Older adults with cognitive impairment or dementia are more likely to experience complications, and even death, during hospital stays. Complications may include falls, incontinence, disorientation, anxiety, aggression, or a need for psychiatric consultation, among other issues. Cognitive impairment and dementia are also associated with longer and more costly stays. A new study of 1,320 older adult patients in eight German hospitals found that 23.1 percent of patients with severe cognitive deficits were hospitalized due to ambulatory care-sensitive conditions, such as angina, diabetes, dehydration, bacterial pneumonia, hypertension, or urinary tract infection. While the researchers note that negative consequences of a hospital stay can be reduced by adapting hospital care to meet the needs of older adults with dementia, they also suggest that providing early, proactive ambulatory care could significantly reduce the number of hospitalizations.
SOURCE: International Psychogeriatrics, September 2018
DATE Retrieved: September 26, 2018