PREDICTORS OF MORTALITY AND INSTITUTIONALIZATION IN ALZHEIMER-DISEASE PATIENTS 1 YEAR AFTER-DISCHARGE FROM AN ALZHEIMER DEMENTIA UNIT
PREDICTORS OF MORTALITY AND INSTITUTIONALIZATION IN ALZHEIMER-DISEASE PATIENTS 1 YEAR AFTER-DISCHARGE FROM AN ALZHEIMER DEMENTIA UNIT
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DOI：
10.1159/000106930
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发表时间：
1995-03-01
期刊：
影响因子：
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通讯作者：
TRABUCCHI, M
中科院分区：
文献类型：
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作者：
BIANCHETTI, A;SCURATTI, A;TRABUCCHI, M
据报道，有几个因素可以预测机构化痴呆患者的死亡和机构化，即使这些研究的结果经常相互矛盾。我们日常生活中的技能进行了一项研究，一组86个连续的非制度化的可能阿尔茨海默氏病阿尔茨海默病（AD）患者，以评估临床和社会因素预测死亡率和制度化后1年出院的阿尔茨海默氏症单位在'Sacro Cuore Fatebenefratelli'医院，布雷西亚，意大利。1年死亡率为13.9%，1年入住疗养院的比率为34%。我们的数据表明，日常生活活动量表上的功能丧失数量是短期死亡率的最重要预测因素，独立于认知障碍的程度，痴呆的持续时间，患者的年龄和慢性疾病的数量。我们的数据还表明，在短时间内的观察，行为障碍（特别是失眠）和社会服务的可用性发挥了重要作用，在决定机构的AD患者。
Several factors have been reported to predict death and institutionalization in Institutionalization demented patients, even if the results of the studies are often conflicting. We Skills in daily living conducted a study on a group of 86 consecutive noninstitutionalized probable Alzheimer's disease Alzheimer disease (AD) patients, to evaluate clinical and social factors predicting mortality and institutionalization 1 year after discharge from the Alzheimer Dementia Unit at 'Sacro Cuore Fatebenefratelli' Hospital, Brescia, Italy. The I-year mortality rate was 13.9% and the 1-year rate of admission to a nursing home was 34%. Our data indicate that the number of lost functions on the Activity of Daily Living scale is the most important predictor of short-term mortality, independently of the degree of cognitive impairment, the duration of the dementia, the age of the patients and the number of chronic diseases. Our data also demonstrate that, in a short period of observation, behavioral disturbances (and in particular insomnia) and availability of social services play a major role in the decision to institutionalize AD patients.