PMID- 25919794
OWN - NLM
STAT- MEDLINE
DCOM- 20160526
LR  - 20160115
IS  - 1479-8301 (Electronic)
IS  - 1346-3500 (Linking)
VI  - 15
IP  - 4
DP  - 2015 Dec
TI  - Predictors of home discharge among patients hospitalized for behavioural and 
      psychological symptoms of dementia.
PG  - 248-54
LID - 10.1111/psyg.12114 [doi]
AB  - BACKGROUND: The Japanese government recently announced the 'Five-Year Plan for 
      Promotion of Measures Against Dementia (Orange Plan)' to promote people with 
      dementia living in their communities. To achieve this, it is imperative that 
      patients hospitalized with behavioural and psychological symptoms of dementia 
      (BPSD) are helped to return to their own homes. The aim of the present study was 
      to identify predictors of home discharge among patients hospitalized for BPSD. 
      METHODS: A single-centre chart review study was conducted on consecutive patients 
      hospitalized from home between April 2006 and March 2011 for the treatment of 
      BPSD. The frequency of discharge back to home was examined in relation to a 
      patient's active behavioural problems and demographics at the time of admission. 
      Diagnoses of dementia were made on the basis of the Diagnostic and Statistical 
      Manual of Mental Disorders, 4th edition, and consensus guidelines for the 
      clinical and pathologic diagnosis of dementia with Lewy bodies. RESULTS: In all, 
      391 patients were enrolled in the study. Of these patients, 163 (42%) returned 
      home. Multiple logistic regression analysis identified high Mini-Mental State 
      Examination and Nishimura-style senile activities of daily living scores as 
      significant independent predictors of home discharge. In contrast, living alone 
      and manifestation of aggressiveness at the time of admission were negatively 
      associated with home discharge. CONCLUSIONS: Few patients hospitalized for BPSD 
      are discharged home, and this number is affected by a patient's clinical and 
      demographic characteristics at the time of admission. These findings should be 
      considered in designing and implementing optimal management and care strategies 
      for patients with BPSD.
CI  - (c) 2015 The Authors. Psychogeriatrics (c) 2015 Japanese Psychogeriatric Society.
FAU - Tochimoto, Shinnichi
AU  - Tochimoto S
AD  - Department of Neuropsychiatry, Ishikawa Prefectural Takamatsu Hospital, Kahoku 
      City, Japan.
FAU - Kitamura, Maki
AU  - Kitamura M
AD  - Department of Neuropsychiatry, Ishikawa Prefectural Takamatsu Hospital, Kahoku 
      City, Japan.
FAU - Hino, Shoryoku
AU  - Hino S
AD  - Department of Neuropsychiatry, Ishikawa Prefectural Takamatsu Hospital, Kahoku 
      City, Japan.
FAU - Kitamura, Tatsuru
AU  - Kitamura T
AD  - Department of Neuropsychiatry, Ishikawa Prefectural Takamatsu Hospital, Kahoku 
      City, Japan.
LA  - eng
PT  - Journal Article
DEP - 20150427
PL  - England
TA  - Psychogeriatrics
JT  - Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society
JID - 101230058
SB  - IM
MH  - Activities of Daily Living
MH  - Aged
MH  - Behavioral Symptoms/*psychology
MH  - Dementia/*psychology
MH  - Female
MH  - *Homes for the Aged
MH  - Hospitalization/*statistics & numerical data
MH  - Humans
MH  - Japan
MH  - Logistic Models
MH  - Male
MH  - Neuropsychological Tests
MH  - *Nursing Homes
MH  - Patient Discharge/*statistics & numerical data
MH  - Predictive Value of Tests
OTO - NOTNLM
OT  - behavioural symptoms
OT  - dementia
OT  - inpatients
OT  - patient care management
OT  - patient discharge
EDAT- 2015/04/29 06:00
MHDA- 2016/05/27 06:00
CRDT- 2015/04/29 06:00
PHST- 2014/06/13 00:00 [received]
PHST- 2014/11/08 00:00 [revised]
PHST- 2014/12/31 00:00 [accepted]
PHST- 2015/04/29 06:00 [entrez]
PHST- 2015/04/29 06:00 [pubmed]
PHST- 2016/05/27 06:00 [medline]
AID - 10.1111/psyg.12114 [doi]
PST - ppublish
SO  - Psychogeriatrics. 2015 Dec;15(4):248-54. doi: 10.1111/psyg.12114. Epub 2015 Apr 
      27.