Dementia natural history, complications and prognosis: Difference between revisions
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== Overview == | ==Overview== | ||
== Complications == | ==Complications== | ||
Complications of dementia include | |||
== Prognosis == | * [[Urinary tract infection (UTI)]] | ||
* [[weight loss]] | |||
* Institutionalization | |||
* [[pneumonia]] | |||
* [[Falls]] and their complications | |||
* Elder [[abuse]]<br /> | |||
==Prognosis== | |||
The prognosis of dementia is poor even with treatment. One study mentions that patients with dementia were less likely to have interventions such as PEG tubes, hospitalization, catheterizations, parenteral therapy, and venipunctures when their proxy's estimate of their life expectancy was shorter rather than greater than six months | |||
Advanced Dementia Prognostic Tool (ADEPT) is a 12-item additive score that includes information on patient age, gender, level of functional dependence, nutritional status, and presence or absence of various symptoms and medical conditions, such as congestive heart failure and shortness of breath.<ref name="pmid21045099">{{cite journal |vauthors=Mitchell SL, Miller SC, Teno JM, Kiely DK, Davis RB, Shaffer ML |title=Prediction of 6-month survival of nursing home residents with advanced dementia using ADEPT vs hospice eligibility guidelines |journal=JAMA |volume=304 |issue=17 |pages=1929–35 |date=November 2010 |pmid=21045099 |pmc=3017367 |doi=10.1001/jama.2010.1572 |url=}}</ref> | |||
==References== | ==References== | ||
Revision as of 01:28, 29 September 2020
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Dementia Microchapters |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: ,Sabeeh Islam, MBBS[2]
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Dementia Microchapters |
Overview
Complications
Complications of dementia include
- Urinary tract infection (UTI)
- weight loss
- Institutionalization
- pneumonia
- Falls and their complications
- Elder abuse
Prognosis
The prognosis of dementia is poor even with treatment. One study mentions that patients with dementia were less likely to have interventions such as PEG tubes, hospitalization, catheterizations, parenteral therapy, and venipunctures when their proxy's estimate of their life expectancy was shorter rather than greater than six months
Advanced Dementia Prognostic Tool (ADEPT) is a 12-item additive score that includes information on patient age, gender, level of functional dependence, nutritional status, and presence or absence of various symptoms and medical conditions, such as congestive heart failure and shortness of breath.[1]
References
- ↑ Mitchell SL, Miller SC, Teno JM, Kiely DK, Davis RB, Shaffer ML (November 2010). "Prediction of 6-month survival of nursing home residents with advanced dementia using ADEPT vs hospice eligibility guidelines". JAMA. 304 (17): 1929–35. doi:10.1001/jama.2010.1572. PMC 3017367. PMID 21045099.