Dementia Could Lead to Unnecessary Hospitalization

Dementia makes people far more likely to be hospitalized with preventable illnesses than people without the impairment, a new study suggests. According to HealthDay News, research from the University of Washington School of Medicine found that two-thirds of hospitalized dementia patients are admitted with avoidable conditions like urinary tract infection or pneumonia.

Such high rates are a serious issue because of the inability of many dementia patients to recover after a hospital visit, lead author Elizabeth Phelan said.

“Hospital admissions for all causes and potentially preventable admissions were significantly higher for those with dementia,” said Phelan. “They’re at risk for delirium, falls, pressure ulcers; they may need to be restrained, and many never return to their prior level of functioning after a hospitalization. If hospitalizations could be avoided, it would be helpful for preserving cognition and avoiding new problems.”

Phelan’s team came to their findings by analyzing a previous study of more than 3,000 people over the age of 65. The participants, who showed no signs of dementia at the beginning of the study, were monitored for changes in their cognitive ability. By the end of the study, 494 people had dementia and 86 percent of those diagnosed had been hospitalized at least once. By contrast, just 59 percent of those who didn’t have dementia had been hospitalized. That’s an increased risk of 41 percent, HealthDay noted.

In addition to being hospitalized more often, the study participants with dementia were also more likely to be hospitalized with conditions that could have been prevented. The most common reasons for hospitalization included bacterial pneumonia, congestive heart failure, dehydration, duodenal ulcer and urinary tract infections. Of those, urinary tract infection, pneumonia and congestive heart failure comprised two-thirds of the hospitalizations. Phelan said her team’s study should be a lesson to those caring for dementia patients. “People caring for someone with dementia have an important role to play,” she said. “They can be the eyes and ears for the care recipient. They can clue into what seems to be typical, and when there’s any deviation from that, they can alert the primary care provider, who can then treat proactively.” The results of the study were published in the January 11 issue of the Journal of the American Medical Association, HealthDay said.
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