Observational studyAge and ageing2017
The relationship between cognitive impairment, mortality and discharge characteristics in a large cohort of older adults with unscheduled admissions to an acute hospital: a retrospective observational study.
Observational study in Age and ageing, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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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
32 citing papers in PubMed.
- Trial
- Recognition and Management of Cognitive Impairment in Chronic Obstructive Pulmonary Disease (COPD): Implications of Clinical Confidence.Medicina (Kaunas, Lithuania) · 2026Review
- Managing cognitive impairment in patients with chronic obstructive pulmonary disease (COPD) in Saudi Arabia: what are the current practices?Annals of medicine · 2025Article
- Exploring the potential of geospatial mapping of emergency call data to improve ambulance services for older adults: a feasibility study in the south central region of England.BMJ open quality · 2025Article
- Experiences With an In-Bed Real-Time Motion Monitoring System on a Geriatric Ward: Mixed Methods Study.JMIR formative research · 2025Article
- Healthcare Workers (HCWs)' Perceptions and Current Practice of Managing Cognitively Impaired Patients with Chronic Obstructive Pulmonary Disease (COPD).Medicina (Kaunas, Lithuania) · 2025Article
- Dementia severity and advanced pressure injury procedures and prognosis: A nationwide study in Japan.Geriatrics & gerontology international · 2024Article
- Introduction of a section for recording dementia improves data capture on the ambulance electronic patient record: evidence from a regional quality improvement project.British paramedic journal · 2024Article
- 'A lot of people think it's just a Mickey Mouse role': Role ambiguity among dementia support workers within secondary care and community hospital settings.Dementia (London, England) · 2024Article
- Recognition of cognitive dysfunction in hospitalised older patients: a flash mob study.BMC geriatrics · 2024Observational
- Documentation of cognitive impairment screening amongst older hospitalised Australians: a prospective clinical record audit.BMC geriatrics · 2023Article
- Dementia care in acute hospitals: A framework for practice development and theory-based evaluation.Nursing open · 2023Article
- Article
- Mild Cognitive Impairment Is Associated with Poorer Nutritional Status on Hospital Admission and after Discharge in Acutely Hospitalized Older Patients.Geriatrics (Basel, Switzerland) · 2022Article
- Barriers and Facilitators to Screening for Cognitive Impairment in Australian Rural Health Services: A Pilot Study.Geriatrics (Basel, Switzerland) · 2022Article
- The association between cognitive impairment and 30-day mortality among older Chinese inpatients.Frontiers in medicine · 2022Article
- The Impact of Demographic, Socio-Economic and Geographic Factors on Mortality Risk among People Living with Dementia in England (2002-2016).International journal of environmental research and public health · 2021Article
- In-hospital complications in an acute care geriatric unitBiomedica : revista del Instituto Nacional de Salud · 2021Observational
- Modified STEADI Fall Risk Categories Predict Incident Cognitive Impairment.Journal of the American Geriatrics Society · 2021Article
- Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: older people with dementia admitted to hospital for acute illness have higher mortality and longer hospital stays compared to those without dementia. Cognitive impairment (CI) is common in older people, and they may also be at increased risk of poor outcomes. Methods: retrospective observational study of unscheduled admissions aged ≥75 years. Admission characteristics, mortality rates and discharge outcomes were compared between three groups: (i) known dementia diagnosis (DD), (ii) CI but no diagnosis of dementia and (iii) no CI. Results: of 19,269 admissions (13,652 patients), 19.8% had a DD, 11.6% had CI and 68.6% had neither. Admissions with CI or DD were older and had more females than those with no CI, and were more likely to be admitted through the Emergency Department (88.4% and 90.7%, versus 82.0%) and to medical wards (89.4% and 84.4%, versus 76.8%). Acuity levels at admission were similar between the groups. Patients with CI or DD had more admissions at 'high risk' from malnutrition than patients with no CI (28.0% and 33.7% versus 17.5%), and a higher risk of dying in hospital (11.8% [10.5-13.3] and 10.8% [9.8-11.9] versus (6.6% [6.2-7.0])). Conclusions: the admission characteristics, mortality and length of stay of patients with CI resemble those of patients with diagnosed dementia. Whilst attention has been focussed on the need for additional support for people with dementia, patients with CI, which may include those with undiagnosed dementia or delirium, appear to have equally bad outcomes from hospitalisation.
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