[Care-Dependency in XXXX : More Frequent than Assumed?]

@entity1 @entity308 @entity303 @entity191 @entity734
UNASSIGNED: Aims: @entity191 ( @entity191 ) increases the risk of @entity734 ( @entity734 ). While motor functions worsen continuously, the assignment of @entity1 to @entity734 occurs categorically. It is unknown how many @entity1 are already sufficiently severely impaired to be categorised as @entity734 yet do not have an officially acknowledged level of @entity734 . Methods: A random sample of 1   449 @entity191 outpatients was clinically characterised by office-based neurologists, including impairments of activities of daily living (ADL with the Unified @entity191 Rating scale (UPDRS subscale II) as well as regarding the presence of @entity303 according to DSM-IV criteria and the Mini-Mental State Exam (MMSE). @entity308 was screened for with the Montgomery-Asberg @entity308 Rating Scale (MADRS). For each @entity1 the officially acknowledged level of @entity734 was documented; for @entity1 without official @entity734 level, the clinician appraised whether the @entity1 was care-dependent anyhow. Results: 266 @entity1 (18.3%) were officially acknowledged as care-dependent, while n=121 @entity1 (8.5%) were not, yet were appraised to be care-dependent according to the clinician. Compared to non- @entity734 @entity1 , they differed on every measure considered. Compared to @entity1 with an official @entity734 , their @entity191 duration was significantly shorter (6.0 vs. 8.0 years, p<0.01) and they were less severely impaired in ADL (13.3 vs. 15.5, p<0.01). They did not differ regarding the rates of @entity303 (52.9 vs. 44.9%, p=0.203) or @entity308 according to the MADRS (13.1 vs. 13.1, p=0.989). Conclusions: ADL impairments are the most important predictor for @entity734 while @entity303 and @entity308 are not considered despite the impairments that are additionally caused by them.
