{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T17:22:08Z","timestamp":1787505728330,"version":"build-2736575974"},"reference-count":23,"publisher":"Royal College of Psychiatrists","issue":"3","license":[{"start":{"date-parts":[[2025,5,9]],"date-time":"2025-05-09T00:00:00Z","timestamp":1746748800000},"content-version":"unspecified","delay-in-days":8,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:sec id=\"S2056472425000407_as1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Although dementia is a terminal condition, palliation can be a challenge for clinical services. As dementia progresses, people frequently develop behavioural and psychological symptoms, sometimes so severe they require care in specialist dementia mental health wards. Although these are often a marker of late disease, there has been little research on the mortality of people admitted to these wards.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472425000407_as2\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>We sought to describe the mortality of this group, both on-ward and after discharge, and to investigate clinical features predicting 1-year mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472425000407_as3\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>First, we conducted a retrospective analysis of 576 people with dementia admitted to the Cambridgeshire and Peterborough National Health Service (NHS) Foundation Trust dementia wards over an 8-year period. We attempted to identify predictors of mortality and build predictive machine learning models. To investigate deaths occurring during admission, we conducted a second analysis as a retrospective service evaluation involving mental health wards for people with dementia at four NHS trusts, including 1976 admissions over 7 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472425000407_as4\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Survival following admission showed high variability, with a median of 1201 days (3.3 years). We were not able to accurately predict those at high risk of death from clinical data. We found that on-ward mortality remains rare but had increased from 3 deaths per year in 2013 to 13 in 2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472425000407_as5\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We suggest that arrangements to ensure effective palliation are available on all such wards. It is not clear where discussions around end-of-life care are best placed in the dementia pathway, but we suggest it should be considered at admission.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjo.2025.40","type":"journal-article","created":{"date-parts":[[2025,5,9]],"date-time":"2025-05-09T03:15:10Z","timestamp":1746760510000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Mortality and its predictors among people with dementia receiving psychiatric in-patient care"],"prefix":"10.1192","volume":"11","author":[{"given":"Oriane E.","family":"Marguet","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shanquan","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emad","family":"Sidhom","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Wolverson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregor","family":"Russell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5102-4593","authenticated-orcid":false,"given":"George","family":"Crowther","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8642-7037","authenticated-orcid":false,"given":"Simon R.","family":"White","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Lewis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Dunning","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2198-8915","authenticated-orcid":false,"given":"Shahrin","family":"Hasan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3427-9487","authenticated-orcid":false,"given":"Benjamin R.","family":"Underwood","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2025,5,9]]},"reference":[{"key":"S2056472425000407_ref6","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2020.1727848"},{"key":"S2056472425000407_ref1","first-page":"79","article-title":"Dementia","volume":"84","author":"Cunningham","year":"2015","journal-title":"Ulster Med J"},{"key":"S2056472425000407_ref11","doi-asserted-by":"publisher","DOI":"10.1002\/gps.2504"},{"key":"S2056472425000407_ref15","doi-asserted-by":"publisher","DOI":"10.3390\/geriatrics4010007"},{"key":"S2056472425000407_ref18","unstructured":"18 World Health Organization. ICD-10: International Statistical Classification of Diseases and Related Health Problems, Tenth Revision 2nd ed. WHO, 2004."},{"key":"S2056472425000407_ref19","first-page":"321","article-title":"SMOTE: synthetic minority over-sampling technique","volume":"16","author":"Chawla","year":"2002","journal-title":"J Artif Intell R"},{"key":"S2056472425000407_ref7","doi-asserted-by":"publisher","DOI":"10.1080\/07317115.2022.2104145"},{"key":"S2056472425000407_ref20","article-title":"Inpatient psychiatric care for patients with dementia at four sites in the United Kingdom","author":"Edmans","journal-title":"Int J Geriatr Psychiatry"},{"key":"S2056472425000407_ref14","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-023-03945-8"},{"key":"S2056472425000407_ref9","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2020.00699"},{"key":"S2056472425000407_ref22","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.p754"},{"key":"S2056472425000407_ref21","doi-asserted-by":"publisher","DOI":"10.3233\/JAD-161023"},{"key":"S2056472425000407_ref23","doi-asserted-by":"publisher","DOI":"10.1093\/bmb\/ldq024"},{"key":"S2056472425000407_ref8","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-023-01155-y"},{"key":"S2056472425000407_ref13","doi-asserted-by":"publisher","DOI":"10.1192\/apt.bp.106.003442"},{"key":"S2056472425000407_ref17","doi-asserted-by":"publisher","DOI":"10.1186\/s12911-017-0437-1"},{"key":"S2056472425000407_ref3","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2012.00073"},{"key":"S2056472425000407_ref4","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h369"},{"key":"S2056472425000407_ref12","doi-asserted-by":"publisher","DOI":"10.1093\/bmb\/ldq024"},{"key":"S2056472425000407_ref16","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.108.055335"},{"key":"S2056472425000407_ref5","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2014.14040480"},{"key":"S2056472425000407_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jagp.2018.11.011"},{"key":"S2056472425000407_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2011.05.2410"}],"container-title":["BJPsych Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2056472425000407","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,9]],"date-time":"2025-05-09T03:15:14Z","timestamp":1746760514000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2056472425000407\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5]]},"references-count":23,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,5]]}},"alternative-id":["S2056472425000407"],"URL":"https:\/\/doi.org\/10.1192\/bjo.2025.40","relation":{},"ISSN":["2056-4724"],"issn-type":[{"value":"2056-4724","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e92"}}