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The prevalence of dementia in a statewide sample of new nursing home admissions aged 65 and older
 — diagnosis by expert panel
Author(s)Jay Magaziner, Pearl German, Sheryl Itkin Zimmerman
Journal titleThe Gerontologist, vol 40, no 6, December 2000
Pagespp 663-672
KeywordsDementia ; Diagnosis ; Admission [nursing homes] ; United States of America.
AnnotationDementia was ascertained according to DSM-III-R criteria in this study of 2,285 new admissions age 65+ to a sample of 59 nursing homes in Maryland (MD); admissions are similar to those elsewhere in the US. The prevalence of dementia was 48.2%, but as high as 54.5%. Prevalence is highest in homes with 50 or less beds versus 200+ beds (65.5% vs 39.6%), and those in urban versus rural areas (50% vs 39.1%). Those who are non-white, married, and with fewer years of education are more likely to be demented. Prevalence is highest among those with four or more physical impairments vs one or none (60.3% vs 27.7%) and lowest with 4+ comorbidities vs one or none (44.8% vs 52%). There was considerable overlap in the comorbid status of demented and non-demented admissions, and both groups contained members with only a few functional limitations. Results suggest that the level of medical supervision provided in nursing homes may not be required for some residents with dementia. (RH).
Accession NumberCPA-010130214 A
ClassmarkEA: LK7: LHB:QKH: 7T

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