articleNew England Journal of MedicineOct 14, 2009BRONZE OA

The Clinical Course of Advanced Dementia

Hadassah Medical Center · Hebrew SeniorLife · +4 more institutions

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Abstract

Background

Dementia is a leading cause of death in the United States but is underrecognized as a terminal illness. The clinical course of nursing home residents with advanced dementia has not been well described.

Methods

We followed 323 nursing home residents with advanced dementia and their health care proxies for 18 months in 22 nursing homes. Data were collected to characterize the residents' survival, clinical complications, symptoms, and treatments and to determine the proxies' understanding of the residents' prognosis and the clinical complications expected in patients with advanced dementia.

Citation impact

1,603
total citations
FWCI
158.55
Percentile
100%
References
38
Citations per year

Authors

9

Topics & keywords

Keywords
  • Medicine
  • Dementia
  • Pneumonia
  • Odds ratio
  • Confidence interval
  • Severe dementia
  • Disease
  • Pediatrics
UN Sustainable Development Goals
  • Good health and well-being
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