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In-hospital death according to dementia diagnosis in acutely ill elderly patients: the REPOSI study
- Authors:
- MARENGONI A., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 26(9), September 2011, pp.930-936.
- Publisher:
- Wiley
The Registro Politerapie SIMI (REPOSI) study in Italy aimed to describe the prevalence of co-occurring multiple diseases and treatments in hospitalised elderly patients, to correlate clinical characteristics of the patients with type and number of diseases and treatments, and to evaluate the main clinical outcomes. The project described in this article used information from the 38 hospitals in different regions of Italy participating in the REPOSI study during 2008. Logistic regression models were used to evaluate the association of dementia with in-hospital death in the 1,221 patients included in the analyses. 117 participants were diagnosed as being affected by dementia, and patients with dementia were more likely to be women, older, to have cerebrovascular diseases, pneumonia and a higher number of adverse clinical events during hospitalisation. The percentage of patients affected by dementia who died during hospitalisation was higher than that of patients without dementia. The researchers concluded that acutely ill elderly patients affected by dementia are more likely to die shortly after hospital admission and that having dementia and adverse clinical events during hospital stays increases the risk of death.