Residents with Alzheimer's disease in long-term care facilities in Hong Kong: patterns of hospitalization and emergency room use

Leung, Angela Yee Man; Kwan, Chi Wai; Chi, Iris

doi:10.1080/13607863.2013.768211

Cited by 10 publications

(16 citation statements)

References 67 publications

(40 reference statements)

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Section: Discussionsupporting

confidence: 66%

“…Consistent with studies from ED settings, these results demonstrate that both polypharmacy and prescription of certain agents such as psychoactive medication are associated with transfer to hospital. 4,19,22 From these data, a direct causal relationship cannot be determined. The increased odds of transport may relate to direct adverse effects of these medications, such as confusion resulting from use of sedatives, or may reflect prescription of medications in response to an acute health deterioration such as inhalers for worsening dyspnoea.…”

Section: Discussionmentioning

confidence: 99%

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Predictors of transport to hospital after emergency ambulance call‐out for older people living in residential aged care

et al. 2020

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Objectives: People living in residential aged care (RAC) frequently experience ambulance call-out. These episodes may have unintended consequences, yet remain under-investigated. Our aim was to examine clinical and sociodemographic features associated with transfer to hospital for this population. Methods: Retrospective cohort study using 6 years of clinical data from Ambulance Victoria (AV). Data analysis included multilevel multivariable logistic regression analysis of factors associated with transport to hospital. Results: Odds of transfer were greater for people in rural areas, those with a history of depression, cardiovascular disease and osteoporosis, and residents prescribed antipsychotic and antidepressant medication. Ambulance call-out for trauma (commonly low-level fall) was less frequently transferred to hospital than that for a medical complaint. Conclusion: These results will improve prediction of call-outs likely to require transfer. Findings include identification of clinical features to be targeted by community and preventative health programs to reduce risk of acute health deterioration and requirement for emergency hospital transfer. K E Y W O R D S emergency care, older people, prehospital care, residential aged care SUPPORTING INFORMATION Additional supporting information may be found online in the Supporting Information section.

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Section: Discussionsupporting

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Predictors of transport to hospital after emergency ambulance call‐out for older people living in residential aged care

et al. 2020

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“…Administrative data (Boltz et al, 2015;Callahan et al, 2012;Daiello et al, 2014;Draper et al, 2011;Gustafsson et al, 2017;Harvey et al, 2016;Kedia et al, 2017;Leung et al, 2013;Mitchell et al, 2016). c Two studies used multiple methods of identification (Daiello et al, 2014;Mondor et al, 2017).…”

Section: Methods Of Dementia Identification Cmentioning

confidence: 99%

A Scoping Review of Care Trajectories across Multiple Settings for Persons with Dementia

et al. 2021

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Multiple transitions across care settings can be disruptive for older adults with dementia and their care partners, and can lead to fragmented care with adverse outcomes. This scoping review was conducted to identify and classify care trajectories across multiple settings for people with dementia, and to understand the prevalence of multiple transitions and associated factors at the individual and organizational levels. Searches of three databases, limited to peer-reviewed studies published between 2007 and 2017, provided 33 articles for inclusion. We identified 26 distinct care trajectories. Common trajectories involved hospital readmission or discharge from hospital to long-term care. Factors associated with transitions were identified mainly at the level of demographic and medical characteristics. Findings suggest a need for investing in stronger community-based systems of care that may reduce transitions. Further research is recommended to address knowledge gaps about complex and longitudinal care trajectories and trajectories experienced by sub-populations of people living with dementia.

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“…Several studies have been carried out to ascertain the risk factors for hospitalization among different populations, including older community‐dwelling adults, frail and older adults who live in nursing facilities, and those who are very elderly (aged 75–94 years) . Although the risk factors for hospitalization of people with dementia have been studied, less is known about these factors in older people with dementia who are living in dementia care units.…”

Section: Introductionmentioning

confidence: 99%

“…1,2 Hospitalizations not only lead to functional decline, loss of independence and mobility, but also exacerbate activities of daily living (ADL) status in older adults with dementia, leading to greater utilization of acute care services and increased overall cost of care. 3,4 Several studies have been carried out to ascertain the risk factors for hospitalization among different populations, 5 including older community-dwelling adults, 6 frail and older adults who live in nursing facilities, 7 and those who are very elderly (aged 75-94 years). 8 Although the risk factors for hospitalization of people with dementia have been studied, [9][10][11] less is known about these factors in older people with dementia who are living in dementia care units.…”

Section: Introductionmentioning

confidence: 99%

Hospitalization and associated factors in people with Alzheimer's disease residing in a long‐term care facility in southern Taiwan

Lin

Chou

et al. 2017

Geriatrics Gerontology Int

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Aim: It has been reported that many people with dementia require hospitalizations. The objective of the present study was to determine predictive factors for hospitalizations in people with dementia.Methods: A total of 70 individuals with dementia living in a veterans' home in southern Taiwan were consecutively enrolled. During prospective follow up, all hospitalization events were recorded.Results: The mean age of residents with dementia was 86.1 ± 4.0 years, and the mean follow-up time for this population was 2.2 ± 1.1 years. Among individuals, 62.9% suffered from malnutrition or were at risk of malnutrition (minimal nutritional assessment-short form score ≤11), and 8.6% of individuals had a body mass index of <18.5 Kg/m 2 . There were 52 (74.3%) individuals who had previously fallen. Overall, 51 of 70 residents were hospitalized during the follow-up period. In those individuals with previous falls, there was a significantly increased risk of hospitalization (odds ratio 5.61, 95% CI 1.18-26.7). Furthermore, three factors were significantly associated with the risk of fall, including handgrip strength, malnutrition and Mini-Mental State Examination score. Conclusions:The results of the present study showed that hospitalization was a frequent event in residents with dementia living in a long-term care facility. The major predictor for hospital admission was history of a previous fall. Screening those with dementia for history of injurious falls and associated risk factors for falling could help identify those at risk of hospitalization, thus necessitating a comprehensive intervention to reduce hospitalization. Geriatr Gerontol Int 2017; 17 (Suppl. 1): 50-56.

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Residents with Alzheimer's disease in long-term care facilities in Hong Kong: patterns of hospitalization and emergency room use

Abstract: Practitioners should periodically observe cognitive ability, polypharmacy, and use of psychotropic drugs among long-term care residents with Alzheimer's disease.

Cited by 10 publications

References 67 publications

Predictors of transport to hospital after emergency ambulance call‐out for older people living in residential aged care

Predictors of transport to hospital after emergency ambulance call‐out for older people living in residential aged care

A Scoping Review of Care Trajectories across Multiple Settings for Persons with Dementia

Hospitalization and associated factors in people with Alzheimer's disease residing in a long‐term care facility in southern Taiwan

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