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Retrospective Analysis of Patients Suffering from Dementia or Mild Cognitive Impairment Treated by Collaboration between Western and Korean Medicine

한양방 협진치료를 받은 치매와 경도인지장애 환자에 대한 후향적 의무기록 분석

  • Lee, Go Eun (Department of Oriental Rehabilitation, National Rehabilitation Center) ;
  • Cheong, Moon Joo (Education Graduate of Hanyang University) ;
  • Lee, Sung Ik (Inam Neuroscience Research Center & Department of Neurology, Sanbon Medical Center, Wonkwang University School of Medicine) ;
  • Kim, Nam Kwen (Ophthalmology & Otolaryngology & Dermatology, School of Korean Medicine, Pusan National University) ;
  • Kim, Jinwon (Department of Korean Internal Medicine, National Medical Center) ;
  • Kang, Hyung Won (Department of Neuropsychiatry of Korean Medicine, Wonkwang University)
  • 이고은 (국립재활원 한방재활의학과) ;
  • 정문주 (한양대학교 교육대학원) ;
  • 이성익 (원광대학교 의과대학 산본병원 신경과학교실 & 인암뇌신경연구센터) ;
  • 김남권 (부산대학교 한의학전문대학원 한방안이비인후피부과) ;
  • 김진원 (국립의료원 한방진료부 한방내과) ;
  • 강형원 (원광대학교 한의과대학 한방신경정신과교실)
  • Received : 2018.06.06
  • Accepted : 2018.06.23
  • Published : 2018.06.30

Abstract

Objectives: To investigate the characteristics of patients diagnosed with dementia or mild cognitive impairment who are treated by means of a blend between Western and Korean medicine. Methods: We searched for outpatients with dementia or mild cognitive impairment by means of a collaboration between Western and Korean medicine from August 1, 2015, to July 31, 2017, through electronic medical records in Wonkwang Hospital. The records were retrospectively analyzed according to the patients' demographic and clinical characteristics, pathway of medical care, diagnostic tests, treatment, and medical expenses. Results: Thirteen patients were included in the analysis. Among them, six patients were diagnosed with mild cognitive impairment, five with dementia, Alzheimer's type, one patient with frontotemporal dementia, and one patient with unspecified dementia. Twelve of the thirteen patients were over 60 years of age. The number of pathways from the Dept. of Neurology to the Dept. of Neuropsychiatry of Korean Medicine was almost the same as the opposite pathway. The most used diagnostic test in Korean medicine was a neuropsychological test such as SNSB, MMSE and GDS. In Western medicine, hematology and neuroimaging were frequently used for patients. Acupuncture in Korean medicine and medication in Western medicine were the most frequently used. In Korean medicine, uncovered service costs were much higher than covered service costs,. whereas, in Western medicine, covered service costs were higher than uncovered service costs. Conclusions: This study describes the basic characteristics of dementia and mild cognitive impairment patients treated by a collaboration between Western and Korean medicine. Based on these results, a clinical pathway of the collaborative practice system between Western and Korean medicine for dementia patients needs to be developed.

Acknowledgement

Supported by : Ministry of Health and Welfare of Korea

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