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Centre for Policy on Ageing | |
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Severe dementia and adverse outcomes of nursing home-acquired pneumonia
— evidence for mediation by functional and pathophysiological decline | | Author(s) | Jenny T van der Steen, Marcel E Ooms, David R Mehr |
| Journal title | Journal of the American Geriatrics Society, vol 50, no 3, March 2002 |
| Pages | pp 439-448 |
| Keywords | Dementia ; Pneumonia ; Ill health ; Self care capacity ; Mobility ; Nursing homes ; Netherlands. |
| Annotation | In 374 demented patients in psychogeriatric wards of 61 nursing homes in the Netherlands treated with antibiotics for pneumonia, the severity of dementia was independently related to death rate within the first week after pneumonia. Dementia severity was not related to cure rate within 2 weeks, nor to an increase in discomfort after 3 days, compared with before the pneumonia. The functional and pathophysiological consequences of progressive dementia account in part for increased 3-month mortality after pneumonia. Mid-term mortality is expected to be high only in the most severely demented patients, and in less severely demented patients who aspirated or lost weight. Implications for end-of-life decision-making and effectiveness of preventive and curative interventions are discussed. (RH). |
| Accession Number | CPA-020520513 A |
| Classmark | EA: CNP: CH: CA: C4: LHB: 76H |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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