ArticleBMJ open2019
Quality of life of patients with dementia in acute hospitals in Germany: a non-randomised, case-control study comparing a regular ward with a special care ward with dementia care concept.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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Who cites it
6 citing papers in PubMed.
- Choosing informative priors in Bayesian regression models: a simulation study and tutorial using Stan and R.Frontiers in psychology · 2026Article
- Effects of a Virtual Reality-Based Dementia Educational Program on Healthcare Staff in Geriatric Dementia Wards: A Pre-Post Comparative Study.Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2025Article
- The Reality of Physical Restraint Implementation During Hospitalization in Older Patients With Hip Fractures.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- Article
- Item distribution, scalability and internal consistency of the QUALIDEM quality of life assessment for patients with dementia in acute hospital settings.Health and quality of life outcomes · 2023Article
- Creating a toolkit with stakeholders for leveraging tablet computers to support person-centred dementia care in hospitals.Journal of rehabilitation and assistive technologies engineeringArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo identify factors that predict the quality of life (QoL) of patients with dementia in acute hospitals and to analyse if a special care concept can increase patients' QoL.
designA non-randomised, case-control study including two internal medicine wards from hospitals in Hamburg, Germany. SETTING AND
participantsIn all, 526 patients with dementia from two hospitals were included in the study (intervention: n=333; control: n=193). The inclusion criterion was an at least mild cognitive impairment or dementia. The intervention group was a hospital with a special care ward for internal medicine focusing on patients with dementia. The control group was from a hospital with a regular care ward without special dementia care concept. OUTCOME MEASURES: Our main outcome was the QoL (range 0-100) from patients with dementia in two different hospitals. A Bayesian multilevel analysis was conducted to identify predictors such as age, dementia, agitation, physical and chemical restraints, or functional limitations that affect QoL.
resultsQoL differs significantly between the control (40.7) and the intervention (51.2) group (p<0.001). Regression analysis suggests that physical restraint (estimated effect: -4.9), psychotropic drug use (-4.4) and agitation (-2.9) are negatively associated with QoL. After controlling for confounders, the positive effect of the special care concept remained (5.7).
conclusionsA special care ward will improve the quality of care and has a positive impact on the QoL of patients with dementia. Health policies should consider the benefits of special care concepts and develop incentives for hospitals to improve the QoL and quality of care for these patients.
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