Diagnoses, problems and healthcare interventions amongst older people with an unscheduled hospital admission who have concurrent mental health problems: A prevalence study

BMC Geriatrics

Volumn 14, Issue 1, 2014, Pages

  Glover, Alex ^a,b   Bradshaw, Lucy E ^a   Watson, Nicola ^b   Laithwaite, Emily ^b   Goldberg, Sarah E ^a   Whittamore, Kathy H ^a   Harwood, Rowan H ^a,b  

^a UNIVERSITY OF NOTTINGHAM   (United Kingdom)

^b QUEEN S MEDICAL CENTRE   (United Kingdom)

Author keywords

Acute hospital; Aged; Delirium; Dementia; Diagnosis; Disability; Healthcare need; Mental health

Indexed keywords

AGED; ARTICLE; CROSS-SECTIONAL STUDY; EARLY INTERVENTION; FEMALE; HOSPITAL ADMISSION; HUMAN; MALE; MENTAL DISEASE; MENTAL HEALTH; METHODOLOGY; PREVALENCE; VERY ELDERLY;

AGED; AGED, 80 AND OVER; CROSS-SECTIONAL STUDIES; EARLY MEDICAL INTERVENTION; FEMALE; HUMANS; MALE; MENTAL DISORDERS; MENTAL HEALTH; PATIENT ADMISSION; PREVALENCE;

EID: 84898546491     PISSN: None     EISSN: 14712318     Source Type: Journal    
DOI: 10.1186/1471-2318-14-43     Document Type: Article

References (50)

