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Predictors of mortality in the oldest old patients with newly diagnosed Alzheimer disease in a residential aged care facility

Dementia and Geriatric Cognitive Disorders Oct 15, 2019

Chen TB, Weng SC, Chou YY, et al. - In the oldest old patients with newly diagnosed Alzheimer disease (AD) admitted to a long-stay residential facility, researchers conducted this prospective study to examine the factors associated with mortality. The study sample consisted of 84 newly diagnosed AD patients (mean age 86.6 ± 3.9 years) with a mean follow-up period of 2.1 ± 1.2 years. Data reported that the overall median survival from the time of diagnosis of AD was 3.5 years. In the deceased group, BMI was significantly lower than in the alive group. At the time of dementia diagnosis, comorbidity burden, nutritional status, and physical functional status are significant contributors to poor result in the oldest old. Findings suggested that efforts to control concurrent chronic disorders, nutritional interventions, and physical independency as a long-term dementia care strategy could provide survival benefit.
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