Weight loss, dysphagia, and outcome in advanced dementia

被引：47

作者：

Chouinard, J ^{[1
]}

Lavigne, E ^{[1
]}

Villeneuve, C ^{[1
]}

机构：

[1] Sisters Char Ottawa Hosp, Ottawa, ON, Canada

来源：

DYSPHAGIA | 1998年 / 13卷 / 03期

关键词：

dementia; tube feeding; pneumonia; dysphagia; weight loss; deglutition; deglutition disorders;

D O I：

10.1007/PL00009565

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

There has been much debate on the value and risks of long-term enteral feeding in patients with advanced dementia. A retrospective study was carried out on 47 patients with a primary diagnosis of dementia who died over a two-year period. All were inpatients in a nursing home or skilled nursing facility. Marked weight loss and dysphagia occurring in a specific pattern were found to be associated with death from pneumonia. These clinical features probably imply failure of basic homeostatic mechanisms. Patients showing this clinical pattern may be less likely to show benefits from longterm enteral feeding.

引用

页码：151 / 155

页数：5

共 28 条

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