1. Counting the Cost. Alzheimer's Society, 2009 London. Available at [ http://www.alzheimers.org.uk/site/scripts/download-info.php?fileID=787 ]
2. Who Cares Wins. Royal College of Psychiatrists, 2005 London. Available at [ http://www.rcpsych.ac.uk/PDF/WhoCaresWins.pdf ]
3. Dementia UK. Knapp K, Prince M, 2007 London, Alzheimer's Society. Available at [ http://alzheimers.org.uk/site/scripts/download-info.php?fileID=2 ]
4. Dementia in the acute hospital: prospective cohort study of prevalence and mortality. Sampson EL, Blanchard MR, Jones L, Tookman A, King M, Br J Psychiatry 2009 195 61 66 10.1192/bjp.bp.108.055335 19567898
5. The prevalence of mental health problems among older adults admitted as an emergency to a general hospital. Goldberg SE, Whittamore KH, Harwood RH, Bradshaw LE, Gladman JRF, Jones RG, Age Ageing 2012 41 80 86 10.1093/ageing/afr106 21890483
6. Occurrence and outcome of delirium in medical in-patients: a systematic literature review. Siddiqi N, House AO, Holmes JD, Age Ageing 2006 35 350 364 10.1093/ageing/afl005 16648149 (Pubitemid 43941802)
7. The diagnosis, prevalence and outcome of delirium in a cohort of older people with mental health problems on general hospital wards. Whittamore KH, Goldberg SE, Gladman J, Bradshaw LE, Jones RG, Harwood RH, Int J Geriatr Psychiatry 2013 in press. doi:10.1002/gps.3961
8. People with dementia in acute hospitals: literature review of prevalence and reasons for hospital admission. Pinkert C, Holle B, Z Gerontol Geriatr 2012 45 728 734 10.1007/s00391-012-0319-1 22538786
9. A systematic review of the prevalence, associations and outcomes of dementia in older general hospital inpatients. Mukadam N, Sampson EL, Int Psychogeriatr 2011 23 344 355 10.1017/S1041610210001717 20716393
10. Delirium superimposed on dementia: a systematic review. Fick DM, Agostini JV, Inouye SK, J Am Geriatr Soc 2002 50 1723 1732 10.1046/j.1532-5415.2002. 50468.x 12366629 (Pubitemid 35192547)
11. Adverse outcomes after hospitalization and delirium in persons with Alzheimer disease. Fong TG, Jones RN, Marcantonio ER, Tommet D, Gross AL, Habtemariam D, Schmitt E, Yap L, Inouye SK, Ann Intern Med 2012 156 848 856 10.7326/0003-4819-156-12-201206190-00005 22711077
12. How do delirium and dementia increase length of stay of elderly general medical inpatients? Saravay SM, Kaplowitz M, Kurek J, Zeman D, Pollack S, Novik S, Saravay SM, Kaplowitz M, Kurek J, Zeman D, Pollack S, Novik S, Knowlton S, Brendel M, Hoffman L, Psychosomatics 2004 45 235 242 10.1176/appi.psy.45.3.235 15123850 (Pubitemid 38621533)
13. From right place-wrong person, to right place-right person: dignified care for older people. Tadd W, Hillman A, Calnan M, Calnan S, Read S, Bayer A, J Health Serv Res Policy 2012 17 Suppl 2 30 36 10.1258/jhsrp.2011.011118
14. Hospital transfers of nursing home residents with advanced dementia. Givens JL, Givens JL, Selby K, Goldfeld KS, Mitchell SL, J Am Geriatr Soc 2012 60 905 909 10.1111/j.1532-5415.2012.03919.x 22428661
15. Association of incident dementia with hospitalizations. Phelan EA, Givens JL, Selby K, Goldfeld KS, Mitchell SL, JAMA 2012 307 165 172 10.1001/jama.2011.1964 22235087
16. Hospitalization and Alzheimer's disease: results from a community-based study. Albert SM, Albert SM, Costa R, Merchant C, Small S, Jenders RA, Stern Y, J Gerontol A Biol Sci Med Sci 1999 54 267 M271 10.1093/gerona/54.5.M267 10362011
17. Ambulatory care sensitive conditions: terminology and disease coding need to be more specific to aid policy makers and clinicians. Purdy S, Griffin T, Salisbury C, Sharp D, Publ Health 2009 123 169 173 10.1016/j.puhe.2008.11.001
18. Patterns of comorbidity and multimorbidity in the oldest old: the Octabaix study. Formiga F, Ferrer A, Sanz H, Marengoni A, Alburquerque J, Pujol R, Octabaix study members, Eur J Intern Med 2013 24 40 44 10.1016/j.ejim.2012. 11.003 23186603
19. Alternatives to hospital for older people must be found, says NHS chief. Hawkes N, BMJ 2013 346 453 10.1136/bmj.f453 23341563
20. Medical and Mental Health/Better Mental Health Development Study Protocol. Gladman JRF, Harwood RH, Jones RJ, Porock D, Griffiths A, Schneider J, Lewis S, 2012 Nottingham. Available at [ http://nottingham.ac.uk/mcop/ documents/papers/issue10-mcop-issn2044-4230.pdf ]
21. Evaluation of a mental test score for assessment of mental impairment in the elderly. Hodkinson HM, Age Ageing 1972 1 233 238 10.1093/ageing/1.4.233 4669880
22. Screening for depression among acutely ill geriatric inpatients with a short geriatric depression scale. Shah A, Herbert R, Lewis S, Mahendran R, Platt J, Bhattacharyya B, Age Ageing 1997 26 217 221 10.1093/ageing/26.3.217 9223718 (Pubitemid 27290391)
23. Detecting alcoholism: the CAGE questionnaire. Ewing JA, JAMA 1984 252 1905 1907 10.1001/jama.1984.03350140051025 6471323
24. Validation of a modified early warning score in medical admissions. Subbe CP, Kruger M, Gemmel L, Q J Med 2001 94 521 526 10.1093/qjmed/94.10.521 (Pubitemid 32998342)
25. Mini-mental state. A practical method for grading the cognitive state of patients for the clinician. Folstein MF, Folstein SE, McHugh PR, J Psychiatr Res 1975 12 189 198 10.1016/0022-3956(75)90026-6 1202204
26. Validation of the delirium rating scale-revised-98: comparison with the delirium rating scale and the cognitive test for delirium. Trzepacz PT, Mittal D, Torres R, Kanary K, Norton J, Jimerson N, J Neuropsychiatry Clin Neurosci 2001 13 229 242 10.1176/appi.neuropsych.13.2.229 11449030 (Pubitemid 32499675)
