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Published on: September 20, 2018
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Clinical Manifestations
Kanthee Anantapong1, Aimorn Jiraphan1, Warut Aunjitsakul1
1Prince of Songkla University, Hat Yai, Songkhla, Thailand.
Alzheimer'S & Dementia : the Journal of the Alzheimer'S Association
|December 24, 2025
Summary
Behavioural and psychological symptoms of dementia (BPSD) affect 60% of older inpatients, leading to increased caregiver stress and hospital readmissions. Targeted management strategies and improved discharge planning are crucial for better patient outcomes.
Area of Science:
- Gerontology
- Neurology
- Psychiatry
Background:
- Acute hospital care presents unique challenges for individuals with dementia.
- Behavioural and psychological symptoms of dementia (BPSD) complicate care, with diverse evidence regarding their impact in this setting.
Purpose of the Study:
- To assess the prevalence of BPSD in acute hospital settings.
- To investigate factors associated with BPSD, current management strategies, and patient outcomes.
Main Methods:
- A systematic review and meta-analysis of studies published until March 2024.
- Searched major databases (Cochrane Library, MEDLINE, PsycINFO) for relevant studies.
- Analyzed data from 23 studies involving over 100,000 older patients using established BPSD assessment scales.
Main Results:
- Pooled BPSD prevalence was 60% in older inpatients with dementia.
- Aggression/agitation, sleep disturbances, eating problems, and irritability were the most common symptoms.
- BPSD were linked to delirium, pain, increased intervention use, psychotropic medication, caregiver stress, and higher readmission rates.
Conclusions:
- High BPSD prevalence necessitates targeted management strategies in acute care.
- Recommendations include enhanced staff training, improved caregiver communication, and comprehensive discharge planning.
- Further research on BPSD interventions in acute hospital settings is needed to improve outcomes and reduce caregiver burden.
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