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Titolo:
Death and dementia
Autore:
Keene, J; Hope, T; Fairburn, CG; Jacoby, R;
Indirizzi:
Univ Oxford, Warneford Hosp, Dept Psychiat, Oxford OX3 7JX, England Univ Oxford Oxford England OX3 7JX ept Psychiat, Oxford OX3 7JX, England Inst Hlth Sci, Oxford, England Inst Hlth Sci Oxford EnglandInst Hlth Sci, Oxford, England
Titolo Testata:
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY
fascicolo: 10, volume: 16, anno: 2001,
pagine: 969 - 974
SICI:
0885-6230(200110)16:10<969:DAD>2.0.ZU;2-6
Fonte:
ISI
Lingua:
ENG
Soggetto:
ALZHEIMERS-DISEASE; VASCULAR DEMENTIA; MORTALITY; SURVIVAL; CERTIFICATION; PREDICTORS;
Keywords:
cause of death; Alzheimer's disease; dementia; death certificate; autopsy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Keene, J 7 Norwood Ave, Abingdon OX13 5AD, Oxon, England 7 Norwood Ave Abingdon Oxon England OX13 5AD 5AD, Oxon, England
Citazione:
J. Keene et al., "Death and dementia", INT J GER P, 16(10), 2001, pp. 969-974

Abstract

Objective To investigate the last phase of dementia and the causes of death; comparing autopsy and death certificate diagnoses. Design Prospective, 11-year, longitudinal study of behavioural and psychological changes in dementia, with autopsy follow-up. Setting Participants with dementia, living at home with a carer. All livedin Oxfordshire, UK. Participants Ninety-one people with dementia (Alzheimer's disease and/or vascular dementia) who died during the course of the study. Measures At four-monthly intervals, carers were interviewed about the participants' behaviour using the Present Behavioural Examination. Participantswere also assessed cognitively. Causes of death were established from death certificates and, where possible, from post-mortem examination. Results The main immediate cause of death recorded at autopsy was pneumonia (57%), followed by cardiovascular disease (16%) and pulmonary embolus (14%). This agreed with the immediate cause of death on 53% of death certificates. Pulmonary embolism and bronchopneumonia were under-reported on death certificates. Dementia was mentioned on 73% of death certificates. The dementing illness lasted for a mean of 8.5 years with 58% dying in a debilitatedstate associated with severe dementia. In the period before death, 35% were unable to walk, 58% were hypophagic, 73% were incontinent of urine, 21% incontinent of faeces and 76% entered an institution permanently for a mean period of 18 months. Conclusion Family and professional carers of people with dementia can be given some information about prognosis to help them plan for the likely outcome of dementia. Copyright (C) 2001 John Wiley & Sons, Ltd.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 10/04/20 alle ore 02:43:08