ArticleInternational journal of geriatric psychiatry2017
The management of behavioural and psychological symptoms of dementia in the acute general medical hospital: a longitudinal cohort study.
Article in International journal of geriatric psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 4 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
41 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Behavioural and psychological symptoms of people with dementia in acute hospital settings: a systematic review and meta-analysis.Age and ageing · 2025Pooled it
- Barriers and facilitators to the use of personal information documents in health and social care settings for people living with dementia: A thematic synthesis and mapping to the COM-B framework.Health expectations : an international journal of public participation in health care and health policy · 2022Pooled it
- Use of Direct In-Person Observation in the Care of Hospitalized Older Adults with Cognitive Impairment: A Systematic Review.Journal of gerontological nursing · 2020Pooled it
- Hospitalisation rates and predictors in people with dementia: a systematic review and meta-analysis.BMC medicine · 2019Pooled it
- Proactive integrated consultation-liaison psychiatry and time spent in hospital by older medical inpatients in England (The HOME Study): a multicentre, parallel-group, randomised controlled trial.The lancet. Psychiatry · 2024Trial
- Understanding Risks in the Care of People With Dementia in Acute Hospital Settings: Definitions, Types and Management Strategies-A Scoping Review.Journal of clinical nursing · 2026Article
- Case Report: Interdisciplinary approach to managing behavioural and psychological symptoms of dementia and delirium in acute care.Frontiers in dementia · 2026Article
- Use of dementia care technologies to increase engagement and reduce behavioural and psychological symptoms in people with dementia in a specialist dementia care ward.Frontiers in dementia · 2026Article
- Artificial intelligence approach to optimise safety for hospitalised patients with dementia.BMJ open quality · 2025Article
- Training for dementia care and support in rural and remote Australia: appraisals from a nationwide workforce survey.BMC geriatrics · 2025Article
- A Realist-Informed Evaluation of a Rapid Response System for Mental State Deterioration in Acute Hospitals: Testing Program Theories Through Interviews.International journal of mental health nursing · 2025Article
- A hospital-based special care unit for dementia decreased hospital readmission rates for behaviour while reducing rates of falls and occupational violence across medical wards.Age and ageing · 2025Article
- Virtual Reality Reminiscence Therapy in Dementia Care: Scoping Review of Research.JMIR XR and spatial computing · 2025Review
- Privileges, and Permissions: Theorising Intersectionality and Cultures of Control in the Care of People Living With Dementia in Acute Hospital Settings.Sociology of health & illness · 2025Article
- Association Between Race and Comorbid Conditions Among Older Adults with Dementia.Journal of clinical medicine · 2024Article
- PROTOCOL: Factors influencing the implementation of non-pharmacological interventions for behaviours and psychological symptoms of dementia in residential aged care homes: A systematic review and qualitative evidence synthesis.Campbell systematic reviews · 2024Article
- Identification and information management of cognitive impairment of patients in acute care hospitals: An integrative review.International journal of nursing sciences · 2024Review
- Offering Outworld Experiences to In-Patients With Dementia Through Virtual Reality: Mixed Methods Study.JMIR aging · 2023Article
- The association between loneliness and life satisfaction: examining spirituality, religiosity, and religious participation as moderators.BMC geriatrics · 2023Article
- Neuropsychiatric Symptoms as Indicators of Fall Risk in Geriatric Inpatients.Medicina (Kaunas, Lithuania) · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundThe acute hospital is a challenging place for a person with dementia. Behavioural and psychological symptoms of dementia (BPSD) are common and may be exacerbated by the hospital environment. Concerns have been raised about how BPSD are managed in this setting and about over reliance on neuroleptic medication. This study aimed to investigate how BPSD are managed in UK acute hospitals. METHOD(S): A longitudinal cohort of 230 patients with dementia admitted to two acute NHS hospitals. BPSD were measured every four days (Behave-AD scale), as well as documentation of pharmacological prescriptions and non-pharmacological management.
resultsThe overall prevalence of BPSD was 75%, with aggression and activity disturbance being the most common. Antipsychotics were prescribed for 28 (12%) patients; 70% of these prescriptions were new on admission. Benzodiazepines were prescribed for 27 (12%) patients, antidepressants were prescribed for 37 (16%) patients, and sedatives were prescribed for 14 (3%) patients. Patients who were prescribed antipsychotics, after adjusting for end of life medication, age and dementia severity, were significantly more likely to die (adjusted hazard ratio 5.78, 95% CI 1.57, 21.26, p = 0.008). Non-pharmacological management was used in 55% of participants, most commonly psychosocial interventions (36%) with little evidence of monitoring their effectiveness. A form of restraint was used during 50 (22%) patients' admissions.
conclusionsAntipsychotic medications and psychosocial interventions were the main methods used to manage BPSD; however, these were not implemented or monitored in a systematic fashion.
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