Prevalence of neurological conditions across the continuum of care based on interRAI assessments
Identifieur interne : 001667 ( Ncbi/Merge ); précédent : 001666; suivant : 001668Prevalence of neurological conditions across the continuum of care based on interRAI assessments
Auteurs : Oana Danila [Canada] ; John P. Hirdes [Canada] ; Colleen J. Maxwell [Canada] ; Ruth Ann Marrie [Canada] ; Scott Patten [Canada] ; Tamara Pringsheim [Canada] ; Nathalie Jetté [Canada]Source :
- BMC Health Services Research [ 1472-6963 ] ; 2014.
Descripteurs français
- Wicri :
- geographic : Canada.
English descriptors
- KwdEn :
- Alzheimer Disease (epidemiology), Alzheimer Disease (therapy), Amyotrophic Lateral Sclerosis (epidemiology), Amyotrophic Lateral Sclerosis (therapy), Brain Injuries (epidemiology), Brain Injuries (therapy), Canada (epidemiology), Cerebral Palsy (epidemiology), Cerebral Palsy (therapy), Continuity of Patient Care (statistics & numerical data), Epilepsy (epidemiology), Epilepsy (therapy), Hospitals, Psychiatric (statistics & numerical data), Humans, Huntington Disease (epidemiology), Huntington Disease (therapy), Multiple Sclerosis (epidemiology), Multiple Sclerosis (therapy), Nervous System Diseases (epidemiology), Nervous System Diseases (therapy), Nursing Homes (statistics & numerical data), Parkinson Disease (epidemiology), Parkinson Disease (therapy), Prevalence.
- MESH :
- geographic , epidemiology : Canada.
- epidemiology : Alzheimer Disease, Amyotrophic Lateral Sclerosis, Brain Injuries, Cerebral Palsy, Epilepsy, Huntington Disease, Multiple Sclerosis, Nervous System Diseases, Parkinson Disease.
- statistics & numerical data : Continuity of Patient Care, Hospitals, Psychiatric, Nursing Homes.
- therapy : Alzheimer Disease, Amyotrophic Lateral Sclerosis, Brain Injuries, Cerebral Palsy, Epilepsy, Huntington Disease, Multiple Sclerosis, Nervous System Diseases, Parkinson Disease.
- Humans, Prevalence.
Abstract
Although multiple studies have estimated the prevalence of neurological conditions in the general Canadian population, limited research exists regarding the proportion affected with these conditions in non-acute health care settings in Canada. Data from standardized clinical assessments based on the interRAI suite of instruments were used to estimate the prevalence of eight neurological conditions across the continuum of care including Alzheimer’s disease, Parkinson’s disease, epilepsy, traumatic brain injury, multiple sclerosis, cerebral palsy, Huntington’s disease, and amyotrophic lateral sclerosis.
Cohorts of individuals receiving care in nursing homes (N=103,820), home care (N=91,021), complex continuing care (N=10,581), and psychiatric hospitals (N=23,119) in Canada were drawn based on their most recent interRAI assessment within each sector for a six-month period in 2010. These data were linked to the Discharge Abstract Database and National Ambulatory Care Reporting System data sets to develop five different case definition scenarios for estimating prevalence.
The conditions with the highest estimated prevalences in these care settings in Canada were Alzheimer’s disease and related dementias, Parkinson’s disease, epilepsy, and traumatic brain injury. However, there were notable cross-sector differences in the prevalence of each condition, and regional variations. Prevalence estimates based on acute hospital administrative data alone were substantially lower for all conditions evaluated.
The proportion of persons with neurological conditions in non-acute health care settings in Canada is substantially higher than is generally reported for the general population. It is essential for these care settings to have the expertise and resources to respond effectively to the strengths, preferences, and needs of the growing population of persons with neurological conditions. The use of hospital or emergency department records alone is likely to substantially underestimate the true prevalence of neurological conditions across the continuum of care. However, interRAI assessment records provide a helpful source of information for obtaining these estimates in nursing home, home care, and mental health settings.
