Prolonged life and increased symptoms vs prolonged dying and increased comfort after antibiotic treatment in patients with dementia and pneumonia

Archives of Internal Medicine

Volumn 171, Issue 1, 2011, Pages 93-94

  Van Der Steen, Jenny T ^a  

^a VU UNIVERSITY MEDICAL CENTER   (Netherlands)

Author keywords

[No Author keywords available]

Indexed keywords

ANTIBIOTIC AGENT; OPIATE;

DEMENTIA; DYING; FEEDING; FLUID INTAKE; HUMAN; LIFE; NOTE; PATIENT CARE; PNEUMONIA; PRIORITY JOURNAL; RESIDENT; SURVIVAL;

ANTI-BACTERIAL AGENTS; DEMENTIA; HOSPITALIZATION; HUMANS; NURSING HOMES; PNEUMONIA; SURVIVAL ANALYSIS; TERMINAL CARE; TREATMENT OUTCOME; WITHHOLDING TREATMENT;

EID: 78651326437     PISSN: 00039926     EISSN: 15383679     Source Type: Journal    
DOI: 10.1001/archinternmed.2010.487     Document Type: Note

References (6)

1. Givens JL, Jones RN, Shaffer ML, Kiely DK, Mitchell SL. Survival and comfort after treatment of pneumonia in advanced dementia. Arch Intern Med. 2010;170(13):1102-1107.
2. van der Steen JT, Lane P, Kowall NW, Knol DL, Volicer L. Antibiotics and mortality in patients with lower respiratory infection and advanced dementia [published online ahead of print October 8, 2010]. J Am Med Dir Assoc. doi:10.1016/j.jamda.2010.07.001.
3. van der Steen JT, Mehr DR, Kruse RL, Ribbe MW, van der Wal G. Treatment strategy and risk of functional decline and mortality after nursing-home acquired lower respiratory tract infection: two prospective studies in residents with dementia. Int J Geriatr Psychiatry. 2007;22(10):1013-1019.
4. Van Der Steen JT, Pasman HR, Ribbe MW, Van Der Wal G, Onwuteaka-Philipsen BD. Discomfort in dementia patients dying from pneumonia and its relief by antibiotics. Scand J Infect Dis. 2009;41(2):143-151.
5. Mehr DR, van der Steen JT, Kruse RL, Ooms ME, Rantz M, Ribbe MW. Lower respiratory infections in nursing home residents with dementia: a tale of two countries. Gerontologist. 2003;43(spec No. 2):85-93.
6. van der Steen JT, Ooms ME, Adèr HJ, Ribbe MW, van der Wal G. Withholding antibiotic treatment in pneumonia patients with dementia: a quantitative observational study. Arch Intern Med. 2002;162(15):1753-1760.