TY  - JOUR
PY  - 2014//
TI  - Behavioural and psychiatric symptoms in people with dementia admitted to the acute hospital: prospective cohort study
JO  - British journal of psychiatry
A1  - Sampson, Elizabeth L.
A1  - White, Nicola
A1  - Leurent, Baptiste
A1  - Scott, Sharon
A1  - Lord, Kathryn
A1  - Round, Jeff
A1  - Jones, Louise
SP  - 189
EP  - 196
VL  - 205
IS  - 3
N2  - 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. <br><br>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. <br><br>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%). <br><br>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.<p />  <p>Language: en</p>
LA  - en
SN  - 0007-1250
UR  - http://dx.doi.org/10.1192/bjp.bp.113.130948
ID  - ref1
ER  -