Gender differences in outpatients with dementia from a large psychiatric hospital in China

Abstract Background The sociodemographic characteristics and clinical features of dementia patients in psychiatric hospitals have not been thoroughly studied in China. This study aimed to explore the psychiatric outpatient attendance of dementia patients at a psychiatric hospital in China, with part...

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Main Authors: Jiaojiao Zhou, Chengwei Guo, Li Ren, Dandi Zhu, Wenfeng Zhen, Saina Zhang, Qing’e Zhang
Format: Article
Language:English
Published: BMC 2022-03-01
Series:BMC Psychiatry
Subjects:
Online Access:https://doi.org/10.1186/s12888-022-03852-z
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author Jiaojiao Zhou
Chengwei Guo
Li Ren
Dandi Zhu
Wenfeng Zhen
Saina Zhang
Qing’e Zhang
author_facet Jiaojiao Zhou
Chengwei Guo
Li Ren
Dandi Zhu
Wenfeng Zhen
Saina Zhang
Qing’e Zhang
author_sort Jiaojiao Zhou
collection DOAJ
description Abstract Background The sociodemographic characteristics and clinical features of dementia patients in psychiatric hospitals have not been thoroughly studied in China. This study aimed to explore the psychiatric outpatient attendance of dementia patients at a psychiatric hospital in China, with particular emphasis on gender differences. Methods This retrospective study examined outpatients with dementia from January 2013 to August 2019 using data in the Observational Medical Outcomes Partnership Common Data Model (OMOP-CDM) in Beijing Anding Hospital. Age, sex, number of visits, use of drugs and comorbid conditions were extracted from medical records. Results Nine thousand four patients were recruited from a specific outpatient clinic of a hospital in Beijing, and the mean number of visits was 6.92. There were 3,433 (38.13%) male patients and 5,571 (61.87%) female patients. The most common comorbidities were generalized anxiety disorder, nonorganic insomnia, delusional disorder and depressive disorder. The proportion of patients using antidementia was the highest, with the rate of 68.3%, followed by benzodiazepines (48.83%), antipsychotics (45.43%), antidepressants (22.24%) and nonbenzodiazepines (19.96%). Patients with dementia showed a significant gender difference in average age (t = 6.36, P < 0.0001). Compared to male patients, female patients had a higher number of visits (7.40 ± 12.90 vs 6.15 ± 10.50, t = 4.81, P < 0.0001). There were significant differences in comorbidity composition between male and female patients (t = 23.09, P < 0.0001). Conclusions Our present findings suggested significant gender differences in the proportion of age, number of visits and comorbidity composition in outpatients with dementia.
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spelling doaj.art-f22c018a20b24dc18a274cdad8b586592022-12-21T18:12:13ZengBMCBMC Psychiatry1471-244X2022-03-012211510.1186/s12888-022-03852-zGender differences in outpatients with dementia from a large psychiatric hospital in ChinaJiaojiao Zhou0Chengwei Guo1Li Ren2Dandi Zhu3Wenfeng Zhen4Saina Zhang5Qing’e Zhang6The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical UniversityThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical UniversityThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical UniversityThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical UniversityThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical UniversityThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical UniversityThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical UniversityAbstract Background The sociodemographic characteristics and clinical features of dementia patients in psychiatric hospitals have not been thoroughly studied in China. This study aimed to explore the psychiatric outpatient attendance of dementia patients at a psychiatric hospital in China, with particular emphasis on gender differences. Methods This retrospective study examined outpatients with dementia from January 2013 to August 2019 using data in the Observational Medical Outcomes Partnership Common Data Model (OMOP-CDM) in Beijing Anding Hospital. Age, sex, number of visits, use of drugs and comorbid conditions were extracted from medical records. Results Nine thousand four patients were recruited from a specific outpatient clinic of a hospital in Beijing, and the mean number of visits was 6.92. There were 3,433 (38.13%) male patients and 5,571 (61.87%) female patients. The most common comorbidities were generalized anxiety disorder, nonorganic insomnia, delusional disorder and depressive disorder. The proportion of patients using antidementia was the highest, with the rate of 68.3%, followed by benzodiazepines (48.83%), antipsychotics (45.43%), antidepressants (22.24%) and nonbenzodiazepines (19.96%). Patients with dementia showed a significant gender difference in average age (t = 6.36, P < 0.0001). Compared to male patients, female patients had a higher number of visits (7.40 ± 12.90 vs 6.15 ± 10.50, t = 4.81, P < 0.0001). There were significant differences in comorbidity composition between male and female patients (t = 23.09, P < 0.0001). Conclusions Our present findings suggested significant gender differences in the proportion of age, number of visits and comorbidity composition in outpatients with dementia.https://doi.org/10.1186/s12888-022-03852-zDementiaOutpatientGenderAgeNumber of visitsComorbidity
spellingShingle Jiaojiao Zhou
Chengwei Guo
Li Ren
Dandi Zhu
Wenfeng Zhen
Saina Zhang
Qing’e Zhang
Gender differences in outpatients with dementia from a large psychiatric hospital in China
BMC Psychiatry
Dementia
Outpatient
Gender
Age
Number of visits
Comorbidity
title Gender differences in outpatients with dementia from a large psychiatric hospital in China
title_full Gender differences in outpatients with dementia from a large psychiatric hospital in China
title_fullStr Gender differences in outpatients with dementia from a large psychiatric hospital in China
title_full_unstemmed Gender differences in outpatients with dementia from a large psychiatric hospital in China
title_short Gender differences in outpatients with dementia from a large psychiatric hospital in China
title_sort gender differences in outpatients with dementia from a large psychiatric hospital in china
topic Dementia
Outpatient
Gender
Age
Number of visits
Comorbidity
url https://doi.org/10.1186/s12888-022-03852-z
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