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KMID : 1100220050040010035
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Dementia and Neurocognitive Disorders
2005 Volume.4 No. 1 p.35 ~ p.40
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Clinical Characteristics of Demented Patients in a Geriatric Institution: Focused on Behavioral and Psychological Symptoms
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Shim Yong-Soo
Kim Beum-Saeng
Shon Young-Min
Kim Ki-Sung
Yoon Bo-Ra
Yang Dong-Won
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Abstract
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Background: There are few data on the clinical characteristics of demented patients in a geriatric institution. We surveyed the clinical characteristics, especially behavioral and psychological symptoms of dementia (BPSD) of patients in a geriatric institution.
Methods: 325 residents were screened with Mini-Mental State Examination (MMSE-K), and dementia was diagnosed by DSM-IV criteria with chart review, clinical interview and neuropsychological test. The differences of MMSE-K, Clinical Dementia Rating (CDR), Barthel Index (BI) and Neuropsychiatric Inventory-Questionare (NPI-Q) between men and women, and between Alzheimer’s disease (AD) and Vascular dementia (VD) were compared. The relationship between the behavioral symptoms and the severity of dementia were also evaluated.
Results: Of 325 residents, 168 subjects (51.69%) were diagnosed as dementia, which included AD (92 patients) and VD (56 patients). MMSE-K, CDR and BI scores were not different between men and women, and between AD and VD. NPI-Q scores of men were significantly higher in prevalence, severity and distress than those of women (p<0.001). The differences of NPI-Q between AD and VD were not significant. NPI-Q scores were significantly correlated with CDR scores in AD and all dementia patients.
Conclusions: The prevalence of dementia was high in a geriatric institution. BPSD were more troublesome in men than in women, and positively correlated with the severity of dementia. Every individual geriatric institution should consider behavioral symptoms for the adequate assessment and management of demented patients.
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KEYWORD
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Dementia, Behavioral symptoms
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