DRG Category: 57
Mean LOS: 5.0 days
Description MEDICAL: Degenerative Nervous System Disorders without Major CC
Alzheimer's disease (AD) is a degenerative disorder of the brain that is manifested by dementia and progressive physiological impairment. It is the most common cause of dementia in the elderly but is not a normal part of aging. More than 4 million Americans suffer from AD. AD causes two-thirds of the dementia cases in the United States, and the prevalence of dementia doubles every 5 years in people older than 65, reaching 30% to 50% at age 85 years. It involves progressive decline in two or more of the following areas of cognition: memory, language, calculation, visuospatial perception, judgment, abstraction, and behavior. Dementia of the Alzheimer's type (DAT) accounts for approximately half of all dementias. The average time from onset of symptoms to death is 8 to 10 years. The pathophysiological changes that occur in DAT include the following:
Presence of neurofibrillary tangles, neuritic plaques, and amyloid angiopathy
Accumulation of lipofuscin granules and granulovacuolar organelles in the cytoplasm of the neurons
Structural changes in the dendrites of the neurons and in the cell bodies
Predominant neuronal degeneration in the cortical association areas of the basal ganglia
Gross cortical atrophy and widening of the sulci
Enlargement of the ventricles
Decrease in neurotransmitters (acetylcholine, dopamine, norepinephrine, serotonin), somatostatin, and neuropeptide substance P
Alzheimer's Disease has been found in Diseases and Disorders
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