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Long-term survival, place of death, and death certification in clinically diagnosed pre-senile dementia in northern England
 — follow-up after 8-12 years
Author(s)D W K Kay, D P Forster, A J Newens
Journal titleThe British Journal of Psychiatry, vol 177, August 2000
Pagespp 156-162
KeywordsDementia ; Life span ; Longitudinal surveys ; Northern England.
AnnotationInformation on survival and cause of death in pre-senile dementia is scarce and the organisation of services controversial. In this study, patients aged 45 to 64 were identified from hospital and community sources in the Northern health region for 1985 to 1989, and classified as having pre-senile dementia of Alzheimer type (PDAT) or pre-senile vascular dementia (PVD). Deaths were ascertained from the National Health Service Central Registry (NHSCR) to 31 December 1998. Survival analysis was performed using the SPSS/PC program, and expected survival calculated from life tables. Median survival time from diagnosis was 6.08 years, and did not differ significantly in PDAT and PVD, or by age or gender. 193.% of deaths occurred at home, 24.5% in nursing or residential homes and 56.3% in hospital; 72.4% of the death certificates mentioned dementia. 15.4% were still alive. Pre-senile dementia has a variable but usually chronic course, requiring appropriate planning and services. (RH).
Accession NumberCPA-001025201 A
ClassmarkEA: BG6: 3J: 82N

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