Factors influencing on the prognosis and outcomes for elderly subjects with impaired activity of daily life.

DOI 14 References
  • Fukiyama Koshirou
    The Japanese Association for Cerebro-cardiovascular Disease Control
  • Ueda Kazuo
    The Japanese Association for Cerebro-cardiovascular Disease Control

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  • 循環器疾患患者の日常生活動作阻害要因と今後予想される社会的負担　　高齢者死亡に影響を及ぼす要因に関する調査研究事業
  • for elderly subjects with impaired activity of daily life
  • 高齢者死亡に影響を及ぼす要因に関する調査研究事業

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Abstract

We studied factors related to impaired activity of daily life (ADL) in 1, 492 subjects, aged 65 years, or over who were collected from twelve communities throughout Japan. ADL was quantitatively evaluated by using the Barthel index. Of the total, 1, 450 elderlies were followed over three years from 1997 to 2000 to observe for survival/mortality and causes of death. The most influencing disease on impaired ADL and mortality of the aged was cerebrovascular disease. Analysis of prognosis of subjects with impaired ADL during the three years, showed that survival rates were reduced much earlier through the whole period of follow-up in those with more severely affected ADL. Utilization of medical or welfare services such as hospitalization in nursing home, home-care by visiting nurses etc. had minimal if any effect on the prolongation of survival curves.

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