Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Trends Analysis of Characteristics in Patient with Dementia

치매환자 특성의 추이 분석

  • Park, Un-Je (Department of Medical Record, Daejeon Veterans Hospital)
  • 박운제 (대전보훈병원 의무기록실)
  • Received : 2016.09.30
  • Accepted : 2017.01.06
  • Published : 2017.01.31
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Abstract

South Korea is becoming an aging society, increasing the population with dementia. This study analyzed the characteristics of the trend of dementia patients by utilizing 12 years' worth of data from five V hospitals within metropolitan cities. The results show that there has been an 11.3 times increase in the total number of new dementia patients in these five hospitals from 410 in 2003 to 5,048 in 2014; and among them, the rate of increase was highest in P hospital with a 30.3 times increase. Conversely, there has been a 6-times increase in D hospital, illustrating a noticeable gap between these hospitals. Overall, these hospitals have shown an enormous increasing ratio. In an analysis according to age, it's been shown that those aged between 75 and 84 showed the highest prevalence, and most patients, approximately 93.5%, were 65 years or older, while 20.2% were 85 years or older, showing a high ratio of elderly among dementia patients. In an analysis by type of dementia, it's been shown that Alzheimer's was the most prevalent with 44.4%, followed by unspecified dementia with 33.3%, and vascular dementia with 20.4%. As evident by the outcome of the study, there's been a drastic increase in the number of dementia patients in the past 12 years; since the prevalence of dementia was shown to be higher with older age, it is expected that the number of dementia patients will rise further in these five hospitals, where there's a high ratio of elderly patients. More elaborate and continuous plans are necessary for the management of dementia patients following the growing number of dementia patients.

우리나라는 고령화 사회로 빠르게 진입함에 따라 치매환자가 급속히 증가하고 있다. 본 연구는 대도시에 위치한 5개 V병원의 자료를 활용하여 12년간 치매 신환자의 특성 추이를 분석하고 향후 치매환자 증가 수요에 대처하고 치매환자 관리에 기초자료를 제공하고자하는 것이 목적이다. 5개 V병원의 전체 치매 신환자수는 2003년 410명이었으나 2014년에는 5,048명으로 11.3배 증가하였으며, 5개 병원중에서는 P병원이 2003년에 비해 2014년은 30.3배로 가장 많이 증가하였고, D병원은 6.0배 증가하여 병원간에 차이가 많았으나 전반적으로 5개 V병원 치매환자 수가 크게 증가한 것으로 나타났다. 연령별에서는 75세~84세군에서 40.4%로 가장 높았고, 85세 이상 20.2%로 65세 이상이 93.5%로 대부분을 차지하여 고령층에서도 치매환자의 비율이 높게 나타났다. 치매환자 유형별에서는 알츠하이머병이 44.4%로 가장 높게 차지하였으며, 상세불명의 치매는 33.3%, 혈관성치매가 20.4% 순이었다. 연구결과는 12년 동안 큰 폭으로 증가하였으며, 치매환자는 연령이 높을수록 발생률이 높기 때문에 앞으로 5개 V병원의 치매환자 수는 더욱 증가할 것이다. 치매환자 증가 수요에 따른 효과적인 치매관리를 위한 체계적이고 지속적인 추진방안이 요구된다.

