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International journal of geriatric psychiatry 20건

  1. [해외논문]   Issue Information  


    International journal of geriatric psychiatry v.33 no.8 ,pp. 1009 - 1010 , 2018 , 0885-6230 ,

    초록

    No abstract is available for this article.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  2. [해외논문]   Memory complaints in amnestic Mild Cognitive Impairment: More prospective or retrospective?  

    de Mendonç (Departamento de Neurologia e Instituto de Neurociências, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal) , a, Alexandre (Departamento de Neurologia, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal) , Felgueiras, Helena (Departamento de Neurologia e Instituto de Neurociências, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal) , Verdelho, Ana (Hospital do Divino Espirito Santo, Ponta Delgada, Açores, Portugal) , Câ (Gabinete de Psicologia Clínica e da Saúde—Adulto e Idoso, Lisboa: Colégio Minerva, Barreiro, Portugal) , mara, Sara (William James Centre for Research, ISPA‐IU, Lisbon, Portugal) , Grilo, Clá (Department of Psychology and Counselling, University of Chichester, Chichester, UK) , udia (Depart) , Maroco, Joã , o , Pereira, Antonina , Guerreiro, Manuela
    International journal of geriatric psychiatry v.33 no.8 ,pp. 1011 - 1018 , 2018 , 0885-6230 ,

    초록

    Objective Patients with amnestic Mild Cognitive Impairment (aMCI), usually considered an early stage of Alzheimer's disease, have deficits not only in retrospective memory (RM), that is, recalling of past events, words or people, but also on prospective memory (PM), the cognitive ability of remembering to execute delayed intentions in the future. This study investigated whether patients with aMCI refer more PM complaints as compared with RM complaints, and whether this might depend upon short‐term vs long‐term items or time‐based vs event‐based tasks. Methods Patients with aMCI ( n = 178) and healthy controls ( n = 160) underwent the Prospective and Retrospective Memory Questionnaire (PRMQ), a 16‐item instrument to appraise differences between PM and RM complaints, as well as a general mental state examination, a subjective memory complaints questionnaire, objective memory tests, and assessment of depressive symptoms and activities of daily living. Results Patients with aMCI reported more memory complaints evaluated with the PRMQ (total score = 44.3 ± 10.8) as compared with controls (36.7 ± 9.8, P Conclusion Patients with aMCI reported significantly more difficulties on short‐term memory, presumably reflecting internal temporal lobe pathology typical of Alzheimer's disease, and more complaints on time‐based tasks, which are cognitively very demanding, but did not seem particularly troubled regarding prospective memory.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  3. [해외논문]   Chest width, waist circumference, and thigh circumference are predictors of dementia  

    Liao, Pei‐ (Department of Health Care Administration, Oriental Institute of Technology, New Taipei City, Taiwan) , Ju (Healthy Aging Research Center, Chang Gung University, Taoyuan, Taiwan) , Lin, Tzu‐ (Division of Endocrinology and Metabolism, Chang Gung Memorial Hospital, Keelung, Taiwan) , Yu (Department of Neurology, Chang Gung Memorial Hospital, Keelung Branch, Keelung, Taiwan, and Department of Medicine, Chang Gung University, Taoyuan, Taiwan) , Ting, Ming‐ (Division of Endocrinology and Metabolism, Chang Gung Memorial Hospital, Keelung, Taiwan) , Kuo (Laboratory for Epidemiology, Department of Health Care Management, Chang Gung University, Taoyuan, Taiwan) , Peng, Tsung‐ (Healthy Aging Research Center, Chang Gung University, Taoyuan, Taiwan) , I , Chiou, Wen‐ , Ko , Chen, Li‐ , Hsuan , Hsu, Kuang‐ , Hung
    International journal of geriatric psychiatry v.33 no.8 ,pp. 1019 - 1027 , 2018 , 0885-6230 ,

