ArticleAge and ageing2022
Patterns of unplanned hospital admissions among people with dementia: from diagnosis to the end of life.
Article in Age and ageing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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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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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Pooled it
- The acceptability and effectiveness of eHealth interventions to support assessment and decision-making for people with dementia living in care homes: A systematic review.Frontiers in dementia · 2022Pooled it
- Student nurses' knowledge and attitudes toward dementia care: a systematic review.BMC nursing · 2026Article
- Barriers and Strategies for Recruiting Care Partners During the Hospitalization of People Living with Dementia: Lessons from a Hospital-Based Randomized Controlled Trial.International journal of environmental research and public health · 2026Article
- Minimum combined sleep, physical activity, and nutrition variations associated with lifeSPAN and healthSPAN improvements: a population cohort study.EClinicalMedicine · 2026Article
- Mortality following ground-level falls in trauma patients with dementia.Trauma surgery & acute care open · 2026Article
- Increasing number of unmanaged distressing symptoms in people living with dementia associated with family carer burden and distress following an unplanned hospital admission: A longitudinal cohort study.Palliative care and social practice · 2026Article
- Article
- The final year for community-dwelling older adults with dementia in an Asian setting: admissions, interventions, and caregiver burden.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025Article
- "You like to be in control of your own destiny to a degree, don't you?": conscientious autonomy and planning for future care with dementia.BMC palliative care · 2025Article
- The Impact of Mental Health Comorbidities on Unplanned Admissions for Physical Conditions: A Retrospective Observational Analysis.Healthcare (Basel, Switzerland) · 2025Article
- Key informants' perceptions of telehealth palliative care for people living with dementia in nursing homes.BMC geriatrics · 2025Article
- Hospitalizations of the older adults with and without dementia during the last two years of life: the impact of comorbidity and changes from 2002 to 2017.Aging clinical and experimental research · 2025Article
- A protocol for a cohort study investigating clinical and radiological features of normal pressure hydrocephalus in South London memory services.Wellcome open research · 2025Article
- Frailty, malnutrition, healthcare utilization, and mortality in patients with dementia and cognitive impairment obtained from hospital administrative data.Frontiers in medicine · 2025Article
- Facilitating Family Carer Dementia Education: We All Need to Learn.Healthcare (Basel, Switzerland) · 2024Article
- Co-Designing a Palliative Dementia Care Framework to Support Holistic Assessment and Decision Making: The EMBED-Care Framework.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Determinants of hospital readmissions in older people with dementia: a narrative review.BMC geriatrics · 2024Review
- Identifying longitudinal healthcare pathways and subsequent mortality for people living with dementia in England: an observational group-based trajectory analysis.BMC geriatrics · 2024Observational
- Survival analysis of older adults with dementia: predicting factors after unplanned hospitalization in Maharaj Nakorn Chiang Mai Hospital.BMC geriatrics · 2024Article
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4 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundhospitalisations are sentinel events for people with dementia. How patterns of unplanned hospital admissions change among people with dementia after diagnosis is relatively unknown.
objectiveto describe patterns of unplanned hospital admissions of people with dementia from diagnosis until death/study end.
methodsretrospective cohort study using mental healthcare provider data of people diagnosed with dementia in London, UK (1995-2017), linked to mortality and hospital data. The primary outcome was the rate of unplanned hospital admissions after diagnosis until death/study end. We calculated the cumulative incidence of unplanned hospital admissions. The rates of unplanned hospital admissions and the percentage of time spent as an inpatient were stratified by time from first dementia diagnosis.
resultsfor 19,221 people with dementia (61.4% female, mean age at diagnosis 81.0 years (standard deviation, SD 8.5)), the cumulative incidence of unplanned hospital admissions (n = 14,759) was 76.8% (95% CI 76.3%-77.3%). Individuals remained in the study for mean 3.0 (SD 2.6) years, and 12,667 (65.9%) died. Rates and lengths of unplanned hospital admissions remained relatively low and short in the months after the dementia diagnosis, increasing only as people approached the end of life. Percentage of time spent as an inpatient was <3% for people who were alive at the study end but was on average 19.6 and 13.3% for the decedents in the last 6 and 12 months of life, respectively.
conclusionsthe steep rise in hospitalisations before death highlights the need for improved community care and services for people with dementia who are approaching the end of life.
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