27. Cornell scale for depression in dementia. Alexopoulos GA, Abrams RC, Young RC, Shamoian CA, Biol Psychiatry 1988 23 271 284 10.1016/0006-3223(88) 90038-8 3337862 (Pubitemid 18047596)
28. The neuropsychiatric inventory: comprehensive assessment of psychopathology in dementia. Cummings JL, Mega M, Gray K, Rosenberg-Thompson S, Carusi DA, Gornbein J, Neurology 1994 44 2308 2314 10.1212/WNL.44.12.2308 7991117 (Pubitemid 24382728)
29. Functional evaluation: the barthel index. Mahoney FI, Barthel DW, Md State Med J 1965 14 56 61
30. World Health Organisation, International Classification of Diseases (ICD-10) Geneva 10 2010
31. World Health Organisation, International Classification of Disability, Function and Health (ICF) Geneva 2001
32. Critical role of functional decline in delayed discharge from an acute geriatric unit. Chin JJ, Sahadevan S, Tan CY, Ho SC, Choo PW, Ann Acad Med Singapore 2001 30 593 599 11817286
33. Community based service providers' perspectives on frequent and/or avoidable admission of older people with chronic disease in rural NSW: a qualitative study. Longman JM, Singer JB, Gao Y, Barclay LM, Passey ME, Pirotta JP, Heathcote KE, Ewald DP, Saberi V, Corben P, Morgan GG, BMC Health Serv Res 2011 11 265 10.1186/1472-6963-11-265 21989302
34. Success and failure in integrated models of nursing for long term conditions: multiple case studies of whole systems. Procter S, Wilson PM, Brooks F, Kendall S, Int J Nurs Stud 2012 50 632 643 23131723
35. Impact of case management (Evercare) on frail elderly patients: controlled before and after analysis of quantitative outcome data. Gravelle H, Dusheiko M, Sheaff R, Sargent P, Boaden R, Pickard S, Parker S, Roland M, BMJ 2007 334 31 10.1136/bmj.39020.413310.55 17107984
36. Effectiveness of screening for risk of medical emergencies in the elderly. Walker L, Jamrozik K, Age Ageing 2005 34 238 242 10.1093/ageing/afi055 15764623 (Pubitemid 40711736)
37. Medical short stay unit for geriatric patients in the emergency department: clinical and healthcare benefits. Pareja T, Pareja T, Hornillos M, Rodríguez M, Martínez J, Madrigal M, Mauleón C, Alvarez B, Rev Esp Geriatr Gerontol 2009 44 175 179 10.1016/j.regg.2009.01.007 19577343
38. Hospital treatment in residential care facilities is a viable alternative to hospital admission for selected patients. Lau L, Chong CP, Lim WK, Geriatr Gerontol Int 2013 13 378 383 22804780
39. Department of Health, Halfway Home London 2009
40. Multidimensional geriatric assessment: back to the future. Multidimensional preventative home visit programs for community-dwelling older adults: a systematic review and meta analysis of randomised controlled trials. Huss A, Stuck AE, Rubenstein LZ, Matthias Egger M, Clough-Gorr KM, J Gerontol A Biol Sci Med Sci 2008 63 298 307 10.1093/gerona/63.3.298 18375879 (Pubitemid 351738435)
41. Best place of care for older people after acute and during subacute illness: a systematic review. Parker G, Bhakta P, Katbamna S, Lovett C, Paisley S, Parker S, Phelps K, Baker R, Jagger C, Lindesay J, Shepperdson B, Wilson A, J Health Serv Res Policy 2000 5 176 189 11556369 (Pubitemid 30479589)
42. How are the elderly different? Evans JG, Improving the Health of Older People: a World View Oxford: OUP, Evans JG, Kane RL, Macfadyen D, 1990 50 68
43. Comprehensive geriatric assessment: a meta analysis of randomised controlled trials. Stuck AE, Siu AL, Wieland D, Adams J, Rubenstein LZ, Lancet 1993 342 1032 1036 10.1016/0140-6736(93)92884-V 8105269 (Pubitemid 23314809)
44. Comprehensive geriatric assessment for older adults admitted to hospital: meta-analysis of randomised controlled trials. Ellis G, Whitehead MA, Robinson D, O'Neill D, Langhorne P, BMJ 2011 343 6553 10.1136/bmj.d6553 22034146
45. Dignity in Practice: An Exploration of the Care of Older Adults in Acute NHS Trusts. Tadd W, Calnan S, Calnan M, Bayer T, Read S, 2013 NIHR SDO Programme report. Available at: [ http://www.netscc.ac.uk/hsdr/files/project/SDO-ES-08- 1819-218-V01.pdf ]
46. Joint geriatric and psychiatric wards: a review of the literature. George J, Adamson J, Woodford H, Age Ageing 2011 40 543 548 10.1093/ageing/afr080 21784760
47. Liaison Mental Health Services for Older People: A Literature Review, Service Mapping and in-Depth Evaluation of Service Models. Holmes J, Montana C, Powell G, Hewison J, House A, Mason J, Farrin A, McShane P, McParland L, Gilbody, Young J, NIHR SDO Programme report. Available at [ http://www.sdo.nihr. ac.uk/files/project/100-final-report.pdf ]
48. Development of a Specialist Medical and Mental Health Unit for Older People in an Acute General Hospital. Harwood RH, Porock D, King N, Edwards G, Hammond S, Howe L, Russell C, Howard S, Jones RG, Morrant JD, University of Nottingham Medical Crises in Older People discussion paper series. Issue 5, November 2010. ISSN 2044-4230. Available at [ http://www.nottingham.ac.uk/mcop/ index.aspx ]
49. Dementia for the hospital physician. Harwood RH, Clin Med 2012 12 35 39 10.7861/clinmedicine.12-1-35 22372218
50. Comparison of a specialist Medical and Mental Health Unit with standard care for older people with cognitive impairment admitted to a general hospital: a randomised controlled trial (NIHR TEAM trial). Goldberg SE, Bradshaw LE, Kearney FC, Russell C, Whittamore KH, Foster PER, Mamza J, Gladman JRF, Jones RG, Lewis SA, Porock D, Harwood RH, BMJ 2013 347 4132 doi:10.1136/bmj.f4132 10.1136/bmj.f4132 23819964