The Effect of Economic Assets on Mortality in Patients with Dementia: A Population-Based Cohort Study

Anna Bebe; Volkert Siersma; Jakob Kragstrup; Anni Brit Sternhagen Nielsen; Anne Møller; Jens Søndergaard; Dagný Rós Nicolaisdóttir; Frans Boch Waldorff

doi:10.3233/JAD-181107

The Effect of Economic Assets on Mortality in Patients with Dementia: A Population-Based Cohort Study

Anna Bebe^*
, Volkert Siersma
, Jakob Kragstrup
, Anni Brit Sternhagen Nielsen
, Anne Møller
, Jens Søndergaard
, Dagný Rós Nicolaisdóttir
, Frans Boch Waldorff

^*Corresponding author for this work

Occupational Medicines

Research output: Contribution to journal › Article › Research › peer-review

Abstract

BACKGROUND: We investigated the effect of economic assets on mortality in patients with dementia in a national cohort of elderly individuals aged 65 or older.

OBJECTIVE: To examine the effect of economic assets on mortality in patients with dementia.

METHODS: Incidence of dementia and all-cause mortality was analyzed with incidence rate ratios (IRR) in three different categories of economic assets by means of Cox regression models.

RESULTS: A total of 874,246 individuals aged 65+ were included. The risk of receiving a dementia diagnosis was highest in the low economic asset group (IRR 1.19). Patients with dementia had a higher mortality compared to those without a diagnosis (IRR 2.85). The mortality in the dementia group was lowest in the high economic asset group (IRR 3.31). However, the increase associated with dementia was lowest within the low economic assets group (IRR 2.57).

CONCLUSION: Mortality is increased with a dementia diagnosis and highest for the low economic asset group. However, the increase in mortality attributable to dementia was higher in the high economic assets group.

Original language	English
Pages (from-to)	1245-1253
Number of pages	9
Journal	Journal of Alzheimer's Disease
Volume	67
Issue number	4
DOIs	https://doi.org/10.3233/JAD-181107
Publication status	Published - 2019

Keywords

Aged
Cohort Studies
Dementia/diagnosis
Denmark/epidemiology
Female
Humans
Incidence
Male
Mortality
Registries/statistics & numerical data
Risk Factors
Socioeconomic Factors

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title = "The Effect of Economic Assets on Mortality in Patients with Dementia: A Population-Based Cohort Study",

abstract = "BACKGROUND: We investigated the effect of economic assets on mortality in patients with dementia in a national cohort of elderly individuals aged 65 or older.OBJECTIVE: To examine the effect of economic assets on mortality in patients with dementia.METHODS: Incidence of dementia and all-cause mortality was analyzed with incidence rate ratios (IRR) in three different categories of economic assets by means of Cox regression models.RESULTS: A total of 874,246 individuals aged 65+ were included. The risk of receiving a dementia diagnosis was highest in the low economic asset group (IRR 1.19). Patients with dementia had a higher mortality compared to those without a diagnosis (IRR 2.85). The mortality in the dementia group was lowest in the high economic asset group (IRR 3.31). However, the increase associated with dementia was lowest within the low economic assets group (IRR 2.57).CONCLUSION: Mortality is increased with a dementia diagnosis and highest for the low economic asset group. However, the increase in mortality attributable to dementia was higher in the high economic assets group.",

keywords = "Aged, Cohort Studies, Dementia/diagnosis, Denmark/epidemiology, Female, Humans, Incidence, Male, Mortality, Registries/statistics \& numerical data, Risk Factors, Socioeconomic Factors",

author = "Anna Bebe and Volkert Siersma and Jakob Kragstrup and Nielsen, \{Anni Brit Sternhagen\} and Anne M{\o}ller and Jens S{\o}ndergaard and Nicolaisd{\'o}ttir, \{Dagn{\'y} R{\'o}s\} and Waldorff, \{Frans Boch\}",

year = "2019",

doi = "10.3233/JAD-181107",

language = "English",

volume = "67",

pages = "1245--1253",

journal = "Journal of Alzheimer's Disease",

issn = "1387-2877",

publisher = "SAGE Publications Ltd",

number = "4",

}

TY - JOUR

T1 - The Effect of Economic Assets on Mortality in Patients with Dementia

T2 - A Population-Based Cohort Study

AU - Bebe, Anna

AU - Siersma, Volkert

AU - Kragstrup, Jakob

AU - Nielsen, Anni Brit Sternhagen

AU - Møller, Anne

AU - Søndergaard, Jens

AU - Nicolaisdóttir, Dagný Rós

AU - Waldorff, Frans Boch

PY - 2019

Y1 - 2019

N2 - BACKGROUND: We investigated the effect of economic assets on mortality in patients with dementia in a national cohort of elderly individuals aged 65 or older.OBJECTIVE: To examine the effect of economic assets on mortality in patients with dementia.METHODS: Incidence of dementia and all-cause mortality was analyzed with incidence rate ratios (IRR) in three different categories of economic assets by means of Cox regression models.RESULTS: A total of 874,246 individuals aged 65+ were included. The risk of receiving a dementia diagnosis was highest in the low economic asset group (IRR 1.19). Patients with dementia had a higher mortality compared to those without a diagnosis (IRR 2.85). The mortality in the dementia group was lowest in the high economic asset group (IRR 3.31). However, the increase associated with dementia was lowest within the low economic assets group (IRR 2.57).CONCLUSION: Mortality is increased with a dementia diagnosis and highest for the low economic asset group. However, the increase in mortality attributable to dementia was higher in the high economic assets group.

AB - BACKGROUND: We investigated the effect of economic assets on mortality in patients with dementia in a national cohort of elderly individuals aged 65 or older.OBJECTIVE: To examine the effect of economic assets on mortality in patients with dementia.METHODS: Incidence of dementia and all-cause mortality was analyzed with incidence rate ratios (IRR) in three different categories of economic assets by means of Cox regression models.RESULTS: A total of 874,246 individuals aged 65+ were included. The risk of receiving a dementia diagnosis was highest in the low economic asset group (IRR 1.19). Patients with dementia had a higher mortality compared to those without a diagnosis (IRR 2.85). The mortality in the dementia group was lowest in the high economic asset group (IRR 3.31). However, the increase associated with dementia was lowest within the low economic assets group (IRR 2.57).CONCLUSION: Mortality is increased with a dementia diagnosis and highest for the low economic asset group. However, the increase in mortality attributable to dementia was higher in the high economic assets group.

KW - Aged

KW - Cohort Studies

KW - Dementia/diagnosis

KW - Denmark/epidemiology

KW - Female

KW - Humans

KW - Incidence

KW - Male

KW - Mortality

KW - Registries/statistics & numerical data

KW - Risk Factors

KW - Socioeconomic Factors

U2 - 10.3233/JAD-181107

DO - 10.3233/JAD-181107

M3 - Article

C2 - 30741677

SN - 1387-2877

VL - 67

SP - 1245

EP - 1253

JO - Journal of Alzheimer's Disease

JF - Journal of Alzheimer's Disease

IS - 4

ER -

The Effect of Economic Assets on Mortality in Patients with Dementia: A Population-Based Cohort Study

Abstract

Keywords

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