Dementia clinical encounters in Brunei 2015 to 2021 based on electronic health records  

作　　者：Shyh Poh Teo 

机构地区：[1]Geriatrics and Palliative Unit,Department of Internal Medicine,Raja Isteri Pengiran Anak Saleha(RIPAS)Hospital,Bandar Seri Begawan BA1710,Brunei Darussalam

出　　处：《Aging Communications》2022年第2期7-12,共6页衰老通讯

摘　　要：Background:Brunei has a rapidly ageing population,with a high rate of non-communicable diseases.It is expected that there will be an increasing number of people with dementia locally.A review of clinical encounters for clinical services by people with dementia is described.Methods:The Brunei Health Information Management System(Bru-HIMS)is a nationwide medical electronic record used in all government health facilities.All clinical encounters require manual entry of ICD-10 codes by the clinician.Patient encounters related to all ICD-10 codes for dementia were identified for the years 2015 to 2021(up to 15th October 2021).Results:From 2015 to 2019,there was an annual progressive increase in the number of patients and clinical encounters related to an ICD-10 diagnosis of a dementia subtype.However,there was a plateau or decrease in the number of encounters in 2020 and 2021,possibly due to the COVID-19 pandemic.The mean number of clinical encounters for dementia was 500 annually,with a mean of 115 new patients annually.The most common ICD-10 dementia diagnosis given was unspecified dementia(39.8%),followed by Alzheimer’s disease(37.5%),vascular dementia(16.6%)and Parkinson’s disease dementia(5.7%).In 2015,the majority of clinical encounters were with psychiatry(72.2%),followed by neurology(17.2%)and geriatrics(5.7%).However,by 2020,geriatrics provided 47.2%of the clinical encounters for dementia,followed by psychiatry(24.8%)and neurology(21.5%).Conclusion:This study showed an increase in dementia diagnosis in older people over time,as evidenced by the increase in geriatrics consultations for dementia.A dementia registry is warranted to observe the demographic change of the increasing number of older people with dementia locally over time to assist with planning for service provision for people with dementia.

关 键 词：DEMENTIA GERIATRICS NEUROLOGY PSYCHIATRY registry 

分 类 号：R74[医药卫生—神经病学与精神病学]