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@ARTICLE{Vogt:141455,
author = {Vogt, Birgit and Mai, Tobias and Feuchtinger, Johanna and
Maucher, Helene and Strohbücker, Barbara and Flechinger,
Christa and Alpers, Birgit and Roes, Martina},
title = {{P}rävalenzen von {D}emenz in {U}niversitätskliniken:
{A}nalyse von {ICD}-10-{K}odierungen in fünf
{U}niversitätskliniken in {D}eutschland über zwei
{G}eschäftsjahre | {P}revalence of dementia in university
hospitals: {A}nalysis of {ICD}-10 coding in 5 university
hospitals in {G}ermany over a 2-year period},
journal = {Zeitschrift für Gerontologie und Geriatrie},
volume = {52},
number = {6},
issn = {0948-6704},
address = {Heidelberg},
publisher = {Springer Medizin},
reportid = {DZNE-2020-07779},
pages = {575-581},
year = {2019},
abstract = {Demographic changes result in a higher prevalence of
patients suffering from dementia in hospital. In Germany,
epidemiological data of this target group are scarce and
prevalence rates from university hospitals (UH) are not
available. The prevalence rates and distribution were
analyzed on the basis of ICD-10-GM (German modification)
routine data METHOD: A secondary analysis on ICD-10-GM main
and secondary diagnoses of dementia from 2014 and 2015 from
5 UH was performed. All patients admitted to hospital for at
least 24 h and ≥18 years old (2014 n = 187,168;
2015 n = 189,040) were included. A descriptive analysis
for the >69-year-old group was carried out (2014,
n = 67,111; 2015; n = 67,824).The 1‑year
prevalence (2014/2015) for all 5 UH for patients
≥18 years old was $1.3\%/1.4\%$ and for the >69-year-old
group, $3.3\%/3.5\%.$ The prevalence rates between the five
UH varied: for patients ≥18 years the range was
$0.44-2.16\%$ (2014) and $0.44-2.77\%$ (2015) and for
>69-year-olds $1.16-5.52\%$ (2014) and $1.16-7.06\%$ (2015).
Most cases were correlated with major diagnostic categories
of traumatology, cardiology, gastroenterology and
neurology.Analysis of ICD-10-GM routine data can provide an
indication of the prevalence of dementia in UH. Results of
the >69-year-olds varied greatly between participating UH.
The reasons for this might be different healthcare tasks,
especially with respect to geriatric patients; however, it
is also possible that assessment procedures are not
standardized and unreliable and therefore the coding is
invalid. A standardized procedure for the identification of
people suffering from dementia is necessary.},
keywords = {Adolescent / Aged / Clinical Coding: methods / Dementia:
classification / Dementia: epidemiology / Germany:
epidemiology / Hospital Units: statistics $\&$ numerical
data / Hospitalization: statistics $\&$ numerical data /
Hospitals, University / Humans / International
Classification of Diseases: standards / Prevalence},
cin = {AG Roes},
ddc = {150},
cid = {I:(DE-2719)1610003},
pnm = {344 - Clinical and Health Care Research (POF3-344)},
pid = {G:(DE-HGF)POF3-344},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:30076440},
doi = {10.1007/s00391-018-1433-5},
url = {https://pub.dzne.de/record/141455},
}