Epstein-Lubow Gary, Fulton Ana Tuya, Marino Louis J, Teno Joan
Brown University, Providence, RI, USA Butler Hospital, Providence, RI, USA
Brown University, Providence, RI, USA Butler Hospital, Providence, RI, USA.
Am J Hosp Palliat Care. 2015 Jun;32(4):437-9. doi: 10.1177/1049909114531160. Epub 2014 May 5.
This report addresses the discharge disposition following inpatient psychiatric treatment for advanced dementia. The total population included 685 305 Medicare fee-for-service decedents with advanced cognitive and functional impairment, with a mean age of 85.9 years who had resided in a nursing home. In the last 90 days of life, 1027 (0.15%) persons received inpatient psychiatry treatment just prior to the place of care where the individual died. Discharge dispositions included 132 (12.9%) persons to a medical hospital, 728 (70.9%) to nursing home without hospice services, 73 (7.1%) to hospice services in a nursing home, 32 (3.1%) to home without hospice services, and 16 (1.6%) to hospice services at home. Overall, the rate of referral to hospice services for advanced dementia was relatively low.
