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By 5 years'follow-up,76%of patients had entered a nursing home and 42%had died.Dementia severity and rate of deterioration("how far"and"how fast") and caregiver psychological morbidity significantly influenced rates of NHA and death.Training of caregivers was significantly associated with delayed NHA and reduced mortality.Greater patient age,non-Alzheimer's dementia,and,unexpectedly,greater caregiver psychological morbidity were associated with shorter survival to death.Both severity("how far")and rate of deterioration("how fast")influence time to NHA and death.Caregiver training may have important ameliorating effects on the prognosis of dementia. |
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