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Vol. 26, No. 6, 2008
Issue release date: December 2008
Section title: Original Research Article
Dement Geriatr Cogn Disord 2008;26:499–505
(DOI:10.1159/000171044)

Reasons for Hospital Admissions in Dementia Patients in Birmingham, UK, during 2002–2007

Natalwala A. · Potluri R. · Uppal H. · Heun R.
aThe Medical School, University of Birmingham, and bDepartment of Psychiatry, The Barberry, Birmingham, UK

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Article / Publication Details

First-Page Preview
Abstract of Original Research Article

Accepted: 7/31/2008
Published online: 11/13/2008

Number of Print Pages: 7
Number of Figures: 1
Number of Tables: 2

ISSN: 1420-8008 (Print)
eISSN: 1421-9824 (Online)

For additional information: http://www.karger.com/DEM

Abstract

Background: There is a lack of evidence to explain why patients with dementia are admitted to a general hospital. Methods: Main reasons for hospitalisation were investigated in all patients admitted to a multi-ethnic general hospital during 2002–2007, by analysis of type of admission and primary diagnosis on admission. Anonymised data from the Hospital Activity Analysis Register was used to trace these patients; 505 were diagnosed with Alzheimer’s disease (AD), 283 with vascular dementia (VD) and 1,773 patients were classified as unspecified dementia (UnD). Logistic regression analysis was used to compare these groups to 53,123 age-matched controls. Statistical significance of p < 0.001 was accepted. Results: More dementia patients were admitted as emergency cases compared to controls (AD = 95.8%, VD = 95.4%, UnD = 96.7%, controls = 54.4%; p < 0.001 for all comparisons). The proportion of patients admitted for dementia as their primary diagnosis was small (AD = 5.9%, VD = 10.6%, UnD = 6.0%). Primary diagnoses such as syncope and collapse, bronchopneumonia, urinary tract infection and dehydration were more frequent in all dementia patients than controls. Conclusion: Dementia patients are frequently admitted as emergency cases, but dementia itself is often not the primary diagnosis. Earlier detection of the specific conditions mentioned above may reduce emergency hospital admissions amongst dementia patients.


  

Author Contacts

Prof. Reinhard Heun
University of Birmingham, Division of Neuroscience, Department of Psychiatry
The Barberry, 25 Vincent Drive
Edgbaston, Birmingham B15 2FG (UK)
Tel. +44 121 301 2360, Fax +44 121 301 2351, E-Mail r.heun@bham.ac.uk

  

Article Information

Accepted: July 31, 2008
Published online: November 13, 2008
Number of Print Pages : 7
Number of Figures : 1, Number of Tables : 2, Number of References : 31

  

Publication Details

Dementia and Geriatric Cognitive Disorders

Vol. 26, No. 6, Year 2008 (Cover Date: December 2008)

Journal Editor: Chan-Palay V. (New York, N.Y.)
ISSN: 1420–8008 (Print), eISSN: 1421–9824 (Online)

For additional information: http://www.karger.com/DEM


Article / Publication Details

First-Page Preview
Abstract of Original Research Article

Accepted: 7/31/2008
Published online: 11/13/2008

Number of Print Pages: 7
Number of Figures: 1
Number of Tables: 2

ISSN: 1420-8008 (Print)
eISSN: 1421-9824 (Online)

For additional information: http://www.karger.com/DEM


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