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Behavioural and psychiatric symptoms in people with dementia admitted to the acute hospital: prospective cohort study.

Sampson, EL; White, N; Leurent, B; Scott, S; Lord, K; Round, J; Jones, L; (2014) Behavioural and psychiatric symptoms in people with dementia admitted to the acute hospital: prospective cohort study. British Journal of Psychiatry , 205 (3) pp. 189-196. 10.1192/bjp.bp.113.130948. Green open access

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Abstract

BACKGROUND: Dementia is common in older people admitted to acute hospitals. There are concerns about the quality of care they receive. Behavioural and psychiatric symptoms of dementia (BPSD) seem to be particularly challenging for hospital staff. AIMS To define the prevalence of BPSD and explore their clinical associations. METHOD: Longitudinal cohort study of 230 people with dementia, aged over 70, admitted to hospital for acute medical illness, and assessed for BPSD at admission and every 4 (± 1) days until discharge. Other measures included length of stay, care quality indicators, adverse events and mortality. RESULTS: Participants were very impaired; 46% at Functional Assessment Staging Scale (FAST) stage 6d or above (doubly incontinent), 75% had BPSD, and 43% had some BPSD that were moderately/severely troubling to staff. Most common were aggression (57%), activity disturbance (44%), sleep disturbance (42%) and anxiety (35%). CONCLUSIONS: We found that BPSD are very common in older people admitted to an acute hospital. Patients and staff would benefit from more specialist psychiatric support.

Type: Article
Title: Behavioural and psychiatric symptoms in people with dementia admitted to the acute hospital: prospective cohort study.
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1192/bjp.bp.113.130948
Publisher version: http://dx.doi.org/10.1192/bjp.bp.113.130948
Language: English
Additional information: This is an author-produced electronic version of an article accepted for publication in the British Journal of Psychiatry. The definitive publisher-authenticated version is available online at http://bjp.rcpsych.org.
Keywords: Aged, Aged, 80 and over, Aggression, Anxiety, Cohort Studies, Dementia, Female, Humans, Male, Prevalence, Prospective Studies, Sleep Disorders, Symptom Assessment
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Maths and Physical Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/1436004
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