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老年人群的生存预后。

Prognosis of survival in a geriatric population.

作者信息

Brauer E, Mackeprang B, Bentzon M W

出版信息

Scand J Soc Med. 1978;6(1):17-24. doi: 10.1177/140349487800600104.

DOI:10.1177/140349487800600104
PMID:635496
Abstract

With the aim of demonstrating prognostics as regards death in a geriatric population, the mortality among 1 486 patients (516 men and 970 women) in De Gamles By, Copenhagen, was observed over a 2-year period. The mortality curves for the groups examined were found to be rectilinear in logarithmic form and could therefore be described with sufficient certainty by one value, viz. the probability of death in any one year. The probability of death was just over 20% and was the same for both sexes. Of the parameters examined, particularly high mortality was found where there was urinary incontinence, severe mental abnormality, a great need for nursing, and poor physical mobility (especially inability to walk). On the other hand, there was no particular relationship with age. Where the degree of the handicapping factors was severe, there was generally greater mortality among the men than among the women, but this was not so in the less severe cases. The length of stay in the institution had no effect on the mortality. The results of the present study are in good agreement with previous findings reported from New York (7).

摘要

为了阐明老年人群的死亡预后情况,在哥本哈根的De Gamles By对1486例患者(516名男性和970名女性)进行了为期2年的死亡率观察。所研究组的死亡率曲线在对数形式下呈直线,因此可用一个值充分确定地描述,即任意一年的死亡概率。死亡概率略高于20%,且男女相同。在所研究的参数中,发现存在尿失禁、严重精神异常、护理需求大以及身体活动能力差(尤其是无法行走)的情况时,死亡率特别高。另一方面,与年龄没有特定关系。当致残因素程度严重时,男性的死亡率通常高于女性,但在不太严重的情况下并非如此。在机构中的停留时间对死亡率没有影响。本研究结果与纽约先前报道的结果(7)高度一致。

相似文献

1
Prognosis of survival in a geriatric population.老年人群的生存预后。
Scand J Soc Med. 1978;6(1):17-24. doi: 10.1177/140349487800600104.
2
Mortality and functional prognosis in a geriatric population.老年人群的死亡率和功能预后
Scand J Soc Med. 1977;5(2):61-5. doi: 10.1177/140349487700500202.
3
Need for care in the geriatric institution De Gamles By, Copenhagen.哥本哈根市德加姆莱斯街老年护理机构的护理需求
Acta Sociomed Scand. 1969;1(1):43-53.
4
Cognitive impairment is the major risk factor for development of geriatric syndromes during hospitalization: results from the GIFA study.认知障碍是住院期间老年综合征发生的主要危险因素:GIFA研究结果
Dement Geriatr Cogn Disord. 2005;20(4):262-9. doi: 10.1159/000087440. Epub 2005 Aug 11.
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Aust Clin Rev. 1990;10(2):66-71.
6
Is drug therapy for urinary incontinence used optimally in long-term care facilities?在长期护理机构中,尿失禁的药物治疗是否得到了最佳使用?
J Am Med Dir Assoc. 2007 Feb;8(2):98-104. doi: 10.1016/j.jamda.2006.07.004. Epub 2006 Sep 29.
7
The relationship between age, gender and cognitive performance in the very old: the effect of selective survival.高龄人群中年龄、性别与认知表现的关系:选择性生存的影响。
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Severe disruptive vocalizers.
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Attempt at quantitative determination of the need for care by various groups of patients in the geriatric institution De Gamles By, Copenhagen.尝试对哥本哈根De Gamles By老年机构中不同患者群体的护理需求进行定量测定。
Acta Sociomed Scand. 1969;1(1):33-41.
10
Minimum need for care in geriatric institutions.老年护理机构的最低护理需求。
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引用本文的文献

1
Urinary Incontinence as a Predictor of Death: A Systematic Review and Meta-Analysis.尿失禁作为死亡的预测指标:一项系统评价与荟萃分析
PLoS One. 2016 Jul 13;11(7):e0158992. doi: 10.1371/journal.pone.0158992. eCollection 2016.
2
The closure of a mental hospital in Sweden. 5 years of transition to district-based long-term care.瑞典一家精神病院的关闭。向基于社区的长期护理过渡的五年。
Eur Arch Psychiatry Clin Neurosci. 1993;243(2):109-15. doi: 10.1007/BF02191573.
3
The elderly in residential care: mortality in relation to functional capacity.
养老院中的老年人:与功能能力相关的死亡率
J Epidemiol Community Health. 1980 Jun;34(2):96-101. doi: 10.1136/jech.34.2.96.
4
Survival and functional capacity: three year follow up of an elderly population in hospitals and homes.生存与功能能力:对医院和家中老年人群的三年随访
J Epidemiol Community Health. 1983 Sep;37(3):176-9. doi: 10.1136/jech.37.3.176.
5
The closure of a major psychiatric hospital. Characterization of the long-term population over one year at an early stage of deinstitutionalization.一家大型精神病医院的关闭。非机构化早期一年以上长期人群的特征。
Soc Psychiatry Psychiatr Epidemiol. 1991 Aug;26(4):162-7.
6
The closure of a mental hospital in Sweden: characteristics of patients in long-term care facing relocation into the community.
Eur Arch Psychiatry Clin Neurosci. 1991;240(6):325-30. doi: 10.1007/BF02279761.