SHEARDOVÁ, K., J. HORT, Irena REKTOROVÁ, R. RUSINA, V. LÍNEK a A. BARTOŠ. Dementia Diagnosis and Treatment in Czech Neurological and Psychiatric Practices. Česká a slovenská neurologie a neurochirurgie, Praha: Česká lékařská společnost J.E.Purkyně, 2012, roč. 75, č. 2, s. 208-211. ISSN 1210-7859.
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Základní údaje
Originální název Dementia Diagnosis and Treatment in Czech Neurological and Psychiatric Practices
Název česky Diagnostika a léčba demence českými neurology a psychiatry
Autoři SHEARDOVÁ, K. (203 Česká republika), J. HORT (203 Česká republika), Irena REKTOROVÁ (203 Česká republika, garant, domácí), R. RUSINA (203 Česká republika), V. LÍNEK (203 Česká republika) a A. BARTOŠ (203 Česká republika).
Vydání Česká a slovenská neurologie a neurochirurgie, Praha, Česká lékařská společnost J.E.Purkyně, 2012, 1210-7859.
Další údaje
Originální jazyk angličtina
Typ výsledku Článek v odborném periodiku
Obor 3. Medical and Health Sciences
Stát vydavatele Česká republika
Utajení není předmětem státního či obchodního tajemství
Impakt faktor Impact factor: 0.372
Kód RIV RIV/00216224:14110/12:00068877
Organizační jednotka Lékařská fakulta
UT WoS 000303294000011
Klíčová slova anglicky Alzheimer's disease; dementia; management; cholinesterase inhibitors; Czech Republic
Příznaky Mezinárodní význam, Recenzováno
Změnil Změnila: Ing. Mgr. Věra Pospíšilíková, učo 9005. Změněno: 22. 7. 2013 15:02.
Anotace
The aim of the study: The aim of this study was to obtain comprehensive information about standard practice in management of dementia among specialists responsible for the care of patients with cognitive deterioration in the Czech Republic. Methods: The data were collected by the means of structured questionnaires completed by neurologists, psychiatrists and geriatricians during seminars focused on cognitive topics. Results: 152 specialists were participating in the study. The respondents saw the mean of 27 patients with cognitive deficit monthly, 33% of whom suffer from Alzheimer disease. Neurologists diagnosed equal proportions of patients with mild cognitive impairment, and with mild to moderate stages of dementia; psychiatrists and geriatricians mostly diagnose patients at the moderate stage of the disease. Nearly all of the neurologists and half of the psychiatrists examined their patients by MRI or CT prior to starting therapy. SPECT was mainly used by neurologists (42%). The majority of patients took cholinesterase inhibitor (ChEI) for 2-3 years. Half of the specialists occasionally used dual therapy with ChEI and memantine. Nootropics were administered more frequently by psychiatrists. All the respondents prescribed an Selective Serotonin Reuptake Inhibitors (SSRI) for the therapy of coinciding depression. Conclusion: Dementia was managed by the majority of specialists according to the EFNS guidelines. The early stages of the disease were mostly handled by neurologists, who also tend to employ more sophisticated diagnostic tools in differential diagnosis of dementia.
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