Three year outcome of the residents in a special nursing home

Abstract

The 3 year outcome of 48 residents in a special nursing home was investigated, using Hasegawa's dementia rating scale (HDS) and activities of daily living (ADL). For all the residents, HDS score correlates well with age (P < 0.01) and ADP score (P < 0.001). Nineteen residents (40.4%) died during the period surveyed. Two-thirds of the residents with low ADL score died during the period, whereas 70% of the residents with high ADL score are alive. Of these scales, ADL correlated well with the fatal prognosis, suggesting that ADL is a valuable prognostic tool. As for the causes of death, pulmonary disease was prominent (n = 12, 63.2%). Consequently, the prevention of pulmonary disease is needed to achieve a good outcome in the management of nursing home residents.

A review of the epidemiological transition in dementia — cross‐national comparisons of the indices related to Alzheimer's disease and vascular dementia

“…First, the population is ageing rapidly and thus more people are reaching the age of risk with consequent increase in the overall incidence of dementia. Secondly, with improvement in socioeconomic conditions and advances in medical treatment, survival after the onset of dementia is also increasing and thus contributing to the increased prevalence (47, 50, 52, 82). AD is more prevalent than VaD in Korea, China and Japan.…”

“…Moreover, a decline in mortality due to pneumonia has been suggested as an explanation for the doubling of the prevalence of dementia between 1947 and 1957 in the Lundby study (46). There was a 40% mortality over 3 years among elderly Japanese nursing home residents with dementia (47). The 1‐year mortality rate for VaD in China was 26% (48).…”