TY - JOUR
T1 - 20-Year trends of hospitalisation among people with dementia
T2 - a region-wide retrospective cohort study from Lombardy, Italy
AU - Blandi, L.
AU - Bertuccio, P.
AU - Amorosi, A.
AU - Clemens, T.
AU - Brand, H.
AU - Odone, A.
N1 - Publisher Copyright:
© 2023 The Royal Society for Public Health
PY - 2023/9/1
Y1 - 2023/9/1
N2 - Objectives: The aim of this study was to investigate the trends of hospitalisations among people with dementia, linking region-wide hospital and demographic health records. Study design: A retrospective cohort study was conducted using hospitalisation health records from the Lombardy region in Italy. Methods: The study included people aged =65 years with a diagnosis of dementia who were hospitalised between 2002 and 2020 in Lombardy, which is the most populated region in Italy with 10 million inhabitants. Using data on resident population, this study computed rates of hospitalisation by calendar year, age, sex and cause of hospitalisation. Results: In total, 340,144 hospitalised patients with dementia were included in the study. The rate of hospitalisation was 100.6 per 10,000 in 2002 and progressively decreased to 65.1 per 10,000 in 2020. The average age at hospitalisation in 2002 was 78.9 years for men and 81.8 years for women, which increased to 82.0 years and 84.2 years, respectively, in 2020. Respiratory diseases caused 10.4% of all hospitalisations in 2002 and grew steadily to 26.8% in 2020, becoming the leading cause of hospital admissions since 2017. Conclusions: Hospitalisation patterns for people with dementia have changed over the last 20 years, reflecting evolving epidemiological trends and the impact of healthcare policies. Region-wide administrative health record data analysis should be further utilised to explore the health needs of people with dementia and inform the planning, implementation and monitoring of effective prevention strategies in this population group.
AB - Objectives: The aim of this study was to investigate the trends of hospitalisations among people with dementia, linking region-wide hospital and demographic health records. Study design: A retrospective cohort study was conducted using hospitalisation health records from the Lombardy region in Italy. Methods: The study included people aged =65 years with a diagnosis of dementia who were hospitalised between 2002 and 2020 in Lombardy, which is the most populated region in Italy with 10 million inhabitants. Using data on resident population, this study computed rates of hospitalisation by calendar year, age, sex and cause of hospitalisation. Results: In total, 340,144 hospitalised patients with dementia were included in the study. The rate of hospitalisation was 100.6 per 10,000 in 2002 and progressively decreased to 65.1 per 10,000 in 2020. The average age at hospitalisation in 2002 was 78.9 years for men and 81.8 years for women, which increased to 82.0 years and 84.2 years, respectively, in 2020. Respiratory diseases caused 10.4% of all hospitalisations in 2002 and grew steadily to 26.8% in 2020, becoming the leading cause of hospital admissions since 2017. Conclusions: Hospitalisation patterns for people with dementia have changed over the last 20 years, reflecting evolving epidemiological trends and the impact of healthcare policies. Region-wide administrative health record data analysis should be further utilised to explore the health needs of people with dementia and inform the planning, implementation and monitoring of effective prevention strategies in this population group.
KW - Dementia
KW - Electronic health records
KW - Epidemiology
KW - Hospitalisation trends
KW - Population-based cohort
U2 - 10.1016/j.puhe.2023.06.036
DO - 10.1016/j.puhe.2023.06.036
M3 - Article
C2 - 37499438
SN - 0033-3506
VL - 222
SP - 21
EP - 28
JO - Public Health
JF - Public Health
IS - 1
ER -