ArticleZeitschrift fur Gerontologie und Geriatrie2017
[Impact of dementia on length of stay and costs in acute care hospitals].
Article in Zeitschrift fur Gerontologie und Geriatrie, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 32 citations in OpenAlex.
- Trial
- Failure to Re-identify and Manage Known Dementia Associated With Hospital Readmission and LOS: A Retrospective Cohort Study.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Psychobiological Evaluation of Day Clinic Treatment for People Living With Dementia - Feasibility and Pilot Analyses.Frontiers in aging neuroscience · 2022Article
- [Admission diagnosis contusion: etiology, epidemiology and cost-causing factors].Zeitschrift fur Gerontologie und Geriatrie · 2021Article
- Validation of the interview-based life-space assessment in institutionalized settings (LSA-IS) for older persons with and without cognitive impairment.BMC geriatrics · 2020Article
- Shorter length of hospital stay for hip fracture in those with dementia and without a known diagnosis of osteoporosis in the USA.BMC geriatrics · 2020Article
- ["Memory acute"-treatment concept for inpatient remobilization of acutely ill patients with dementia].Zeitschrift fur Gerontologie und Geriatrie · 2020Article
- [Use of sedating medication and physical restraints for patients with dementia in acute care hospitals : A non-randomized case control study].Zeitschrift fur Gerontologie und Geriatrie · 2020Article
- Dementia screening for elderly in-patients and its association with nursing care satisfaction-an observational study.Medicine · 2020Observational
- Claims data-based analysis of the influence of individual and regional characteristics on the utilisation of long-term care by people with dementia in Baden-Wurttemberg, Germany.BMC geriatrics · 2019Article
- A pilot observational study to analyze (in)activity and reasons for sedentary behavior of cognitively impaired geriatric acute inpatients.Zeitschrift fur Gerontologie und Geriatrie · 2019Observational
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- Article
- Article
- Prolonging Influence on Length of Stay.Deutsches Arzteblatt international · 2019Article
- Feasibility of the lifestyle integrated functional exercise concept in cognitively impaired geriatric rehabilitation patients.Zeitschrift fur Gerontologie und Geriatrie · 2019Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe treatment of patients with dementia in acute care hospitals is becoming increasingly more important. The aim of this study was to investigate and demonstrate aspects of the healthcare situation and resource consumption of dementia patients during their hospital stay in a ward for internal medicine. MATERIAL AND
methodsSecondary data from a ward of internal medicine were analyzed on a retrospective and case-related basis. For 100 patients a diagnosis of dementia by a general practitioner before hospitalization was identified. The control group was selected by age and sex from the other patients in the ward (n = 100). The costs were calculated on the basis of the German diagnosis-related groups (G-DRG) flat rate case classification. The relationship between dementia, deviation from the average length of stay and costs was investigated under the control of comorbidities using multivariate regression analysis.
resultsPatients with dementia had poorer health at admission with respect to functionality and orientation and a higher risk of falls and pressure ulcers. During hospitalization patients with dementia fell more frequently than patients without dementia (12 % versus 3 %, p = 0.029). Regarding the average length of stay, according to the G‑DRG catalogue patients with dementia stayed 1.4 days longer in hospital than patients without dementia and caused excess costs of 19 %.
conclusionPatients with dementia are a highly vulnerable patient group with a higher consumption of resources than patients without dementia. The results demonstrate the care-related and economic consequences, which the increasing number of patients with dementia could have in the future.
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