Do ward changes affect outcomes differently in people living with dementia?
Background Ward changes during hospital admissions are associated with poorer outcomes, but their impact on people living with dementia is unknown. Objective To examine whether individuals with dementia are more adversely affected by ward changes. Setting Four hospitals within a UK NHS Trust. Subjec...
| Publicado en: | Age & Ageing Vol. 55; no. 1; pp. 1 - 8 |
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| Autores principales: | , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Oxford University Press / USA
Jan2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=192513113&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 192513113 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Jan2026 vid: 55 iid: 1 pid: 622 pub: Oxford University Press / USA artinfo: ui: 192513113 10.1093/ageing/afaf372 ppf: 1 ppct: 7 formats: tig: atl: Do ward changes affect outcomes differently in people living with dementia? aug: au: Elliott, Emma Hamilton, Robyn Munford, Luke Richardson, Connor Darley, Lindsey Thompson, Rebecca Rowbotham, Daniel Vardy, Emma R L C affil: National Institute for Health and Care Research (NIHR) Applied Research Collaboration-Greater Manchester, Faculty of Biology, Medicine and Health, School of Health Sciences, The University of Manchester, Manchester M13 9PL, UKManchester Academic Health Science Centre, Manchester, M13 9NQ, UK Northern Care Alliance NHS Foundation Trust, Salford, UK National Institute for Health and Care Research (NIHR) Applied Research Collaboration-North East and North Cumbria, Newcastle University, Newcastle upon Tyne, NE4 5PL, UK National Institute for Health and Care Research (NIHR) Applied Research Collaboration-Greater Manchester, Faculty of Biology, Medicine and Health, School of Health Sciences, The University of Manchester, Manchester M13 9PL, UKManchester Academic Health Science Centre, Manchester, M13 9NQ, UKNorthern Care Alliance NHS Foundation Trust, Salford, UK su: United Kingdom Patients Hospital care Hospital admission & discharge Sex distribution Socioeconomic factors Age distribution Hospital wards Pearson correlation (Statistics) National health services Research funding T-test (Statistics) Scientific observation Logistic regression analysis Hospital mortality Chi-squared test Mann Whitney U Test Descriptive statistics Odds ratio Research Dementia Length of stay in hospitals Data analysis software Confidence intervals Dementia patients Regression analysis Disease complications sug: subj: Patients Hospital care Hospital admission & discharge Sex distribution Socioeconomic factors Age distribution Hospital wards United Kingdom Pearson correlation (Statistics) National health services Research funding T-test (Statistics) Scientific observation Logistic regression analysis Hospital mortality Chi-squared test Mann Whitney U Test Descriptive statistics Odds ratio Research Dementia Length of stay in hospitals Data analysis software Confidence intervals Dementia patients Regression analysis Disease complications keyword: copyrightHolder:British Geriatrics Society copyrightYear:2026 dementia hospitalisation https://dx.doi.org/10.1093/ageing/afaf372 inLanguage:en inpatients length of stay mortality older adult older people patients' rooms publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/41536135/ transfer technique transfers ward changes ward moves copyrightHolder:British Geriatrics Society copyrightYear:2026 dementia hospitalisation https://dx.doi.org/10.1093/ageing/afaf372 inLanguage:en inpatients length of stay mortality older adult older people patients' rooms publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/41536135/ transfer technique transfers ward changes ward moves ab: Background Ward changes during hospital admissions are associated with poorer outcomes, but their impact on people living with dementia is unknown. Objective To examine whether individuals with dementia are more adversely affected by ward changes. Setting Four hospitals within a UK NHS Trust. Subjects Individuals aged ≥65 years. Methods This service evaluation included data from 01/2023–02/2024. Generalised estimating equations were used to fit linear and logistic regression models. Associations between ward changes, dementia status and their interaction on three outcomes—length of stay (LOS), inpatient mortality and discharged to a care home—were examined. Fully adjusted models accounted for demographic, socioeconomic factors and hospital site. Results 27,140 admissions, 19,392 unique individuals (2760 with dementia) were included. Mean age at first admission 79.0 (SD 8.1). In the fully adjusted LOS model, both ward changes (β = 5.2, P < .001) and the interaction with dementia (β = 1.7, P < .001) were associated with longer LOS. In the fully adjusted mortality model, dementia was associated with increased risk of mortality (OR = 1.4, P = .013) but there was no interaction effect of ward changes and dementia. In the fully adjusted care home admission model, dementia (OR = 4.4, P < .001) and ward changes (OR = 1.3, P < .001) were associated with increased risk, without evidence of interaction. Conclusions Our results suggest that ward changes disproportionately affect LOS, but not mortality or discharge destination, in people living with dementia. Minimising ward transfers may improve outcomes for all older adults but is particularly important in dementia care to reduce the risk of extended LOS and potential associated inpatient harm. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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