Cardiff University | Prifysgol Caerdydd ORCA
Online Research @ Cardiff 
WelshClear Cookie - decide language by browser settings

Impact of hospital design on acutely unwell patients with dementia

Young, Caitlin, Edwards, Chris and Singh, Inderpal 2017. Impact of hospital design on acutely unwell patients with dementia. Geriatrics 2 (1) , 4. 10.3390/geriatrics2010004

[img]
Preview
PDF - Published Version
Available under License Creative Commons Attribution.

Download (207kB) | Preview

Abstract

Increasing emphasis on patient privacy and satisfaction has seen more 100% single-room hospitals opened across the UK. Few studies have addressed the impact of these new hospital designs (single rooms) on clinical outcomes specifically for acutely unwell frail patients with dementia. The objective of this study was to profile and compare the clinical outcomes of acutely unwell patients with dementia admitted to two different hospital environments. This prospective observation study was conducted for 100 dementia patients admitted at Ysbyty Ystrad Fawr (hospital with 100% single rooms) and Royal Gwent Hospital (traditional multi-bed wards) under the same University Health Board. The length of stay (LoS) was significantly longer for patients admitted to single rooms. The clinical profile of the patients was similar in both hospitals and has no association with LoS. There was no significant difference in terms of incidence of inpatient falls, fall-related injury, discharge to a new care home, 30-day readmission, or mortality. The single room environment appears to influence LoS, as previously reported; however, following the introduction of quality improvement initiatives to prevent inpatient falls, single rooms do not appear to be associated with higher inpatient fall incidence. We propose more research to understand the relationship between single rooms and LoS.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Biosciences
Medicine
Subjects: R Medicine > R Medicine (General)
Uncontrolled Keywords: dementia; single rooms; multi-bedded wards; older people; falls; clinical outcomes
Publisher: MDPI Publishing
ISSN: 2308-3417
Date of First Compliant Deposit: 19 April 2017
Date of Acceptance: 9 January 2017
Last Modified: 10 Jul 2018 12:57
URI: http://orca.cf.ac.uk/id/eprint/99943

Citation Data

Cited 1 time in Google Scholar. View in Google Scholar

Actions (repository staff only)

Edit Item Edit Item

Downloads

Downloads per month over past year

View more statistics