    초록

    Objective Few studies have investigated the relationship between specific body measures and dementia. Methods Three‐dimensional anthropometric body surface scanning data containing 38 body measures were collected from 6831 participants from the health examination department of a medical center in Taiwan during 2000 to 2008, and 236 dementia cases were identified during the 10‐year follow‐up. A multiple Cox regression analysis was performed. Results Specific body measures, namely chest width (hazard ratio [HR] = 0.90; 95% confidence interval [CI] = 0.83–0.98), and right thigh circumference (HR = 0.93; 95% CI = 0.90–0.96), were protective predictors to dementia occurrence. Waist circumference (HR = 1.03; 95% CI = 1.02–1.05) was a risk factor in dementia occurrence. Among the combinations, dementia risk was higher in participants with a larger waist circumference and a smaller right thigh circumference, with the highest HR of 2.49 (95% CI = 1.54–4.03). Conclusion The body measures provide clues for future applications and scientific merits in both clinical and preventive medicine.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  4. [해외논문]   Depressive spectrum states in a population‐based cohort of 70‐year olds followed over 9 years  

    Sigströ (Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Mölndal, Sweden) , m, Robert (Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Mölndal, Sweden) , Waern, Margda (Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Mölndal, Sweden) , Gudmundsson, Pia (Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Mölndal, Sweden) , Skoog, Ingmar (Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Mölndal, Sweden) , Ö , stling, Svante
    International journal of geriatric psychiatry v.33 no.8 ,pp. 1028 - 1037 , 2018 , 0885-6230 ,

    초록

    Objective Depression may be understood as a spectrum of more or less symptomatic states. Little is known about the long‐term course of these states in older populations. We examined the prevalence and course of depressive states of different severity in a Swedish population sample of older people followed over 9 years. Methods A population‐based sample of 70‐year olds without dementia (N = 563, response rate 71.1%) underwent a psychiatric examination; 450 survivors without dementia were reexamined at ages 75 and/or 79 years. Three depressive spectrum states were defined: major depression (MD), minor depression (MIND), and subsyndromal depression (SSD). Results The cumulative 9‐year prevalence of any depressive spectrum state was 55.3% (MD 9.3%, MIND 27.6%, SSD 30.9%). The cross‐sectional prevalence increased with age, especially for MIND and SSD. Among those with baseline MD and MIND, 75.0% and 66.7%, respectively, had MD or MIND during follow‐up. Among those with SSD, 47.2% had SSD also during follow‐up and 36.1% had MD or MIND. Among those with MD during follow‐up, 63.1% were in a depressive spectrum state at baseline. The corresponding proportion was 30% for those with MIND (but no MD) during follow‐up. Conclusion In this population‐based sample, over half experienced some degree of depression during their eighth decade of life. The findings give some support for the validity of a depressive spectrum in older adults. Most new episodes of major depression occurred in people who were in a depressive spectrum state already at baseline, which may have implications for late‐life depression prevention strategies.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  5. [해외논문]   Elder abuse and its medical outcomes in older Chinese people with cognitive and physical impairments  

    Fang, Boye (Department of Social Work and Social Administration, University of Hong Kong, Pok Fu Lam, Hong Kong) , Yan, Elsie (Department of Applied Social Sciences, Hong Kong Polytechnic University, Hung Hom, Hong Kong) , Chan, Ko Ling (Department of Applied Social Sciences, Hong Kong Polytechnic University, Hung Hom, Hong Kong) , Ip, Partick (School of Medicine, University of Hong Kong, Pok Fu Lam, Hong Kong)
    International journal of geriatric psychiatry v.33 no.8 ,pp. 1038 - 1047 , 2018 , 0885-6230 ,

