01 January 2002
Predictors of mortality among nursing home residents with a diagnosis of Parkinson'sdisease.
Hubert H Fernandez, Kate L LapaneMed Sci Monit 2002; 8(4): CR241-246 :: ID: 420874
Abstract
BACKGROUND: Little is known about predictors of mortality among Parkinsonpatients living in long term care. MATERIAL/METHODS: We conducted a 3-year follow-up study on 15,237PD residents aged 65 years and older using the Systematic Assessment in Geriatric drug use via Epidemiology(SAGE) database. The SAGE database consists of the Minimum Data Set (MDS) data collected on over 400,000nursing home residents in 5 U. S. states, including demographic characteristics, dementia severity, comorbidityand other clinical variables. Information on death was derived through linkage to Medicare files. Baselinecharacteristics were used to predict survival using univariate and multivariate Cox proportional hazardmodels. RESULTS: The overall 3-year mortality rate was 50%. Advanced age (relative rate (RR) 2.22; 95%confidence interval (CI) 1.99-2.47, for patients 85+ years), male gender (RR 1.73; 95% CI 1.60-1.87),severe functional (RR 1.81; 95% CI 1.53-2.13) and cognitive (RR 1.54; 95% CI 1.38-1.72) impairment, thepresence of vision problems (RR 1.25; 95% CI 1.20-1.57), pressure ulcers (RR 1.25; 95% 1.14-1.37), anda diagnosis of congestive heart failure (RR 1.49; 95% CI 1.35-1.65), diabetes mellitus (RR 1.22; 95%1.11-1.35) and pneumonia (RR 1.39; 95% CI 1.09-1.77) were independent predictors of death. The specificpresence of aspiration pneumonia had the highest mortality risk ratio among all comorbidities (RR 1.58;CI 0.97-2.56). African-Americans and other minority groups were less likely to die relative to whitePD residents. CONCLUSIONS: Age, sex, functional and cognitive impairment and the diagnosis of pneumoniaor congestive heart failure were the strongest predictors of death. Minority groups have a reduced riskof death relative to white PD nursing home residents.
Keywords: Aged, 80 and over, Cause of Death, Comorbidity, Comparative Study, fractures, Heart Failure, Congestive, Minority Groups, Nursing Homes, Pneumonia, Aspiration, Research Support, Non-U.S. Gov, Research Support, U.S. Gov, Respiration Disorders, Sensation Disorders, Severity of Illness Index
Editorial
01 March 2024 : Editorial
Editorial: First Regulatory Approvals for CRISPR-Cas9 Therapeutic Gene Editing for Sickle Cell Disease and Transfusion-Dependent β-ThalassemiaDOI: 10.12659/MSM.944204
Med Sci Monit 2024; 30:e944204
In Press
18 Mar 2024 : Clinical Research
Sexual Dysfunction in Women After Tibial Fracture: A Retrospective Comparative StudyMed Sci Monit In Press; DOI: 10.12659/MSM.944136
21 Feb 2024 : Clinical Research
Potential Value of HSP90α in Prognosis of Triple-Negative Breast CancerMed Sci Monit In Press; DOI: 10.12659/MSM.943049
22 Feb 2024 : Review article
Differentiation of Native Vertebral Osteomyelitis: A Comprehensive Review of Imaging Techniques and Future ...Med Sci Monit In Press; DOI: 10.12659/MSM.943168
23 Feb 2024 : Clinical Research
A Study of 60 Patients with Low Back Pain to Compare Outcomes Following Magnetotherapy, Ultrasound, Laser, ...Med Sci Monit In Press; DOI: 10.12659/MSM.943732
Most Viewed Current Articles
16 May 2023 : Clinical Research
Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...DOI :10.12659/MSM.940387
Med Sci Monit 2023; 29:e940387
17 Jan 2024 : Review article
Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron VariantDOI :10.12659/MSM.942799
Med Sci Monit 2024; 30:e942799
14 Dec 2022 : Clinical Research
Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase LevelsDOI :10.12659/MSM.937990
Med Sci Monit 2022; 28:e937990
01 Jan 2022 : Editorial
Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...DOI :10.12659/MSM.935952
Med Sci Monit 2022; 28:e935952