Keywords

References

  1. Korea National Statistics Office. "Estimated future population", pp. 2010-2060, 2011.
  2. C. P. Ferri, M. Prince, C. Brayne, et al. "Global prevalence of dementia": a Delphi consensus study, Lancet, vol. 366, pp. 2112-2117, 2005. https://doi.org/10.1016/S0140-6736(05)67889-0
  3. A. F. Jorn, "Is depression a risk factor for dementia or cognitive decline?" A review, Gerontology, vol. 46, pp. 219-227, 2000. DOI: https://doi.org/10.1159/000022163
  4. R. Katzman, "Education and the prevalence of dementia and Alzheimer's disease among community dwelling elderly persons and their first relatives", Ann Neurol, vol. 33, pp. 494-501, 1993. DOI: https://doi.org/10.1002/ana.410330513
  5. L. Fratiglioni, M. Grut, Y. Forsel,, M. Viitanen, M. Grafstrom, K. Holmen, et al. K. Ericsson, L. Backman, A. Ahlbom, B. Winblad. "Prevalence of Alzhemer's disease and other dementia in an elderly urban population: relationship with age, sex, and education". Neurology, vol. 41, pp. 1886-1892, 1991. https://doi.org/10.1212/WNL.41.12.1886
  6. C. Jagger, K. Andersen, M. M. Breteler, J. R. Copeland, C. Helmer, M. Baldereschi, et al. "A collaborative study of population-based cohorts, Neurologic Diseases in the Elderly Research Group". Neurology, vol. 54, pp. 516-520, 2000.
  7. I. O. Kang, S. Y. Lee, S. Y. Kim, C. Y. Park. "Economic cost of dementia patients according to the limitation of the activities of daily living in Korea", Int J Geriatr Psychiatry, vol. 22, pp. 675-681, 2007. DOI: https://doi.org/10.1002/gps.1729
  8. Y. J. Kim, J. W. Han, Y. S. So, J. Y. Seo, K. Y. Kim, K. W. Kim, "Prevalence and trends of dementia in Korea: a systematic review and eta-analysis", J Korean Med Sci, Jul, vol. 29, no. 7, pp. 903-912, 2014. https://doi.org/10.3346/jkms.2014.29.7.903
  9. Ministry of Health and Welfare. "2012 The prevalence of dementia research", 2012.
  10. Ministry for Health, Welfare and Family Affairs. "Nationwide study on the prevalence of dementia in Korea elders. Seoul": Ministry for Health, Welfare and Family Affairs, 2009.
  11. Y. Kim, S. J. Kim, U. J. Park. "Development Plan of Veterans Affairs Medical Center in consideration the specificity of the Veterans Hospital Patients", Korea Veterans Health Service, Daejeon Veterans Hospital, pp. 3-37, 2003.
  12. Ministry of patriots & veterances Affairs. Veterans Yearbook, pp. 119-140, 2011.
  13. Ministry of patriots & veterances Affairs. Veterans Yearbook, pp. 149-153, 2013.
  14. C. N. Lee, K. W. Park, "Risk factors for dementia", Focused Issue Diabetes and dementia, vol. 13, no. 3, pp. 129-132, 2012.
  15. J. B. Bae, Y. J. Kim, J. W. Han, T. H. Kim, J. H. Park, S. B. Lee, et al. "Incidence of and risk factors for Alzheimer's disease and mild cognitive impairment in Korean elderly", Dement Geriatr Cogn Disord, vol. 39, no. 1-2, pp. 105-115, 2015. DOI: http://doi.org/10.1159/000366555
  16. H. Cho, Z. K. Ko, "Current State of Senile Dementia and Improvement of the Long Term Care Insurance for Elderly People", Journal of the Korea Academia-Industrial cooperation Society, vol. 12 no. 12 pp. 5816-5825, 2012. DOI: http://dx.doi.org/10.5762/KAIS.2012.13.12.5816
  17. Pfizer Korea Corporate. "Survey general public about aging", 2013.
  18. SNU Institute of Industry and Academy, "Study on the preparation of dementia management law", 2010.
  19. S. H. Kim, S. H. Han. "Korean prevalence of dementia", The Journal of Korean Diabetes, vol. 13, no. 3, pp. 124-128, 2012. DOI: https://doi.org/10.4093/jkd.2012.13.3.124
  20. Guri-si, Gyeonggi-do, Korea. "65 years old dementia prevalence survey", 2007.
  21. H. C. Hendrie, A. Hake, K. Lane, C. Purnell, F. Unverzagt, V. Smith-Gamble, et al. "Statin Use, Incident Dementia and Alzheimer Disease in Elderly African Americans", Ethn Dis, Aug 7, vol, 25, no. 3, pp. 345-354, 2015. DOI: https://dx.doi.org/10.18865/ed.25.3.345
  22. S. Y. Yu,, T .J. Lee, S. H. Jang, J. W. Han, T.H. Kim, K. W. Kim. "Cost-effectiveness of nationwide opportunistic screening program for dementia in South Korea", J Alzheimers Dis, vol. 44, no. 1, pp. 195-204, 2015. DOI: https://dx.doi.org/10.3233/JAD-141632
  23. J. Y. Kim, J. B. Jeong, M. H. Park, K. W. Park, M. G. Choi, "A study on the types of attitude toward senile dementia", The Academia-Industrial Cooperation Society, vol, 1. no. 10, pp. 3700-3706, 2010.
  24. N. Cherbuin, S. Kim, K. J. Anstey, "Dementia risk estimates associated with measures of depression: a systematic review and meta-analysis", BMJ Open, Dec 21, vol, 12, no. 21, pp. 5-12, 2015. DOI: http://doi.org/10.1136/bmjopen-2015-008853