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首页> 外文期刊>The British journal of psychiatry : >Long-term survival, place of death, and death certification in clinically diagnosed pre-senile dementia in northern England
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Long-term survival, place of death, and death certification in clinically diagnosed pre-senile dementia in northern England

机译：英格兰北部临床诊断的老年前痴呆症的长期生存，死亡地点和死亡证明

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Background Information on survival and cause of death in pre-senile dementia is scarce and the organisation of services controversial. Aims To study survival, place of death and death certification in pre-senile dementia. Method Patients aged 45-64 were identified from hospital and community sources in the Northern health region (1985-89) and classified as having presenile dementia of Alzheimer type (PDAT) or pre-senile vascular dementia (PVD) by applying an algorithm to case notes. 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. Results Median survival time from diagnosis was 6.08 years and did not differ significantly in PDAT and PVD, or by age or gender; 19.3% 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 or Alzheimer's disease; 15.4% were still alive. Conclusions Pre-senile dementia has a variable but usually chronic course, requiring appropriate planning and services.
机译：背景信息关于老年前痴呆症的生存和死亡原因的信息十分稀缺，服务的组织方式也存在争议。目的研究老年前痴呆的生存，死亡地点和死亡证明。方法从北部健康地区（1985-89年）的医院和社区中识别出年龄在45-64岁之间的患者，并通过对病例进行算法分析，将其归类为患有阿尔茨海默氏型痴呆（PDAT）或老年血管性痴呆（PVD）笔记。从国家卫生总局中央登记处（NHSCR）确定死亡，直至1998年12月31日。使用SPSS / PC程序进行生存分析，并根据生命表计算出预期生存。结果诊断后的中位生存时间为6.08年，在PDAT和PVD或年龄或性别方面无显着差异。 19.3％的死亡发生在家庭中，24.5％的死亡发生在养老院或住宅中，56.3％发生在医院;死亡证明书中有72.4％提及痴呆或阿尔茨海默氏病; 15.4％的人还活着。结论老年前痴呆症具有可变但通常是慢性的病程，需要适当的计划和服务。

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