    초록

    Objectives Elder abuse poses a major public health threat considering the ongoing rapid aging of the global population. This study investigates the association between elder abuse by family caregivers and medical outcomes among older Chinese patients with cognitive and physical impairments in the People's Republic of China. Methods Using cross‐sectional design, 1002 older patients (aged 55 y and older) and their family caregivers were recruited from 3 grade A hospitals in Guangdong Province. The major independent variable is caregiver‐reported elder abuse, while outcome variables include cardiovascular disease, cerebrovascular disease, chronic obstructive pulmonary disease, peptic ulcer, digestive disorder, chronic hepatic disease, chronic renal disease, metabolic disease, acute inflammation, joint disease, tumor, and general injury. The prevalence of these medical conditions among patients who were abused and those who were not were compared using descriptive analyses and chi‐square tests, and logistic regression was used to establish the relevant independent associations. Results A total of 429 (42.8%) older persons have experienced physical or psychological abuse over the past 12 months. After adjusting for potential confounders, abused older persons were more susceptible to cardiovascular disease, chronic obstructive pulmonary disease, peptic ulcer, digestive disorder, metabolic disease, acute inflammation, tumor, and injuries. Conclusion Elder abuse is associated with various major medical morbidities. Interdisciplinary cooperation is necessary to identify and reduce the adverse physiological consequences in victims.

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  6. [해외논문]   The IDEMCare Study—Improving Dementia Care in Black African and Caribbean Groups: A feasibility cluster randomised controlled trial  

    Roche, Moï (Camden and Islington NHS Foundation Trust, St Pancras Hospital, London, UK) , se (Camden and Islington NHS Foundation Trust, St Pancras Hospital, London, UK) , Mukadam, Naaheed (Camden and Islington NHS Foundation Trust, St Pancras Hospital, London, UK) , Adelman, Simon (Camden and Islington NHS Foundation Trust, St Pancras Hospital, London, UK) , Livingston, Gill
    International journal of geriatric psychiatry v.33 no.8 ,pp. 1048 - 1056 , 2018 , 0885-6230 ,

    초록

    Objective We evaluated the feasibility and acceptability of a tailored evidence‐based intervention, consisting of a leaflet and a letter, to encourage timely help‐seeking for dementia in Black elders. Methods Participating GP surgeries were randomised to send either the intervention or a control leaflet about ageing well to Black patients aged ≥50 years old without known dementia. We interviewed patients 2 weeks later about the intervention's acceptability using closed and open‐ended questions, and they completed a Theory‐of‐Planned‐behaviour questionnaire about what they would do if they developed memory problems, which they also completed 4 months later. Results Five of 26 surgeries approached agreed to invite patients. Sixty‐five patients responded, of whom 61 (93.8%) agreed to participate. At 2 weeks, we consented and interviewed 47/61 (77%), of whom 24 received the intervention, and at 4 months we followed up 43/47 (91.5%). At 2 weeks, 44/47 (93.6%) found either intervention acceptable to receive by post, including 23/24 of the intervention. Nineteen of 24 (79.2%) reported reading the intervention leaflet compared with 13/23 (56.5%) controls. The intervention leaflet made 16/24 (66.7%) think about visiting their doctor for memory problems and led 4 to help‐seeking behaviour. We calculated that 191 patients and 24 surgeries are required for an efficacy trial. Conclusions Given the intervention is acceptable, inexpensive, and unlikely to cause harm, we judge it appropriate to disseminate it without a full‐scale trial. Recruitment attainment, retention, and projected sample size calculation indicated feasibility for a larger trial.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  7. [해외논문]   Cognitive and functional progression in Alzheimer disease: A prediction model of latent classes  

    Haaksma, Miriam L. (Department of Geriatric Medicine, Radboudumc Alzheimer Center, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands) , Calderó (Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Stockholm, Sweden) , n-Larrañ (Department of Geriatric Medicine, Radboudumc Alzheimer Center, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands) , aga, Amaia (Department of Geriatric Medicine, Radboudumc Alzheimer Center, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands) , Olde Rikkert, Marcel G.M. (Department of Psychiatry, Division of Geriatric Psychiatry and Neuropsychiatry, Johns Hopkins University School of Medicine, Baltimore, MD, USA) , Melis, René , J.F. , Leoutsakos, Jeannie‐ , Marie S.
    International journal of geriatric psychiatry v.33 no.8 ,pp. 1057 - 1064 , 2018 , 0885-6230 ,