Url:
DOI: 10.1186/1472-6963-14-29
PubMed: 24447344
PubMed Central: 3906754
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PMC:3906754Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Alzheimer Disease (epidemiology)</term>
<term>Alzheimer Disease (therapy)</term>
<term>Amyotrophic Lateral Sclerosis (epidemiology)</term>
<term>Amyotrophic Lateral Sclerosis (therapy)</term>
<term>Brain Injuries (epidemiology)</term>
<term>Brain Injuries (therapy)</term>
<term>Canada (epidemiology)</term>
<term>Cerebral Palsy (epidemiology)</term>
<term>Cerebral Palsy (therapy)</term>
<term>Continuity of Patient Care (statistics & numerical data)</term>
<term>Epilepsy (epidemiology)</term>
<term>Epilepsy (therapy)</term>
<term>Hospitals, Psychiatric (statistics & numerical data)</term>
<term>Humans</term>
<term>Huntington Disease (epidemiology)</term>
<term>Huntington Disease (therapy)</term>
<term>Multiple Sclerosis (epidemiology)</term>
<term>Multiple Sclerosis (therapy)</term>
<term>Nervous System Diseases (epidemiology)</term>
<term>Nervous System Diseases (therapy)</term>
<term>Nursing Homes (statistics & numerical data)</term>
<term>Parkinson Disease (epidemiology)</term>
<term>Parkinson Disease (therapy)</term>
<term>Prevalence</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Canada</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Alzheimer Disease</term>
<term>Amyotrophic Lateral Sclerosis</term>
<term>Brain Injuries</term>
<term>Cerebral Palsy</term>
<term>Epilepsy</term>
<term>Huntington Disease</term>
<term>Multiple Sclerosis</term>
<term>Nervous System Diseases</term>
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Continuity of Patient Care</term>
<term>Hospitals, Psychiatric</term>
<term>Nursing Homes</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Alzheimer Disease</term>
<term>Amyotrophic Lateral Sclerosis</term>
<term>Brain Injuries</term>
<term>Cerebral Palsy</term>
<term>Epilepsy</term>
<term>Huntington Disease</term>
<term>Multiple Sclerosis</term>
<term>Nervous System Diseases</term>
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Humans</term>
<term>Prevalence</term>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Although multiple studies have estimated the prevalence of neurological conditions in the general Canadian population, limited research exists regarding the proportion affected with these conditions in non-acute health care settings in Canada. Data from standardized clinical assessments based on the interRAI suite of instruments were used to estimate the prevalence of eight neurological conditions across the continuum of care including Alzheimer’s disease, Parkinson’s disease, epilepsy, traumatic brain injury, multiple sclerosis, cerebral palsy, Huntington’s disease, and amyotrophic lateral sclerosis.</p>
</sec>
<sec><title>Methods</title>
<p>Cohorts of individuals receiving care in nursing homes (N=103,820), home care (N=91,021), complex continuing care (N=10,581), and psychiatric hospitals (N=23,119) in Canada were drawn based on their most recent interRAI assessment within each sector for a six-month period in 2010. These data were linked to the Discharge Abstract Database and National Ambulatory Care Reporting System data sets to develop five different case definition scenarios for estimating prevalence.</p>
</sec>
<sec><title>Results</title>
<p>The conditions with the highest estimated prevalences in these care settings in Canada were Alzheimer’s disease and related dementias, Parkinson’s disease, epilepsy, and traumatic brain injury. However, there were notable cross-sector differences in the prevalence of each condition, and regional variations. Prevalence estimates based on acute hospital administrative data alone were substantially lower for all conditions evaluated.</p>
</sec>
<sec><title>Conclusions</title>
<p>The proportion of persons with neurological conditions in non-acute health care settings in Canada is substantially higher than is generally reported for the general population. It is essential for these care settings to have the expertise and resources to respond effectively to the strengths, preferences, and needs of the growing population of persons with neurological conditions. The use of hospital or emergency department records alone is likely to substantially underestimate the true prevalence of neurological conditions across the continuum of care. However, interRAI assessment records provide a helpful source of information for obtaining these estimates in nursing home, home care, and mental health settings.</p>
