Geriatric patients with cognitive impairment

Deutsches Ärzteblatt International
Wolfgang von Renteln-KruseBirgit Frilling

Abstract

Hospitals are now faced with increasing numbers of cognitively impaired patients aged 80 and older who are at increased risk of treatment complications. This study concerns the outcomes when such patients are treated in a specialized ward for cognitive geriatric medicine. Observation of a cohort of 2084 patients from 2009 to 2014, supplemented by a sample of 380 patients from the hospital cohort of the Longitudinal Urban Cohort Ageing Study (LUCAS) for the years 2010 and 2011. Geriatric inpatients with cognitive impairment tend to be multimorbid. Half of the patients studied (1031 of 2084 patients) were admitted to the hospital on an emergency basis. Complications arising on the ward that necessitated transfer elsewhere arose in 2.6% (51 of 2084 patients). Moreover, analysis of the sample of 380 patients from the LUCAS cohort revealed that the treatments they underwent during hospitalization were associated with an improvement of their functional state: their mean overall score on the Barthel index rose from 39.8 ± 24.3 (median, 35) on admission to 52.7 ± 27.0 (median, 55) on discharge. The percentage of patients being treated with 5 or more drugs fell from 98.2% (373/380) on admission to 79.3% (314/362) on discharge. The perce...Continue Reading

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Citations

Feb 23, 2020·Journal of the American Animal Hospital Association·Tamara GrubbCaitlin Tearney
Mar 18, 2017·Deutsches Ärzteblatt International·Insa FeinkohlTobias Pischon
Apr 6, 2019·Deutsches Ärzteblatt International·Cynthia OlotuRainer Kiefmann
Dec 20, 2018·Deutsches Ärzteblatt International·Horst BickelMartina Schäufele

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