ArticleAge and ageing2013
Six-month outcomes following an emergency hospital admission for older adults with co-morbid mental health problems indicate complexity of care needs.
Article in Age and ageing, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.
- The effect of psychosocial and healthcare interventions on reducing hospitalization in people with dementia: an umbrella review.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Pooled it
- Hospital at Home care for older patients with cognitive impairment: a protocol for a randomised controlled feasibility trial.BMJ open · 2018Trial
- A simple admission-based risk score for hospital-associated disability in older adults.European geriatric medicine · 2026Article
- Article
- Implementation Considerations for an Occupational Therapy-Led Mental Health Care Navigation Program for Older Adult Patients.Health services insights · 2026Article
- Factors Influencing Mental Health Outcomes Amongst Senescent County Residents.International journal of environmental research and public health · 2025Article
- Rate and risk factors of in-hospital and early post-discharge mortality in patients admitted to an internal medicine ward.Clinical medicine (London, England) · 2023Article
- Care experiences of older people with mental health needs and their families in emergency medical services settings.International journal of older people nursing · 2023Article
- Reducing ambulance conveyance for older people with and without dementia: evidence of the role of social care from a regional, year-long service evaluation using retrospective routine data.British paramedic journal · 2021Article
- Patterns of Multimorbidity and Differences in Healthcare Utilization and Complexity Among Acutely Hospitalized Medical Patients (≥65 Years) - A Latent Class Approach.Clinical epidemiology · 2020Article
- Development and implementation of electronic medical handovers across psychiatric hospitals: quality improvement initiative.BMJ open quality · 2019Article
- Advance Directives, Hospitalization, and Survival Among Advanced Cancer Patients with Delirium Presenting to the Emergency Department: A Prospective Study.The oncologist · 2017Article
- Challenges and opportunities in understanding dementia and delirium in the acute hospital.PLoS medicine · 2017Article
- Geriatric patients with cognitive impairment.Deutsches Arzteblatt international · 2015Article
- Care needs and clinical outcomes of older people with dementia: a population-based propensity score-matched cohort study.PloS one · 2015Article
- Instruments to identify elderly patients in the emergency department in need of geriatric care.Zeitschrift fur Gerontologie und Geriatrie · 2015Article
- Experience of general hospital care in older patients with cognitive impairment: are we measuring the most vulnerable patients' experience?BMJ quality & safety · 2013Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundtwo-thirds of older patients admitted as an emergency to a general hospital have co-existing mental health problems including delirium, dementia and depression. This study describes the outcomes of older adults with co-morbid mental health problems after an acute hospital admission.
methodsa follow-up study of 250 patients aged over 70 admitted to 1 of 12 wards (geriatric, medical or orthopaedic) of an English acute general hospital with a co-morbid mental health problem and followed up at 180 days.
resultstwenty-seven per cent did not return to their original place of residence after the hospital admission. After 180 days 31% had died, 42% had been readmitted and 24% of community residents had moved to a care home. Only 31% survived without being readmitted or moving to a care home. However, 16% spent >170 of the 180 days at home. Significant predictors for poor outcomes were co-morbidity, nutrition, cognitive function, reduction in activities of daily living ability prior to admission, behavioural and psychiatric problems and depression. Only 42% of survivors recovered to their pre-acute illness level of function. Clinically significant behavioural and psychiatric symptoms were present at follow-up in 71% of survivors with baseline cognitive impairment, and new symptoms developed frequently in this group.
conclusionsthe variable, but often adverse, outcomes in this group implies a wide range of health and social care needs. Community and acute services to meet these needs should be anticipated and provided for.
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