Authors: Fang Li Fen Wang Jianping Jia
Publish Date: 2013/07/20
Volume: 25, Issue: 4, Pages: 393-401
Abstract
This retrospective case–control study reviewed the hospital records of all adults aged over 60 years admitted to one tertiary hospital in China from 2002 to 2012 In total 34888 patients meeting the age criterion were included Patients admitted to departments of pediatrics obstetrics and gynecology were not included Demographic clinical and outcome data from computerized discharge records were collected Patients diagnosed with dementia at discharge by DSMIVTR criteria and MMSE scores formed the dementia group All other patients were controls Illness rating scale comorbidities mortality at discharge dementia subtypes and longterm followup status for dementia patients were analyzed using comparative statistical methods eg oneway ANOVA with Bonferroni pairwise comparison Kruskal–Wallis and Mann–Whitney U test pairwise comparisonsA total of 918 patients 26 prevalence had comorbid dementia including Alzheimer’s disease 391 and vascular dementia 394 Neurologic and respiratory system diseases were the most common main diagnoses for patients with comorbid dementia who also had a higher percentage of level III or IV severity of main illness compared to controls and longer hospital stays both P 001 Mortality at discharge included 980 of the dementia group and 884 of controls P = 0312
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