Anna-Maija Tolppanen1, Heidi Taipale2, Timo Purmonen3, Marjaana Koponen2, Hilkka Soininen4, Sirpa Hartikainen2. 1. Institute of Clinical Medicine - Neurology, University of Eastern Finland, Kuopio, Finland. Electronic address: anna-maija.tolppanen@uef.fi. 2. Kuopio Research Centre of Geriatric Care, University of Eastern Finland, Kuopio, Finland; School of Pharmacy, University of Eastern Finland, Kuopio, Finland. 3. Oy Medfiles Ltd, Health Economics Unit, Kuopio, Finland. 4. Institute of Clinical Medicine - Neurology, University of Eastern Finland, Kuopio, Finland; Department of Neurology, Kuopio University Hospital, Kuopio, Finland.
Abstract
BACKGROUND: Detailed data on the health care service use of people with Alzheimer's disease (AD) are scarce. METHODS: We assessed the health care service use of all community-dwelling persons with clinically verified AD diagnosis, residing in Finland on December 31, 2005 (n = 27,948) in comparison to matched cohort without AD. Hospitalization data during 2006-2009 were extracted from the National Hospital Discharge Register. RESULTS: Comorbidity-adjusted incidence rate ratios; IRR (95% CI) were 1.25 (1.22-1.28) for inpatient admissions and 0.72 (0.68-0.77) for outpatient visits. People with AD had more general health care admissions (IRR, 95%CI 1.73, 1.67-1.80) but less admissions to specialty units 0.82 (0.79-0.85) than the non-AD group, with psychiatry being the only specialty with more admissions in the AD group. People with AD had 16 more hospital days/person-year. CONCLUSIONS: It would be important to assess whether inpatient hospitalizations of AD patients could be decreased by better targeting of outpatient services and whether other conditions are underdiagnosed or undertreated among persons with AD.
BACKGROUND: Detailed data on the health care service use of people with Alzheimer's disease (AD) are scarce. METHODS: We assessed the health care service use of all community-dwelling persons with clinically verified AD diagnosis, residing in Finland on December 31, 2005 (n = 27,948) in comparison to matched cohort without AD. Hospitalization data during 2006-2009 were extracted from the National Hospital Discharge Register. RESULTS: Comorbidity-adjusted incidence rate ratios; IRR (95% CI) were 1.25 (1.22-1.28) for inpatient admissions and 0.72 (0.68-0.77) for outpatient visits. People with AD had more general health care admissions (IRR, 95%CI 1.73, 1.67-1.80) but less admissions to specialty units 0.82 (0.79-0.85) than the non-AD group, with psychiatry being the only specialty with more admissions in the AD group. People with AD had 16 more hospital days/person-year. CONCLUSIONS: It would be important to assess whether inpatient hospitalizations of ADpatients could be decreased by better targeting of outpatient services and whether other conditions are underdiagnosed or undertreated among persons with AD.
Authors: Christoph Mueller; Gayan Perera; Anto P Rajkumar; Manorama Bhattarai; Annabel Price; John T O'Brien; Clive Ballard; Robert Stewart; Dag Aarsland Journal: Alzheimers Dement (Amst) Date: 2017-12-27
Authors: Susan E Bronskill; Laura C Maclagan; Jennifer D Walker; Jun Guan; Xuesong Wang; Ryan Ng; Paula A Rochon; Erika A Yates; Marian J Vermeulen; Colleen J Maxwell Journal: BMJ Open Date: 2020-07-23 Impact factor: 2.692