Hospitals do not recognise dementia in a third of patients admitted with other conditions

Hospitals fail to recognise dementia in a third of patients who have already had the condition diagnosed if they are admitted to hospital for a different reason | Alzheimer’s and Dementia | via BMJ

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Researchers reviewed data on 21 387 patients aged over 65 who had been assessed at South London and Maudsley NHS Foundation Trust memory clinics from 2008 to 2006. A total of 8246 people had dementia diagnosed and were then admitted to general hospitals 37 329 times after their diagnosis.

The results, published in Alzheimer’s and Dementia, showed that 6429 patients (78%) had a dementia diagnosis recorded at some point in their hospital records. The proportion of all individual hospital records that included dementia was 50.3% and, among the 26 894 non-elective hospital admissions, the proportion was 63.3%.

Hospitals were more likely to miss dementia in patients who were younger, single, had more physical illness, had better cognitive function and less agitation or activity of daily living impairment, or were from an ethnic minority group.

Full story at BMJ

Full article: Sommerlad A, et al. | Accuracy of general hospital dementia diagnoses in England: sensitivity, specificity, and predictors of diagnostic accuracy 2008-2016 | Alzheimer’s and Dementia | published online 24 April 2018

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