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Hospital readmission in persons with dementia: A systematic review.

Publication ,  Journal Article
Ma, C; Bao, S; Dull, P; Wu, B; Yu, F
Published in: International journal of geriatric psychiatry
August 2019

Hospital readmission in persons with dementia is becoming a critical safety and cost issue. The purpose of this review is to systematically assess published evidence on hospital readmissions in persons with dementia, including rate, clinical reasons, risk factors, and prevention programs.A systematic review of relevant literature was conducted. Literature were searched in PubMed, CINAHL, PsycINFO, and Embase as well as hand searching. Quality of reviewed studies were assessed independently by reviewers using quality assessment checklists.Nineteen studies met the inclusion criteria and were reviewed. In persons with dementia, all-cause 30-day readmission rate was most frequently reported and ranged from 7% to 35%. Compared with those without dementia, persons with dementia had significantly higher rate of readmission. Reported risk factors of readmission varied across studies from patient sociodemographic and clinical status, history of health care utilization, to family caregivers. Reasons for readmission were rarely documented. Programs of home-based individualized care and interdisciplinary team care were used for preventing readmissions. Findings from some of the studies were limited by small sample sizes, single data source, and other methodologic flaws.Persons with dementia are at high risk for hospital readmission, but many of the readmissions are potentially preventable. Multiple strategies such like identifying high-risk individuals and the clinical reasons for index admission and readmission and implementing home-based individualized care by interdisciplinary team can reduce preventable hospital readmissions. Future studies should use multiple national data sources and advanced methodology to identify risk factors and clinical reasons of hospital readmissions.

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Published In

International journal of geriatric psychiatry

DOI

EISSN

1099-1166

ISSN

0885-6230

Publication Date

August 2019

Volume

34

Issue

8

Start / End Page

1170 / 1184

Related Subject Headings

  • Risk Factors
  • Patient Readmission
  • Patient Acceptance of Health Care
  • Humans
  • Geriatrics
  • Dementia
  • 5203 Clinical and health psychology
  • 4203 Health services and systems
  • 3202 Clinical sciences
  • 1702 Cognitive Sciences
 

Citation

APA
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ICMJE
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Ma, C., Bao, S., Dull, P., Wu, B., & Yu, F. (2019). Hospital readmission in persons with dementia: A systematic review. International Journal of Geriatric Psychiatry, 34(8), 1170–1184. https://doi.org/10.1002/gps.5140
Ma, Chenjuan, Silin Bao, Peter Dull, Bei Wu, and Fang Yu. “Hospital readmission in persons with dementia: A systematic review.International Journal of Geriatric Psychiatry 34, no. 8 (August 2019): 1170–84. https://doi.org/10.1002/gps.5140.
Ma C, Bao S, Dull P, Wu B, Yu F. Hospital readmission in persons with dementia: A systematic review. International journal of geriatric psychiatry. 2019 Aug;34(8):1170–84.
Ma, Chenjuan, et al. “Hospital readmission in persons with dementia: A systematic review.International Journal of Geriatric Psychiatry, vol. 34, no. 8, Aug. 2019, pp. 1170–84. Epmc, doi:10.1002/gps.5140.
Ma C, Bao S, Dull P, Wu B, Yu F. Hospital readmission in persons with dementia: A systematic review. International journal of geriatric psychiatry. 2019 Aug;34(8):1170–1184.

Published In

International journal of geriatric psychiatry

DOI

EISSN

1099-1166

ISSN

0885-6230

Publication Date

August 2019

Volume

34

Issue

8

Start / End Page

1170 / 1184

Related Subject Headings

  • Risk Factors
  • Patient Readmission
  • Patient Acceptance of Health Care
  • Humans
  • Geriatrics
  • Dementia
  • 5203 Clinical and health psychology
  • 4203 Health services and systems
  • 3202 Clinical sciences
  • 1702 Cognitive Sciences