1. Risk factors for incidence of dementia in primary care practice: a retrospective cohort study in older adults.
- Author
-
Pham, Anh N Q, Lindeman, Cliff, Voaklander, Don, Wagg, Adrian, and Drummond, Neil
- Subjects
- *
SOCIAL participation , *CHRONIC diseases , *DISEASE incidence , *RETROSPECTIVE studies , *PRIMARY health care , *PSYCHOLOGICAL tests , *DEMENTIA , *MENTAL health surveys , *IMPACT of Event Scale , *RESEARCH funding - Abstract
Background: The dementias are long-term, chronic conditions caused by progressive neurological degeneration. Current literature suggests that cardiovascular disease risk factors may contribute to the onset of dementia; however, evidence of these associations is inconsistent.Objectives: This study aimed to examine the impact of risk factors on dementia onset in older adults diagnosed and managed in Canadian primary care settings.Methods: A retrospective cohort study was employed utilizing electronic medical records data in the Canadian Primary Care Sentinel Surveillance Network (CPCSSN). Patients aged 65+ years with no dementia diagnosis at baseline who were followed from 2009 to 2017 with a run-in year to exclude existing undiagnosed dementia cases. Multivariate Cox proportional hazard models were used to estimate risk.Results: Age was associated with an increased incidence risk of dementia in both examined age groups: 65-79 years (13%) and 80+ years (5%). History of depression increased dementia risk by 38% and 34% in the age groups. There were significant associations with lower social deprivation area quintile, smoking history, osteoarthritis, and diabetes mellitus in patients aged 65-79 years but not in those aged 80+ years. Sex, hypertension, obesity, dyslipidemia, and the use of antihypertensive medications and statins were not associated with risk of incident dementia diagnosis.Conclusions: The association between chronic health conditions and dementia onset is complicated. Primary care electronic medical record data might be useful for research in this topic, though follow-up time is still relatively short to observe a clear causal relationship. Future studies with more complete data may provide evidence for dementia preventive strategies within primary care practice. [ABSTRACT FROM AUTHOR]- Published
- 2022
- Full Text
- View/download PDF