title: Counting the cost of dementia-related hospital admissions: A regional investigation.
abstract: OBJECTIVE
  At a time of increasing dementia prevalence, this research explores the cost of treatment and length of stay associated with the syndrome in a large regional hospital.
  
  
  METHODS
  Database analysis of 4332 recorded admissions to a large regional Australian hospital among adults aged 55 years and older during winter 2013 and 2014.
  
  
  RESULTS
  Costs of hospital treatment and length of stay for people with a diagnosis of dementia who presented to a regional hospital were significantly greater than people with no diagnosis over two years. Costs were unrelated to age or likelihood of death in hospital. Prevalence of dementia admissions was low, but treated conditions indicate that the syndrome may be an underlying, and potentially unrecognised, factor in many admissions.
  
  
  CONCLUSIONS
  Dementia imposes a large cost and resource burden on a regional hospital. Improved identification of the syndrome on admission and implementation of best-evidence management of dementia in regional hospitals may improve care efficiency.
authors.affiliation: Wicking Dementia Research and Education Centre, University of Tasmania, Hobart, Tasmania, Australia. Michael.Annear@utas.edu.au.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Annear
authors.affiliation: Wicking Dementia Research and Education Centre, University of Tasmania, Hobart, Tasmania, Australia.
authors.forename: Laura T
authors.initials: LT
authors.lastname: Tierney
authors.affiliation: Wicking Dementia Research and Education Centre, University of Tasmania, Hobart, Tasmania, Australia.
authors.forename: James C
authors.initials: JC
authors.lastname: Vickers
authors.affiliation: Menzies Institute for Medical Research, University of Tasmania, Hobart, Tasmania, Australia.
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Palmer
mesh_terms: D000368:Aged; D016208:Databases, Factual; D003695:Delivery of Health Care / Q000191:economics* / Q000639:trends; D003704:Dementia / Q000175:diagnosis / Q000191:economics* / Q000453:epidemiology / Q000628:therapy*; D005260:Female; D006301:Health Services Needs and Demand / Q000191:economics; D017721:Hospital Costs / Q000639:trends; D006801:Humans; D007902:Length of Stay / Q000191:economics* / Q000639:trends; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment / Q000191:economics; D010343:Patient Admission / Q000191:economics* / Q000639:trends; D015995:Prevalence; D012040:Regional Health Planning / Q000191:economics* / Q000639:trends; D013648:Tasmania / Q000453:epidemiology; D013997:Time Factors
keywords: Australia; cost of treatment; dementia; regional hospital