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Functional Status of Older Adults with Dementia at the End of Life: Is there Still Anything to do?

AIMS: There is a lack of data on physical functional status near death of patients with different types of dementia that can contribute to decisions about what kind of care is needed. The aim of this study was to investigate the course of functional status along with the documented reasons for death...

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Autores principales: Naharci, Mehmet Ilkin, Buyukturan, Oznur, Cintosun, Umit, Doruk, Huseyin, Tasci, Ilker
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6504749/
https://www.ncbi.nlm.nih.gov/pubmed/31114103
http://dx.doi.org/10.4103/IJPC.IJPC_156_18
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author Naharci, Mehmet Ilkin
Buyukturan, Oznur
Cintosun, Umit
Doruk, Huseyin
Tasci, Ilker
author_facet Naharci, Mehmet Ilkin
Buyukturan, Oznur
Cintosun, Umit
Doruk, Huseyin
Tasci, Ilker
author_sort Naharci, Mehmet Ilkin
collection PubMed
description AIMS: There is a lack of data on physical functional status near death of patients with different types of dementia that can contribute to decisions about what kind of care is needed. The aim of this study was to investigate the course of functional status along with the documented reasons for death in participants with dementia who had regularly been followed at a geriatric outpatient unit. SETTING AND DESIGN: A retrospective observational cohort study was done using the database of a geriatric outpatient clinic. SUBJECTS AND METHODS: Sociodemographic and medical records of patients with Alzheimer's disease (AD), vascular dementia, mixed dementia, and dementia with Lewy bodies (DLB)/Parkinson's disease dementia (PDD) who had received routine care in a geriatrics outpatient setting for a minimum of 12 months before death were analyzed. Scores for activities of daily living and documented probable causes of death were recorded. RESULTS: Of the 258 participants, 111 (42 female and 69 male) were included in this study. AD was the leading cause of dementia (51.8%). The median duration of survival with dementia was 4 years. The leading causes of death were cardiovascular disease (CVD) (27.0%) and dementia (27.0%) followed by infections (21.6%) and stroke (10.8%). Disability was the highest in patients with DLB/PDD. CONCLUSIONS: This study found relatively shorter survival after the diagnosis of dementia when compared to other populations. CVD still appeared as a major cause of that in this particular disease. Most debilitating type of dementia was DLB/PDD.
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spelling pubmed-65047492019-05-21 Functional Status of Older Adults with Dementia at the End of Life: Is there Still Anything to do? Naharci, Mehmet Ilkin Buyukturan, Oznur Cintosun, Umit Doruk, Huseyin Tasci, Ilker Indian J Palliat Care Original Article AIMS: There is a lack of data on physical functional status near death of patients with different types of dementia that can contribute to decisions about what kind of care is needed. The aim of this study was to investigate the course of functional status along with the documented reasons for death in participants with dementia who had regularly been followed at a geriatric outpatient unit. SETTING AND DESIGN: A retrospective observational cohort study was done using the database of a geriatric outpatient clinic. SUBJECTS AND METHODS: Sociodemographic and medical records of patients with Alzheimer's disease (AD), vascular dementia, mixed dementia, and dementia with Lewy bodies (DLB)/Parkinson's disease dementia (PDD) who had received routine care in a geriatrics outpatient setting for a minimum of 12 months before death were analyzed. Scores for activities of daily living and documented probable causes of death were recorded. RESULTS: Of the 258 participants, 111 (42 female and 69 male) were included in this study. AD was the leading cause of dementia (51.8%). The median duration of survival with dementia was 4 years. The leading causes of death were cardiovascular disease (CVD) (27.0%) and dementia (27.0%) followed by infections (21.6%) and stroke (10.8%). Disability was the highest in patients with DLB/PDD. CONCLUSIONS: This study found relatively shorter survival after the diagnosis of dementia when compared to other populations. CVD still appeared as a major cause of that in this particular disease. Most debilitating type of dementia was DLB/PDD. Wolters Kluwer - Medknow 2019 /pmc/articles/PMC6504749/ /pubmed/31114103 http://dx.doi.org/10.4103/IJPC.IJPC_156_18 Text en Copyright: © 2019 Indian Journal of Palliative Care http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Naharci, Mehmet Ilkin
Buyukturan, Oznur
Cintosun, Umit
Doruk, Huseyin
Tasci, Ilker
Functional Status of Older Adults with Dementia at the End of Life: Is there Still Anything to do?
title Functional Status of Older Adults with Dementia at the End of Life: Is there Still Anything to do?
title_full Functional Status of Older Adults with Dementia at the End of Life: Is there Still Anything to do?
title_fullStr Functional Status of Older Adults with Dementia at the End of Life: Is there Still Anything to do?
title_full_unstemmed Functional Status of Older Adults with Dementia at the End of Life: Is there Still Anything to do?
title_short Functional Status of Older Adults with Dementia at the End of Life: Is there Still Anything to do?
title_sort functional status of older adults with dementia at the end of life: is there still anything to do?
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6504749/
https://www.ncbi.nlm.nih.gov/pubmed/31114103
http://dx.doi.org/10.4103/IJPC.IJPC_156_18
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