Pautas E, Verny M, Holstein J, Bouchon J P, Saint-Jean O
Unités de Médecine Interne et Gériatrie, Hôpital Charles-Foix, Ivry-sur-Seine.
Ann Med Interne (Paris). 1997;148(4):301-6.
Dementia is frequently observed in elderly patients admitted in Internal Medicine Units. Study of prospective data allowed comparison between 199 demented patients and 601 non demented ones, for life conditions, hospitalization parameters, way of discharge and associated diseases. Age and sex ratio are equal. Demented patients live more frequently in geriatric institutions and require more often nurse care at home. For them, social care is more frequent during hospitalization. There is no significant difference for mean duration of stay, discharge in step down unit and mortality. In both groups the predictive factors for the duration of stay are the need for social care during hospitalization and the number of comorbidities. In patients with degenerative dementia, hypertension and cardiopathies are less frequent than among other patients. These data suggest that adequate care, including social care, may produce the same duration of stay and way of discharge for demented and non demented elderly patients in Internal Medicine Units.
在内科病房收治的老年患者中，痴呆症很常见。对前瞻性数据的研究使得能够对199名痴呆患者和601名非痴呆患者在生活状况、住院参数、出院方式及相关疾病方面进行比较。年龄和性别比例相同。痴呆患者更常居住在老年机构，且在家中更常需要护理。对他们而言，住院期间社会护理更为频繁。在平均住院时间、转至下级护理单元出院及死亡率方面无显著差异。两组中住院时间的预测因素均为住院期间对社会护理的需求及合并症数量。在患有退行性痴呆的患者中，高血压和心脏病的发生率低于其他患者。这些数据表明，在内科病房，包括社会护理在内的适当护理可能使痴呆和非痴呆老年患者的住院时间和出院方式相同。
