Dementia-free life expectancy (DemFLE) in the Netherlands


R.J.M. Perenboom
Bok Engelsk 1996
Utgitt
1996
Omfang
Side 1703- 1707
Opplysninger
To gain an insight into the burden of dementia in an aging society,life expectancy with dementia and its counterpart dementia-free lifeexpectancy (DemFLE) in The Netherlands are presented. Sullivan'smethod was used to calculate DemFLE. For elderly living eitherindependently or in homes for the elderly prevalence figures ondementia were obtained from the Rotterdam Elderly Study (RES; n =7528); for elderly in nursing homes the SIG Nursing home InformationSystem was used. Conforming to other authors only the prevalence dataon moderate and severe dementia as diagnosed with DSM-III-R criteriaare used. The prevalence of mild dementia was not taken into account.At 65 years DemFLE for men is 14.0 years, that is 96.4% of the totallife expectancy (14.5 years at this age). At age 90, DemFLE for menis 2.5 years, equal to 77.5% of the total life expectancy (3.3years); For women DemFLE at age 65 is 17.7 years, that is 93.2% oftheir life expectancy (19.0 years), and at the age of 90, DemFLE forwomen is 2.8 years, equal to 74.7% of their remaining life expectancy(3.8 years). The absolute number of years with dementia remainsrelatively constant with increasing age. About 20-25% of these yearswith dementia are spent in nursing homes, the other 75-80% livingindependently. At each age compared with men women have both a higherDemFLE and a higher expectancy of years with dementia. The percentageof life expectancy without dementia however, is always lower forwomen, because of their higher total life expectancy. This indicatesthat the burden of dementia in absolute and relative terms is higherfor women. Most years with dementia are spent at home, indicatingthat the burden of dementia rests mainly on the shoulders of informalcaregivers. Copyright (C) 1996 Elsevier Science Ltd
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