Physical complications for elderly inpatients with senile dementia in the Imaise Branch of Ichinomiya City Hospital.
BACKGROUND
In the present study, we investigated the physical complications of elderly patients with senile dementia in the Department of Psychogeriatrics, Imaise Branch, Ichinomiya City Hospital.


METHODS
Physical complications that occurred in our ward in the 12 months from April 2007 to March 2008 were recorded. Our ward has 50 beds and, over the 12 months, the average occupation rate was approximately 90%. We subdivided physical complications into two categories: (i) serious emergencies occurring in the ward with a possible high risk of mortality within a few days (e.g. pneumonia and upper airway obstruction); and (ii) life-threatening complications arising in the ward that required diagnosis and treatment by specialists from other medical departments (e.g. bone fracture and cancer).


RESULTS
Serious emergencies with a high risk of mortality occurred 56 times. Six patients died. Life-threatening complications requiring diagnosis and treatment by specialists from other departments occurred 44 times. Both categories of physical complications in occurred at a high rate, with various types of diseases recorded.


CONCLUSIONS
The present study confirms the high frequency of physical complications that require treatment in facilities for patients with senile dementia. It is necessary to diagnose and treat these various physical complications and to cooperate with specialists from other medical departments.
Ukai
Katsuyuki
K
Department of Psychogeriatrics, Imaise Branch, Ichinomiya City Hospital, Ichinomiya, Japan. ukai777@kamiiida-hp.jp
Mizuno
Yutaka
Y
D000208:Acute Disease / Q000453:epidemiology* / Q000401:mortality; D000368:Aged; D000369:Aged, 80 and over; D000402:Airway Obstruction / Q000209:etiology / Q000401:mortality; D000544:Alzheimer Disease / Q000150:complications* / Q000401:mortality; D002423:Cause of Death; D003430:Cross-Sectional Studies; D004630:Emergencies / Q000453:epidemiology*; D005260:Female; D006778:Hospitals, Psychiatric / Q000706:statistics & numerical data; D006786:Hospitals, Urban / Q000706:statistics & numerical data; D006801:Humans; D007564:Japan; D008297:Male; D011014:Pneumonia / Q000209:etiology / Q000401:mortality; D012017:Referral and Consultation / Q000706:statistics & numerical data; D015996:Survival Rate