Comorbidity and its effect on mortality in nursing home patients with dementia

The Journal of Nervous and Mental Disease
P T van DijkJ D Habbema

Abstract

The relation between comorbidity and survival was investigated in an 8-year follow-up study of 606 nursing home dementia patients by means of proportional hazards analysis. Two-year survival rates for women (N = 437) and men (N = 169) were 60% and 39%, respectively. Parkinsonism, atrial fibrillation, pulmonary infection, and malignancies were powerful predictors: they more or less doubled the mortality chances. Stroke patients with a pulmonary infection had a particularly poor prognosis. More severely demented patients had more comorbidity than less severely demented patients, but the impact of comorbidity on survival did not depend on severity of dementia. Patients coming from a hospital had more comorbidity and were more severely demented than patients coming from home, but this did not modify the effects of age, gender and comorbidity in a multivariate survival model. It was concluded that comorbidity and severity of dementia independently influence mortality. Thus a better prognostic judgment is obtained from their combination than from each separately.

References

Apr 1, 1978·Journal of the American Geriatrics Society·A PeckM Rodstein
Nov 4, 1992·JAMA : the Journal of the American Medical Association·UNKNOWN Evidence-Based Medicine Working Group
Mar 1, 1992·Journal of Gerontology·P T van DijkJ D Habbema
Jun 1, 1991·Journal of the American Geriatrics Society·P T van DijkJ D Habbema
May 1, 1990·Statistics in Medicine·E L Korn, R Simon
Jul 1, 1990·Journal of the American Geriatrics Society·D R Berlowitz, S V Wilking
Sep 15, 1990·Annals of Internal Medicine·J S WalshE B Larson
Apr 10, 1986·The New England Journal of Medicine·R Katzman
Mar 26, 1988·British Medical Journal·K MattilaR Heikinheimo
Jan 1, 1986·Journal of Chronic Diseases·B S Schoenberg
Aug 1, 1986·Acta Neurologica Scandinavica·P K MölsäU K Rinne
Jul 1, 1966·Journal of Gerontology·B Meer, J A Baker
Sep 1, 1982·The American Journal of Psychiatry·B ReisbergT Crook
Mar 1, 1980·Archives of General Psychiatry·L F JarvikS S Matsuyama
Feb 1, 1993·Annals of Internal Medicine·J ConcatoT R Holford
Oct 8, 1955·Lancet·D W KAY, M ROTH
Mar 1, 1994·Archives of Gerontology and Geriatrics·P T van DijkJ D Habbema

❮ Previous
Next ❯

Citations

Feb 12, 2008·The Journal of Nutrition, Health & Aging·L MeermanM G M Olde Rikkert
Jun 16, 2010·Psychology and Aging·Katherine D KanePeter A Lichtenberg
Sep 26, 2003·Journal of Palliative Medicine·Stacie T Pinderhughes, R Sean Morrison
Feb 28, 2002·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·P Murali DoraiswamyPeter J Neumann
Jun 17, 1999·Journal of Neurology, Neurosurgery, and Psychiatry·G GambassiR Bernabei
Aug 5, 2006·Dementia and Geriatric Cognitive Disorders·Uta GuhneSteffi G Riedel-Heller
Nov 3, 2009·The British Journal of Psychiatry : the Journal of Mental Science·Elizabeta B Mukaetova-LadinskaJoaquim M Cerejeira
Jan 20, 2016·Journal of the American Geriatrics Society·Irene E van de VorstIlonca Vaartjes
Mar 31, 2005·International Journal of Geriatric Psychiatry·Baldomero Alvarez-FernándezRicardo Gómez-Huelgas
Oct 30, 2010·Journal of the American Medical Directors Association·Howard FillitConstantine Lyketsos
Sep 1, 2009·Journal of the American Medical Directors Association·Michelle Lee, Joshua Chodosh
Apr 9, 2005·Journal of the American Geriatrics Society·Pieter T M van DijkMiel W Ribbe
Jul 2, 2003·Journal of the American Geriatrics Society·Heather H KellerHeather M Brown
Apr 19, 2011·International Journal of Geriatric Psychiatry·Alina SolomonMircea Lăzărescu
Dec 20, 2005·La Revue de médecine interne·M-A ArtazUNKNOWN le groupe REAL.FR
Aug 26, 1998·Journal of the American Geriatrics Society·B BreuerL S Libow
Apr 29, 1998·Journal of the American Geriatrics Society·E L KnightK L Minaker
Oct 5, 2010·Journal of the American Medical Directors Association·Liang-Kung ChenChung-Fu Lan
Apr 3, 2001·Journal of Geriatric Psychiatry and Neurology·F LandiUNKNOWN Silvernet-HC Study Group
Nov 11, 1999·International Journal of Geriatric Psychiatry·M SchäufeleS Weyerer
Aug 19, 2009·International Journal of Geriatric Psychiatry·Claire GoodmanSteve Iliffe
Jul 22, 2018·Psychonomic Bulletin & Review·Lu WangAlan M Leslie
Sep 20, 2011·European Psychiatry : the Journal of the Association of European Psychiatrists·R HeunA Natalwala
Dec 13, 2000·International Journal of Geriatric Psychiatry·P S DavisK Brameld
Jan 26, 2021·Journal of Alzheimer's Disease : JAD·Eric E Smith, Zahinoor Ismail
Nov 9, 2007·Revista clínica española·F FormigaUNKNOWN Grupo de Trabajo de Demencia de la Sociedad Catalana de Geriatría y Gerontología

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atrial Filbrillation

Atrial fibrillation refers to the abnormal heart rhythm characterized by rapid and irregular beating of the atria. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.