Comorbidity and its effect on mortality in nursing home patients withdementia
P.T.M. Van Dijk
Bok Engelsk 1996
| Utgitt | 1996
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| Omfang | Side 180- 187
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| Opplysninger | The relation between comorbidity and survival was investigated in an8-year followup study of 606 nursing home. Dementia patients by meansof proportional hazards analysis. Two-year survival rates for women(N = 437) and men (N = 169) were 60% and 39%, respectively.Parkinsonism, atrial fibrillation, pulmonary infection, andmalignancies were powerful predictors: they more or less doubled themortality chances. Stroke patients with a pulmonary infection had aparticularly poor prognosis. More severely demented patients had morecomorbidity than less severely demented patients, but the impact ofcomorbidity on survival did not depend on severity of dementia.Patients coming from a hospital had more comorbidity and were moreseverely demented than patients coming from home, but this did notmodify the effects of age, gender, and comorbidity in a multivariatesurvival model. It was concluded that comorbidity and severity ofdementia independently influence mortality. Thus a better prognosticjudgment is obtained from their combination than from eachseparately.
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| Emner |