    초록

    Objective We sought to replicate a previously published prediction model for progression, developed in the Cache County Dementia Progression Study, using a clinical cohort from the National Alzheimer's Coordinating Center. Methods We included 1120 incident Alzheimer disease (AD) cases with at least one assessment after diagnosis, originating from 31 AD centres from the United States. Trajectories of the Mini‐Mental State Examination (MMSE) and Clinical Dementia Rating sum of boxes (CDR‐sb) were modelled jointly over time using parallel‐process growth mixture models in order to identify latent classes of trajectories. Bias‐corrected multinomial logistic regression was used to identify baseline predictors of class membership and compare these with the predictors found in the Cache County Dementia Progression Study. Results The best‐fitting model contained 3 classes: Class 1 was the largest (63%) and showed the slowest progression on both MMSE and CDR‐sb; classes 2 (22%) and 3 (15%) showed moderate and rapid worsening, respectively. Significant predictors of membership in classes 2 and 3, relative to class 1, were worse baseline MMSE and CDR‐sb, higher education, and lack of hypertension. Combining all previously mentioned predictors yielded areas under the receiver operating characteristic curve of 0.70 and 0.75 for classes 2 and 3, respectively, relative to class 1. Conclusions Our replication study confirmed that it is possible to predict trajectories of progression in AD with relatively good accuracy. The class distribution was comparable with that of the original study, with most individuals being members of a class with stable or slow progression. This is important for informing newly diagnosed AD patients and their caregivers.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  8. [해외논문]   Selective forgetting of self‐threatening statements: Mnemic neglect for dementia information in people with mild dementia  

    Cheston, Richard (University of the West of England, Bristol, UK) , Dodd, Emily (University of the West of England, Bristol, UK) , Christopher, Gary (University of the West of England, Bristol, UK) , Jones, Charlie (Bristol Dementia Wellbeing Service, Bristol, UK) , Wildschut, Tim (University of Southampton, Southampton, UK) , Sedikides, Constantine (University of Southampton, Southampton, UK)
    International journal of geriatric psychiatry v.33 no.8 ,pp. 1065 - 1073 , 2018 , 0885-6230 ,

    초록

    Objective We tested whether people with dementia manifest selective forgetting for self‐threatening information, the mnemic neglect effect (MNE). This selective forgetting is observed among healthy adults in the recall, but not the recognition, of self‐threatening feedback. Methods Sixty‐four statements about dementia were rated for their level of negativity by 280 staff and students at University of the West of England. The 12 statements rated as most negative and the 12 statements rated as least negative were then read to 62 people with dementia. Participants were randomized to 1 of 2 conditions with the statements referring either to self or to another person. High‐negativity and self‐referent statements had strong threat potential. Participants recalled the statements and then completed a recognition task, which consisted of the 24 previously read statements and 24 new statements. Results Participants manifested the MNE: They recalled fewer high‐negativity (compared with low‐negativity) statements, but only when these referred to the self rather than another person. This pattern occurred independently of levels of depression or anxiety. Participants also made more self‐protective intrusion errors when the statements referred to the self than another person. Participants did not differ in their recognition of statements. Conclusion The MNE occurs among people with dementia. The selective forgetting of highly negative, self‐referent statements serves to protect the self against the threat that dementia represents. Given the similarities between the MNE and the clinical phenomenon of repression, the findings may mark psychological processes that are implicated in the acceptance (or lack thereof) of a dementia diagnosis.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  9. [해외논문]   Cognitive functioning and quality of life: Diverging views of older adults with Alzheimer and professional care staff  

    Dewitte, Laura (KU Leuven—University of Leuven, Leuven, Belgium) , Vandenbulcke, Mathieu (KU Leuven—University of Leuven, Leuven, Belgium) , Dezutter, Jessie (KU Leuven—University of Leuven, Leuven, Belgium)
    International journal of geriatric psychiatry v.33 no.8 ,pp. 1074 - 1081 , 2018 , 0885-6230 ,

