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Lífshorfur sjúklinga með heilabilun : afdrif dagvistarsjúklinga

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Authors
Jón G. Snædal
Issue Date
1997-10-01

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Other Titles
Survival of patients with dementia in an Icelandic daycare center
Citation
Læknablaðið 1997, 83(10):634-9
Abstract
Objective: This study was undertaken to estimate the survival of patients with dementia and to evaluate change in prognosis over time. Material and methods: Individuals attending a day care center for dementia in a 10 year period were followed until December 1st 1996 or until death. These individuals are quite repres¬entative for demented patients living in this area. Results: Of 180 individuals, 167 had either been diagnosed with Alzheimer's disease or multi infarct dementia. Ninety seven had died during follow up. Crude survival as well as relative survival was calculated with regards to the onset of symptoms of dementia. Patients with Alzheimer's disease seemed to live 40% shorter than age and gender matched individuals in the society. Conclusion: Dementia is correlated with a definite shortening of survival. Patients in this time period seem to live longer than patients diagnosed 10-15 years earlier but any comparison is hampered by different methods of diagnosis.
Tilgangur: Tilgangur rannsóknarinnar var að kanna lífshorfur sjúklinga með heilabilun og athuga hvort breyting hefði orðið á horfum þeirra síðustu tvo áratugi. Efniviður og aðferðir: Einstaklingar sem sótt höfðu dagvistun á höfuðborgarsvæðinu fyrir sjúklinga með heilabilun á 10 ára tímabili voru efniviður rannsóknarinnar. Þessir einstaklingar voru dæmigerðir fyrir þennan sjúklingahóp og því talið að afdrif hans gæfi almennt góða mynd af lífshorfum sjúklinga með heilabilun á þessu landsvæði. Niðurstöður: Af 180 innrituðum sjúklingum í dagvistinni höfðu 167 Alzheimers sjúkdóm eða blóðrásartruflanir í heila. Látist höfðu 97 sjúklingar og voru afdrif þeirra skoðuð beint (crude survival) og í samanburði við jafnaldra í íslensku þjóðfélagi (relative survival). Miðað var við tímann frá upphafi sjúkdómseinkenna. Sjúklingar með Alzheimers sjúkdóm virtust lifa að meðaltali 40% skemur en jafnaldrar þeirra. Helmingur sjúklinga með Alzheimers sjúkdóm var fallinn frá eftir liðlega átta ár en helmingur sjúklinga með blóðrásartruflanir eftir tæplega átta ár. Umræða: Heilabilun hefur í för með sér um-talsverða styttingu á ævilíkum. Sjúklingar á því tímabili sem hér var skoðað virtust þó lifa nokkru lengur en sjúklingar sem fengu heilabilun 10-15 árum fyrr, en mismunandi aðferðir við greiningu gera samanburð erfiðan.
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Icelandic Journal Articles (Peer Reviewed)

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