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Hospitalization and Socio-Health Care for Dementia in Spain

Dementias are brain diseases that affect long-term cognitive and behavioral functions and cause a decrease in the ability to think and remember that is severe enough to disturb daily functioning. In Spain, the number of people suffering from dementia is rising due to population ageing. Reducing admi...

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Autores principales: Llanes-Álvarez, Carlos, llano, Jesús M. Andrés-de, Álvarez-Navares, Ana I., Roncero, Carlos, Pastor-Hidalgo, M. Teresa, Garmendia-Leiza, José R., Andrés-Alberola, Irene, Franco-Martín, Manuel A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7760198/
https://www.ncbi.nlm.nih.gov/pubmed/33260542
http://dx.doi.org/10.3390/jcm9123875
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author Llanes-Álvarez, Carlos
llano, Jesús M. Andrés-de
Álvarez-Navares, Ana I.
Roncero, Carlos
Pastor-Hidalgo, M. Teresa
Garmendia-Leiza, José R.
Andrés-Alberola, Irene
Franco-Martín, Manuel A.
author_facet Llanes-Álvarez, Carlos
llano, Jesús M. Andrés-de
Álvarez-Navares, Ana I.
Roncero, Carlos
Pastor-Hidalgo, M. Teresa
Garmendia-Leiza, José R.
Andrés-Alberola, Irene
Franco-Martín, Manuel A.
author_sort Llanes-Álvarez, Carlos
collection PubMed
description Dementias are brain diseases that affect long-term cognitive and behavioral functions and cause a decrease in the ability to think and remember that is severe enough to disturb daily functioning. In Spain, the number of people suffering from dementia is rising due to population ageing. Reducing admissions, many of them avoidable, would be advantageous for patients and care-providers. Understanding the correlation of admission of people with dementia and its trends in hospitalization would help us to understand the factors leading to admission. We conducted a cross-sectional study of the hospital discharge database of Castilla y León from 2005 to 2015, selecting hospitalizations for dementia. Trends in hospitalizations by year and age quartiles were studied by joinpoint regression analysis. 2807 out of 2,717,192 total hospitalizations (0.10%) were due to dementias; the main groups were degenerative dementia (1907) followed by vascular dementia (607). Dementias are not a major cause of hospitalization, but the average stay and cost are high, and many of them seem avoidable. Decreasing trends were detected in hospitalization rates for all dementias except for the group of mild cognitive impairment, which grew. An increasing–decreasing joinpoint detected in 2007 for vascular dementia and the general downward hospitalization trends for most dementias suggest that socio-health measures established since 2007 in Spain might play a key role in reducing hospitalizations.
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spelling pubmed-77601982020-12-26 Hospitalization and Socio-Health Care for Dementia in Spain Llanes-Álvarez, Carlos llano, Jesús M. Andrés-de Álvarez-Navares, Ana I. Roncero, Carlos Pastor-Hidalgo, M. Teresa Garmendia-Leiza, José R. Andrés-Alberola, Irene Franco-Martín, Manuel A. J Clin Med Article Dementias are brain diseases that affect long-term cognitive and behavioral functions and cause a decrease in the ability to think and remember that is severe enough to disturb daily functioning. In Spain, the number of people suffering from dementia is rising due to population ageing. Reducing admissions, many of them avoidable, would be advantageous for patients and care-providers. Understanding the correlation of admission of people with dementia and its trends in hospitalization would help us to understand the factors leading to admission. We conducted a cross-sectional study of the hospital discharge database of Castilla y León from 2005 to 2015, selecting hospitalizations for dementia. Trends in hospitalizations by year and age quartiles were studied by joinpoint regression analysis. 2807 out of 2,717,192 total hospitalizations (0.10%) were due to dementias; the main groups were degenerative dementia (1907) followed by vascular dementia (607). Dementias are not a major cause of hospitalization, but the average stay and cost are high, and many of them seem avoidable. Decreasing trends were detected in hospitalization rates for all dementias except for the group of mild cognitive impairment, which grew. An increasing–decreasing joinpoint detected in 2007 for vascular dementia and the general downward hospitalization trends for most dementias suggest that socio-health measures established since 2007 in Spain might play a key role in reducing hospitalizations. MDPI 2020-11-28 /pmc/articles/PMC7760198/ /pubmed/33260542 http://dx.doi.org/10.3390/jcm9123875 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Llanes-Álvarez, Carlos
llano, Jesús M. Andrés-de
Álvarez-Navares, Ana I.
Roncero, Carlos
Pastor-Hidalgo, M. Teresa
Garmendia-Leiza, José R.
Andrés-Alberola, Irene
Franco-Martín, Manuel A.
Hospitalization and Socio-Health Care for Dementia in Spain
title Hospitalization and Socio-Health Care for Dementia in Spain
title_full Hospitalization and Socio-Health Care for Dementia in Spain
title_fullStr Hospitalization and Socio-Health Care for Dementia in Spain
title_full_unstemmed Hospitalization and Socio-Health Care for Dementia in Spain
title_short Hospitalization and Socio-Health Care for Dementia in Spain
title_sort hospitalization and socio-health care for dementia in spain
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7760198/
https://www.ncbi.nlm.nih.gov/pubmed/33260542
http://dx.doi.org/10.3390/jcm9123875
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