Dementia: A risk factor for burns in the elderly

Harvey, Lara; Mitchell, Robert J.; Brodaty, Henry; Draper, Brian; Close, Jacqueline C.T.

doi:10.1016/j.burns.2015.10.023

Cited by 25 publications

(17 citation statements)

References 21 publications

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“…People with dementia stayed 0.7 days longer in the hospital for lower extremity fractures in the United States and 2 days longer for bone fractures in China . Hospitalizations due to injuries, fall‐related injuries, burns, and intentional self‐harm were on average 2.9, 1.4, 12.4, and 4.6 days longer for PWD compared to PwoD in studies from Australia. Walker et al reported a shorter LOS for people with moderate dementia compared to PwoD (PWD: 8.8; PwoD: 12.4); however, severely demented participants had a longer mean LOS than PwoD (PWD: 27.5; PwoD: 11.7).…”

Section: Resultsmentioning

confidence: 98%

“…Other types of injuries and complaints were reported by 7 studies, of which all but 1 reported a significantly longer hospitalization time for PWD compared to PwoD. People with dementia stayed 0.7 days longer in the hospital for lower extremity fractures in the United States and 2 days longer for bone fractures in China .…”

Section: Resultsmentioning

confidence: 99%

“…Thirty‐three studies met the criteria for comparability based on design or analysis, thereof 8 studies controlled or matched for 1 factor and 25 studies for at least 2 factors . Fourteen studies reported multivariate and descriptive results for LOS, and 5 studies solely multivariate results . Thirteen studies did not report any information on significance level …”

Section: Resultsmentioning

confidence: 99%

“…Other findings point to differences in the extent of a longer hospitalization in general or depending on the type of comorbidities. Three studies conducted in Australia that were not restricted to a specific reason for hospital admission reported a longer LOS for PWD compared to PwoD, while further studies showed a varying extent of the difference in LOS for PWD compared to PwoD admitted for injuries, fall‐related injuries, and burns . A review focusing on the prevalence of dementia in general hospitals also reported LOS as an outcome of hospitalization in 5 studies from 1986 to 2003 and found that dementia significantly increased the LOS …”

Section: Introductionmentioning

confidence: 99%

“…Scores varied between 3 and 8 points. Three studies49,57,61 scored 3 points, and 11 studies scored 8 points 2,13,24,25,28,31,39,43,50,52,59. The mean overall score was 5.8.…”

mentioning

confidence: 99%

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Length of hospital stay and dementia: A systematic review of observational studies

Möllers

Stocker

Wei

et al. 2018

Int J Geriat Psychiatry

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Objective Hospitalizations of people with dementia (PWD) are often accompanied by complications or functional loss and can lead to adverse outcomes. Unsystematic findings suggest an influence of comorbidities on the extent of differences in the length of hospital stay (LOS). This systematic review aimed to identify and evaluate all studies reporting LOS in PWD as compared to PwoD in general hospitals. Methods A systematic review of observational studies using PubMed and ISI Web of Knowledge. Inclusion criteria comprised original studies written in English or German, assessment of diagnosis of dementia, measurement of LOS, and comparison of people with and without dementia. Results Fifty‐two of 60 studies reported a longer hospitalization time for PWD compared to PwoD. The extent of the difference in LOS varied between and within countries as well as by type of primary morbidity (eg, injuries, cardiovascular diseases). The range of the LOS difference for studies without restriction to a primary morbidity was −2 to +22 days after matching or adjustment for a variable number and selection of potentially relevant covariates. For studies with injuries/fractures/medical procedures and infectious/vascular disease as the primary morbidity, the range was −2.9 to +12.4 and −11.2 to +21.8 days, respectively. Conclusions The majority of studies reported a longer hospitalization of PWD compared to PwoD. Length of hospital stay seems to be influenced by a variety of medical, social, organizational factors, including reasons for hospital admission, whose role should be explored in detail in further research.

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Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Scores varied between 3 and 8 points. Three studies49,57,61 scored 3 points, and 11 studies scored 8 points 2,13,24,25,28,31,39,43,50,52,59. The mean overall score was 5.8.…”

mentioning

confidence: 99%

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