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2 results

  • Two-year follow-up study of patients with dementia in an NHS continuing care unit

  • Dilini Jayalath, Kuttalingam Shankar, Kunle Ashaye
  • Journal:
    The Psychiatrist / Volume 37 / Issue 1 / January 2013
    Published online by Cambridge University Press:
    02 January 2018, pp. 11-14
    Print publication:
    January 2013
    • Article
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  • Aims and method

    This is a longitudinal, observational prospective study carried out in a 50-bedded dementia care unit. Fifty patients who had been assessed in 2009 as part of an earlier study were reassessed 2 years later.

    Results

    All patients had a diagnosis of dementia, with Alzheimer's dementia being the most common. By 2011, 23 (46%) patients reviewed in 2009 were deceased. We found that there was a reduction in psychotic symptoms in patients 2 years later despite none of them being on antipsychotics. The most common problems on follow-up were apathy, agitation and aggression, irritability and anxiety.

    Clinical implications

    Our findings support the view of the need to regularly review patients with dementia who have psychotic symptoms that require antipsychotics, as long-term treatment may not be required or beneficial in light of known adverse side-effects.