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- Title
“I Forget Everything!” Diagnostic Classification of Applicants with Forgetfulness to a Secondary Care Neurology Clinic, Izmir, Turkey.
- Authors
ULUĞUT, Hülya; ERKOYUN, Erdem
- Abstract
Objective: To determine the frequency of subjective cognitive decline (SCD), other neurological diseases (OND), and psychiatric disorder (PD), diagnosis among patients admitted with forgetfulness to a secondary care neurology clinic and compare their characteristic features. Materials and Methods: This cross-sectional study collected data from 464 patients who were admitted with forgetfulness complaints to a single neurology outpatient clinic in a secondary care hospital in Turkey between April 2017 and September 2018. Diagnostic groups were classified as SCD, OND or PD diagnosis. Age and gender-adjusted multinomial regression model was fit for the major diagnostic group. Results: Among admissions less than the half of the applicants were diagnosed with OND (44.4%) and it was lower in the younger age group (< 65, 7.8%). One-year increase in age decreased the risk of SCD by 14.5% (Odds Ratio (OR): 0.9, 95% CI: 0.8-0.9) and risk of PD by 14.8% (OR: 0.9, 95% CI: 0.8 - 0.9) relative to a OND diagnosis. Among women, SCD was 2.6 times higher (95% CI: 1.4 - 5.0) than men relative to OND. Conclusion: This study shows that more than a half of the admissions are not associated with an OND and, the population admitted to neurology clinics with forgetfulness complaints without objective deficits for cognitive decline were younger on average and the majority were women. The high number of SCD/PD admissions to a neurology clinic and gender imbalance imply lack of the referral system which is crucial for the quality of care at all levels.
- Subjects
TURKEY; COGNITION disorders diagnosis; DIAGNOSIS of neurological disorders; MEDICAL quality control; CONFIDENCE intervals; ALZHEIMER'S disease; CROSS-sectional method; MULTIPLE regression analysis; MEMORY disorders; CHI-squared test; DEMENTIA; ODDS ratio
- Publication
Balikesir Health Sciences Journal / Balıkesir Sağlık Bilimleri Dergisi, 2022, Vol 11, Issue 3, p397
- ISSN
2146-9601
- Publication type
Article
- DOI
10.53424/balikesirsbd.1034268