</sec>
</div>
</front>
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<author><name sortKey="Beattie, Bl" uniqKey="Beattie B">BL Beattie</name>
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<author><name sortKey="Eastwood, R" uniqKey="Eastwood R">R Eastwood</name>
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<author><name sortKey="Gauthier, S" uniqKey="Gauthier S">S Gauthier</name>
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<author><name sortKey="Tuokko, H" uniqKey="Tuokko H">H Tuokko</name>
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<author><name sortKey="Mcdowell, I" uniqKey="Mcdowell I">I McDowell</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Prevalence of neurological conditions across the continuum of care based on interRAI assessments</title>
<author><name sortKey="Danila, Oana" sort="Danila, Oana" uniqKey="Danila O" first="Oana" last="Danila">Oana Danila</name>
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<wicri:noRegion>Waterloo</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Hirdes, John P" sort="Hirdes, John P" uniqKey="Hirdes J" first="John P" last="Hirdes">John P. Hirdes</name>
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<country xml:lang="fr">Canada</country>
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<wicri:noRegion>Waterloo</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Maxwell, Colleen J" sort="Maxwell, Colleen J" uniqKey="Maxwell C" first="Colleen J" last="Maxwell">Colleen J. Maxwell</name>
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<wicri:noRegion>Waterloo</wicri:noRegion>
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<author><name sortKey="Marrie, Ruth Ann" sort="Marrie, Ruth Ann" uniqKey="Marrie R" first="Ruth Ann" last="Marrie">Ruth Ann Marrie</name>
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<author><name sortKey="Patten, Scott" sort="Patten, Scott" uniqKey="Patten S" first="Scott" last="Patten">Scott Patten</name>
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<wicri:regionArea>Department of Psychiatry, University of Calgary, Calgary</wicri:regionArea>
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<placeName><settlement type="city">Calgary</settlement>
<region type="state">Alberta</region>
</placeName>
<orgName type="university">Université de Calgary</orgName>
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<affiliation wicri:level="4"><nlm:aff id="I6">Mathison Centre for Research and Education in Mental Health, University of Calgary, Calgary, Canada</nlm:aff>
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<orgName type="university">Université de Calgary</orgName>
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<author><name sortKey="Pringsheim, Tamara" sort="Pringsheim, Tamara" uniqKey="Pringsheim T" first="Tamara" last="Pringsheim">Tamara Pringsheim</name>
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<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Psychiatry, University of Calgary, Calgary</wicri:regionArea>
<orgName type="university">Université de Calgary</orgName>
<placeName><settlement type="city">Calgary</settlement>
<region type="state">Alberta</region>
</placeName>
</affiliation>
<affiliation wicri:level="4"><nlm:aff id="I5">Department of Community Health Sciences, University of Calgary</nlm:aff>
<country>Canada</country>
<placeName><settlement type="city">Calgary</settlement>
<region type="state">Alberta</region>
</placeName>
<orgName type="university">Université de Calgary</orgName>
</affiliation>
<affiliation wicri:level="4"><nlm:aff id="I7">Department of Clinical Neurosciences, University of Calgary, Calgary, Canada</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Clinical Neurosciences, University of Calgary, Calgary</wicri:regionArea>
<orgName type="university">Université de Calgary</orgName>
<placeName><settlement type="city">Calgary</settlement>
<region type="state">Alberta</region>
</placeName>
</affiliation>
<affiliation wicri:level="4"><nlm:aff id="I8">Department of Pediatrics, University of Calgary, Calgary, Canada</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Pediatrics, University of Calgary, Calgary</wicri:regionArea>
