[A brief reference to this item appears in: Dementia: the Latest Evidence Newsletter (RWHT), Volume 1 Issue 10, May 2011].
This systematic review investigates the prevalence, associations and outcomes of dementia in older people (over the age of 55 years) in the general hospital, to examine the diagnostic tools used and highlight gaps in the literature. Fourteen previous studies are identified. Patients with dementia in the acute hospital are older, require more hours of nursing care, have longer hospital stays, and are at higher risk of delayed discharge and to undergo functional decline during admission.
Liaison services should take into account the setting and demographic features of the population (both of which vary). More work is required to establish the prevalence of dementia in surgical and other specialties as dementia patients usually derive from earlier admission onto other wards. A wider range of associations, particularly concerning comorbidities and outcomes should be studied so that care can be improved.
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Mukadam, N. Sampson, EL. (2011). A systematic review of the prevalence, associations and outcomes of dementia in older general hospital inpatients. International Psychogeriatrics / IPA, 2011, Vol.23(3), pp.344-55. (Click here to view the PubMed abstract).