Predictors of mortality and institutionalization in Alzheimer disease patients 1 year after discharge from an Alzheimer dementia unit

Angelo Bianchetti, Alberto Scuratti, Orazio Zanetti, Giuliano Binetti, Giovanni B. Frisoni, Eugenio Magni, Marco Trabucchi

Research output: Contribution to journalArticle

Abstract

Several factors have been reported to predict death and institutionalization ii demented patients, even if the results of the studies are often conflicting. We conducted a study on a group of 86 consecutive noninstitutionalized probable Alzheimer disease (AD) patients, to evaluate clinical and social factors pre dieting mortality and institutionalization 1 year after discharge from the Alzheimer Dementia Unit at ‘Sacro Cuore Fatebenefratelli’ Hospital, Brescia, Italy. The 1-year mortality rate was 13.9% and the 1-year rate of admission to a nursing home was 34%. Our data indicate that the number of lost functions or the Activity of Daily Living scale is the most important predictor of short-term mortality, independently of the degree of cognitive impairment, the duration of the dementia, the age of the patients and the number of chronic diseases Our data also demonstrate that, in a short period of observation, behavioral: disturbances (and in particular insomnia) and availability of social services play a major role in the decision to institutionalize AD patients.

Original languageEnglish
Pages (from-to)108-112
Number of pages5
JournalDementia and Geriatric Cognitive Disorders
Volume6
Issue number2
DOIs
Publication statusPublished - 1995

Keywords

  • Alzheimer’s disease
  • Institutionalization
  • Mortality
  • Skills in daily living

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Psychiatry and Mental health
  • Cognitive Neuroscience
  • Neuropsychology and Physiological Psychology

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