• Anke Jakob, Anja Busse, Steffi G Riedel-Heller, Micaela Pavlicek, and M C Angermeyer.
• Klinik und Poliklinik für Psychiatrie der Universität Leipzig Johannisallee 20 04317 Leipzig, Germany. jakoba@medizin.uni-leipzig.de
• Z Gerontol Geriatr. 2002 Oct 1;35(5):474-81.

AbstractBased on a representative epidemiological study on dementia, prevalence and incidence rates of institutionalized individuals aged 75 years and older in comparison to those living in private homes are presented. The study was conducted between 1997 and 1999. Core component assessing cognitive function was the SIDAM (Structured Interview for the diagnosis of Dementia of the Alzheimer type, Multi-infarct dementia and dementias of other etiology according to ICD-10 and DSM-III-R, DSM-IV). If cognitive testing with study participants was not possible (e.g., due to fragility, death before examination) proxy interviews were performed with relatives or staff using the CDR (Clinical Dementia Rating). Prevalence and incidence rates in institutions were four times higher than in private homes. A prevalence rate of dementia for institutionalized individuals 75+ according to DSM-III-R of 47.6% was found; the annual incidence rate was 17.2%. This high proportion of people with dementia in institutions requires the development of new concepts of care to meet the demands of this changing situation in residential and nursing homes.

21 keywords...

hide…