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Potentially preventable complications of urinary tract infections, pressure areas, pneumonia, and delirium in hospitalised dementia patients: retrospective cohort study.

Abstract：

OBJECTIVES:To identify rates of potentially preventable complications for dementia patients compared with non-dementia patients. DESIGN:Retrospective cohort design using hospital discharge data for dementia patients, case matched on sex, age, comorbidity and surgical status on a 1 : 4 ratio to non-dementia patients. SETTING:Public hospital discharge data from the state of New South Wales, Australia for 2006/2007. PARTICIPANTS:426 276 overnight hospital episodes for patients aged 50 and above (census sample). MAIN OUTCOME MEASURES:Rates of preventable complications, with episode-level risk adjustment for 12 complications that are known to be sensitive to nursing care. RESULTS:Controlling for age and comorbidities, surgical dementia patients had higher rates than non-dementia patients in seven of the 12 complications: urinary tract infections, pressure ulcers, delirium, pneumonia, physiological and metabolic derangement (all at p<0.0001), sepsis and failure to rescue (at p<0.05). Medical dementia patients also had higher rates of these complications than did non-dementia patients. The highest rates and highest relative risk for dementia patients compared with non-dementia patients, in both medical and surgical populations, were found in four common complications: urinary tract infections, pressure areas, pneumonia and delirium. CONCLUSIONS:Compared with non-dementia patients, hospitalised dementia patients have higher rates of potentially preventable complications that might be responsive to nursing interventions.

journal_name

BMJ Open

journal_title

BMJ open

authors

Bail K,Berry H,Grealish L,Draper B,Karmel R,Gibson D,Peut A

doi

10.1136/bmjopen-2013-002770

subject

Has Abstract

pub_date

2013-06-20 00:00:00

issue

6

issn

2044-6055

pii

bmjopen-2013-002770

journal_volume

3

pub_type

杂志文章

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