Prospective observational study of dementia in older patients admitted to acute hospitals

Travers, Catherine, Byrne, Gerard J., Pachana, Nancy A., Klein, Kerenaftali and Gray, Len C. (2014) Prospective observational study of dementia in older patients admitted to acute hospitals. Australasian Journal on Ageing, 33 1: 55-58. doi:10.1111/ajag.12021


Author Travers, Catherine
Byrne, Gerard J.
Pachana, Nancy A.
Klein, Kerenaftali
Gray, Len C.
Title Prospective observational study of dementia in older patients admitted to acute hospitals
Journal name Australasian Journal on Ageing   Check publisher's open access policy
ISSN 1440-6381
1741-6612
Publication date 2014-03-01
Year available 2013
Sub-type Article (original research)
DOI 10.1111/ajag.12021
Open Access Status Not Open Access
Volume 33
Issue 1
Start page 55
End page 58
Total pages 4
Place of publication Richmond, VIC, Australia
Publisher Wiley-Blackwell Publishing Asia
Language eng
Formatted abstract
Aim: Few Australian studies have examined the impact of dementia on hospital outcomes. The aim of this study was to determine the relative contribution of dementia to adverse outcomes in older hospital patients.

Method: Prospective observational cohort study (n = 493) of patients aged ≥70 years admitted to four acute hospitals in Queensland. Trained research nurses completed comprehensive geriatric assessments using standardised instruments and collected data regarding adverse outcomes. The diagnosis of dementia was established by independent physician review of patients' medical records and assessments.

Results: Patients with dementia (n = 102, 20.7%) were significantly older (P = 0.01), had poorer functional ability (P < 0.01), and were more likely to have delirium at admission (P < 0.01) than patients without dementia. Dementia (odds ratio = 4.8, P < 0.001) increased the risk of developing delirium during the hospital stay.

Conclusion: Older patients with dementia are more impaired and vulnerable than patients without dementia and are at greater risk of adverse outcomes when hospitalised.

Keyword Aged
Delirium
Dementia
Hospital
Hospitalisation
Q-Index Code C1
Q-Index Status Confirmed Code
Grant ID 511125
Institutional Status UQ
Additional Notes Published online 22 April 2013.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Public Health Publications
School of Medicine Publications
School of Psychology Publications
 
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Created: Thu, 30 May 2013, 02:12:36 EST by Kere Klein on behalf of School of Public Health