P3‐308: The effect of dementia case management in community‐dwelling individuals with dementia on resource utilization: A systematic review and meta‐analysis

Abstract

Index, SII). Delirium severity and performance on cognitive test were reviewed daily throughout the GMU stay. Patients with and without dementia were compared for recovery in cognitive scores and functional status. Results: 122 patients with delirium and admitted to GMU were recruited over a one-year period 82 (67.2%) patients with underlying dementia and 40 (32.8%) patients without dementia. There were no significant differences in age, gender, delirium severity or illness severity at admission to GMU between groups, although patients with dementia had significantly higher Charlson’s co-morbidity (2.27 versus 1.75, P1⁄40.05). Patients with and without dementia did not differ in their performance on cognitive testing (CMMSE) at admission to GMU, although delirious patients without underlying dementia demonstrated significantly greater improvement in CMMSE scores at discharge (6.73 points versus 1.99 points, P<0.001). MBI on admission was not significantly different between demented and non-demented groups. The patients in GMU achieved mean MBI improvement of 19.42 points (P<0.001), with both demented and non-demented groups capable of functional recovery (MBI gain of 20.43 versus 17.35 respectively, P1⁄40.35). Illness severity was the only negative predictor of functional recovery. Conclusions: Elderly patients with dementia and recovering from delirium have comparable potential for functional recovery as their cognitively intact counterparts in a delirium management unit focused on geriatric nursing care and rehabilitation. Our findings provide further support that patients with dementia can benefit from rehabilitation in the acute-care setting.