Abstract:
BACKGROUND:Investigations on cause of death may provide valuable information about life expectancy and on conditions of terminal dementia care, which perhaps can be ameliorated. METHODS:The autopsy reports were studied on all patients (n = 524; 55.3% females; median age 80 years) with a clinically and neuropathologically diagnosed dementia disorder who underwent a complete autopsy at the University Hospital in Lund, Sweden, during 1974-2004. RESULTS:The two most common causes of death were bronchopneumonia (38.4%) and ischaemic heart disease (23.1%), whilst neoplastic diseases were uncommon (3.8%). In a general population of elderly studied for comparison, bronchopneumonia accounted for 2.8%, ischaemic heart disease for 22.0%, and neoplasm for 21.3% of the deaths. Amongst the demented patients, circulatory and respiratory system diseases were the causes of death in 23.2% and 55.5% of the Alzheimer patients, respectively, whilst the corresponding figures were 54.8% and 33.1% for the patients with vascular dementia. CONCLUSIONS:In patients with dementia, pneumonia as the immediate cause of death may reflect a terminal stage in which patient care and feeding is difficult to manage well. Knowledge about what actually causes death is of value in the terminal care of patients with dementia disorders.
journal_name
Eur J Neuroljournal_title
European journal of neurologyauthors
Brunnström HR,Englund EMdoi
10.1111/j.1468-1331.2008.02503.xsubject
Has Abstractpub_date
2009-04-01 00:00:00pages
488-92issue
4eissn
1351-5101issn
1468-1331pii
ENE2503journal_volume
16pub_type
杂志文章abstract:BACKGROUND AND PURPOSE:Growth hormone (GH)/insulin-like growth factor 1 (IGF-1) axis abnormalities in multiple sclerosis (MS) suggest their role in its pathogenesis. Interferon β (IFN-β) efficacy could be mediated also by an increase of IGF-1 levels. A 2-year longitudinal study was performed to estimate the prevalence ...
journal_title:European journal of neurology
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journal_title:European journal of neurology
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journal_title:European journal of neurology
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journal_title:European journal of neurology
pub_type: 临床试验,杂志文章
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journal_title:European journal of neurology
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journal_title:European journal of neurology
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更新日期:1995-11-01 00:00:00
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doi:10.1111/j.1468-1331.2009.02641.x
更新日期:2009-09-01 00:00:00
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journal_title:European journal of neurology
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doi:10.1046/j.1468-1331.2002.00387.x
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journal_title:European journal of neurology
pub_type: 杂志文章
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更新日期:2010-07-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2010-02-01 00:00:00
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journal_title:European journal of neurology
pub_type: 杂志文章
doi:10.1111/j.1468-1331.2008.02200.x
更新日期:2008-08-01 00:00:00
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journal_title:European journal of neurology
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