Impact of health service interventions on acute hospital use in community-dwelling persons with dementia: A systematic literature review and meta-analysis.
Claire Godard-SebillotteMélanie Le BerreTibor SchusterMiguel TrottierIsabelle VedelPublished in: PloS one (2019)
Despite a comprehensive systematic review and meta-analysis, including predominantly unpublished data, no health service intervention beyond usual care was found to reduce acute hospital use in community-dwelling persons with dementia. An important increase in service use may be associated with these interventions. Further research is urgently needed to identify effective interventions for this vulnerable population to limit rising acute hospital use, associated costs and adverse outcomes. Systematic review registration PROSPERO CRD42016046444.
Keyphrases
- community dwelling
- liver failure
- healthcare
- systematic review
- respiratory failure
- physical activity
- drug induced
- aortic dissection
- mild cognitive impairment
- acute care
- randomized controlled trial
- adverse drug
- mental health
- cognitive impairment
- palliative care
- meta analyses
- hepatitis b virus
- emergency department
- acute respiratory distress syndrome
- extracorporeal membrane oxygenation
- chronic pain
- health insurance
- african american