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Your search keyword '"Andreasen, Paula"' showing total 2 results
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2 results on '"Andreasen, Paula"'

1. Prevalence of depression among older adults with dementia living in low- and middle-income countries: a cross-sectional study.

Author

Andreasen P, Lönnroos E, and von Euler-Chelpin MC

Subjects
Age Factors, Alzheimer Disease epidemiology, Alzheimer Disease psychology, Cross-Sectional Studies, Dementia epidemiology, Educational Status, Female, Humans, Lewy Body Disease epidemiology, Lewy Body Disease psychology, Male, Poverty psychology, Poverty statistics & numerical data, Prevalence, Risk Factors, Sex Factors, Dementia psychology, Depression epidemiology, Developing Countries statistics & numerical data
Abstract

Background: The prevalence of depression has been evaluated in populations of low- and middle-income (LMI) countries but the risk of depression has not been specified among persons with dementia. This cross-sectional analysis aimed to assess the prevalence and risk of depression among older people with dementia living in LMI countries., Methods: The study analysed data from a population-based survey conducted by 10/66 Dementia Research Group in 2004. Altogether, 17 031 participants from eight different countries aged 65 years and above were assessed. Logistic regression was used to calculate prevalence and odds ratio (OR) of depression on persons with dementia. Adjustments by age and education were included in the analysis. ORs of depression on different types of dementia were determined., Results: Depression was identified in 5.8% (4.4% of men, 6.6% of women) of all the 17 031 participants and in 12.4% (18.9% of men, 10.1% of women) of the 1612 persons with dementia. Persons with dementia had an increased risk of depression compared with persons without dementia, the age- and education-adjusted OR was 2.38 [95% confidence interval (CI0 1.99-2.84]); 3.86 (95% CI 2.83-5.26) for men and 1.88 (95% CI 1.51-2.35) for women. Compared with Alzheimer's disease, Lewy body [OR 2.75 (95% CI 1.40-3.72)] and vascular dementia [OR 2.35, (95% CI 1.49-3.72)] were associated with a higher risk of depression., Conclusions: Persons with dementia were twice as likely to have depression as persons without dementia. Among persons with dementia, the prevalence of depression was higher for men than women, and the risk of depression varied by the type of dementia.

Published
2014
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2. Decreased costs and retained QoL due to the 'PACE Steps to Success' intervention in LTCFs : cost-effectiveness analysis of a randomized controlled trial

Author

Wichmann, Anne B., Adang, Eddy M.M., Vissers, Kris C.P., Szczerbińska, Katarzyna, Kylänen, Marika, Payne, Sheila, Gambassi, Giovanni, Onwuteaka-Philipsen, Bregje D., Smets, Tinne, Van Den Block, Lieve, Deliens, Luc, Vernooij-Dassen, Myrra J.F.J., Engels, Yvonne, Andreasen, Paula, Barańska, Ilona, Bassal, Catherine, Moore, Danni Collingridge, Finne-Soveri, Harriet, Froggatt, Katherine, Hammar, Teija, Heikkilä, Rauha, Hockley, Jo, Honinx, Elisabeth, Van Hout, Hein, Kijowska, Violetta, Ten Koppel, Maud, Kuitunen-Kaija, Outi, Leppäaho, Suvi, Mammarella, Federica, Mercuri, Martina, Miranda, Rose, De Paula, Emilie Morgan, Van Den Noortgate, Nele, Oosterveld-Vlug, Mariska, Pac, Agnieszka, Pasman, H. Roeline W., Pautex, Sophie, Piers, Ruth, Pivodic, Lara, Rossi, Paola, Segat, Ivan, Van Der Steen, Jenny T., Stodolska, Agata, Tanghe, Marc, Family Medicine and Chronic Care, End-of-life Care Research Group, Public and occupational health, APH - Aging & Later Life, APH - Quality of Care, and General practice

Subjects
Male, Alzheimer`s disease Donders Center for Medical Neuroscience [Radboudumc 1], Palliative care, Cost-Benefit Analysis, Psychological intervention, lcsh:Medicine, nursing homes, law.invention, PHYSICIANS, 0302 clinical medicine, Randomized controlled trial, law, Health care, Medicine and Health Sciences, 030212 general & internal medicine, Aged, 80 and over, palliative care, Cost–benefit analysis, DEMENTIA, NURSING-HOME RESIDENTS, General Medicine, Cost-effectiveness analysis, AGREEMENT, 030220 oncology & carcinogenesis, END, Resource use, EARLY PALLIATIVE CARE, Female, Research Article, medicine.medical_specialty, FLANDERS, Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18], 03 medical and health sciences, medicine, QUALITY, Humans, PROXY, Pace, Retrospective Studies, business.industry, Teaching, cost-benefit analysis, lcsh:R, Long-Term Care, teaching, Nursing Homes, Emergency medicine, Quality of Life, OF-LIFE CARE, business
Abstract

Background The number of residents in long-term care facilities (LTCFs) in need of palliative care is growing in the Western world. Therefore, it is foreseen that significantly higher percentages of budgets will be spent on palliative care. However, cost-effectiveness analyses of palliative care interventions in these settings are lacking. Therefore, the objective of this paper was to assess the cost-effectiveness of the ‘PACE Steps to Success’ intervention. PACE (Palliative Care for Older People) is a 1-year palliative care programme aiming at integrating general palliative care into day-to-day routines in LTCFs, throughout seven EU countries. Methods A cluster RCT was conducted. LTCFs were randomly assigned to intervention or usual care. LTCFs reported deaths of residents, about whom questionnaires were filled in retrospectively about resource use and quality of the last month of life. A health care perspective was adopted. Direct medical costs, QALYs based on the EQ-5D-5L and costs per quality increase measured with the QOD-LTC were outcome measures. Results Although outcomes on the EQ-5D-5L remained the same, a significant increase on the QOD-LTC (3.19 points, p value 0.00) and significant cost-savings were achieved in the intervention group (€983.28, p value 0.020). The cost reduction mainly resulted from decreased hospitalization-related costs (€919.51, p value 0.018). Conclusions Costs decreased and QoL was retained due to the PACE Steps to Success intervention. Significant cost savings and improvement in quality of end of life (care) as measured with the QOD-LTC were achieved. A clinically relevant difference of almost 3 nights shorter hospitalizations in favour of the intervention group was found. This indicates that timely palliative care in the LTCF setting can prevent lengthy hospitalizations while retaining QoL. In line with earlier findings, we conclude that integrating general palliative care into daily routine in LTCFs can be cost-effective. Trial registration ISRCTN14741671.

Published
2020

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