Scott Patten

University of Calgary, Community Health Sciences, Faculty Member

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I am a Psychiatrist and psychiatric epidemiology at the University of Calgary

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P3-285: Acute Care Transitions and Outcomes Among Assisted Living Residents with and Without Dementia

Alzheimers & Dementia, Jul 1, 2014

andmutual cooperation during the exercises (with and without cooperation). Each group received a ... more andmutual cooperation during the exercises (with and without cooperation). Each group received a distinct exercise protocol. At three months they were reversed about variables and protocols. The hypothesis is the beneficial effect in the analyzed aspects. To evaluate the results, it was used the SPSS17.0 software (Statistical Package for Social Sciences), the Friedman test for descriptive analysis and for analysis of the tests performance it was applied the SPAD (Syst eme Portables d’Analyse dês Don ees). Significant difference (p<0,05) in behavior ("GDS") with improvement of depression as well as trends towards improvements in the tests analysed, in distinct phases. Analysis of performance in tests classified them into three groups: mixed results, good results and bad results. Although the short period and frequency of intervention,this physiotherapeutical protocolproved positive for the elderly with Alzheimer ’s Disease, a neurodegenerative pathology.

Resident and facility determinants of long-term care placement among older adults with dementia residing in assisted living facilities

Alzheimer's & Dementia, 2012

recruited. Patient dependence (Dependence Scale, DS), patient self-assessed QoL and utility (DEMQ... more recruited. Patient dependence (Dependence Scale, DS), patient self-assessed QoL and utility (DEMQOL; Bath Assessment of Quality of Life in Dementia, BASQID; EQ-5D) were completed by patients with MMSE of 10 only and caregiver proxy assessed scales (DEMQOL proxy, EQ-5D proxy) were completed for all patients. EQ-5D responses were converted into utility scores using a UK algorithm. Bivariate (Pearson correlation) and multivariate analyses (GLM) were used to assess relationships between patient dependence and QoL and utility. Results: Data on 249 participants with AD were analysed. The mean (SD) age of patients was 79(8.5) years and 53.8% were female. The mean (SD) score for MMSE was 14.6(6.8).Pearson correlations revealed significant associations between DS and EQ-5D utility (r ¼-0.19, p<0.05), proxy-assessed EQ-5D utility (r ¼-0.42, p<0.0001) and BASQID total scores (r ¼-0.38, p<0.0001) and no significant associations with the DEMQOL (r ¼-14, NS) and DEM-QOL proxy(r ¼-0.12, NS). Multivariate analyses using GLM, controlling for patient age and gender, confirmed significant associations between dependence and the two EQ-5D utility assessments (P <0.01) and BASQID total score (P <0.0001). When patient age and gender were controlled for, significant associations between dependence and both the DEMQOL and DEMQOL-proxy were observed (P <0.05). It is expected that a one point increase in dependence is associated with the following point decreases: 0.017 (EQ-5D utility), 0.039 (EQ-5D proxy utility), 1.03(DEM-QOL), 0.66(DEMQOL proxy) and 1.395 in the BASQID total score. Conclusions: Patient QoL and utility decrease as AD illness progresses and dependence on others increases. Associations between the dependence and the EQ-5D utility and BASQID total scores were consistently more significant than associations with the DEMQOL and DEMQOL proxy.

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