A 12-month follow-up study of people with dementia referred to general hospital liaison psychiatry services

Age Ageing. 2013 Nov;42(6):786-90. doi: 10.1093/ageing/aft139.

Abstract

Background: new services for patients with dementia in general hospitals are being widely developed. Little is known of outcomes after hospital for such patients.

Objective: to establish outcomes for patients with dementia referred to general hospital psychiatric services.

Design: prospective cohort study.

Setting: two UK general hospitals.

Subjects: referrals with dementia to liaison psychiatric services.

Method: eligible referrals (n = 112), and their carers, were assessed during admission, and at 6 and 12 months, using battery of health measurements.

Results: mortality at 6 months was 31% and at 12 months 40%. At baseline, 13% lived in a care home, rising to 84% by 6 months. Quality of life scores remained stable over 12 months, while carer stress fell significantly. Baseline clinical and demographic variables did not predict quality of life or carer stress at 6 and 12 months.

Conclusions: dementia liaison services in general hospitals currently focus on poor outcome cases.

Keywords: dementia; hospital; older people; outcomes.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Age Factors
  • Aged
  • Aged, 80 and over
  • Caregivers / psychology
  • Dementia / diagnosis
  • Dementia / mortality
  • Dementia / psychology
  • Dementia / therapy*
  • Female
  • Follow-Up Studies
  • Homes for the Aged
  • Hospital Bed Capacity
  • Hospital Mortality
  • Hospitals, General*
  • Humans
  • Male
  • Mental Health Services*
  • Middle Aged
  • Nursing Homes
  • Outcome Assessment, Health Care
  • Patient Admission
  • Patient Discharge
  • Predictive Value of Tests
  • Prospective Studies
  • Psychiatric Status Rating Scales
  • Quality of Life
  • Referral and Consultation*
  • Stress, Psychological / etiology
  • Stress, Psychological / prevention & control
  • Surveys and Questionnaires
  • Time Factors
  • Treatment Outcome