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10-year prevalence of cognitive impairment diagnoses and associated medical and psychiatric conditions in a national cohort of older female veterans

The American Journal of Geriatric Psychiatry Dec 19, 2018

Lwi SJ, et al. - Researchers aimed to characterize the 10-year prevalence of cognitive impairment (ie, mild cognitive impairment and dementia) and associated conditions in 168,111 female veterans aged 65 and older from VA Health Administration medical records. They defined cognitive impairment (CI) diagnoses using ICD-9 codes or dementia medication prescriptions. For mild cognitive impairment (MCI) diagnoses, 10-year prevalence was 1.8% (3,075) and for dementia diagnoses, 8.1% (13,653). With age, prevalence increased (MCI- age 65: 1.4%, age 85+: 2.7%; dementia- age 65: 2.5%, age 85+: 17.7%). The dementia subtype diagnoses were made in 37.3%, with Alzheimer's disease being the most prevalent (72.7%). These findings suggest that female veterans with CI display a high prevalence of medical and psychiatric conditions highlighting their healthcare burden.
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