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http://dx.doi.org/10.7231/jon.2018.29.2.111

Retrospective Analysis of Patients Suffering from Dementia or Mild Cognitive Impairment Treated by Collaboration between Western and Korean Medicine  

Lee, Go Eun (Department of Oriental Rehabilitation, National Rehabilitation Center)
Cheong, Moon Joo (Education Graduate of Hanyang University)
Lee, Sung Ik (Inam Neuroscience Research Center & Department of Neurology, Sanbon Medical Center, Wonkwang University School of Medicine)
Kim, Nam Kwen (Ophthalmology & Otolaryngology & Dermatology, School of Korean Medicine, Pusan National University)
Kim, Jinwon (Department of Korean Internal Medicine, National Medical Center)
Kang, Hyung Won (Department of Neuropsychiatry of Korean Medicine, Wonkwang University)
Publication Information
Journal of Oriental Neuropsychiatry / v.29, no.2, 2018 , pp. 111-119 More about this Journal
Abstract
Objectives: To investigate the characteristics of patients diagnosed with dementia or mild cognitive impairment who are treated by means of a blend between Western and Korean medicine. Methods: We searched for outpatients with dementia or mild cognitive impairment by means of a collaboration between Western and Korean medicine from August 1, 2015, to July 31, 2017, through electronic medical records in Wonkwang Hospital. The records were retrospectively analyzed according to the patients' demographic and clinical characteristics, pathway of medical care, diagnostic tests, treatment, and medical expenses. Results: Thirteen patients were included in the analysis. Among them, six patients were diagnosed with mild cognitive impairment, five with dementia, Alzheimer's type, one patient with frontotemporal dementia, and one patient with unspecified dementia. Twelve of the thirteen patients were over 60 years of age. The number of pathways from the Dept. of Neurology to the Dept. of Neuropsychiatry of Korean Medicine was almost the same as the opposite pathway. The most used diagnostic test in Korean medicine was a neuropsychological test such as SNSB, MMSE and GDS. In Western medicine, hematology and neuroimaging were frequently used for patients. Acupuncture in Korean medicine and medication in Western medicine were the most frequently used. In Korean medicine, uncovered service costs were much higher than covered service costs,. whereas, in Western medicine, covered service costs were higher than uncovered service costs. Conclusions: This study describes the basic characteristics of dementia and mild cognitive impairment patients treated by a collaboration between Western and Korean medicine. Based on these results, a clinical pathway of the collaborative practice system between Western and Korean medicine for dementia patients needs to be developed.
Keywords
Dementia; Mild Cognitive Impairment; Integrative medicine; Korean medicine;
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