| 용인 효자병원에 입원한 노인 환자들의 임상적 특성 |
| 곽용태, 곽용태이한일우이김돈수이서상훈*이이충순*이석승한**이손일홍** |
| 용인 효자병원 신경과학교실,정신과학교실*,원광대학교 신경과학교실** |
| Clinical Characteristics of Geriatric Patients Admitted to Yongin Hyoja Geriatric Hospital |
| Yong Tae Kwak, M.D., Il-Woo Han, M.D., Don-Soo Kim, M.D., Sang Hun Seo, M.D.*,
Choong-Soon Lee, M.D.*, Seung-Han Suk, M.D.**, Il Hong Son, M.D.** |
| Department of Neurology, Yongin Hyoja Geriatric Hospital
Department of Psychiatry, Yongin Hyoja Geriatric Hospital*
Department of Neurology, Wonkwang University, Kunpo Medical Center** |
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| Abstract |
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Background : As the size of the elderly population has increased compared to the hole, there has been growing con-cern over potential health problems and geriatric hospitals for elderly people. However, despite the emerging needs for geriatric hospitals, there is no data on the clinical characteristics of patients being admitted to geriatric hospitals. To ana-lyze the characteristics of elderly patients admitted to a geriatric hospital, we studied the medical records of patients admitted to Yong-in Hyoja Geriatric Hospital during a recent 20 months period. By clarifying the clinical characteristics of elderly patients admitted to a geriatric hospital, the basic data for understanding and treating elderly patients could be made. M e t h o d s : We analyzed the medical records of 345 patients who were admitted to Yong-in Hyoja Geriatric Hospital from November 1997 to July 1999. The diagnosis of patients was largely subgrouped according to the existence of dementia, and subsequent detailed diagnoses were made. R e s u l t s : (1) The average age of patients was 74.59 years and there were slightly more females than males admitted (ratio, 1.15:1). (2) Most of the patients suffered from dementia (62.1%), of which vascular dementia was the most common(31.6%), followed by Alzheimer dementia(19.15%). (3) Compared to vascular dementia, patients with Alzheimer dementia had more severe cognitive dysfunction, psychosis, and agitation, while patients with vascular dementia had more problems in activities of daily living (ADL) and were more depressed than Alzheimer dementia (4) The average hospitalization duration was 3.54 months and incidence of sig-nificant illness after admission was 29.8%. The mortality rate was 10.9%. (5) The most common cause of death was infection (45.2%), followed by cardiovascular problems(16.2%). C o n c l u s I o n s : In addition to significant illnesses and mortality after admission, most patients admitted to geriatric hospitals have severe cognitive and behavioral problems. Therefore, adequate medical and neurological assessment and treatment for the aged is necessary. J Korean Neurol Assoc 18(2):179~185, 2000 Key Words : Geriatrics, Characteristics, Dementia, Mortality |
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