Citation

Sampson EL, White N, Leurent B, Scott S, Lord K, Round J, Jones L. Br. J. Psychiatry 2014; 205(3): 189-196.

Affiliation

Elizabeth L. Sampson, MD MRCPsych, Marie Curie Palliative Care Research Unit, Division of Psychiatry, University College Medical School and Barnet Enfield and Haringey Mental Health Trust-Liaison Psychiatry Team, North Middlesex University Hospital, London; Nicola White, BSc, MSc, Baptiste Leurent, MSc, Sharon Scott, RGN MSc, Kathryn Lord, BSc, Jeff Round, MA, Louise Jones, MB FRCP, Marie Curie Palliative Care Research Unit, Division of Psychiatry, University College Medical School, London, UK.

Copyright

(Copyright © 2014, Royal College of Psychiatry)

DOI

10.1192/bjp.bp.113.130948

PMID

25061120

Abstract

Background Dementia is common in older people admitted to acute hospitals. There are concerns about the quality of care they receive. Behavioural and psychiatric symptoms of dementia (BPSD) seem to be particularly challenging for hospital staff. Aims To define the prevalence of BPSD and explore their clinical associations.

METHOD Longitudinal cohort study of 230 people with dementia, aged over 70, admitted to hospital for acute medical illness, and assessed for BPSD at admission and every 4 (±1) days until discharge. Other measures included length of stay, care quality indicators, adverse events and mortality.

RESULTS Participants were very impaired; 46% at Functional Assessment Staging Scale (FAST) stage 6d or above (doubly incontinent), 75% had BPSD, and 43% had some BPSD that were moderately/severely troubling to staff. Most common were aggression (57%), activity disturbance (44%), sleep disturbance (42%) and anxiety (35%).

CONCLUSIONS We found that BPSD are very common in older people admitted to an acute hospital. Patients and staff would benefit from more specialist psychiatric support.

Language: en