<orgName type="university">Université de Calgary</orgName>
<placeName><settlement type="city">Calgary</settlement>
<region type="state">Alberta</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Jette, Nathalie" sort="Jette, Nathalie" uniqKey="Jette N" first="Nathalie" last="Jetté">Nathalie Jetté</name>
<affiliation wicri:level="4"><nlm:aff id="I5">Department of Community Health Sciences, University of Calgary</nlm:aff>
<country>Canada</country>
<placeName><settlement type="city">Calgary</settlement>
<region type="state">Alberta</region>
</placeName>
<orgName type="university">Université de Calgary</orgName>
</affiliation>
<affiliation wicri:level="4"><nlm:aff id="I7">Department of Clinical Neurosciences, University of Calgary, Calgary, Canada</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Clinical Neurosciences, University of Calgary, Calgary</wicri:regionArea>
<orgName type="university">Université de Calgary</orgName>
<placeName><settlement type="city">Calgary</settlement>
<region type="state">Alberta</region>
</placeName>
</affiliation>
<affiliation wicri:level="4"><nlm:aff id="I9">Hotchkiss Brain Institute and Institute for Public Health, University of Calgary, Calgary, Canada</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Hotchkiss Brain Institute and Institute for Public Health, University of Calgary, Calgary</wicri:regionArea>
<orgName type="university">Université de Calgary</orgName>
<placeName><settlement type="city">Calgary</settlement>
<region type="state">Alberta</region>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j">BMC Health Services Research</title>
<idno type="eISSN">1472-6963</idno>
<imprint><date when="2014">2014</date>
</imprint>
</series>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Although multiple studies have estimated the prevalence of neurological conditions in the general Canadian population, limited research exists regarding the proportion affected with these conditions in non-acute health care settings in Canada. Data from standardized clinical assessments based on the interRAI suite of instruments were used to estimate the prevalence of eight neurological conditions across the continuum of care including Alzheimer’s disease, Parkinson’s disease, epilepsy, traumatic brain injury, multiple sclerosis, cerebral palsy, Huntington’s disease, and amyotrophic lateral sclerosis.</p>
</sec>
<sec><title>Methods</title>
<p>Cohorts of individuals receiving care in nursing homes (N=103,820), home care (N=91,021), complex continuing care (N=10,581), and psychiatric hospitals (N=23,119) in Canada were drawn based on their most recent interRAI assessment within each sector for a six-month period in 2010. These data were linked to the Discharge Abstract Database and National Ambulatory Care Reporting System data sets to develop five different case definition scenarios for estimating prevalence.</p>
</sec>
<sec><title>Results</title>
<p>The conditions with the highest estimated prevalences in these care settings in Canada were Alzheimer’s disease and related dementias, Parkinson’s disease, epilepsy, and traumatic brain injury. However, there were notable cross-sector differences in the prevalence of each condition, and regional variations. Prevalence estimates based on acute hospital administrative data alone were substantially lower for all conditions evaluated.</p>
</sec>
<sec><title>Conclusions</title>
<p>The proportion of persons with neurological conditions in non-acute health care settings in Canada is substantially higher than is generally reported for the general population. It is essential for these care settings to have the expertise and resources to respond effectively to the strengths, preferences, and needs of the growing population of persons with neurological conditions. The use of hospital or emergency department records alone is likely to substantially underestimate the true prevalence of neurological conditions across the continuum of care. However, interRAI assessment records provide a helpful source of information for obtaining these estimates in nursing home, home care, and mental health settings.</p>
</sec>
</div>
</front>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Prevalence of neurological conditions across the continuum of care based on interRAI assessments.</title>
