PREVALENCE OF MOVEMENT-DISORDERS IN ELDERLY COMMUNITY RESIDENTS

PREVALENCE OF MOVEMENT-DISORDERS IN ELDERLY COMMUNITY RESIDENTS
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DOI:
10.1159/000110376
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发表时间:
1994-07-01
期刊:
影响因子:
5.7
通讯作者:
RAJPUT, R
RAJPUT, R
中科院分区:
医学3区
文献类型:
--
作者:
MOGHAL, S;RAJPUT, AH;RAJPUT, R

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我们研究了运动障碍(MD)在萨斯喀彻温省的社区居民年龄大于或等于65岁。70人的代表性样本进行了详细的神经系统评估。那些在第一次检查时有明确和可能的MD的人由高级神经科医生进行第二次神经系统评估。最常见的MD是原发性震颤(ET)(14%),其次是帕金森病(PD)(3%)。PD和ET患病率的显著差异归因于:(a)一般人群中ET的发病率较高;(B)大多数(如果不是全部)ET病例居住在社区的可能性更大,而相当大比例的老年PD病例可能被机构化,以及(c)PD生存期缩短,但ET预期寿命正常。
We studied movement disorders (MD) in community residents of Saskatchewan aged greater than or equal to 65 years. A representative sample of 70 individuals had detailed neurological evaluation. Those who had definite and possible MD at first examination had a second neurological assessment by a senior neurologist. The most prevalent MD was essential tremor (ET) (14%) followed by Parkinson's disease (PD) (3%). The marked difference in prevalence ratios for PD and ET are attributed to: (a) higher incidence of ET in the general population; (b) a greater possibility that most, if not all, ET cases would reside in the community whereas a sizable proportion of elderly PD cases may be institutionalized, and (c) shortened survival in PD but a normal life expectancy in ET.