Demenz im Akutkrankenhaus

Kricheldorff, Cornelia; Hofmann, Werner

doi:10.1007/s00391-013-0484-x

Cited by 5 publications

(4 citation statements)

References 1 publication

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“…Es ist eine allzu bekannte Situation: Menschen mit kognitiven Beeinträchtigungen (häufig einer Demenzerkrankung) kommen wegen einer Akutsituation in die Klinik. Die ungewohnte Umgebung, die Hektik in der Notaufnahme und auf Station, Personal, das nicht unbedingt gut auf die Versorgung von Menschen mit kognitiven Beeinträchtigungen vorbereitet istall das überfordert und überwältigt [1]. In einer 2016 veröffentlichten Studie, der von der Robert Bosch Stiftung geförderten GhoSt (General Hospital Study), fand man heraus, dass 40 % der über 65-jährigen Patienten in Allgemeinkrankenhäusern an kognitiven Störungen bzw.…”

Section: Die Aktuelle Lageunclassified

Freiheitseinschränkende Maßnahmen bei Menschen mit kognitiven Beeinträchtigungen im Akutkrankenhaus

Narchi¹,

Ritzi²

2019

Geriatrie up2date

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Section: Die Aktuelle Lageunclassified

Freiheitseinschränkende Maßnahmen bei Menschen mit kognitiven Beeinträchtigungen im Akutkrankenhaus

Narchi¹,

Ritzi²

2019

Geriatrie up2date

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“…It is well established that admission to a hospital can worsen pre-existing cognitive problems, and can increase the risk for readmission, institutionalization or mortality [ 12 – 14 ]. These risks are aggravated by factors such as high age, comorbidities, malnutrition, low level of everyday functioning, depression and other mental disorders.…”

Section: Introductionmentioning

confidence: 99%

Describing people with cognitive impairment and their complex treatment needs during routine care in the hospital – cross-sectional results of the intersec-CM study

et al. 2021

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Background Cognitive impairment is an important determinant in health care. In the acute hospital setting cognition has a strong impact on treatment and care. Cognitive impairment can negatively affect diagnostics and treatment success. However, little is known about the individual situation and specific risks of people with cognitive impairments during hospital stays. The aim of the present research is to describe and analyze the treatment needs of people with cognitive impairments in acute hospital care. Methods The analyses use baseline data of the ongoing multisite, longitudinal, randomized controlled intervention trial intersec-CM (Supporting elderly people with cognitive impairment during and after hospital stays with Intersectoral Care Management), which recruited 402 participants at baseline. We assessed sociodemographic aspects, cognitive status, functional status, frailty, comorbidities, level of impairment, formal diagnosis of dementia, geriatric diagnoses, delirium, depression, pharmacological treatment, utilization of health care services and health care related needs. Results The sample under examination had been on average mildly cognitively impaired (MMSE M = 22.3) and had a mild to moderate functional impairment (Barthel Index M = 50.4; HABAM M = 19.1). The Edmonton Frail Scale showed a mean of 7.4 and half of the patients (52.3%) had been assigned a care level. About 46.9% had a geriatric diagnosis, 3.0% had a diagnosis of dementia. According to DSM-V 19.2% of the patients had at least one main symptom of depression. The mean number of regularly taken drugs per patient was 8.2. Utilization of health care services prior to the hospital stay was rather low. On average, the sample showed 4.38 care related needs in general, of which 0.60 needs were unaddressed at the time of assessment. Conclusions Descriptive analyses highlight an in-depth insight into impairments and different care needs of people with cognitive impairments. The results emphasize the need for gender-specific analyses as well as an increased attention to the heterogeneity of needs of people with cognitive impairments related to specific wards, settings and regions where they are admitted. Our results indicate also that people with cognitive impairments represent a high proportion of older patients in acute hospital care. Trial registration The intersec-CM trial is registered at ClinicalTrials.gov (NCT03359408).

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“…It is well established that admission to a hospital can worsen pre-existing cognitive problems, and can increase the risk for readmission, institutionalization or mortality [12][13][14]. These risks are aggravated by factors such as high age, comorbidities, malnutrition, low level of everyday functioning, depression and other mental disorders.…”

Section: Introductionmentioning

confidence: 99%

Describing people with cognitive impairment and their complex treatment needs during routine care in the hospital – cross-sectional results of the intersec-CM study

Kracht

Boekholt

Schumacher-Schönert

et al. 2021

Preprint

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Background: Cognitive impairment is an important determinant in health care. In the acute hospital setting cognition has a strong impact on treatment and care. Cognitive impairment can negatively affect diagnostics and treatment success. However, little is known about the individual situation and specific risks of patients with cognitive impairments (PCI) during hospital stays. The aim of the present research is to describe and analyze the treatment needs of PCI in acute hospital care. Methods: The analyses use baseline data of the ongoing multisite, longitudinal, randomized controlled intervention trial intersec-CM (Supporting elderly people with cognitive impairment during and after hospital stays with Intersectoral Care Management), which recruited 402 participants at baseline. We assessed sociodemographic aspects, cognitive status, functional status, frailty, comorbidities, level of impairment, formal diagnosis of dementia, geriatric diagnoses, delirium, depression, pharmacological treatment, utilization of health care services and health care related needs.Results: The sample under examination had been on average mildly cognitively impaired (MMSE M=22.3) and had a mild to moderate functional impairment (Barthel Index M=50.4; HABAM M=19.1). The Edmonton Frail Scale showed a mean of 7.4 and half of the patients (52.3%) had been assigned a care level. About 46.9% had a geriatric diagnosis, 3.0% had a diagnosis of dementia. According to DSM-V 19.2% of the patients had at least one main symptom of depression. The mean number of regularly taken drugs per patient was 8.2. Utilization of health care services prior to the hospital stay was rather low. On average, the sample showed 4.38 care related needs in general, of which 0.60 needs were unaddressed at the time of assessment.Conclusions: Descriptive analyses highlight an in-depth insight into impairments and different care needs of PCI. The results emphasize the need for gender-specific analyses as well as an increased attention to the heterogeneity of needs of PCI related to specific wards, settings and regions where they are admitted. Our results indicate also that PCI represent a high proportion of older patients in acute hospital care.Trial registration: The intersec-CM trial is registered at ClinicalTrials.gov (NCT03359408).

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Demenz im Akutkrankenhaus

Cited by 5 publications

References 1 publication

Freiheitseinschränkende Maßnahmen bei Menschen mit kognitiven Beeinträchtigungen im Akutkrankenhaus

Freiheitseinschränkende Maßnahmen bei Menschen mit kognitiven Beeinträchtigungen im Akutkrankenhaus

Describing people with cognitive impairment and their complex treatment needs during routine care in the hospital – cross-sectional results of the intersec-CM study

Describing people with cognitive impairment and their complex treatment needs during routine care in the hospital – cross-sectional results of the intersec-CM study

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