Assessing the Seasonality of Lab Tests Among Patients with Alzheimer's Disease and Related Dementias in OneFlorida Data Trust.
medRxiv
; 2024 Mar 19.
Article
em En
| MEDLINE
| ID: mdl-38562749
ABSTRACT
About 1 in 9 older adults over 65 has Alzheimer's disease (AD), many of whom also have multiple other chronic conditions such as hypertension and diabetes, necessitating careful monitoring through laboratory tests. Understanding the patterns of laboratory tests in this population aids our understanding and management of these chronic conditions along with AD. In this study, we used an unimodal cosinor model to assess the seasonality of lab tests using electronic health record (EHR) data from 34,303 AD patients from the OneFlorida+ Clinical Research Consortium. We observed significant seasonal fluctuations-higher in winter in lab tests such as glucose, neutrophils per 100 white blood cells (WBC), and WBC. Notably, certain leukocyte types like eosinophils, lymphocytes, and monocytes are elevated during summer, likely reflecting seasonal respiratory diseases and allergens. Seasonality is more pronounced in older patients and varies by gender. Our findings suggest that recognizing these patterns and adjusting reference intervals for seasonality would allow healthcare providers to enhance diagnostic precision, tailor care, and potentially improve patient outcomes.
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
Base de dados:
MEDLINE
Idioma:
En
Revista:
MedRxiv
Ano de publicação:
2024
Tipo de documento:
Article