PMID- 32011033
OWN - NLM
STAT- MEDLINE
DCOM- 20201112
LR  - 20210113
IS  - 1099-1166 (Electronic)
IS  - 0885-6230 (Linking)
VI  - 35
IP  - 5
DP  - 2020 May
TI  - The effectiveness of interventions to improve the care and management of people 
      with dementia in general hospitals: A systematic review.
PG  - 463-488
LID - 10.1002/gps.5280 [doi]
AB  - BACKGROUND: People with dementia are at greater risk of being admitted to 
      hospital where care may not be tailored to their needs. Interventions improving 
      care and management are vital. AIM: Assess the effectiveness of interventions 
      designed to improve the care and management of people with dementia in hospital. 
      METHOD: Six medical and trial registry, and grey literature databases were 
      searched (1999-1998/2018). Search terms included "Dementia," "Hospital," and 
      "Intervention" and limited to experimental designs. Interventions designed to 
      improve the care and management of people with dementia in the general hospital 
      setting were examined. Outcomes included behavioural and psychological symptoms 
      of dementia (BPSD), psychosocial, clinical, staff knowledge, and length of 
      hospital stay. The CASP tools, Cochrane risk of bias tool, and GRADE system 
      assessed methodological quality and certainty of evidence. RESULTS: 9003 unique 
      citations were identified; 24 studies were included. Studies were limited in 
      study design and their conduct was at a risk of bias. There is very low-quality 
      evidence that multisensory behaviour therapy reduces BPSD. There is low-quality 
      evidence that a multidisciplinary programme reduces postoperative complications 
      and that robot-assisted therapy, music therapy, multimodal-comprehensive care, 
      person-centred care, and family-centred function-focused care interventions 
      improved staff knowledge, competence, efficacy, and communication. No studies 
      reported reduced length of stay. CONCLUSIONS: Whilst we found that these 
      interventions improved the care and management of people with dementia in 
      hospital, it was low- to very low-quality evidence. New clinical recommendations 
      cannot be made based on current evidence, and robust trial designs are necessary 
      to inform evidence-based care.
CI  - (c) 2020 John Wiley & Sons Ltd.
FAU - Feast, Alexandra R
AU  - Feast AR
AUID- ORCID: 0000-0001-9072-3023
AD  - Marie Curie Palliative Care Research Department, Division of Psychiatry, 
      University College London, London, UK.
FAU - White, Nicola
AU  - White N
AD  - Marie Curie Palliative Care Research Department, Division of Psychiatry, 
      University College London, London, UK.
FAU - Candy, Bridget
AU  - Candy B
AD  - Marie Curie Palliative Care Research Department, Division of Psychiatry, 
      University College London, London, UK.
FAU - Kupeli, Nuriye
AU  - Kupeli N
AUID- ORCID: 0000-0001-6511-412X
AD  - Marie Curie Palliative Care Research Department, Division of Psychiatry, 
      University College London, London, UK.
FAU - Sampson, Elizabeth L
AU  - Sampson EL
AD  - Barnet Enfield and Haringey Mental Health Trust Liaison Psychiatry Team, North 
      Middlesex University Hospital, London, UK.
LA  - eng
GR  - MCCC-FCO-11-U/MCCC_/Marie Curie/United Kingdom
GR  - PB-PG-0317-20019/DH_/Department of Health/United Kingdom
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Systematic Review
DEP - 20200221
PL  - England
TA  - Int J Geriatr Psychiatry
JT  - International journal of geriatric psychiatry
JID - 8710629
SB  - IM
MH  - *Behavior Therapy
MH  - Communication
MH  - Dementia/psychology/*therapy
MH  - Hospitalization
MH  - Hospitals, General
MH  - Humans
MH  - *Music Therapy
OTO - NOTNLM
OT  - care and management
OT  - dementia
OT  - hospital
OT  - intervention
OT  - systematic review
EDAT- 2020/02/06 06:00
MHDA- 2020/11/13 06:00
CRDT- 2020/02/04 06:00
PHST- 2019/09/18 00:00 [received]
PHST- 2020/01/21 00:00 [accepted]
PHST- 2020/02/06 06:00 [pubmed]
PHST- 2020/11/13 06:00 [medline]
PHST- 2020/02/04 06:00 [entrez]
AID - 10.1002/gps.5280 [doi]
PST - ppublish
SO  - Int J Geriatr Psychiatry. 2020 May;35(5):463-488. doi: 10.1002/gps.5280. Epub 
      2020 Feb 21.