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Titolo:
Predictor index of mortality in dementia patients upon entry into long-term care
Autore:
Carlson, MC; Brandt, J; Steele, C; Baker, A; Stern, Y; Lyketsos, CG;
Indirizzi:
Johns Hopkins Univ, Sch Hyg & Publ Hlth, Ctr Aging & Hlth, Baltimore, MD 21205 USA Johns Hopkins Univ Baltimore MD USA 21205 & Hlth, Baltimore, MD 21205 USA Johns Hopkins Univ, Sch Hyg & Publ Hlth, Dept Mental Hyg, Baltimore, MD 21205 USA Johns Hopkins Univ Baltimore MD USA 21205 al Hyg, Baltimore, MD 21205 USA Johns Hopkins Univ, Dept Psychiat & Behav Sci, Sch Med, Neuropsychiat & Memory Grp, Baltimore, MD USA Johns Hopkins Univ Baltimore MD USA hiat & Memory Grp, Baltimore, MD USA Copper Ridge Inst, Sykesville, MD USA Copper Ridge Inst Sykesville MD USA opper Ridge Inst, Sykesville, MD USA Columbia Univ, Coll Phys & Surg, Gertrude Sergievsky Ctr, New York, NY USAColumbia Univ New York NY USA Gertrude Sergievsky Ctr, New York, NY USA
Titolo Testata:
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES
fascicolo: 9, volume: 56, anno: 2001,
pagine: M567 - M570
SICI:
1079-5006(200109)56:9<M567:PIOMID>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
ALZHEIMERS-DISEASE; SURVIVAL; DELUSIONS; DEATH; INSTITUTIONALIZATION; IMPAIRMENT; TIME; RISK;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Life Sciences
Citazioni:
33
Recensione:
Indirizzi per estratti:
Indirizzo: Carlson, MC Johns Hopkins Univ, Sch Hyg & Publ Hlth, Ctr Aging & Hlth, 2024 E MonumentSt,Suite 2-700, Baltimore, MD 21205 USA Johns Hopkins Univ 2024E Monument St,Suite 2-700 Baltimore MD USA 21205
Citazione:
M.C. Carlson et al., "Predictor index of mortality in dementia patients upon entry into long-term care", J GERONT A, 56(9), 2001, pp. M567-M570

Abstract

Background. The purpose of this study was to develop an algorithm that predicts survival in patients with dementia upon entry into long-term care. There are, as yet, no predictive equations developed for those in the late stages of Alzheimer's disease (AD). Methods. This was a prospective, observational study of 132 patients with dementia (61% with AD) followed for up to 5.0 years (median of 41.0 months)after admission to a long-term care facility for dementia patients. Information on demographic characteristics, physical health, and cognitive, emotional, and behavioral characteristics was collected shortly after admission and entered as predictors of time until death in Cox regressions. Findings were used to derive an index predicting mortality. Results. There were 60 deaths among the 132 patients (45.4% mortality), with an average survival of 22.4 months in those who died. Better physical health and the presence of delusions were associated with longer survival. These two variables were aggregated into the Copper Ridge Index (CRI), Each one-point increase on the CRI was associated with a four-fold greater likelihood of death over 5 years. Conclusions. A predictive equation incorporating measures of general physical health and delusions accurately predicted time to death in dementia patients in long-term care.

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Documento generato il 15/07/20 alle ore 08:42:58