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Medline ® Abstract for Reference 23
of 'Neurologic manifestations of hypothyroidism'
23
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Undiagnosed diseases in patients with dementia--a potential target group for intervention.
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Löppönen MK, Isoaho RE, RäihäIJ, Vahlberg TJ, Loikas SM, Takala TI, Puolijoki H, Irjala KM, KiveläSL
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Dement Geriatr Cogn Disord. 2004;18(3-4):321.
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.
AD
Department of General Practice, University of Turku, Turku City Hospital, Turku, Finland. minna.lopponen@utu.fi
PMID