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Prevalence of dementia in Al Kharga District, New Valley Governorate, Egypt.

Research Authors
El Tallawy HN, Farghly WM, Shehata GA, Rageh TA, Hakeem NA, Abo-Elfetoh N, Hegazy AM, Rayan I, El-Moselhy EA.
Research Journal
Neuroepidemiology
Research Member
Research Rank
1
Research Vol
Vol. 38, No. 3
Research Website
http://www.ncbi.nlm.nih.gov/pubmed/22433971
Research Year
2012
Research_Pages
PP. 130-137
Research Abstract

With aging, there is a parallel increase in the prevalence of dementia worldwide. The aim of this work is to determine the prevalence of dementia among the population of Al Kharga District, New Valley, Egypt.
METHODS:
Screening of all subjects aged ≥50 years (n = 8,173 out of 62,583 inhabitants) was done through a door-to-door survey by 3 neurologists, using a short standardized Arabic screening test and a modified Mini-Mental State Examination. Suspected cases were subjected to full clinical examination, psychometric assessment using the Cognitive Abilities Screening Instrument, Instrumental Activities of Daily Living Scale, Geriatric Depression Scale, Hachinski Ischemic Score, DSM-IV-TR diagnostic criteria, neuroimaging, and laboratory investigations, when indicated.
RESULTS:
The prevalence rate of dementia was 2.26% for the population aged ≥50 years. It increased steeply with age to a maximum of 18.48% for those aged ≥80 years. Alzheimer's disease (51.2%) was the most common subtype, followed by vascular dementia (28.7%), dementia due to general medical conditions (12.8%), and lastly dementia due to multiple etiologies (7.3%). Mild dementia was the commonest (53.7%).
CONCLUSION:
Dementia is prevalent in Egypt as elsewhere. Detection through a door-to-door survey is the best method in developing countries for early detection of mild cases.