Sökning: onr:"swepub:oai:lup.lub.lu.se:d32f8865-414b-4d78-8f72-d517e3994536" >
Emergency departmen...
Emergency department and hospital admissions among people with dementia living at home or in nursing homes : results of the European RightTimePlaceCare project on their frequency, associated factors and costs
-
- Afonso-Argilés, F. Javier (författare)
- Badalona Serveis Assistencials,Autonomous University of Barcelona
-
- Meyer, Gabriele (författare)
- Witten/Herdecke University,Martin-Luther-Universität Halle-Wittenberg
-
- Stephan, Astrid (författare)
- Martin-Luther-Universität Halle-Wittenberg,Witten/Herdecke University
-
visa fler...
-
- Comas, Mercè (författare)
- Hospital del Mar Medical Research Institute,Health Services Research on Chronic Patients Network (REDISSEC)
-
- Wübker, Ansgar (författare)
- Rheinisch-Westfälisches Institut für Wirtschaftsforschung
-
- Leino-Kilpi, Helena (författare)
- Turku University Hospital,University of Turku
-
- Lethin, Connie (författare)
- Lund University,Lunds universitet,Klinisk minnesforskning,Forskargrupper vid Lunds universitet,Hälsofrämjande komplexa interventioner,Clinical Memory Research,Lund University Research Groups,Health-promoting Complex Interventions
-
- Saks, Kai (författare)
- University of Tartu
-
- Soto-Martin, Maria (författare)
- Toulouse University Hospital
-
- Sutcliffe, Caroline (författare)
- University of Manchester
-
- Verbeek, Hilde (författare)
- Living Lab in Ageing and Long-Term Care,Maastricht University
-
- Zabalegui, Adelaida (författare)
- University of Barcelona,Hospital Clínic of Barcelona
-
- Renom-Guiteras, Anna (författare)
- Autonomous University of Barcelona,Hospital del Mar Medical Research Institute,Health Services Research on Chronic Patients Network (REDISSEC)
-
visa färre...
-
(creator_code:org_t)
-
- 2020-11-05
- 2020
- Engelska.
-
Ingår i: BMC Geriatrics. - : Springer Science and Business Media LLC. - 1471-2318. ; 20:1
- Relaterad länk:
-
http://dx.doi.org/10... (free)
-
visa fler...
-
https://bmcgeriatr.b...
-
https://lup.lub.lu.s...
-
https://doi.org/10.1...
-
visa färre...
Abstract
Ämnesord
Stäng
- Background: Evidence is lacking on the differences between hospitalisation of people with dementia living in nursing homes and those living in the community. The objectives of this study were: 1) to describe the frequency of hospital admission among people with dementia in eight European countries living in nursing homes or in the community, 2) to examine the factors associated with hospitalisation in each setting, and 3) to evaluate the costs associated with it. Methods: The present study is a secondary data analysis of the RightTimePlaceCare European project. A cross-sectional survey was conducted with data collected from people with dementia living at home or who had been admitted to a nursing home in the last 3 months, as well as from their caregivers. Data on hospital admissions at 3 months, cognitive and functional status, neuropsychiatric symptoms, comorbidity, polypharmacy, caregiver burden, nutritional status, and falls were assessed using validated instruments. Multivariate regression models were used to investigate the factors associated with hospital admission for each setting. Costs were estimated by multiplying quantities of resources used with the unit cost of each resource and inflated to the year 2019. Results: The study sample comprised 1700 people with dementia living in the community and nursing homes. Within 3 months, 13.8 and 18.5% of people living in nursing homes and home care, respectively, experienced ≥1 hospital admission. In the nursing home setting, only polypharmacy was associated with a higher chance of hospital admission, while in the home care setting, unintentional weight loss, polypharmacy, falls, and more severe caregiver burden were associated with hospital admission. Overall, the estimated average costs per person with dementia/year among participants living in a nursing home were lower than those receiving home care. Conclusion: Admission to hospital is frequent among people with dementia, especially among those living in the community, and seems to impose a remarkable economic burden. The identification and establishment of an individualised care plan for those people with dementia with polypharmacy in nursing homes, and those with involuntary weight loss, accidental falls, polypharmacy and higher caregiver burden in the home care setting, might help preventing unnecessary hospital admissions.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Annan medicin och hälsovetenskap -- Gerontologi, medicinsk/hälsovetenskaplig inriktning (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Other Medical and Health Sciences -- Gerontology, specialising in Medical and Health Sciences (hsv//eng)
Nyckelord
- Aged
- Dementia
- Geriatric syndrome
- Home care
- Hospitalisation
- Nursing home
Publikations- och innehållstyp
- art (ämneskategori)
- ref (ämneskategori)
Hitta via bibliotek
Till lärosätets databas
- Av författaren/redakt...
-
Afonso-Argilés, ...
-
Meyer, Gabriele
-
Stephan, Astrid
-
Comas, Mercè
-
Wübker, Ansgar
-
Leino-Kilpi, Hel ...
-
visa fler...
-
Lethin, Connie
-
Saks, Kai
-
Soto-Martin, Mar ...
-
Sutcliffe, Carol ...
-
Verbeek, Hilde
-
Zabalegui, Adela ...
-
Renom-Guiteras, ...
-
visa färre...
- Om ämnet
-
- MEDICIN OCH HÄLSOVETENSKAP
-
MEDICIN OCH HÄLS ...
-
och Hälsovetenskap
-
och Folkhälsovetensk ...
-
- MEDICIN OCH HÄLSOVETENSKAP
-
MEDICIN OCH HÄLS ...
-
och Annan medicin oc ...
-
och Gerontologi medi ...
- Artiklar i publikationen
-
BMC Geriatrics
- Av lärosätet
-
Lunds universitet