ภาวะสมองเสื่อมในนายทหารนอกและพ้นราชการ

Abstract

To evaluate prevalence of dementia among Thai military retirees and explore association of variables influencing  on Thai Mental State Examination (TMSE) scores in these population. Material and Method: All military retirees who visited geriatric clinic were randomized and we recruited 316 subjects for our cross-sectional descriptive  analytic study. These people were interviewed and assessed their cognitive function by using TMSE. Relationship  between risk factors demographic variables and TMSE scores were evaluated by chi-square univariate  and multivariate analysis using SPSS version 11.5. Results : Of total 316  most subjects were male (91.8%) age 60-70 years were 46.2% and over 70 years 53.8%.Most previous military ranks were between major to senior colonel that equaled 53.5% education at least bachelor degree was 60.4% and nearly all of them (99.7%) had  normal ADL-activity daily living. Most of our participants  (91.8%) had no history of head injury 34.2% had never smoked while regular smoking was only 1.9% and 63.9% were previous smokers 98.1% had no family member who was demented and they had co-morbid diseases comprising diabetes mellitus 18.4% hypertension63% yslipidemia 64.9% ischemic heart disease 5.7% and cerebrovascular disease 2.5%. Among enrolled subjects female age over 70 years and forgetful complaint were significantly related to poor TMSE scores with p = 0.048 0.013  and <0.0001 respectively. According to TMSE < 24 and DSM IV criteria dementia was recognized 2.2 % in  our study. Conclusion: Crude prevalence of dementia among Thai military retirees in this project was 2.2 % and the following  variables including female age over than 70 year-old and memory complaint were negativelyaffected  on poor TMSE performance. Dementia should be screened in military retirees and TMSE was an effective tool.