Dementia in older people admitted to hospital: an analysis of length of stay and associated costs

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dc.contributor.author Ahern, Susan
dc.contributor.author Cronin, Jodi
dc.contributor.author Woods, Noel
dc.contributor.author Brady, Noeleen M.
dc.contributor.author O'Regan, Niamh A.
dc.contributor.author Trawley, Steven
dc.contributor.author Timmons, Suzanne
dc.date.accessioned 2018-11-09T12:47:39Z
dc.date.available 2018-11-09T12:47:39Z
dc.date.issued 2018-09-24
dc.identifier.citation Ahern, S., Cronin, J., Woods, N., Brady, N. M., O'Regan, N. A., Trawley, S. and Timmons, S. (2018) 'Dementia in older people admitted to hospital: an analysis of length of stay and associated costs', International Journal of Geriatric Psychiatry, pp. 1-7. doi: 10.1002/gps.5001 en
dc.identifier.startpage 1 en
dc.identifier.endpage 7 en
dc.identifier.issn 0885-6230
dc.identifier.issn 1099-1166
dc.identifier.uri http://hdl.handle.net/10468/7083
dc.identifier.doi 10.1002/gps.5001
dc.description.abstract Objectives: Patients with dementia in the acute setting are generally considered to impose higher costs on the health system compared to those without the disease largely due to longer length of stay (LOS). Many studies exploring the economic impact of the disease extrapolate estimates based on the costs of patients diagnosed using routinely collected hospital discharge data only. However, much dementia is undiagnosed, and therefore in limiting the analysis to this cohort, we believe that LOS and the associated costs of dementia may be overestimated. We examined LOS and associated costs in a cohort of patients specifically screened for dementia in the hospital setting. Methods: Using primary data collected from a prospective observational study of patients aged≥70 years, we conducted a comparative analysis of LOS and associated hospital costs for patients with and without a diagnosis of dementia. Results: There was no significant difference in overall length of stay and total costs between those with (μ= 9.9 days, μ=€8246) and without (μ= 8.25 days, μ=€6855) dementia. Categorical data analysis of LOS and costs between the two groups provided mixed results. Conclusions: The results challenge the basis for estimating the costs of dementia in the acute setting using LOS data from only those patients with a formal dementia diagnosis identified by routinely collected hospital discharge data. Accurate disease prevalence data, encompassing all stages of disease severity, are required to enable an estimation of the true costs of dementia in the acute setting based on LOS. en
dc.description.sponsorship Health Research Board (Grant Number HRA HSR/2011/4) en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher John Wiley & Sons, Inc. en
dc.rights © 2018, John Wiley & Sons Inc. This is the peer-reviewed version of the following article: Ahern, S., Cronin, J., Woods, N., Brady, N. M., O'Regan, N. A., Trawley, S. and Timmons, S. (2018) 'Dementia in older people admitted to hospital: an analysis of length of stay and associated costs', International Journal of Geriatric Psychiatry, pp. 1-7. doi: 10.1002/gps.5001, which has been published in final form at https://doi.org/10.1002/gps.5001. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. en
dc.subject Acute setting en
dc.subject Costs en
dc.subject Dementia en
dc.subject Length of stay en
dc.subject Older people en
dc.subject Screening en
dc.subject Dementia in older people en
dc.subject Associated costs of length of stay en
dc.title Dementia in older people admitted to hospital: an analysis of length of stay and associated costs en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Susan Ahern, Ohsrc, University College Cork, Cork, Ireland. +353-21-490-3000 Email: susan.ahern@ucc.ie en
dc.internal.availability Full text available en
dc.check.info Access to this article is restricted until 12 months after publication by request of the publisher. en
dc.check.date 2019-09-24
dc.date.updated 2018-11-09T12:37:19Z
dc.description.version Accepted Version en
dc.internal.rssid 454201337
dc.contributor.funder Health Research Board en
dc.description.status Peer reviewed en
dc.identifier.journaltitle International Journal of Geriatric Psychiatry. en
dc.internal.copyrightchecked Yes en
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress susan.ahern@ucc.ie en


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