입원 치매환자에서 동반된 신체질환

• 영문명: Associated Diseases in Inpatients with Dementia
• 발행기관: 대한노인정신의학회
• 저자명: 조항석(Hang Suk Cho) 오병훈(Byoung Hoon Oh) 양성희(Seong Hee Yang) 이혜리(Hye Ree Lee) 유계준(Gye Joon Yoo)
• 간행물 정보: 『노인정신의학』노인정신의학 제2권 제2호, 167~175쪽, 전체 9쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 1998.12.30

영문 초록

Ojectives : Patients with dementia are accompanied with poor autonomy and multiple disability. Therefore moer cost and medical service are required than non-dementia patients. In order to insure comprehensive, systematic care for dementia patients, knowledge of the associated disease of different types of dementia is warranted. This study evaluate the characteristics of associated disease in inpatients with dementia, to be used as basic reference for effective treatment. Methods : The study popultion consist of 92 patients with dementia admitted between January 1, 1996 and September 30, 1997 to geriatric department, Yosei University Kwangju Severance Psychiatric Hospital. Diagnoses were based on DSM-IV and NINCDS. Severity of dementia was evaluated by GDS (Global Deterioration Scale). Associated diseases was recorded in separated checklist. χ-test, Fisher's exact test, ANOVA, T-test, Wilcoxon rank sum test, Kruskal-Wallis test were used to determine statistical differences among the dementia subgroup. Results : The mean age was 71.8±9.2 with 31 male (33.7%) subjects and 61 female subject (66.3%). The types of dementia among the 92 demented patients were as follows : 50 (54%) with Alzheimer's disease, 30 (33%) with vascular dementia, 12 (13%) with unclassified dementia. Mean GDS score was 5.4±1.1. The mean duration of admission was 66.9±88.9 days. Types of discharge were normal discharge 33 (35.9%), discharge against doctors' advice 28 (30.4%), transfer 23 (25.0%). The average number of diagnoses was 4.9±2.4. (4.5±2.4 in Alzheimer's disease, 6.1±2.4 in vascular dementia, 5.3±2.1 in unclassified dementia in respectively (p<0.05). The most common associated disease were gastrointestinal disorders (24.8%), cardiovascular disorders (11.8%), urinary tract infection (6.8%), musculoskeletal disorder (6.6%), diabetes mellitus (4.5%). Associated diseases that their frequency showed significant differences in different types of dementia were hypertension, diabetes mellitus, urinary incontinence, oral cavity disease, anemia (p<0.01). Conclusions : Associated disease are different in different type of dementia. Patients with vascular dementia had more associated disease and received more drugs for associated disease than Alzheimer's disease. Our data emphasize comprehensive and systematic treatment plan according to type of dementia.

목차

서 론

연구 방법

결 과

고 찰

키워드

치매 알쯔하이머병 혈관성 치매 동반질환 Dementia Alzheimer's disease Vascular dementia Associated disease