ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1985.tb04612.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1985.tb04613.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

All acute hospitalizations from a 229‐bed home for the aged for a four‐year period were analyzed. Of 373 residents eligible for the study, 239 individuals were hospitalized a total of 503 times. Five patients were admitted seven times. Median length of stay was 9.4 days. Of 235 primary diagnoses, only nine occurred at least 1% of the time. Sixty‐six different complications, representing 131 occurrences, were noted during hospitalization. Hospital mortality was 11.7%. Of first admissions 9.2% died and 19% of survivors required a higher level of care. One year later 40% had died and 17% were at a higher level of care. Logistic regression identified four variables significantly associated with death within six months of first hospitalization: age, hospital complication, surgical procedure, and diagnosis of acute myocardial infarction. Compared with nonhospitalized residents, hospitalized residents were more likely to be male, but no age effect was noted. Survival differences did not emerge until the third year of the study.J Am Geriatr Soc 33:519

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1985.tb04614.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

The authors prospectively identified 96 consecutive nursing home residents (NHR) admitted to the medical wards of their affiliated hospitals to determine the outcome of hospitalization for these patients in comparison with 88 admissions in a similarly aged community residents (CR) population. Nursing home and community resident groups were similar in age, sex, marital status, and distribution among the four study hospitals. Dementia was a more common preexisting diagnosis in NHR than in CR. Reasons for admission differed between the two groups. Although NHR experienced a longer hospitalization than CR, frequency and duration of intensive care unit admissions were similar. Fatal outcome occurred more commonly in NHR compared with CR (27v11%,P<.001). Predictors of mortality were examined. Nursing home residents also experienced a higher mortality than CR within the six months after hospitalization (35v20%,P<.005).J Am Geriatr Soc 33:524, 1985

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1985.tb04615.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

The prevalence and significance of clinical heart disease and hypertension were compared in three groups of elderly patients. One group was diagnosed as dementia of an Alzheimer's type (AD), another as multiinfarct dementia (MID), and the third as major depression. Clinical heart disease and hypertension were uncommon in the AD group with the prevalence being lower than that reported in most epidemiologic studies. Four percent of the AD patients had a history of myocardial infarction, 5% angina, 1% arrhythmias, and 3% heart failure. Electrocardiographic changes of an old myocardial infarction were present in 9%, atrial fibrillation in 1%, and left ventricular hypertrophy in 3%. A history of hypertension was present in 24% of the AD patients. In comparison, a history of myocardial infarction, angina, and heart failure was five times greater, and electrocardiographic abnormalities were twice as prevalent in the MID group. A history of hypertension was three times more common and actual blood pressure readings were higher. In the depression group heart disease was not uncommon and the prevalence, in general, was comparable with the MID group. However, a history of increased blood pressure and actual increased blood pressure readings were statistically less than in the MID group. (J Am Geriatr Soc 33:530, 1985)

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1985.tb04616.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

The authors compared the frequencies of prior thyroid disease, thyroid medication use, and abnormal serum thyroxine levels in 61 patients with dementia of the Alzheimer type (DAT) with those of 38 control subjects. They found that the 33 women with DAT had a 24.2% frequency of prior thyroid disease, comparable with that found in a previous epidemiologic study. The 19 female controls, however, had a similar frequency, failing to support a previously reported association between DAT and thyroid disease.J Am Geriatr Soc 33:538, 1985

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1985.tb04617.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

The incidence of incontinence in a series of 135 consecutive stroke patients was 51% (urine) and 23% (feces) within one year. In 75% the urinary incontinence started within the first two weeks, and in 41% it had cleared during that time. Incontinence at onset is associated with measures of severity of stroke (and of immobility for fecal incontinence). Among 92 survivors at one year, 15% were incontinent of urine, a proportion that rose in two‐ and three‐year survivors to 23 to 24%, but by four years was again 14%, a level similar to that of the general elderly population. It is concluded that incontinence is more commonly a by‐product of immobility and dependency than of involvement of the neurologic pathways, and most of it is transient.J Am Qeriatr Soc 33:540

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1985.tb04618.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Widowed residents of two nursing homes who were oriented to person, time, and place were interviewed to determine the extent to which they had hallucinatory experiences of their deceased spouse. Fifty‐two interviews were completed with 46 widows and six widowers. Results are reported for the widows. Twenty‐eight (61%) of the widows reported hallucinatory experiences of their deceased spouse. Twenty‐four (86%) of the widows described the experiences as good or helpful. Thirteen (46%) reported that the experiences continue to happen. Nineteen (54%) of the widows had never discussed the experiences with anyone before this study. These results are surprisingly similar to previously published findings by Rees in Wales and suggest that these experiences are more common in the United States than has been recog

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1985.tb04619.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

摘要:

Despite a dramatic increase in the understanding of the neuropathologic and neurochemical alterations accompanying Alzheimer's disease, by far the largest cause of progressive and incapacitating cognitive dysfunction in the elderly, physicians have as yet no pharmacologic agent that can be prescribed safely either to arrest or reverse this decline. This lack of effective therapeutic agents is contributing to the use by an increasing number of health professionals, including physicians and concerned families, of unproved, costly, and potentially dangerous modalities, such as chelation therapy. The purpose of this paper is to describe some individuals with Alzheimer‐type dementia who have undergone chelation therapy.J Am Geriatr Soc 33:548, 19

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1985.tb04620.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY

ISSN:0002-8614    

DOI:10.1111/j.1532-5415.1985.tb04621.x

出版商:Blackwell Publishing Ltd    

年代:1985

数据来源: WILEY