Cited by 54Dementia and Cognitive Impairment ResearchChronic Disease Management StrategiesPharmaceutical Practices and Patient Outcomes

Discharge diagnosis and comorbidity profile in hospitalized older patients with dementia

Zuliani, Giovanni, Galvani, Matteo, Sioulis, Fotini, Bonetti, Francesco, Prandini, Stefano, Boari, Benedetta, Guerzoni, Franco, Gallerani, Massimo·2012·International Journal of Geriatric Psychiatry

Abstract

Objectives: The aim of this study was to investigate the principal discharge diagnosis and related comorbidity in hospitalized older patients affected by dementia. Methods: Data from 51,838 consecutive computerized discharge records of the St. Anna University Hospital (Ferrara, Italy) were analyzed. Records included only subjects aged ≥60 years. Number of admissions, length of stay in hospital, primary and secondary discharge diagnosis (by ICD‐9‐CM code), number of procedures, and possible death were evaluated. Results: Demented patients represented 8.6% of the sample (4466 individuals) and were older and more likely to be female patients compared with controls (47,372 individuals); they were characterized by higher number of admissions to hospital, instrumental clinical investigations, secondary diagnoses, and mortality rate. Among the primary diagnoses, a higher prevalence of cerebrovascular disease, pneumonia, and hip fracture was observed in demented patients. Furthermore, pulmonary embolism, renal failure, septicemia, and urinary infections were frequently reported in demented patients, but not in controls. As regards secondary diagnoses, dementia was associated with an increased risk of delirium, muscular atrophy and immobilization, dehydration, cystitis, and pressure ulcers, whereas the risk for other conditions, including cancer, was reduced. Conclusions: Among older patients, dementia was associated with higher rate of admissions to hospital and mortality. Discharge diagnoses were sensibly different according to the presence of dementia; in particular, a greater load and a different kind of comorbidity were observed in demented patients. On the whole, our data suggest that the adequate management of demented outpatients might help to reduce hospitalization. Copyright © 2011 John Wiley & Sons, Ltd.

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Crossref · 10.1002/gps.2722

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Authors
Zuliani, G., Galvani, M., Sioulis, F., Bonetti, F., Prandini, S., Boari, B., Guerzoni, F., & Gallerani, M.
Affiliations
  • University of Ferrara (IT)
  • Arcispedale Sant'Anna (IT)
Corresponding author
Zuliani, Giovanni
Venue
International Journal of Geriatric Psychiatry
Publisher
Wiley
Published
2011-04-27
Volume
27
Issue
3
Pages
313-320
ISSN
  • 0885-6230 (ISSN-L)
  • 1099-1166
OpenAlex
W1789334989
Cited by
54
References
29
Citations by year
2026: 1 · 2025: 2 · 2024: 2 · 2023: 2 · 2022: 5 · 2021: 4 · 2020: 5 · 2019: 1 · 2018: 5 · 2017: 2 · 2016: 2 · 2015: 3 · 2014: 6 · 2013: 10 · 2012: 3
FWCI
4.38
Type
journal article
Language
en
Open access
closed
Locations
  • International Journal of Geriatric Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • Institutional Research Information System University of Ferrara (University of Ferrara) (submittedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
  • Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
Keywords
dementia, older adults, hospitalization, hospital discharge diagnoses, comorbidities, hospital readmission, mortality, cerebrovascular disease, pneumonia, hip fracture, delirium, pressure ulcers, urinary tract infection, length of hospital stay
MeSH terms
Aged, Aged, 80 and over, Dementia, Female, Hospitalization, Hospitals, University, Humans, Italy, Length of Stay, Male, Patient Discharge, Comorbidity, Prevalence, Odds Ratio, Hospital Mortality

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