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A Systematic Review of Intervention Studies to Prevent Hospitalizations of Community-dwelling Older Adults With Dementia
Filetype[PDF - 181.14 KB]


Details:
  • Pubmed ID:
    25588136
  • Pubmed Central ID:
    PMC4310672
  • Description:
    Objectives:

    To conduct a systematic literature review to determine if there were any intervention strategies that had any measurable effect on acute-care hospitalizations among community-dwelling adults with dementia.

    Design:

    Studies were identified by a professional research librarian and content experts.

    Setting:

    Community dwelling.

    Participants:

    Participants were diagnosed with dementia, severity ranging from mild to severe, and were recruited from health care and community agencies.

    Measurements:

    A study met the inclusion criteria if it: (a) was published in English; (b) included a control or comparison group; (c) published outcome data from the intervention under study; (d) reported hospitalization as one of the outcomes; (e) included community-dwelling older adults; and (f) enrolled participants with dementia. Ten studies met all inclusion criteria.

    Results:

    Of the 10 studies included, most assessed health services use (ie, hospitalizations) as a secondary outcome. Participants were recruited from a range of health care and community agencies, and most were diagnosed with dementia with severity ratings ranging from mild to severe. Most intervention strategies consisted of face-to-face assessments of the persons living with dementia, their caregivers, and the development and implementation of a care plan. A significant reduction in hospital admissions was not found in any of the included studies, although 1 study did observe a reduction in hospital days.

    Conclusions:

    The majority of studies included hospitalizations as a secondary outcome. Only 1 intervention was found to have an effect on hospitalizations. Future work would benefit from strategies specifically designed to reduce and prevent acute hospitalizations in persons with dementia.

  • Document Type:
  • Collection(s):
  • Funding:
    DP2846-05/DP/NCCDPHP CDC HHS/United States
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