[Special care units for patients with cognitive impairment : Results of a nationwide survey in geriatric hospitals in Germany].

Abstract:

BACKGROUND:A large number of older acutely ill patients with cognitive impairment are treated in geriatric care units. Since 1990 some geriatric departments in Germany have established special care units (SCU) for this patient population. In 2010 the first inventory of SCUs in Germany was carried out, which was not based on a nationwide systematic survey. OBJECTIVE:Nationwide systematic survey of SCUs for patients with cognitive impairment in geriatric institutions in Germany. METHODS:An online questionnaire (SurveyMonkey®, San Mateo, CA, USA) was sent to all heads of geriatric departments that provide advanced education in geriatric medicine of at least 12 months as registered by the German Society for Geriatric Medicine (DGG). RESULTS:The questionnaire was sent to 495 geriatric institutions of which 161 answered (response rate 32.5%). Additionally, 13 institutions answered through a weblink sent in a newsletter by the DGG. In 2017 a total of 42 SCUs existed with a mean size of 13.5 ± 4.7 beds. A further 15 hospitals plan to install an SCU in the near future, 5 probably in 2018. In four geriatric departments an existing SCU was closed down. All SCUs implemented special architectural, structural and personnel measures as recommended by the position paper of the DGG. The few conducted evaluations indicated beneficial results for mobility and disruptive behavior. CONCLUSION:In recent years the number of SCUs has increased considerably. A methodologically sound evaluation with respect to patient-related outcomes including follow-up and cost-effectiveness is lacking and should be carried out in the near future.

journal_name

Z Gerontol Geriatr

authors

Zieschang T,Bauer J,Kopf D,Rösler A

doi

10.1007/s00391-018-1439-z

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

598-606

issue

6

eissn

0948-6704

issn

1435-1269

pii

10.1007/s00391-018-1439-z

journal_volume

52

pub_type

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