| Autor: |
Llanes-Álvarez C; Department of Psychiatry, Complejo Asistencial de Zamora, 49022 Zamora, Spain., Llano JMA; Department of Pediatrics, Complejo Asistencial Universitario de Palencia, 34005 Palencia, Spain., Álvarez-Navares AI; Department of Psychiatry, University of Salamanca Health Care Complex, 37007 Salamanca, Spain., Roncero C; Department of Psychiatry, University of Salamanca Health Care Complex, 37007 Salamanca, Spain., Pastor-Hidalgo MT; Castilla y León Health Authority, Complejo Asistencial de Zamora, 49022 Zamora, Spain., Garmendia-Leiza JR; General Direction of Information Systems, Quality and Pharmaceutical Provision at Castilla y León Health Authority, Regional Health Management, 47007 Valladolid, Spain., Andrés-Alberola I; Castilla y León Health Authority, Complejo Asistencial Universitario de Palencia, 34005 Palencia, Spain., Franco-Martín MA; Department of Psychiatry, Complejo Asistencial de Zamora, 49022 Zamora, Spain. |
| Abstrakt: |
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. |
