Has the referral of older adults with dementia changed since the availability of acetylcholinesterase inhibitors and the NICE guidelines
2006
AIMS AND METHOD To investigate whether patients with dementia are referred to specialist
services earlier in the disease since the launch of acetylcholinesterase
inhibitors and the publication of the National Institute for Clinical
Excellence (NICE) guidelines for the use of these drugs. All referrals to old
age psychiatry services in two 6-month periods in 1996 and 2003 were surveyed
retrospectively for diagnosis, Mini-Mental State Examination (MMSE) score and
use of acetylcholinesterase inhibitors. RESULTS The mean MMSE score at referral increased from 18.8 to 21.5 (P=0.0005)
between 1996 and 2003. Acetylcholinesterase inhibitors were prescribed for 35%
of all patients and 58% of patients that would be suitable according to NICE
guidelines in the 2003 group. CLINICAL IMPLICATIONS The earlier referral of patients with dementia to mental health services is
encouraging.
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