6. Doraiswamy PM, Leon J, Cummings JL, Marin D, Neumann PJ. Prevalence and impact of medical comorbidity in Alzheimer's disease. J Gerontol Med Sci 2002; 87: M173-M77.
7. Phelan EA, Borson S, Grothaus L, Balch S, Larson EB. Association of incident dementia with hospitalizations. JAMA 2012; 307: 165-72.
8. Zhao Y, Kuo TC, Weir S, Kramer MS, Ash AS. Healthcare costs and utilization for Medicare beneficiaries with Alzheimer's. BMC Health Serv Res 2008; 8: 108.
9. National Institute for Health and Clinical Excellence (2006). Dementia: supporting people with dementia and their carers in health and social care (CG42), London: NICE. Available at: http://www.nice.org.uk/aboutnice/qof/PrimaryCareQOF IndicatorAdvisoryCommittee.jsp?domedia=1&mid=E1A 02C2F-A1D0-E9B7-27EB72A272803EE3 (12 April 2014, date last accessed).
10. Intrator O, Mor V, Zinn J. Nursing homes characteristics and potentially preventable hospitalisation of long-stay residents. J Am Geriatr Soc 2004; 52: 1730-6.
11. Carter MW, Porell FW. Variations in hospitalisation rates among nursing home residents: the role of facility and market attributes. Gerontology 2003; 43: 175-91.
12. Barry CR, Brown K, Esker D, Denning MD, Kruse RL, Binder EF. Nursing assessment of III nursing home residents. J Gerontol Nurs 2002; 28: 4-7.
13. Lyketsos CG. Prevention of unnecessary hospitalization for patients with dementia: the role of ambulatory care. JAMA 2012; 307: 197-8.
14. Thorpe CT, Thorpe JM, Kind AJH, Bartels CM, Everett CM, Smith MA. Receipt of monitoring of diabetes mellitus in older adults with comorbid dementia. J Am Geriat Soc 2012; 60: 644-51.
15. Ham R, Sloane PD, Warshaw G et al. Primary Care Geriatrics: ACase-Based Approach. 5. St Louis, MO: Mosby, Inc, 2006.
16. Marengoni A, Rizzuto D, Wang HX, Winblad B, Fratiglioni L. Patterns of chronic multimorbidity in the elderly population. J Am Geriatr Soc 2009; 57: 225-30.
17. Sampson EL, Blanchard MR, Jones L, Tookman A, King M. Dementia in the acute hospital: prospective cohort study of prevalence and mortality. Br J Psychiatry 2009; 195: 61-6.
18. Sampson EL, Leurent B, Blanchard MR, Jones L, King M. Survival of people with dementia after unplanned acute hospital admission: a prospective cohort study. Int J Geriatr Psychiatry 2012; 28: 1015-22.
19. Pinquart M, Sorensen S. Correlates of physical health of informal caregivers: a met-analysis. J Gerontol B Psychol Sci Soc Sci 2007; 62: P126-37.
20. Schulz R, Sherwood PR. Physical and mental health effects of family caregiving. Am J Nurs 2008; 108(9 Suppl): 23-7.
21. Kings Fund. Long-term conditions and mental health-the cost of co-morbidities 2012. Available at: http://www.kings fund.org.uk/projects/mental-health-and-long-term-conditionscost- co-morbidity (12 April 2014, date last accessed).
22. Bynum JP, Rabins PV, Weller W, Niefeld M, Anderson GF, Wu AW. The relationship between a dementia diagnosis, chronic illness, medicare expenditures, and hospital use. J Am Geriatr Soc 2004; 52: 187-94.
23. Hill JW, Futterman R, Duttagupta S, Mastey V, Lloyd JR, Fillit H. Alzheimer's disease and related dementias increase costs of comorbidities in managed Medicare. Neurology 2002; 58: 62-70.
24. Sloan FA, Talyor DH. Effect of Alzheimer disease on the cost of treating other diseases. Alzheimer Dis Assoc Disord 2002; 16: 137-43.
25. CMS, Roadmap for Quality Measurement. 2008. https://www. cms.gov/QualityInitiativesGenInfo/downloads/QualityMeasure mentRoadmap_OEA1-16_508.pdf. (12th April 2014, date last accessed).
26. Kovach CR, Logan BR, Simpson MR, Reynolds S. Factors associated with time to identify physical problems of nursing home residents with dementia. Am J Alzheimers Dis Other Demen 2010; 25: 317-23.
27. Ravona-Springer R, Davidson M. Considerations in psychotropic treatments in dementia-can polypharmacy be avoided? Int J Neuropsychopharmacol 2014; 17: 1107-17.
28. Bauer K, Schwarzkopf L, Graessel E, Holle R. A claims databased comparison of comorbidity in individuals with and without dementia. BMC Geriatrics 2014; 14: 10.
29. Zekry D, Herrmann FR, Graf CE et al. High levels of comorbidity and disability cancel out the dementia effect in predictions of long-term mortality after discharge in the very old. Dement Geriatr Cogn Disord 2011; 32: 103-10.