THE ACCURACY OF EARLY DIAGNOSIS AND PREDICTORS OF DEATH IN ALZHEIMERS-DISEASE AND VASCULAR DEMENTIA - A FOLLOW-UP-STUDY

被引:42
作者
NIELSEN, H
LOLK, A
PEDERSEN, I
AUTZEN, M
SENNEF, C
KRAGHSORENSEN, P
机构
[1] ODENSE UNIV HOSP, DEPT PSYCHIAT, DK-5000 ODENSE, DENMARK
[2] ORGANON INT BV, OSS, NETHERLANDS
关键词
ALZHEIMERS DISEASE; MORTALITY; VASCULAR DEMENTIA; NEUROPSYCHOLOGY;
D O I
10.1111/j.1600-0447.1991.tb03144.x
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
A total of 87 patients with mild or moderate degree of dementia of the Alzheimer type (AD) or vascular dementia (VD) was identified (DSM-III criteria), and their cognitive capacity was evaluated by means of rating scales and psychometric tests. Three years later 30 patients (34%) were dead. Significantly more VD than AD patients died. Eight of the survivors declined to participate in a follow-up study, and 1 patient was excluded by mistake. Of the survivors, 17 had indisputably suffered cognitive decline during the follow-up period (4 VD and 13 AD, 35%). In the case of 11 patients (2 VD and 9 AD) cognitive decline remained doubtful, and 20 patients (9 VD and 11 AD, 42%) underwent no intellectual deterioration during the follow-up period. The results underline the problems of early diagnosis of dementia according to DSM-III criteria. For both sexes a high ischemia score and a low body mass index predicted death. A low score on a verbal fluency test predicted death for men but not for women, and a high difference between systolic and diastolic blood pressure increased the risk of death for men but not for women.
引用
收藏
页码:277 / 282
页数:6
相关论文
共 39 条
[1]   SURVIVAL IN ALZHEIMERS-DISEASE AND VASCULAR DEMENTIAS [J].
BARCLAY, LL ;
ZEMCOV, A ;
BLASS, JP ;
SANSONE, J .
NEUROLOGY, 1985, 35 (06) :834-840
[2]   PREDICTIVE FEATURES IN MILD SENILE DEMENTIA OF THE ALZHEIMER TYPE [J].
BERG, L ;
DANZIGER, WL ;
STORANDT, M ;
COBEN, LA ;
GADO, M ;
HUGHES, CP ;
KNESEVICH, JW ;
BOTWINICK, J .
NEUROLOGY, 1984, 34 (05) :563-569
[3]  
BOLLER F, 1989, NEUROLOGY, V39, P76
[4]   SENILE DEMENTIA OF THE ALZHEIMER TYPE - SUBJECT ATTRITION AND TESTABILITY IN RESEARCH [J].
BOTWINICK, J ;
STORANDT, M ;
BERG, L ;
BOLAND, S .
ARCHIVES OF NEUROLOGY, 1988, 45 (05) :493-496
[5]  
BRAYNE C, 1988, LANCET, V1, P1265
[6]   SEMANTIC MEMORY LOSS IN DEMENTIA OF ALZHEIMERS TYPE - WHAT DO VARIOUS MEASURES MEASURE [J].
CHERTKOW, H ;
BUB, D .
BRAIN, 1990, 113 :397-417
[7]  
Crook T H 3rd, 1990, Adv Neurol, V51, P211
[8]   DIFFERENTIAL-DIAGNOSIS BETWEEN ALZHEIMERS-DISEASE AND VASCULAR DEMENTIA - EVALUATION OF COMMON CLINICAL METHODS [J].
ERKINJUNTTI, T .
ACTA NEUROLOGICA SCANDINAVICA, 1987, 76 (06) :433-442
[9]   APHASIA IN SENILE DEMENTIA OF THE ALZHEIMER TYPE [J].
FABERLANGENDOEN, K ;
MORRIS, JC ;
KNESEVICH, JW ;
LABARGE, E ;
MILLER, JP ;
BERG, L .
ANNALS OF NEUROLOGY, 1988, 23 (04) :365-370
[10]   MINI-MENTAL STATE - PRACTICAL METHOD FOR GRADING COGNITIVE STATE OF PATIENTS FOR CLINICIAN [J].
FOLSTEIN, MF ;
FOLSTEIN, SE ;
MCHUGH, PR .
JOURNAL OF PSYCHIATRIC RESEARCH, 1975, 12 (03) :189-198