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People with dementia are extremely vulnerable in hospital and unscheduled
admissions should be avoided if possible.
To identify any predictors of general hospital admission in people with
dementia in a well-characterised national prospective cohort study.
A cohort of 730 persons with dementia was drawn from the Scottish
Dementia Research Interest Register (47.8% female; mean age 76.3 years,
s.d. = 8.2, range 50–94), with a mean follow-up period of 1.2 years.
In the age- and gender-adjusted multivariable model (n =
681; 251 admitted), Neuropsychiatric Inventory score (hazard ratio per
s.d. disadvantage 1.21, 95% CI 1.08–1.36) was identified as an
independent predictor of admission to hospital.
Neuropsychiatric symptoms in dementia, measured using the
Neuropsychiatric Inventory, predict non-psychiatric hospital admission of
people with dementia. Further studies are merited to test whether
interventions to reduce such symptoms might reduce unscheduled admissions
to acute hospitals.
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