Mortality of the Aged with Chronic Brain Syndrome: Further Observations in a Five‐Year Study

Peck, Arthur; Wolloch, Leon; Rodstein, Manuel

doi:10.1111/j.1532-5415.1978.tb05046.x

Cited by 21 publications

(17 citation statements)

References 8 publications

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“…Survival According to Age and Gender Women have had a better prognosis than men. In nursing homes 25, 30, 31 , 2‐year survival rates for women were consistently higher than those for men (about 60% vs 40%). In (mental) hospital‐based studies, only more recent studies 39, 42 gave higher survival rates for women.…”

Section: Resultsmentioning

confidence: 91%

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Survival of Patients with Dementia

Dijk

Dippel

Habbema

1991

J American Geriatrics Society

108

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The evidence on survival in dementia is summarized. There are no reliable data on survival after onset of dementia or after first contact with medical services. People with dementia in outpatient clinics and nursing homes have 2‐year survival rates of 75% (range 60%‐95%) and 50% (range 30%‐65%), respectively. Differences in survival between patients with senile dementia of the Alzheimer's type (SDAT) and multi infarct dementia (MID) are small. Women in nursing homes have a better prognosis than men (2‐year survival rates, 60% vs 40%). Dementia patients have a considerable excess mortality when compared to the vital statistics. There is no evidence for improvement of survival rates during recent decades. Recommendations for future studies are made

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Section: Resultsmentioning

confidence: 91%

“…Nursing home patients seem to have a less favorable prognosis 24–31 . On average, they have a 2‐year survival rate, after admission, of about 50% (range 30%−65%).…”

Section: Resultsmentioning

confidence: 99%

Survival of Patients with Dementia

Dijk

Dippel

Habbema

1991

J American Geriatrics Society

108

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“…Lower Respiratory Infections Lower respiratory tract infections usually follow bacterial colonization of the oropharynx with subsequent aspiration 38 . Bedfast patients and those with tracheostomies were probably more likely to have an LRI because each factor is associated with a high prevalence of upper airway colonization with gram negative bacilli, 39 , 40 and with aspiration into the bronchopulmonary tree 41–43 . Additionally, COPD was associated with LRI in this study, as it has been in hospitalized patients 44 , 45 …”

Section: Discussionmentioning

confidence: 54%

Prevalence and Characteristics of Nursing Home‐Acquired Infections in the Aged

Magaziner¹,

Tenney

DeForge

et al. 1991

J American Geriatrics Society

103

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Use of three characteristics (ie skin ulcers, urethral catheters, bedfast status) to identify patients at risk for nursing home-acquired infections may allow targeted infection surveillance and prevention programs. In addition, nursing home-acquired infections are not evaluated uniformly across patients and facilities, suggesting the need to establish, through further study, guidelines for such evaluations.

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“…These findings suggested that an inability to take meals by oneself is also an independent risk for death in the institutionalized elderly. Martin et al .22) reported that hypertension was a significant medical problem among dementia, and van Dijk et al 17) also reported that high blood pressure increased the risk for mortality in nursing home patients with dementia. Glynn RJ et al28) reported that a high systolic blood pressure predicted linear increases not only in cardiovascular mortality but also in total mortality.…”

Section: Discussionmentioning

confidence: 99%

Dementia and Other Risk Factors for Mortality in the Institutionalized Japanese Elderly

Washio

Nohtomi

Ikeda

et al. 1995

Journal of Epidemiology

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In order to evaluate the risk factors on the mortality of the institutionalized Japanese elderly, the cohort study was carried out. We studied the outcome of 114 residents in a skilled nursing home for the elderly in Fukuoka, Japan.Sixty-seven of the residents were demented. During the five-and-a-half year follow-up, the survival rate was lower in the residents with than in those without dementia. (31% vs. 70%). In a univariate analysis, the risk for death increased when factors such as age or systolic blood pressure increased, while it decreased when factors such as the score of Hasegawa's dementia rating scale, the serum albumin level or the activity of daily living score increased.The existence of hypertension, cancer or dementia increased the risk for death, while the ability to urinate and have bowel movements by oneself or that to take meals by oneself decreased it. In a multivariate analysis, dementia, old age, high systolic blood pressure, cancer and the inability to take meals by oneself were risk factors for mortality. Since the treatment of hypertension may sometimes accelerate dementia and limit activities of daily living through a further decreased cerebral blood flow after a blood pressure fall, it seems to be advisable to avoid an excessive blood pressure fall while the treatment of hypertension may be recommended in the elderly. J Epidemiol, 1995; 5 : 117-123. dementia, elderly, ADL, hypertension, mortality With a rapid increase in the proportion of the elderly population among the total population, the increase in number of the elderly with dementia has become a serious problem in Japan.The prognosis of Japanese elderly with dementia has been reported to be poor1-6). At present, however, there have been only a few reports that describe the risk for death among the elderly population after controlling for dementia and other confounding factors such as age or the activities of daily livings (ADL)1-2). Furthermore, these reports did not provide information on either the nutritional state or complicated diseases such as hypertension, diabetes mellitus, cerebrovascular diseases and cancer.A cohort study was thus carried out to evaluate the risk factors for mortality of the residents in the nursing home for the elderly with dementia and/or an impaired ADL. In this paper, we compare the survival rate among the elderly according to the type of dementia such as nondementia, senile dementia of Alzheimer type (SDAT) and vascular dementia including multi-infarct dementia (MID) and Binswanger type dementia (BD). Furthermore, we describe the risk of the elderly with dementia after controlling for other confounding factors including age, ADL, nutritional state and complicated diseases. SUBJECTS AND METHODS Evaluation of SubjectsOn the first of April 1988, there were 114 elderly persons (21 males and 93 females), with a mean age of 82.0 and

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Mortality of the Aged with Chronic Brain Syndrome: Further Observations in a Five‐Year Study

Cited by 21 publications

References 8 publications

Survival of Patients with Dementia

Survival of Patients with Dementia

Prevalence and Characteristics of Nursing Home‐Acquired Infections in the Aged

Dementia and Other Risk Factors for Mortality in the Institutionalized Japanese Elderly

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