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Health outcomes of patients with dementia in acute care settings—A systematic review
Author(s) -
Fox Amanda,
MacAndrew Margaret,
Ramis MaryAnne
Publication year - 2020
Publication title -
international journal of older people nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.707
H-Index - 29
eISSN - 1748-3743
pISSN - 1748-3735
DOI - 10.1111/opn.12315
Subject(s) - cinahl , dementia , medicine , medline , scopus , acute care , health care , population , psychological intervention , family medicine , nursing , disease , environmental health , pathology , political science , law , economics , economic growth
Background An ageing population has resulted in increased numbers of people with dementia attending acute care services; however, the impact of hospitalisation on this population is uncertain. Purpose This systematic review aimed to synthesise the available evidence on adverse health outcomes for people with dementia in acute care settings. Methods A systematic search of CINAHL, PubMed, MEDLINE, EMBASE and Scopus databases for primary research articles in English language, published from 2000 to 2017, was conducted. A protocol for the review was registered on the PROSPERO database. Results The initial search identified 5,520 records. Following removal of duplicates and assessment against inclusion criteria, 13 studies were included in the final review. Findings identify associations between patients with dementia, longer length of hospital stay and higher mortality in some situations. Heterogeneity across studies in data reporting and outcomes prevented meta‐analysis; therefore, results are presented narratively. Conclusions Certainty of findings from this review is impacted by variation in patient condition and data reporting. Additional rigorous studies on health outcomes for people with dementia during acute hospitalisation will contribute to the evidence. Implications for practice These findings along with further research examining outcomes for patients with dementia in acute care settings will inform provision of safer, quality care and optimal health outcomes for this vulnerable population.