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Dement Geriatr Cogn Disord. 2004;18(3-4):321-9. Epub 2004 Aug 6.

Undiagnosed diseases in patients with dementia--a potential target group for intervention.

Author information

1
Department of General Practice, University of Turku, Turku City Hospital, Turku, Finland. minna.lopponen@utu.fi

Abstract

OBJECTIVE:

To study undiagnosed diseases in older people with and without dementia.

DESIGN:

Cross-sectional population-based study in Lieto, southwestern Finland.

PARTICIPANTS:

All the inhabitants aged 64 and more in Lieto. Participation rate was 82% (n = 1,260).

MEASUREMENTS:

Dementia and its subtypes were diagnosed according to prevailing criteria. Medical conditions were assessed in clinical examinations and from medical records.

RESULTS:

112 patients with dementia were found; 66% of them had at least 1 undiagnosed disease compared to 48% of the non-demented group (p = 0.041). The demented subjects had more undiagnosed hypercholesterolaemia (p = 0.039) and undiagnosed hypothyroidism (p = 0.032) than the controls.

CONCLUSION:

Undiagnosing is more common among patients with dementia. Screening strategies should be developed further to find these patients.

PMID:
15305110
DOI:
10.1159/000080126
[Indexed for MEDLINE]
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