ผู้วิจัย/Authors: Arkhom Arayawichanont

ชื่อเรื่อง/Title: Do Physicians Recognise Dementia?

แหล่งที่มา/Source: Siriraj Hospital Gazette, Vol. 52, No 8, August 2000. Page 528-532

รายละเอียด / Details:

Background : Recognition and of dementia is frequently overlooked by attending physicians both in the community and hospital settings To determine the ability of attending physicians to recognise dementia. A cross-sectional survey of cognitive impairment in 150 medical inpatients at Siriraj Hospital, Bangkok, Thailand was done from May to November 1999. Inclusion criteria were patients aged over 50 year-old with Glasgow coma score over 12/15, no delirium and no active medical problems. Cognitive assessment was done beforethe discharge date by means of clinical evaluation, neurologicalexamination and mental state examination. Dementia was diagnosed by DSM-IV criteria. The severity of dementia was classified by using the degree of dependency. Diagnosis of dementia in the medical records was categorised as whether dementia was recognised by the attending physicians. Forty nine patients out of a total of 150 patients 32.67 percent were demented of whichthirty three patients had mild dementia, thirteen patients had moderate dementia and three patients had sever dementia. The attending physicians recognided two patients out of forty nine dementia patients 4%. However, both of them had previously been diagnosed as having dementia before the admission. Delayed diagnosis of dementia is frequently due to attending physicians not recognising this condition. Early recognition of dementia usually leads to its proper mangement, thus internists should more alert for this condition.

Keywords: dementia, diagnosis, physician

ปีที่เผยแพร่/Year: 2000

Address: Faculty of Medicine Siriraj Hospital, Mahidol University

Code: 00004103

ISSN/ISBN: 0125-152X

Country of publication: Thailand.

Language: English.

Category: Abstract Journal.

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