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Centre for Policy on Ageing | |
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Lower respiratory infections in nursing home residents with dementia
— a tale of two countries | | Author(s) | David R Mehr, Jenny T van der Steen, Robin L Kruse |
| Journal title | The Gerontologist, vol 43, special issue II, April 2003 |
| Pages | pp 85-93 |
| Keywords | Respiratory tract diseases ; Pneumonia ; Dementia ; Residents [care homes] ; Nursing homes ; Medical care ; Terminal care ; Comparison ; United States of America ; Netherlands. |
| Annotation | A focus on palliative care for residents with dementia is much more common in Dutch nursing homes than in the US. The authors compared treatment and mortality in US and Dutch nursing home residents with lower respiratory infections (LRIs), which are often the immediate cause of death in dementia. Two prospective cohorts were studied: 706 subjects with pneumonia in 61 psychogeriatric nursing homes throughout the Netherlands; and 701 subjects with likely dementia from a study of LRIs in 36 nursing homes in Missouri. Those with dementia were more often treated without antibiotics in the Netherlands (23%) than in Missouri (15%). Indicators of severe illness operate in opposite directions: more severe illness is associated with antibiotic treatment in the US, but with palliative treatment without antibiotics in the Netherlands. These findings are consistent with others in indicating problems with transition to palliative care for US nursing home residents with dementia. (RH). |
| Accession Number | CPA-030611207 A |
| Classmark | CN: CNP: EA: KX: LHB: LK: LV: 48: 7T: 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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