Kammoun S, Gold G, Bouras C, Giannakopoulos P, McGee W, Herrmann F, Michel J P
Department of Geriatrics, Geneva University Hospitals, Switzerland.
Acta Neurol Scand Suppl. 2000;176:96-9. doi: 10.1034/j.1600-0404.2000.00314.x.
To investigate the immediate causes of death, in autopsied demented and non-demented elderly.
Retrospective clinicopathologic correlations.
Acute and intermediate care geriatric hospital.
342 hospitalized demented and non-demented elderly (mean age 84.94 +/- 6.9 years) who underwent consecutive postmortem examinations: 120 demented patients with either vascular dementia (VaD, n = 34), mixed dementia (MD, n = 65) or Alzheimer's disease (AD, n=21) neuropathologically confirmed and 222 nondemented elderly.
Primary causes of death were similar in both demented and non-demented patients; the commonest were cardiovascular disease and bronchopneumonia. Cardiac causes of death and especially cardiac failure were more frequent in VaD than in AD or MD (respectively P = 0.027 and 0.005). Dementia was an underlying but never a primary cause of death.
Immediate causes of death are similar in elderly demented and non-demented patients.
调查经尸检的老年痴呆患者和非痴呆患者的直接死因。
回顾性临床病理相关性研究。
急性和中级护理老年医院。
342名住院的老年痴呆患者和非痴呆患者（平均年龄84.94±6.9岁），他们接受了连续的尸检：120名痴呆患者，其中血管性痴呆（VaD，n = 34）、混合性痴呆（MD，n = 65）或阿尔茨海默病（AD，n = 21）经神经病理学确诊，以及222名非痴呆老年患者。
痴呆患者和非痴呆患者的主要死因相似；最常见的是心血管疾病和支气管肺炎。VaD患者中心脏病导致的死亡，尤其是心力衰竭，比AD或MD患者更常见（分别为P = 0.027和0.005）。痴呆是潜在死因，但绝非直接死因。
老年痴呆患者和非痴呆患者的直接死因相似。
