Risk factors of mortality in older patients with dementia in psychiatric care

International Journal of Geriatric Psychiatry Dec 11, 2019

Golüke NMS, Geerlings MI, van de Vorst IE, et al. - Researchers assessed older patients with dementia in psychiatric care for their mortality risk, and associated risk factors. A search of 4 Dutch registers—the Psychiatric Case Register Middle Netherlands (PCR-MN), the hospital discharge register, the population register, and the national cause of death register—yielded data on 4,297 patients for inclusion (median age: 80 years). The researchers noted the 1-, 3-, and 5-year mortality rates of 16.4%, 44.4%, and 63.5%, respectively—suggesting high mortality among patients with dementia in psychiatric care. Relative to the general older population, mortality among these individuals was much higher. Overall, in the psychiatric setting, increased mortality was observed among dementia patients in correlation to the following risk factors: male sex, higher age, living together/married, inpatients, and more somatic comorbidity. The researchers identified no correlation of different types of psychiatric comorbidity with mortality in this patient population.

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