| Dementia diagnosis when living at home | Dementia diagnosis when living in a nursing home | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
DNOS n = 193 | Othera n = 1021 | OR | CI 95% | p value | DNOS n = 170 | Othera n = 620 | OR | CI 95% | p value | |
Person with dementia | ||||||||||
 Age, years, median (Q1; Q3) | 84 (80; 88) | 82 (78; 86) | 1.048 | 1.023–1.074 | < 0.001 | 85 (80; 90) | 84 (80; 88) | 1.026 | 0.999–1.055 | 0.061 |
 Gender, female % | 66 | 63 | 1.163 | 0.840–1.608 | 0.363 | 75 | 74 | 1.053 | 0.714–1.555 | 0.793 |
 Symptoms, years (range) | 4 (2; 6) | 4 (2; 6) | 0.978 | 0.931–1.028 | 0.381 | 3 (1; 5) | 4 (2; 7) | 0.907 | 0.849–0.969 | 0.004 |
Comorbidity (CCI), median (Q1; Q3), 0–37 | 2 (1; 3) | 2 (1; 3) | – | – | 0.050 | 2 (1; 3) | 2 (1; 3) | – | – | 0.994 |
Cognitive function (SMMSE), 0–30 | 15 (10; 19) | 15 (10; 20) | 0.987 | 0.963–1.011 | 0.284 | 13 (8; 17) | 12 (7; 16) | 1.023 | 0.992–1.055 | 0.154 |
Quality of life (QoL-AD), 13–52 | 34 (30; 38) | 34 (30; 38) | 0.996 | 0.965–1.027 | 0.789 | 33 (29; 36) | 33 (28; 37) | 0.996 | 0.962–1.030 | 0.802 |
Activities of daily living (Katz ADL), 0–6 | 3 (1; 5) | 3 (2; 5) | – | – | 0.098 | 2 (1; 3) | 2 (1; 4) | – | – | 0.397 |
Depression in dementia (CSDD), 0–38 | 8 (5; 13) | 7(3; 12) | 1.032 | 1.006–1.059 | 0.016 | 5 (2; 9) | 2 (2; 9) | 0.991 | 0.956–1.027 | 0.611 |
Resource utilization (RUD) last 30 days, % | ||||||||||
 Hospital admission, geriatric ward | 1 (1) | 42 (2) | 0.121 | 0.017–0.887 | 0.038 | 0 (0) | 1 (1) | 0.000 | 0.000 | 1.000 |
 Visit general practitioner | 95 (48) | 403 (40) | 1.487 | 1.092–2.024 | 0.012 | 73 (43) | 93 (47) | 0.840 | 0.597–1.183 | 0.840 |
 Visit geriatrician | 5 (3) | 75 (7) | 0.335 | 0.134–0.841 | 0.020 | 17 (10) | 55 (9) | 1.139 | 0.643–2.020 | 0.655 |
 Visit neurologist | 14 (7) | 44 (4) | 1.737 | 0.932–3.235 | 0.082 | 30 (18) | 43 (7) | 2.875 | 1.741–4.748 | < 0.001 |
 Visit psychiatrist | 2 (1) | 2 (4) | 0.435 | 0.102–1.856 | 0.261 | 8 (5) | 27 (4) | 1.083 | 0.483–2.429 | 0.847 |
Neuropsychiatric symptoms (NPI-Q) | ||||||||||
 Severity, 0–36 | 10 (6; 15) | 8 (5; 14) | 1.028 | 1.004–1.052 | 0.021 | 5 (2; 9) | 6 (3; 11) | 0.969 | 0.939–0.999 | 0.043 |
Psychotropics, n (%) | 112 (58) | 814 (80) | 0.352 | 0.254–0.486 | < 0.001 | 122 (72) | 513 (83) | 0.702 | 0.493–0.998 | 0.049 |
 Antipsychotics | 56 (29) | 241 (24) | 1.323 | 0.939–1.864 | 0.110 | 68 (40) | 228 (37) | 1.146 | 0.810–1.623 | 0.442 |
 Anxiolytic | 19 (10) | 173 (17) | 0.535 | 0.324–0.883 | 0.014 | 25 (15) | 190 (31) | 0.390 | 0.247–0.617 | < 0.001 |
 Sedatives | 14 (7) | 136 (13) | 0.509 | 0.287–0.903 | 0.021 | 24 (14) | 143 (23) | 0.548 | 0.343–0.878 | 0.012 |
 Antidepressants | 29 (15) | 330 (32) | 0.370 | 0.244–0.561 | < 0.001 | 44 (26) | 175 (28) | 0.888 | 0.604–1.305 | 0.546 |
 Anti-dementia medication | 43 (22) | 585 (57) | 0.214 | 0.149–0.307 | < 0.001 | 37 (22) | 271 (44) | 0.358 | 0.241–0.533 | < 0.001 |