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       #Post#: 253--------------------------------------------------
       Do medical interventions work for people with dementia in genera
       l hospital?
       By: admini5 Date: May 14, 2015, 3:13 am
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       It is an unfortunate fact that people with dementia may be
       openly or implicitly excluded from some of the most important
       treatments in general hospital. Older studies have tended to
       show poor outcomes for people with dementia in general hospital.
       A recent carefully conducted prospective study examined the
       contribution of dementia to three key adverse outcomes among
       older hospital inpatients; length of stay, death and
       institutionalization. After controlling for medical
       co-morbidity, dementia was predictive only of
       institutionalization. This emphasizes the importance of focusing
       on co-morbidities in people with dementia. An influential study
       in this area was that of Huusku et al. A sample of 243 older
       Finnish people with hip fracture was randomized to receive
       either care as usual or an intensive geriatric rehabilitation
       programme as general hospital inpatients. A subgroup analysis
       showed that people with mild dementia had better outcomes when
       given active rehabilitation. This difference was far greater for
       those with moderate dementia. There was no overall difference in
       outcome for those people without dementia compared with people
       with dementia. A far higher proportion of those with dementia
       who had intensive rehabilitation were living independently at
       follow up. A meta-analysis of interventions to prevent falls
       among people with dementia and cognitive impairment showed that
       multifaceted interventions in general hospital settings could
       reduce falls and that degree of dementia had no effect on
       outcomes.
       See more at :
  HTML http://www.alzheimers.org.uk/site/scripts/documents_info.php?documentID=1094&pageNumber=5
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