dc.contributor.author	Danila, Oana
dc.contributor.author	Hirdes, John P
dc.contributor.author	Maxwell, Colleen J
dc.contributor.author	Marrie, Ruth A
dc.contributor.author	Patten, Scott
dc.contributor.author	Pringsheim, Tamara
dc.contributor.author	Jetté, Nathalie
dc.date.accessioned	2014-04-02T10:39:30Z
dc.date.available	2014-04-02T10:39:30Z
dc.date.issued	2014-01-22
dc.date.updated	2014-04-02T10:39:30Z
dc.description.abstract	Abstract Background Although multiple studies have estimated the prevalence of neurological conditions in the general Canadian population, limited research exists regarding the proportion affected with these conditions in non-acute health care settings in Canada. Data from standardized clinical assessments based on the interRAI suite of instruments were used to estimate the prevalence of eight neurological conditions across the continuum of care including Alzheimer’s disease, Parkinson’s disease, epilepsy, traumatic brain injury, multiple sclerosis, cerebral palsy, Huntington’s disease, and amyotrophic lateral sclerosis. Methods Cohorts of individuals receiving care in nursing homes (N=103,820), home care (N=91,021), complex continuing care (N=10,581), and psychiatric hospitals (N=23,119) in Canada were drawn based on their most recent interRAI assessment within each sector for a six-month period in 2010. These data were linked to the Discharge Abstract Database and National Ambulatory Care Reporting System data sets to develop five different case definition scenarios for estimating prevalence. Results The conditions with the highest estimated prevalences in these care settings in Canada were Alzheimer’s disease and related dementias, Parkinson’s disease, epilepsy, and traumatic brain injury. However, there were notable cross-sector differences in the prevalence of each condition, and regional variations. Prevalence estimates based on acute hospital administrative data alone were substantially lower for all conditions evaluated. Conclusions The proportion of persons with neurological conditions in non-acute health care settings in Canada is substantially higher than is generally reported for the general population. It is essential for these care settings to have the expertise and resources to respond effectively to the strengths, preferences, and needs of the growing population of persons with neurological conditions. The use of hospital or emergency department records alone is likely to substantially underestimate the true prevalence of neurological conditions across the continuum of care. However, interRAI assessment records provide a helpful source of information for obtaining these estimates in nursing home, home care, and mental health settings.
dc.description.version	Peer Reviewed
dc.identifier.citation	BMC Health Services Research. 2014 Jan 22;14(1):29
dc.identifier.doi	http://dx.doi.org/10.1186/1472-6963-14-29
dc.identifier.uri	http://hdl.handle.net/1993/23356
dc.language.rfc3066	en
dc.rights	open access	en_US
dc.rights.holder	Oana Danila et al.; licensee BioMed Central Ltd.
dc.title	Prevalence of neurological conditions across the continuum of care based on interRAI assessments
dc.type	Journal Article

Prevalence of neurological conditions across the continuum of care based on interRAI assessments

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