Behavioural and psychiatric symptoms in people with dementia admitted to the acute hospital: Prospective Cohort study
Publication date
2014-09Keyword
DementiaPsychiatric symptoms
Behavioural and psychological symptoms of dementia (BPSD)
Acute hospital admissions
Quality of care
Aged
Peer-Reviewed
YesOpen Access status
closedAccess
Metadata
Show full item recordAbstract
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.Version
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Sampson EL, White N, Leurent B, Scott S, Lord K, Round J and Jones L (2014) Behavioural and psychiatric symptoms in people with dementia admitted to the acute hospital: prospective cohort study. The British Journal of Psychiatry. 205(3): 189-196.Link to Version of Record
https://doi.org/10.1192/bjp.bp.113.130948Type
Articleae974a485f413a2113503eed53cd6c53
https://doi.org/10.1192/bjp.bp.113.130948