TY  - JOUR
A1  - Bohlken, Jens
A1  - Jacob, Louis
A1  - Schaum, Peter
A1  - Rapp, Michael A.
A1  - Kostev, Karel
T1  - Hip fracture risk in patients with dementia in German primary care practices
JF  - Dementia
N2  - The aim was to analyze the risk of hip fracture in German primary care patients with dementia. This study included patients aged 65-90 from 1072 primary care practices who were first diagnosed with dementia between 2010 and 2013. Controls were matched (1:1) to cases for age, sex, and type of health insurance. The primary outcome was the diagnosis of hip fracture during the three-year follow-up period. A total of 53,156 dementia patients and 53,156 controls were included. A total of 5.3% of patients and 0.7% of controls displayed hip fracture after three years. Hip fracture occurred more frequently in dementia subjects living in nursing homes than in those living at home (9.2% versus 4.3%). Dementia, residence in nursing homes, and osteoporosis were risk factors for fracture development. Antidementia, antipsychotic, and antidepressant drugs generally had no significant impact on hip fracture risk when prescribed for less than six months. Dementia increased hip fracture risk in German primary care practices.
KW  - hip fracture
KW  - dementia
KW  - nursing homes
KW  - osteoporosis
KW  - risk factors
Y1  - 2015
U6  - https://doi.org/10.1177/1471301215621854
SN  - 1471-3012
SN  - 1741-2684
VL  - 16
SP  - 853
EP  - 864
PB  - Sage Publ.
CY  - London
ER  - 
TY  - JOUR
A1  - Bohlken, Jens
A1  - Weber, Simon A.
A1  - Siebert, Anke
A1  - Forstmeier, Simon
A1  - Kohlmann, Thomas
A1  - Rapp, Michael A.
T1  - Reminiscence therapy for depression in dementia
BT  - An observational study with matched pairs
JF  - GeroPsych - The Journal of gerontopsychology and geriatric psychiatry
N2  - We investigated the efficacy of reminiscence therapy (RT) on symptoms of depression in patients with mild to moderate dementia. Out of 227 patients with mild to moderate dementia from a specialized physician’s office, 27 pairs (N = 54; mean age 79.04 ± 6.16 years) who had either received treatment as usual (TAU) or TAU combined with RT, were matched retrospectively according to age as well as cognitive and depressive symptom scores. After controlling for age and sex, symptoms of depression significantly decreased over time in the RT group compared to TAU (F1,52 = 4.36; p < .05). RT is a promising option for the treatment of depression in mild to moderate dementia. Larger randomized-controlled trials are needed.
KW  - reminiscence
KW  - life story book
Y1  - 2017
U6  - https://doi.org/10.1024/1662-9647/a000175
SN  - 1662-9647
SN  - 1662-971X
VL  - 30
SP  - 145
EP  - 151
PB  - Hogrefe
CY  - Göttingen
ER  -