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@ARTICLE{Mllers:137691,
author = {T. Möllers and H. Stocker and W. Wei and L. Perna$^*$ and
H. Brenner$^*$},
title = {{L}ength of hospital stay and dementia: {A} systematic
review of observational studies.},
journal = {International journal of geriatric psychiatry},
volume = {34},
number = {1},
issn = {0885-6230},
address = {Chichester [u.a.]},
publisher = {Wiley},
reportid = {DKFZ-2018-01568},
pages = {8-21},
year = {2019},
abstract = {Hospitalizations of people with dementia (PWD) are often
accompanied by complications or functional loss and can lead
to adverse outcomes. Unsystematic findings suggest an
influence of comorbidities on the extent of differences in
the length of hospital stay (LOS). This systematic review
aimed to identify and evaluate all studies reporting LOS in
PWD as compared to PwoD in general hospitals.A systematic
review of observational studies using PubMed and ISI Web of
Knowledge. Inclusion criteria comprised original studies
written in English or German, assessment of diagnosis of
dementia, measurement of LOS, and comparison of people with
and without dementia.Fifty-two of 60 studies reported a
longer hospitalization time for PWD compared to PwoD. The
extent of the difference in LOS varied between and within
countries as well as by type of primary morbidity (eg,
injuries, cardiovascular diseases). The range of the LOS
difference for studies without restriction to a primary
morbidity was -2 to +22 days after matching or adjustment
for a variable number and selection of potentially relevant
covariates. For studies with injuries/fractures/medical
procedures and infectious/vascular disease as the primary
morbidity, the range was -2.9 to +12.4 and -11.2 to
+21.8 days, respectively.The majority of studies reported a
longer hospitalization of PWD compared to PwoD. Length of
hospital stay seems to be influenced by a variety of
medical, social, organizational factors, including reasons
for hospital admission, whose role should be explored in
detail in further research.},
subtyp = {Review Article},
cin = {C070},
ddc = {610},
cid = {I:(DE-He78)C070-20160331},
pnm = {313 - Cancer risk factors and prevention (POF3-313)},
pid = {G:(DE-HGF)POF3-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:30260050},
doi = {10.1002/gps.4993},
url = {https://inrepo02.dkfz.de/record/137691},
}