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Centre for Policy on Ageing | |
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The relationship between cognitive impairment, mortality and discharge characteristics in a large cohort of older adults with unscheduled admissions to an acute hospital
— a retrospective observational study | | Author(s) | Carole Fogg, Paul Meredith, Jackie Bridges |
| Journal title | Age and Ageing, vol 46, no 5, September 2017 |
| Publisher | Oxford University Press, September 2017 |
| Pages | pp 794-801 |
| Source | https://academic.oup.com/ageing |
| Keywords | Dementia ; Cognitive impairment ; Over 70s ; Acute illness ; Admission [hospitals] ; Discharge [hospitals] ; Death rate [statistics]. |
| Annotation | Older people with dementia admitted to hospital for acute illness have higher mortality and longer hospital stays compared to those without dementia. Cognitive impairment (CI) is common in older people and they may also be at increased risk of poor outcomes. This was a retrospective observational study of unscheduled admissions aged 75 years and above. Admission characteristics, mortality rates and discharge outcomes were compared between three groups: (i) known dementia diagnosis (DD), (ii) CI but no diagnosis of dementia and (iii) no CI. Of 19,269 admissions (13,652 patients), 19.8% had a DD, 11.6% had CI and 68.6% had neither. Admissions with CI or DD were older and had more females than those with no CI, and were more likely to be admitted through the Emergency Department and to medical wards. Acuity levels at admission were similar between the groups. Patients with CI or DD had more admissions at `high risk' from malnutrition than patients with no CI and a higher risk of dying in hospital. Overall the admission characteristics, mortality and length of stay of patients with CI resembled those of patients with diagnosed dementia. Whilst attention in this study was focused on the need for additional support for people with dementia, patients with CI, which may include those with undiagnosed dementia or delirium, appear to have equally bad outcomes from hospitalisation. (JL). |
| Accession Number | CPA-171006205 A |
| Classmark | EA: E4: BBK: CHA: LD:QKH: LD:QKJ: S5 |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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