<author><name sortKey="Danila, Oana" sort="Danila, Oana" uniqKey="Danila O" first="Oana" last="Danila">Oana Danila</name>
<affiliation wicri:level="1"><nlm:affiliation>School of Public Health and Health Systems, University of Waterloo, Waterloo, Canada. omdanila@uwaterloo.ca.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>School of Public Health and Health Systems, University of Waterloo, Waterloo</wicri:regionArea>
<wicri:noRegion>Waterloo</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Hirdes, John P" sort="Hirdes, John P" uniqKey="Hirdes J" first="John P" last="Hirdes">John P. Hirdes</name>
</author>
<author><name sortKey="Maxwell, Colleen J" sort="Maxwell, Colleen J" uniqKey="Maxwell C" first="Colleen J" last="Maxwell">Colleen J. Maxwell</name>
</author>
<author><name sortKey="Marrie, Ruth Ann" sort="Marrie, Ruth Ann" uniqKey="Marrie R" first="Ruth Ann" last="Marrie">Ruth Ann Marrie</name>
</author>
<author><name sortKey="Patten, Scott" sort="Patten, Scott" uniqKey="Patten S" first="Scott" last="Patten">Scott Patten</name>
</author>
<author><name sortKey="Pringsheim, Tamara" sort="Pringsheim, Tamara" uniqKey="Pringsheim T" first="Tamara" last="Pringsheim">Tamara Pringsheim</name>
</author>
<author><name sortKey="Jette, Nathalie" sort="Jette, Nathalie" uniqKey="Jette N" first="Nathalie" last="Jetté">Nathalie Jetté</name>
</author>
</analytic>
<series><title level="j">BMC health services research</title>
<idno type="eISSN">1472-6963</idno>
<imprint><date when="2014" type="published">2014</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Alzheimer Disease (epidemiology)</term>
<term>Alzheimer Disease (therapy)</term>
<term>Amyotrophic Lateral Sclerosis (epidemiology)</term>
<term>Amyotrophic Lateral Sclerosis (therapy)</term>
<term>Brain Injuries (epidemiology)</term>
<term>Brain Injuries (therapy)</term>
<term>Canada (epidemiology)</term>
<term>Cerebral Palsy (epidemiology)</term>
<term>Cerebral Palsy (therapy)</term>
<term>Continuity of Patient Care (statistics & numerical data)</term>
<term>Epilepsy (epidemiology)</term>
<term>Epilepsy (therapy)</term>
<term>Hospitals, Psychiatric (statistics & numerical data)</term>
<term>Humans</term>
<term>Huntington Disease (epidemiology)</term>
<term>Huntington Disease (therapy)</term>
<term>Multiple Sclerosis (epidemiology)</term>
<term>Multiple Sclerosis (therapy)</term>
<term>Nervous System Diseases (epidemiology)</term>
<term>Nervous System Diseases (therapy)</term>
<term>Nursing Homes (statistics & numerical data)</term>
<term>Parkinson Disease (epidemiology)</term>
<term>Parkinson Disease (therapy)</term>
<term>Prevalence</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Canada</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Alzheimer Disease</term>
<term>Amyotrophic Lateral Sclerosis</term>
<term>Brain Injuries</term>
<term>Cerebral Palsy</term>
<term>Epilepsy</term>
<term>Huntington Disease</term>
<term>Multiple Sclerosis</term>
<term>Nervous System Diseases</term>
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Continuity of Patient Care</term>
<term>Hospitals, Psychiatric</term>
<term>Nursing Homes</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Alzheimer Disease</term>
<term>Amyotrophic Lateral Sclerosis</term>
<term>Brain Injuries</term>
<term>Cerebral Palsy</term>
<term>Epilepsy</term>
<term>Huntington Disease</term>
<term>Multiple Sclerosis</term>
<term>Nervous System Diseases</term>
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Humans</term>
<term>Prevalence</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Canada</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Although multiple studies have estimated the prevalence of neurological conditions in the general Canadian population, limited research exists regarding the proportion affected with these conditions in non-acute health care settings in Canada. Data from standardized clinical assessments based on the interRAI suite of instruments were used to estimate the prevalence of eight neurological conditions across the continuum of care including Alzheimer's disease, Parkinson's disease, epilepsy, traumatic brain injury, multiple sclerosis, cerebral palsy, Huntington's disease, and amyotrophic lateral sclerosis.</div>
</front>
</TEI>
</pubmed>
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