Imperial College London
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ProfessorMikeCrawford

Faculty of Medicine, Department of Brain Sciences

Professor of Mental Health Research
 
 
 
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Contact

 

+44 (0)20 3313 4161m.crawford

 
 
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Assistant

 

Ms Nicole Hickey +44 (0)20 3313 4161

 
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Location

 

Commonwealth BuildingHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Codling:2021:10.1080/13607863.2020.1725804,
author = {Codling, D and Hood, C and Bassett, P and Smithard, D and Crawford, MJ},
doi = {10.1080/13607863.2020.1725804},
journal = {Aging and Mental Health},
pages = {889--895},
title = {Delirium screening and mortality in patients with dementia admitted to acute hospitals},
url = {http://dx.doi.org/10.1080/13607863.2020.1725804},
volume = {25},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Objectives: Delirium is associated with increased mortality in older adults. National guidance recommends that all people with dementia who are admitted to hospital are screened for delirium. However, the impact of screening for delirium among inpatients with dementia has not been examined. This study aims to examine this relationship.Methods: Secondary analysis of data from 10,047 patients admitted to 199 hospitals in England and Wales that took part in the third round of the National Audit of Dementia. Data on patients with dementia who died during their admission were compared with those who survived. We calculated odds of mortality among those who were screened for delirium, received cognitive testing, and, in those with delirium, an expert clinical review.Results: The mean age of study patients was 84 years (SD = 7.9), 40.1% were male and 82.1% white British. 1,285 patients (12.8%) died during their admission to hospital. Overall, 4,466 (44.5%) patients were screened for delirium, of whom 2,603 (58.6%) screened positive. The odds of mortality were lower in patients who underwent delirium screening (OR: 0.79, 95% confidence interval (CI): 0.69-0.90) and in those receiving cognitive testing (OR: 0.71, 95%CI: 0.61-0.82).Conclusion: These results demonstrate that, among people with dementia who are admitted to hospital, screening for delirium and assessment of cognitive functioning are associated with lower mortality. While we cannot be certain that these associations are causal, the findings support efforts that are being made to increase levels of screening for delirium among people with dementia who are admitted to hospital.
AU  - Codling,D
AU  - Hood,C
AU  - Bassett,P
AU  - Smithard,D
AU  - Crawford,MJ
DO  - 10.1080/13607863.2020.1725804
EP  - 895
PY  - 2021///
SN  - 1360-7863
SP  - 889
TI  - Delirium screening and mortality in patients with dementia admitted to acute hospitals
T2  - Aging and Mental Health
UR  - http://dx.doi.org/10.1080/13607863.2020.1725804
UR  - https://www.ncbi.nlm.nih.gov/pubmed/32081035
UR  - https://www.tandfonline.com/doi/full/10.1080/13607863.2020.1725804
UR  - http://hdl.handle.net/10044/1/77052
VL  - 25
ER  -
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