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| Prevalence and correlates of potentially undetected dementia among residents of institutional care facilities in Ontario, Canada, 2009-2011 | | Author(s) | Emma Bartfay, Wally J Bartfay, Kevin M Gorey |
| Journal title | International Journal of Geriatric Psychiatry, vol 28, no 10, October 2013 |
| Publisher | Wiley Blackwell, October 2013 |
| Pages | pp 1086-1094 |
| Source | www.orangejournal.org |
| Keywords | Dementia ; Cognitive impairment ; Care homes ; Residents [care homes] ; Diagnosis ; Canada. |
| Annotation | The purpose of this study was to determine the prevalence of potentially undetected dementia among institutional care facility residents in Ontario, Canada, and to identify factors associated with non-detection. The study used a population-based secondary data analysis approach pertaining to data from the Canadian Institute for Health Information's Continuing Care Reporting System, 2009?2011. Potentially undetected dementia was defined as having severely impaired cognitive function and requiring extensive assistance on activity of daily living (ADL) but no records of dementia diagnoses. Cognitive function was measured by the Cognitive Performance Scale (CPS), 0 (intact) to 6 (very severe impairment), and ADL by a hierarchy scale, 0 (independent) to 6 (total dependence). Of the 242,957 residents who had no records of dementia diagnoses, 11.6% had a CPS score of 4 or more (severe impairment or higher) and ADL score of 3 or less (requiring extensive assistance or more). Data from 11,614 demented residents with corresponding CPS and ADL scores were used for comparison. Residents without dementia diagnosis were younger (77 vs. 84 years), more likely to have never married (20% vs. 6%), and have longer admission (4 vs. 2.8 years). The most significant factors for no diagnoses were never married, admitted to hospital-based facilities, presence of schizophrenia, depression and diabetes mellitus. A large number of residents who had poor cognitive function and inadequate ADL ability did not have dementia diagnoses on record. Social and comorbid conditions were contributing factors to potentially undetected dementia. (JL). |
| Accession Number | CPA-130920222 A |
| Classmark | EA: E4: KW: KX: LK7: 7S |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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