WEEK 8 NEUROLOGICAL DISEASES Flashcards
What is the second leading cause of death for Australians?
Dementia
In 2020 how many Australians are living with dementia?
459, 000 Australians, and 50 million worldwide
What is the ADNeT registry?
- the backbone (spine) of the dementia research project
- Clinical quality registry for persons newly diagnosed with dementia or Mild Cognitive Impairment (MCI)
What is the estimated percentage of dementia among people aged 65 and over?
10%
What is the estimated percentage of dementia among people aged 85 years and over?
30%
In which settings might a person receive diagnosis work up and assessments for dementia?
General practice, memory clinics, other Hospital outpatient clinics, hospital inpatient wards, private specialists including geriatricians and neurologists, aged care assessments, residential aged care facility
What are some of the early signs of dementia?
- Confusion
- Forgetfulness
- Memory loss
- Impact language use.
is a dementia diagnosis done with a combination of different assessments or just one?
- Combination of different assessments
- This is to assess cognitive capabilities e.g. mini mental state exam in a memory clinic for example
What does ADNeT mean?
- Australian Dementia Network Registry
What are clinical quality registries (CQR)?
- Organisations which systemically monitor the quality (appropriateness and effectiveness) of healthcare, within specific clinical domains, by routinely collecting, analysing and reporting health – related information.
What are three benefits of clinical quality registries?
- Driving continuous improvements in patient-centred health care and outcomes.
- Improving the value of healthcare.
- Contributing to the sustainability of healthcare systems.
What did the Framework for Australian clinical quality registries develop?
- A prioritised list of clinical domains for clinical quality registry development
What is ADNeT collecting data for, that will hopefully change the standard of care?
- Dementia
What is the vision of ADNeT?
- To incorporate all diagnostic settings and services for dementia in Australia, and register the entire population of persons newly diagnosed with either dementia or MCI, and in doing so, systemically drive improvements and quality of care and patient outcomes.
What is the primary aim of ADNeT?
- To collect and analyse data to monitor and enhance the quality of care and patient outcomes for people diagnosed with dementia or MCI.
What is the secondary aim of ADNeT?
- To facilitate recruitment of participants into research projects, and establish a resource to facilitate further study into the risk factor for, and trajectory of dementia and MCI in Australia
What are the three different types of data collection source for the CQIs?
- Participating sites (Patient demographic information, and baseline and follow-up clinical data)
- Registry participants and carers (if appropriate, and only following recruitment into the registry)
- Linkage with administrative datasets (information on aged care, hospitilisation etc)
What is the primary endpoint from the ASPREE study?
- Death from any cause OR incident dementia OR persistent physical disability
What were some examples of the secondary endpoints for the ASPREE study?
- cancer, cardiovascular events, death from any cause, dementia, depression, major hemorrhage, mild cognitive impairment.
What is a heart failure hospitaliation endpoint defined as for the ASPREE study?
- Unplanned admission to hospital for greater than 24 hours where heart failure was the primary reason for admission
What is the dementia endpoint defined as in terms of the ASPREE study?
- Adjudicated from 3MS, pharmacological and diagnosis data
What % of the body’s energy at rest does the brain use?
- 20%
What is the cerebral cortex responsible for?
Sensing, thinking, learning, emotion, consciousness, and voluntary movement.
What is the amygdala responsible for?
Part of the limbic system involved in emotion and aggression.