Three year outcome of the residents in a special nursing home.
The 3 year outcome of 48 residents in a special nursing home was investigated, using Hasegawa's dementia rating scale (HDS) and activities of daily living (ADL). For all the residents, HDS score correlates well with age (P < 0.01) and ADP score (P < 0.001). Nineteen residents (40.4%) died during the period surveyed. Two-thirds of the residents with low ADL score died during the period, whereas 70% of the residents with high ADL score are alive. Of these scales, ADL correlated well with the fatal prognosis, suggesting that ADL is a valuable prognostic tool. As for the causes of death, pulmonary disease was prominent (n = 12, 63.2%). Consequently, the prevention of pulmonary disease is needed to achieve a good outcome in the management of nursing home residents.
Okura
M
M
Department of Neuropsychiatry, University of Tokushima School of Medicine, Japan.
Ikuta
T
T
D000203:Activities of Daily Living; D000368:Aged; D003704:Dementia / Q000175:diagnosis*; D005260:Female; D006304:Health Status; D006801:Humans; D007564:Japan; D008171:Lung Diseases / Q000401:mortality / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes; D011379:Prognosis; D011569:Psychiatric Status Rating Scales