PDF(Pubmed)
Abstract：
BACKGROUND: Critical wandering occurs when an individual living with dementia leaves a location and is unaware of place or time. Critical wandering incidents are expected to increase with the growing prevalence of persons living with dementia worldwide. We investigated the association between demographic, psychopathological, and environmental factors and a history of critical wandering among Medic-Alert subscribers, both with and without dementia.
METHODS: Our retrospective study included data of 25,785 Canadian Medic-Alert subscribers who were aged 40 years or older. We used multivariable logistic regression analysis to examine the associations between a history of critical wandering and dementia status as psychopathological independent variable, controlled by demographic (age, ethnic background, sex at birth, Canadian languages spoken) and environmental (living arrangement, population density) factors.
RESULTS: The overall study sample comprised of mainly older adults (77.4%). Medic-Alert subscribers who were older, male sex at birth, living with dementia, of a minority ethnic group and who did not have proficiency in an official Canadian language had a higher likelihood of a history of critical wandering. Residing in an urban environment, in an institution or with a family member, were environmental factors associated with a higher likelihood of a history of critical wandering.
CONCLUSIONS: People living with dementia experience a higher likelihood of a history of critical wandering compared to those without dementia. Medic-Alert and similar organizations can develop algorithms based on the associated factors that can be used to flag risks of critical wandering. This can inform preventative strategies at the individual and community levels.
METHODS: Our retrospective study included data of 25,785 Canadian Medic-Alert subscribers who were aged 40 years or older. We used multivariable logistic regression analysis to examine the associations between a history of critical wandering and dementia status as psychopathological independent variable, controlled by demographic (age, ethnic background, sex at birth, Canadian languages spoken) and environmental (living arrangement, population density) factors.
RESULTS: The overall study sample comprised of mainly older adults (77.4%). Medic-Alert subscribers who were older, male sex at birth, living with dementia, of a minority ethnic group and who did not have proficiency in an official Canadian language had a higher likelihood of a history of critical wandering. Residing in an urban environment, in an institution or with a family member, were environmental factors associated with a higher likelihood of a history of critical wandering.
CONCLUSIONS: People living with dementia experience a higher likelihood of a history of critical wandering compared to those without dementia. Medic-Alert and similar organizations can develop algorithms based on the associated factors that can be used to flag risks of critical wandering. This can inform preventative strategies at the individual and community levels.
摘要：
背景：当患有痴呆症的个体离开某个位置而不知道地点或时间时，就会发生严重的流浪。随着全球痴呆症患者患病率的增加，预计严重的流浪事件会增加。我们调查了人口统计，精神病理学,和环境因素以及Medic-Alert订户之间批判性游荡的历史，有和没有痴呆症。
方法：我们的回顾性研究包括25,785名40岁或以上的加拿大医疗警报订阅者的数据。我们使用多变量逻辑回归分析来检查作为精神病理学独立变量的严重流浪史和痴呆状态之间的关联。受人口控制(年龄，民族背景,出生时的性别，加拿大语言)和环境(生活安排，人口密度)因素。
结果：总体研究样本主要包括老年人（77.4%）。年龄较大的医疗警报订户，出生时的男性,患有痴呆症，少数族裔和不精通加拿大官方语言的人有更高的批判性流浪历史的可能性。居住在城市环境中，在机构中或与家庭成员在一起，环境因素与批判性游荡史的可能性更高。
结论：与没有痴呆症的人相比，患有痴呆症的人经历严重流浪史的可能性更高。Medic-Alert和类似的组织可以根据相关因素开发算法，用于标记关键游走的风险。这可以为个人和社区层面的预防策略提供信息。
方法：我们的回顾性研究包括25,785名40岁或以上的加拿大医疗警报订阅者的数据。我们使用多变量逻辑回归分析来检查作为精神病理学独立变量的严重流浪史和痴呆状态之间的关联。受人口控制(年龄，民族背景,出生时的性别，加拿大语言)和环境(生活安排，人口密度)因素。
结果：总体研究样本主要包括老年人（77.4%）。年龄较大的医疗警报订户，出生时的男性,患有痴呆症，少数族裔和不精通加拿大官方语言的人有更高的批判性流浪历史的可能性。居住在城市环境中，在机构中或与家庭成员在一起，环境因素与批判性游荡史的可能性更高。
结论：与没有痴呆症的人相比，患有痴呆症的人经历严重流浪史的可能性更高。Medic-Alert和类似的组织可以根据相关因素开发算法，用于标记关键游走的风险。这可以为个人和社区层面的预防策略提供信息。
