The clinical dataset was linked to data on nurse staffing to understand how varying staffing levels influence mortality and readmission in people with any cause of cognitive impairment.Ĭognitive impairment was found to be prevalent in the older hospital population. The characteristics of older people with acute hospital admissions and their outcomes according to the presence of dementia/cognitive impairment are described, and the associations between dementia/cognitive impairment and mortality, length of stay and readmission investigated. This work is based on a secondary care dataset of more than 20,000 hospital admissions. It is not known whether older people with other causes of cognitive impairment are at a similar risk, whether dementia or other cognitive impairments are independent risk factors, and whether staffing levels may differentially influence outcomes. Older people with a diagnosis of dementia are at higher risk of poor outcomes following a hospital admission, such as death and longer lengths of stay. Further research is recommended to address knowledge gaps about complex and longitudinal care trajectories and trajectories experienced by sub-populations of people living with dementia. Findings suggest a need for investing in stronger community-based systems of care that may reduce transitions.

Factors associated with transitions were identified mainly at the level of demographic and medical characteristics. Common trajectories involved hospital readmission or discharge from hospital to long-term care. We identified 26 distinct care trajectories.

Searches of three databases, limited to peer-reviewed studies published between 20, provided 33 articles for inclusion. This scoping review was conducted to identify and classify care trajectories across multiple settings for people with dementia, and to understand the prevalence of multiple transitions and associated factors at the individual and organizational levels.

Multiple transitions across care settings can be disruptive for older adults with dementia and their care partners, and can lead to fragmented care with adverse outcomes.

Icd 10 code for dementia