The impact of the Dementia Care in Hospitals Program on hospital acquired complications – a non-randomised stepped wedge hybrid effectiveness-implementation study
Mark W Yates, Kasia Bail, Sean MacDermott, David Skvarc, Meredith Theobald, Michelle Morvell, Jessica C Jebramek, Ian Tebbut, Brian Draper, Henry Brodaty · 2024
Read The impact of the Dementia Care in Hospitals Program on hospital acquired complications – a non-randomised stepped wedge hybrid effectiveness-implementation study by Mark W Yates, Kasia Bail, Sean MacDermott, David Skvarc, Meredith Theobald, Michelle Morvell, Jessica C Jebramek, Ian Tebbut, Brian Draper, Henry Brodaty (2024) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-11610119.txt.
Description
Mark Yates and co-authors test a hospital program meant to cut complications in older patients with cognitive impairment. Such patients fare poorly in hospital and pick up new harms at high rates: urine infections, pneumonia, delirium, and pressure sores. The Dementia Care in Hospitals Program trained ward staff, screened older patients for impairment, and put a bedside alert, the Cognitive Impairment Identifier, on the charts of those affected.
The study rolled the program out ward by ward in hospitals across four Australian states. It covered 16,789 patients aged 65 and over admitted for at least a day. Of those screened, 37.8% had cognitive impairment. Complications struck 27.4% of screened patients, and were three times as likely in those with impairment. Yet the program did not significantly change the combined complication rate for patients with impairment. Spotting risk and teaching staff, alone, may not move hard outcomes.
Catalog record
| CREATOR | Mark W Yates, Kasia Bail, Sean MacDermott, David Skvarc, Meredith Theobald, Michelle Morvell, Jessica C Jebramek, Ian Tebbut, Brian Draper, Henry Brodaty |
|---|---|
| YEAR | 2024 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 38 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |