Mortality in elderly patients with organic brain disorder enrolled on the Salford psychiatric case register

Jolley, David; Baxter, David

doi:10.1002/(sici)1099-1166(199712)12:12<1174::aid-gps713>3.0.co;2-k

Cited by 35 publications

(6 citation statements)

References 24 publications

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“…A study of consecutive admissions of older African Americans compared with White people with dementia found, however, no difference in behavioural disturbance presented or response to treatment between the two groups (Akpaffiong et al, 1999). Ethnic differences have been found to have little effect on mortality rates (Jolley & Baxter, 1997)…”

Section: Pattern Presentation and Course Of Dementiamentioning

confidence: 99%

Mental health of the ageing immigrant population

Livingston

Sembhi²

2003

Adv. psychiatr. treat

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About 6% of older people in the UK are immigrants. Concentrated in deprived inner-city areas, their numbers are rising rapidly, with the ageing of those arriving after the Second World War. Cultural, language and educational differences cause problems in studying this group's mental health. Idioms of distress may affect presentation, help-seeking behaviour and acceptability of treatment. Ethnic elders may be considered vulnerable to depression because of socio-economic deprivation, immigrant status and old age but studies are contradictory and may use inappropriate screening instruments. Relatively few consider immigrant status and dementia. Uncontrolled hypertension could relate to higher dementia rates in Black immigrants which are not reflected in the country of origin. No genetic risk has been found. There is potential for prevention in this population.

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Section: Pattern Presentation and Course Of Dementiamentioning

confidence: 99%

Mental health of the ageing immigrant population

Livingston

Sembhi²

2003

Adv. psychiatr. treat

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“…Dementia is a well-established and consistent predictor of premature death in psychogeriatric patients (Roth, 1955;Thompson and Eastwood, 1981;Diesfeldt et al, 1986;Burns et al, 1991;Jolley and Baxter, 1997). Among demented patients, males have been found to have increased mortality when compared with females in some studies (Kay, 1962;Shah et al, 1969;Barclay et al, 1985;Burns et al, 1991;Jolley and Baxter, 1997) but not in others (Thompson and Eastwood, 1981;Heeren et al, 1992). Lanska (1998), reporting on the US 1986 National Mortality Followback Survey, commented that age-speci®c mortality rates from dementia were:`' F F F usually, but not universally, greater in men than women''.…”

Section: Discussionmentioning

confidence: 99%

Gender differences in survival of 234 patients referred to a psychogeriatric service

Davis

Holman

Brameld

2000

Int. J. Geriat. Psychiatry

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Objective To explore the survival characteristics of psychogeriatric patients. Participants and setting An historical cohort of 234 patients consecutively referred to a specialized psychogeriatric service proximal to a general health service in Perth, Western Australia. Methods Linked health service data were analysed using relative survival analysis and actuarial methods. Results Relative survival of the cohort after 40 months was significantly lower than the general population of the same age, sex and calendar period (0.78; 95% CI=0.70–0.86). Male patients experienced twice the mortality rate of female patients after adjustment for age (MRR=2.10; 95% CI=1.37–3.20). Age, dementia, mood disorder and ethnicity had no independent effects on mortality in male patients. Female patients with a diagnosis of dementia experienced twice the mortality of female patients without this diagnosis. The distribution of major underlying causes of death was similar in males and females. Conclusions Gender‐specific factors appear to affect survival in psychogeriatric patients. Male patients are younger on average, but experience higher mortality than female patients. Ethnic background does not influence mortality in either male or female patients. Copyright © 2000 John Wiley & Sons, Ltd.

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“…Retrospective case-note studies demonstrate inadequate palliative care in both psychiatric and acute hospital wards (Lloyd-Williams, 1996;Sampson et al, 2006). Life expectancy is more emphatically curtailed by dementia than it is by other psychiatric syndromes (Jolley & Baxter, 1997). Yet the evidence for suboptimal care persists, especially in the terminal phase (Wilden & Wright, 2002), with studies in the USA and Israel confirming the somewhat dismal picture (Mitchell et al, 2004;Aminoff & Adunsky, 2006).…”

Section: Is There a Need For Improved Palliative Care In Dementia?mentioning

confidence: 99%

Palliative care in dementia: issues and evidence

Hughes¹,

Jolley²,

Jordan³

et al. 2007

Adv. psychiatr. treat

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102

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Palliative care is an approach that stands well with the aims of person-centred dementia care. There is no doubt that the standards of care for many people with advanced dementia are poor. There is a lack of good-quality evidence, however, to support any particular approach for palliative care in dementia. Still, there are a number of areas in relation to caring for people with severe dementia where a palliative approach might be beneficial. In general, the relevant decisions have to be made on an individual basis but within a palliative framework. Advance care planning is likely to be crucial in encouraging this process. There is certainly a moral imperative behind the idea that care at the end of life for people with dementia should be improved.

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Mortality in elderly patients with organic brain disorder enrolled on the Salford psychiatric case register

Cited by 35 publications

References 24 publications

Mental health of the ageing immigrant population

Mental health of the ageing immigrant population

Gender differences in survival of 234 patients referred to a psychogeriatric service

Palliative care in dementia: issues and evidence

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