    초록

    Objective Staff ratings of quality of life (QOL) in dementia are often lower and more strongly related to the cognitive functioning of the person with dementia than self‐ratings. However, cognition‐related items in QOL measures and limited cognitive screening measures hamper a clear understanding of the relationship, 2 issues we addressed in the current study. Methods We collected data of 88 pairs of older adults with Alzheimer disease and their professional caregivers in 9 residential care settings. Both self‐report and staff report of the QOL of residents were assessed with the Quality of Life in Alzheimer's Disease. Cognitive functioning was assessed with the Mini‐Mental State Examination and a battery of specific cognitive measures. Results Intraclass correlations and a paired sample t test confirmed a discrepancy between self‐rating and staff rating, with staff significantly underestimating QOL as experienced by the resident. After removing the possibly confounding memory item of the Quality of Life in Alzheimer's Disease, Mini‐Mental State Examination score remained a significant predictor of staff ratings but not self‐ratings in regression analyses. Exploratory analyses of specific cognitive measures showed a significant contribution of a memory test of intentional visual association learning in the prediction of staff‐rated QOL. Conclusions Staff reports cannot simply substitute reports of the subjective experience of residents with Alzheimer, so both judgments should be taken into account to form an adequate picture of QOL. Staff might be guided more strongly by a cognitive point of view when evaluating QOL of residents with Alzheimer disease, while the latter might have shifted their evaluation standards to cope adequately with the challenges posed by their disease.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  10. [해외논문]   Unexplained absence resulting in deaths of nursing home residents in Australia—A 13‐year retrospective study  

    Woolford, Marta H. (Health Law and Ageing Research Unit, Department of Forensic Medicine, Monash University School of Public Health and Preventive Medicine, Melbourne, Australia) , Bugeja, Lyndal (Health Law and Ageing Research Unit, Department of Forensic Medicine, Monash University School of Public Health and Preventive Medicine, Melbourne, Australia) , Weller, Carolina (Monash Nursing and Midwifery, Monash University, Melbourne, Australia) , Johnson, Marilyn (Monash University Institute for Transport Studies, Melbourne, Australia) , Chong, Derek (School of Mathematics and Statistics, The University of Melbourne, Melbourne, Australia) , Ibrahim, Joseph E. (Health Law and Ageing Research Unit, Department of Forensic Medicine, Monash University School of Public Health and Preventive Medicine, Melbourne, Australia)
    International journal of geriatric psychiatry v.33 no.8 ,pp. 1082 - 1089 , 2018 , 0885-6230 ,

    초록

    Objectives To examine deaths of Australian nursing home (NH) residents following an unexplained absence. Methods Population based cross‐sectional study was conducted using coronial data from the National Coronial Information System. Participants are residents of accredited NHs if death followed an unexplained absence and was reported to the Coroner between July 1, 2000 and June 30, 2013. Individual, organisational, environmental, and unexplained absence event factors were extracted from coronial records. Data were analysed using descriptive statistics. Results Of 21 672 NH deaths, 24 (0.1%) followed an unexplained absence. This comprised 17 unintentional external (injury‐related) causes and 7 natural cause deaths. Drowning was the most frequent external cause of death (59%, n = 10). Deaths occurred more frequently in males (83.3%, n = 20), and in the age group 85‐94 years (37.5%, n = 9). The majority of NH residents, for whom data were available ( n = 15), had a diagnosis of dementia (86.7%, n = 13). Most residents were found in waterways (41.7%, n = 10). Median distance travelled was 0.5 km (IQR: 0.25‐2.4 km), with almost 70% of residents found within 1.0 km of their NH. Most residents left the NH by foot (88.2%, n = 15). Half of the residents were found within 6 hours of time last seen (median: 6 hours, 40 minutes; IQR: 6.0‐11.45 hours). Conclusion Unexplained absences in elderly NH residents are a relatively common event. This study provides valuable information for aged care providers, governments, and search and rescue teams, and should contribute to debates about balancing issues of safety with independence.

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