A recent systematic review investigated the literature on the comparative effectiveness of Specialist Inpatient Dementia Units (SIDUs) in acute hospital settings versus that of standard ward care (SWC). Studies that scored poorly relating to possible bias were excluded from the meta-analysis.
It was concluded that while SIDUs may be associated with improved care outcomes, the evidence of their effectiveness has not yet been established conclusively. More research is recommended. The authors conclude, circumspectly:
“Although there is little consistent evidence that SIDU are superior to SWC, this more person-focused form of clinical care for people with dementia appears to be associated with greater patient and carer satisfaction, possible reduced readmission rates, more accurate history taking and documentation of resuscitation decisions and increased rates of discharge to the patients’ own home. Although mortality data was comparable, SIDU may represent a higher quality model of care for patients living with dementia”. p.602.
McCausland, BMS. Patel, HP. [and] Amin, J. [et al] (2019). A systematic review of specialist inpatient dementia care services versus standard inpatient dementia care in acute hospitals. Aging Clinical and Experimental Research. May 2019; Vol.31(5): 595-610.