title: [Management of behavioral symptoms in dementia in a specialized unit care].
abstract: The project "Plan Alzheimer 2008-2012" allowed the development of units specialized in management of behavioral disorders in dementia, by favoring pharmacological and non-pharmacological approaches.
  
  
  OBJECTIVE
  Our article analyses the evolution of behavioral symptoms, autonomy and prescription of psychotropic drugs, in "Cognitive and Behavioral Unit" of Toulouse (France). Second outcome is the analysis of early unplanned readmission for behavioral reasons.
  
  
  RESULTS
  199 patients are included over 2 years of study. Behavioral symptoms are significantly improved during the follow-up with a persistent effect after discharge. The global autonomy, particular for walking, is not altered. The prescriptions of psychotropics, among others antipsychotics, is significantly lower at discharge. Early unplanned readmissions at hospital, in spite of cognitive disorders of our patients, are not more important than in global geriatric population.
  
  
  CONCLUSIONS
  We show the efficiency of global care in behavioral disruptive symptoms in dementia, favoring non pharmacological approaches, in specialized units. Those cognitive and behavioral units have a role for care of demented patients with behavioral disruptive symptoms.
authors.affiliation: Unité cognitivo-comportementale, CMRR Toulouse, Gérontopôle, Université Toulouse Purpan, France.
authors.forename: Pascal
authors.initials: P
authors.lastname: Saidlitz
authors.affiliation: CMRR Toulouse, Gérontopôle, Université Toulouse Purpan, France.
authors.forename: Sandrine
authors.initials: S
authors.lastname: Sourdet
authors.affiliation: CMRR Toulouse, Gérontopôle, Université Toulouse Purpan, France, Inserm, UMR1027, Epidémiologie et analyses en santé publique, Faculté de médecine, Toulouse, France.
authors.forename: Bruno
authors.initials: B
authors.lastname: Vellas
authors.affiliation: Unité cognitivo-comportementale, CMRR Toulouse, Gérontopôle, Université Toulouse Purpan, France, Inserm, UMR1027, Epidémiologie et analyses en santé publique, Faculté de médecine, Toulouse, France.
authors.forename: Thierry
authors.initials: T
authors.lastname: Voisin
mesh_terms: D000368:Aged; D014150:Antipsychotic Agents / Q000627:therapeutic use; D003704:Dementia / Q000188:drug therapy / Q000523:psychology / Q000628:therapy*; D006801:Humans; D011619:Psychotropic Drugs / Q000627:therapeutic use
chemical_list: D014150:Antipsychotic Agents; D011619:Psychotropic Drugs
keywords: Alzheimer's disease; antipsychotics; behavioral symptoms; dementia