ArticleZeitschrift fur Gerontologie und Geriatrie2018
[Dementia friendly care services in general hospitals : Representative results of the general hospital study (GHoSt)].
Article in Zeitschrift fur Gerontologie und Geriatrie, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed, 35 citations in OpenAlex.
- Knowledge, attitudes, and practice toward postoperative cognitive dysfunction among anesthesiologists in China: a cross-sectional study.BMC medical education · 2024Article
- Contextualizing the results of an integrative review on the characteristics of dementia-friendly hospitals: a workshop with professional dementia experts.BMC geriatrics · 2023Review
- External validation of a new predictive model for falls among inpatients using the official Japanese ADL scale, Bedriddenness ranks: a double-centered prospective cohort study.BMC geriatrics · 2022Article
- Article
- Describing people with cognitive impairment and their complex treatment needs during routine care in the hospital - cross-sectional results of the intersec-CM study.BMC geriatrics · 2021Article
- [Inpatient equivalent treatment : A new form of care also in gerontopsychiatry].Zeitschrift fur Gerontologie und Geriatrie · 2020Review
- Nurses' emotional tone toward older inpatients: Do cognitive impairment and acute hospital setting matter?European journal of ageing · 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
- [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
- Diverging Awareness of Postoperative Delirium and Cognitive Dysfunction in German Health Care Providers.Clinical interventions in aging · 2019Article
- The Prevalence of Dementia and Cognitive Impairment in Hospitals.Deutsches Arzteblatt international · 2018Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMostly model projects report on special care services and procedures for general hospital patients with cognitive impairment. The objective of this study was to determine the frequency of special care services and procedures in general hospitals on the basis of a representative cross-sectional study.
methodsFrom a list of all general hospitals in southern Germany we randomly selected a specified number of hospitals und somatic wards. The hospitals were visited and all older patients on the selected wards on that day were included in the study. Information about care services and their utilization was collected with standardized instruments.
resultsA total of 33 general hospitals and 172 wards participated in the study. The patient sample included 1469 persons over 65 (mean age 78.6 years) and 40% of the patients showed cognitive impairments. The staff reported that the most frequent measures for patients with cognitive impairments concerned patients with wandering behavior (63.1%), efforts to involve the patients' relatives to help with their daily care (60.1%), conducting nonintrusive interviews to identify cognitive impairments (59.9%), allocation to other rooms (58%) and visual aids for place orientation of patients (50.6%). In accordance with earlier studies our results show that other dementia friendly services implemented in pilot projects were rare. The existing special services for patients with cognitive impairment were rarely used by the patients or their relatives. DISCUSSION: The results demonstrate the urgent need to improve special care services and routines for identification of elderly patients with cognitive impairment and risk of delirium in general hospitals.
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