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Dementia, delirium and other comorbid conditions in acute hip fracture care: Traditions, attitudes and local policies rather than actual state guide diagnose making?
Neurotec Department, Division of Gerontological Caring Science, Karolinska Institutet, Stockholm, Sweden.ORCID iD: 0000-0001-6883-3154
Neurotec Department, Karolinska Institutet, Stockholm, Sweden.
Mälardalen University, Department of Caring Science, Eskilstuna, Sweden.
Division of Orthopaedics, Department of Clinical Science Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden.
2005 (English)In: Vård i Norden, ISSN 0107-4083, Vol. 25, no 4, 25-29 p.Article in journal (Refereed) Published
Abstract [en]

In the elderly, hip fracture is a common disease. Previous studies show that more than half of these patients has a co-existing dementia and/or delirium diagnose. We found a cognitive disorder diagnose code registered in only 11% of 14,993 hip fracture patients, 65 years or older, in Stockholm, Sweden during 1994–1999. Although most common in the clinical setting, acute confusional state (delirium) was hardly ever diagnose-coded (1%). Furthermore, the share of dementia/delirium registrations ranged from 6 to 17% between hospitals and within a single hospital from 1 to 20 %. The lack of pattern in diagnosis coding became even more evident in the patients who were transferred from acute care to geriatric rehabilitation – it was unusual that the diagnosis was given at both specialities. Also regarding secondary diagnoses on the whole, large differences on hospital level was found (range 0.4 – 2.2/patient). The over all impression of the findings was that recording of comorbid conditions in acute somatic care depends on other factors than the patient’s actual state such as traditions, attitudes and local policies (or the lack thereof). In conclusion, significant conditions crucial for planning, treatment and prognosis in the hip fracture population are virtually invisible in this administrative database.

Place, publisher, year, edition, pages
Oslo: Nordic Journal of Nursing Research & Clinical Studies , 2005. Vol. 25, no 4, 25-29 p.
Keyword [en]
comorbid conditions, cognition disorders, hip fractures, medical records, administrative database
National Category
Nursing
Identifiers
URN: urn:nbn:se:rkh:diva-447OAI: oai:DiVA.org:rkh-447DiVA: diva2:562160
Available from: 2012-10-23 Created: 2012-10-23 Last updated: 2014-10-21Bibliographically approved
In thesis
1. Unequal opportunities for patients with and without cognitive impairment: relatives' and significant others' views on care and rehabilitation after hip fracture
Open this publication in new window or tab >>Unequal opportunities for patients with and without cognitive impairment: relatives' and significant others' views on care and rehabilitation after hip fracture
2007 (English)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Stockholm: Karolinska institutet, 2007. 57 p.
Keyword
hip fracture, cognition disorders, caregivers
National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-450 (URN)978-91-7357-118-0 (ISBN)
Note

 Institutionen för neurobiologi, vårdvetenskapoch samhälle, Karolinska Institutet.                    

Available from: 2014-07-04 Created: 2012-10-23 Last updated: 2014-10-21Bibliographically approved

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