ArticleDeutsches Arzteblatt international2015
Geriatric patients with cognitive impairment.
Article in Deutsches Arzteblatt international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Identifying potentially inappropriate prescribing in older people with dementia: a systematic review.European journal of clinical pharmacology · 2019Pooled it
- Cognitive Reserve and the Risk of Postoperative Cognitive Dysfunction.Deutsches Arzteblatt international · 2017Pooled it
- Development of a home-based training program for post-ward geriatric rehabilitation patients with cognitive impairment: study protocol of a randomized-controlled trail.BMC geriatrics · 2017Trial
- [Discharge management in German hospitals for cognitively impaired, older people-a scoping review].Zeitschrift fur Gerontologie und Geriatrie · 2021Article
- Adverse Drug Reactions of Acetylcholinesterase Inhibitors in Older People Living with Dementia: A Comprehensive Literature Review.Therapeutics and clinical risk management · 2021Review
- [Inpatient equivalent treatment : A new form of care also in gerontopsychiatry].Zeitschrift fur Gerontologie und Geriatrie · 2020Review
- Drug related problems in older adults living with dementia.PloS one · 2020Article
- The Changes in Medication Prescribing Among the Older People with Cognitive Impairment in the Acute Care Setting.Clinical interventions in aging · 2020Article
- [Special care units for patients with cognitive impairment : Results of a nationwide survey in geriatric hospitals in Germany].Zeitschrift fur Gerontologie und Geriatrie · 2019Article
- Article
- The Perioperative Care of Older Patients.Deutsches Arzteblatt international · 2019Review
- The Prevalence of Dementia and Cognitive Impairment in Hospitals.Deutsches Arzteblatt international · 2018Article
- Geriatric Basics for the Neurohospitalist.The Neurohospitalist · 2018Review
- Dementia-friendly interventions to improve the care of people living with dementia admitted to hospitals: a realist review.BMJ open · 2017Review
- [Impact of dementia on length of stay and costs in acute care hospitals].Zeitschrift fur Gerontologie und Geriatrie · 2017Article
- [Acceptance of dementia diagnostics by getriatric hospital patients : Comparison of various investigation methods with emphasis on FDG-PET imaging].Zeitschrift fur Gerontologie und Geriatrie · 2017Article
- Risk factors for falls and cognitive decline in older individuals.Deutsches Arzteblatt international · 2015Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHospitals are now faced with increasing numbers of cognitively impaired patients aged 80 and older who are at increased risk of treatment complications. This study concerns the outcomes when such patients are treated in a specialized ward for cognitive geriatric medicine.
methodsObservation of a cohort of 2084 patients from 2009 to 2014, supplemented by a sample of 380 patients from the hospital cohort of the Longitudinal Urban Cohort Ageing Study (LUCAS) for the years 2010 and 2011.
resultsGeriatric inpatients with cognitive impairment tend to be multimorbid. Half of the patients studied (1031 of 2084 patients) were admitted to the hospital on an emergency basis. Complications arising on the ward that necessitated transfer elsewhere arose in 2.6% (51 of 2084 patients). Moreover, analysis of the sample of 380 patients from the LUCAS cohort revealed that the treatments they underwent during hospitalization were associated with an improvement of their functional state: their mean overall score on the Barthel index rose from 39.8 ± 24.3 (median, 35) on admission to 52.7 ± 27.0 (median, 55) on discharge. The percentage of patients being treated with 5 or more drugs fell from 98.2% (373/380) on admission to 79.3% (314/362) on discharge. The percentage receiving potentially inappropriate medications (PIM), as defined by the PRISCUS list, fell from 45% to 13.3%, while the percentage of drug orders and prescriptions involving PIM fell from 7.8 % (327/4181) to 2.0% (53/2600). 70% of the patients were discharged to the same living situation where they had been before admission.
conclusionIn this study, structured geriatric treatment in a cohort of older acutely ill patients with cognitive impairment was associated with improvement of functions that are relevant to everyday life, as well as with a reduction of polypharmacy. Controlled studies are needed to confirm the observed benefit.
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