From: Determinants of hospital readmissions in older people with dementia: a narrative review
Main categories | Sub-categories | Studies |
---|---|---|
Psychosocial determinants | ||
    Inadequate discharge planning | PLWD living at home alone | Knox et al. (2021) [46], Callahan et al. (2012) [50], Tropea et al. (2017) [52] |
Insufficient post-discharge care resources | Knox et al. (2021) [46], Callahan et al. (2012) [50], Tropea et al. (2017) [52], Cummings et al. (1999) [45], Graversen et al. (2021) [16] | |
Complex care | Cummings et al. (1999) [45] | |
    Interdisciplinary collaboration | Poor communication: - Poor information sharing when transitioning healthcare facilities. - Short discharge timeframes | Gilmore-Bykovskyi et al. (2017) [55] |
Good communication: - Different healthcare professionals using their expertise to achieve the same goal of reducing hospital readmissions. - Primary care continuity between primary care professionals and PLWD and their carers. | Gustafsson et al. (2017) [56], Godard-Sebillotte et al. (2021) [17] | |
    Ethnic differences in dementia | Socioeconomic disadvantages among PLWD of ethnic minorities | Gilmore-Bykovskyi et al. (2023) [57] |
Psychosocial and physical connection | ||
    Behavioural and psychological symptoms | Potential overuse to manage behavioural and psychological symptoms (BPSD) and delirium | |
Hospitalised PLWD with behavioural symptoms | ||
Physical determinants | ||
    Functional ability | Individual ability to mobilise and perform self-care tasks to reduce recurrent admissions | Knox et al. (2020) [47] |
    Long-term conditions | Common long-term conditions | Lin et al. (2017) [51], Sakata (2018) [18], Van de Vorst (2019) [19] |
Accumulating long-term conditions | Rudolph et al. (2010) [49] | |
Common hospital admission aetiologies | Chang et al. (2015) [44] |