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长期护理机构中痴呆患者急性住院的原因及频率。

The causes and frequency of acute hospitalization of patients with dementia in a long-term care facility.

作者信息

Zarian D A, Peter S A, Lee S, Kleinfeld M

出版信息

J Natl Med Assoc. 1989 Apr;81(4):373-7.

Abstract

A retrospective study of 81 patients with dementia in a long-term care facility was conducted to determine the causes and frequency of acute hospitalization and the cause of death in the patients who succumbed during the acute hospital admission. Pneumonia and urinary tract infections were the most frequent causes of acute hospitalization; septicemia and respiratory failure were the most frequent causes of death. These results suggest that patients with dementia are prone to acquire life-threatening infections. Preventive measures to decrease the incidence of these complications are discussed.

摘要

对一家长期护理机构中的81例痴呆患者进行了一项回顾性研究,以确定急性住院的原因和频率,以及在急性住院期间死亡患者的死因。肺炎和尿路感染是急性住院最常见的原因;败血症和呼吸衰竭是最常见的死因。这些结果表明,痴呆患者容易发生危及生命的感染。文中讨论了降低这些并发症发生率的预防措施。

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本文引用的文献

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Acute hospitalization in a home for the aged.老年之家的急性住院治疗。
J Am Geriatr Soc. 1985 Aug;33(8):519-23. doi: 10.1111/j.1532-5415.1985.tb04614.x.
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Bacteriuria and mortality in an elderly population.
N Engl J Med. 1986 May 1;314(18):1152-6. doi: 10.1056/NEJM198605013141804.
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Pneumonia in the elderly.老年人肺炎
Clin Geriatr Med. 1986 May;2(2):241-68.
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Aspiration pneumonia: a review.吸入性肺炎:综述
Am Fam Physician. 1986 Mar;33(3):195-202.
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Physician management of the demented patient.痴呆患者的医生管理。
J Am Geriatr Soc. 1986 Apr;34(4):295-308. doi: 10.1111/j.1532-5415.1986.tb04226.x.
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The nursing home resident with dementia. Clinical care, ethics, and policy implications.
Ann Intern Med. 1985 Jun;102(6):835-41. doi: 10.7326/0003-4819-102-6-835.

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