TUBERCULOSIS OF THE ELDERLY (ABOVE THE AGE OF 75) IN NATIONAL HOSPITALS.
-
- MORI Masashi
- National Tokyo Hospital
-
- MACHIDA Kazuko
- National Tokyo Hospital
-
- KAWABE Yoshiko
- National Tokyo Hospital
-
- KURASHIMA Atsuyuki
- National Tokyo Hospital
-
- YOTSUMOTO Hideki
- National Tokyo Hospital
-
- TSUCHIYA Toshiaki
- National Nishiniigata-Chuo Hospital
-
- YAMAGISHI Fumio
- National Chibahigashi Hospital
-
- SASAKI Yuka
- National Chibahigashi Hospital
-
- KAWASHIRO Takeo
- National Higashisaitama Hospital
-
- TOYODA Takeo
- National Higashisaitama Hospital
-
- SAKATANI Mitsunori
- National Kinki-Chuo Hospital
-
- KAWAHARA Shin
- National Minamiokayama Hospital
-
- HARADA Susumu
- National Ohmuta Hospital
-
- NISHIMURA Kazutaka
- National Ehime Hospital
Bibliographic Information
- Other Title
-
- 国立療養所における高齢者結核の現状
- コクリツ リョウヨウジョ ニ オケル コウレイシャ ケッカク ノ ゲンジョウ
Search this article
Description
In Japan tuberculosis is becoming rapidly the disease of the elderly. We studied the background, the type and level of hospital cares needed, and the outcome of patients with pulmonary tuberculosis (sputum smear and/or culture positive) above the age of 75 who were admitted to 8 national hospitals during the period from January 1 to December 31, 1997. The study included 150 patients (male: 109, female: 41, mean age: 81.6), of whom 25% needed care in a single-bed room, 84.3% had underlying diseases (cardiovascular diseases: 43.3 %, malignant diseases: 20.9%, neuro-psychiatric diseases: 13.4%), and 47.6 % needed cares mainly in feeding and excretions.<BR>92 patients (62.6%) improved and 45 patients (30.6%) died, of whom the cause of death was directly related to tuberculosis in 42.<BR>The mean hospital stay was 4.7 months. However, in 42 patients whose cause of death was related to tuberculosis, 66% died within 3 months, while in 102 patients who were discharged 71% stayed more than 3 months. The same comparison was done in 508 patients with bacteriologically proven tuberculosis above the age of 75 admitted to National Tokyo Hospital during the period from 1990 to 1999. The result was almost the same, among 133 patients died in the hospital 60% died within 3 months, while in 375 patients who were discharged hospital stay was more than 3 months in 70%.<BR>In the near future, the elderly will occupy more than 25 % of the beds of the tuberculosis ward in Japan and most of them have underlying diseases other than tuberculosis. Because tuberculosis, once the disease of the young, is becoming rapidly the disease of the elderly, it is imperative for us to make necessary adjustments to meet this inevitable trend.
Journal
-
- Kekkaku(Tuberculosis)
-
Kekkaku(Tuberculosis) 76 (7), 533-543, 2001
JAPANESE SOCIETY FOR TUBERCULOSIS
- Tweet
Keywords
Details 詳細情報について
-
- CRID
- 1390001205000644352
-
- NII Article ID
- 10007072268
-
- NII Book ID
- AN00073442
-
- ISSN
- 18842410
- 00229776
-
- NDL BIB ID
- 026778441
-
- PubMed
- 11517561
-
- Text Lang
- ja
-
- Data Source
-
- JaLC
- NDL
- PubMed
- CiNii Articles
-
- Abstract License Flag
- Disallowed