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

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dc.contributor.authorAhern, Susan
dc.contributor.authorCronin, Jodi
dc.contributor.authorWoods, Noel
dc.contributor.authorBrady, Noeleen M.
dc.contributor.authorO'Regan, Niamh A.
dc.contributor.authorTrawley, Steven
dc.contributor.authorTimmons, Suzanne
dc.contributor.funderHealth Research Boarden
dc.date.accessioned2018-11-09T12:47:39Z
dc.date.available2018-11-09T12:47:39Z
dc.date.issued2018-09-24
dc.date.updated2018-11-09T12:37:19Z
dc.description.abstractObjectives: 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.sponsorshipHealth Research Board (Grant Number HRA HSR/2011/4)en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationAhern, 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.5001en
dc.identifier.doi10.1002/gps.5001
dc.identifier.endpage7en
dc.identifier.issn0885-6230
dc.identifier.issn1099-1166
dc.identifier.journaltitleInternational Journal of Geriatric Psychiatry.en
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/7083
dc.language.isoenen
dc.publisherJohn 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.subjectAcute settingen
dc.subjectCostsen
dc.subjectDementiaen
dc.subjectLength of stayen
dc.subjectOlder peopleen
dc.subjectScreeningen
dc.subjectDementia in older peopleen
dc.subjectAssociated costs of length of stayen
dc.titleDementia in older people admitted to hospital: an analysis of length of stay and associated costsen
dc.typeArticle (peer-reviewed)en
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