Quality of end-of-life care for dementia patients during acute hospital admission: a retrospective study in Ireland.

Hdl Handle:
http://hdl.handle.net/10147/127087
Title:
Quality of end-of-life care for dementia patients during acute hospital admission: a retrospective study in Ireland.
Authors:
Afzal, Neelam; Buhagiar, Kurt; Flood, Joanne; Cosgrave, Mary
Affiliation:
Department of Psychiatry, Beaumont Hospital, Beaumont Road, Dublin 9, Ireland.
Citation:
Quality of end-of-life care for dementia patients during acute hospital admission: a retrospective study in Ireland., 32 (2):141-6 Gen Hosp Psychiatry
Journal:
General hospital psychiatry
Issue Date:
5-Apr-2011
URI:
http://hdl.handle.net/10147/127087
DOI:
10.1016/j.genhosppsych.2009.10.003
PubMed ID:
20302987
Abstract:
To examine the quality of end-of-life care received by patients with and without dementia on acute medical wards during their final hospitalization.; A retrospective clinical case note review of patients aged over 65 who had died on acute medical wards within a 6-month period in a general hospital in Dublin was conducted. Seventy-five multidisciplinary clinical notes were available for scrutiny in order to identify cognitive status, measure the frequency of invasive procedures undertaken and examine the quality of palliative care as benchmarked with the Liverpool Care Pathway for the Dying Patient (LCP) program. Comparison between patients with and without dementia was made.; Eighteen (24.0%) subjects had dementia, 32 (42.7%) subjects were described as "cognitively intact" and 25 subjects did not have reference to cognitive status. Of the 50 patients with known cognitive status, 27 (54.0%) had had a Mini Mental State Examination (MMSE) conducted (10 dementia vs. 17 nondementia). Patients were equally subjected to invasive interventions regardless of their cognitive status. However, dementia patients were significantly less likely to be referred to palliative care interventions (P=.007), to be prescribed palliative drugs (P=.017) and to have carers involved in decision making (P=.006).; Individuals with dementia may be receiving different end-of-life care from those without. The effective delivery of robust multidisciplinary frameworks for the palliation of symptoms of hospitalized dementia patients remains an important clinical goal.
Item Type:
Article
Language:
en
MeSH:
Aged; Decision Making; Dementia; Female; Hospitalization; Humans; Ireland; Male; Neuropsychological Tests; Palliative Care; Patient Admission; Quality of Life; Questionnaires; Retrospective Studies; Severity of Illness Index; Terminal Care
ISSN:
1873-7714

Full metadata record

DC FieldValue Language
dc.contributor.authorAfzal, Neelamen
dc.contributor.authorBuhagiar, Kurten
dc.contributor.authorFlood, Joanneen
dc.contributor.authorCosgrave, Maryen
dc.date.accessioned2011-04-05T10:08:14Z-
dc.date.available2011-04-05T10:08:14Z-
dc.date.issued2011-04-05T10:08:14Z-
dc.identifier.citationQuality of end-of-life care for dementia patients during acute hospital admission: a retrospective study in Ireland., 32 (2):141-6 Gen Hosp Psychiatryen
dc.identifier.issn1873-7714-
dc.identifier.pmid20302987-
dc.identifier.doi10.1016/j.genhosppsych.2009.10.003-
dc.identifier.urihttp://hdl.handle.net/10147/127087-
dc.description.abstractTo examine the quality of end-of-life care received by patients with and without dementia on acute medical wards during their final hospitalization.-
dc.description.abstractA retrospective clinical case note review of patients aged over 65 who had died on acute medical wards within a 6-month period in a general hospital in Dublin was conducted. Seventy-five multidisciplinary clinical notes were available for scrutiny in order to identify cognitive status, measure the frequency of invasive procedures undertaken and examine the quality of palliative care as benchmarked with the Liverpool Care Pathway for the Dying Patient (LCP) program. Comparison between patients with and without dementia was made.-
dc.description.abstractEighteen (24.0%) subjects had dementia, 32 (42.7%) subjects were described as "cognitively intact" and 25 subjects did not have reference to cognitive status. Of the 50 patients with known cognitive status, 27 (54.0%) had had a Mini Mental State Examination (MMSE) conducted (10 dementia vs. 17 nondementia). Patients were equally subjected to invasive interventions regardless of their cognitive status. However, dementia patients were significantly less likely to be referred to palliative care interventions (P=.007), to be prescribed palliative drugs (P=.017) and to have carers involved in decision making (P=.006).-
dc.description.abstractIndividuals with dementia may be receiving different end-of-life care from those without. The effective delivery of robust multidisciplinary frameworks for the palliation of symptoms of hospitalized dementia patients remains an important clinical goal.-
dc.language.isoenen
dc.subject.meshAged-
dc.subject.meshDecision Making-
dc.subject.meshDementia-
dc.subject.meshFemale-
dc.subject.meshHospitalization-
dc.subject.meshHumans-
dc.subject.meshIreland-
dc.subject.meshMale-
dc.subject.meshNeuropsychological Tests-
dc.subject.meshPalliative Care-
dc.subject.meshPatient Admission-
dc.subject.meshQuality of Life-
dc.subject.meshQuestionnaires-
dc.subject.meshRetrospective Studies-
dc.subject.meshSeverity of Illness Index-
dc.subject.meshTerminal Care-
dc.titleQuality of end-of-life care for dementia patients during acute hospital admission: a retrospective study in Ireland.en
dc.typeArticleen
dc.contributor.departmentDepartment of Psychiatry, Beaumont Hospital, Beaumont Road, Dublin 9, Ireland.en
dc.identifier.journalGeneral hospital psychiatryen
dc.description.provinceLeinster-

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